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No focal consolidation, pleural effusion, or pneumothorax is seen. Heart size is top normal. Aortic tortuosity and calcification is consistent with known atherosclerotic disease.
<unk>-year-old female with substernal chest pain.
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A single portable semi-erect chest radiograph was obtained. The lung volumes are low. The mediastinal structures are shifted to the left. The left costophrenic angle is obscured. Cardiomegaly is moderate. The aortic arch is calcified.
altered mental status.
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Cardiac size is normal. There is blunting of the ap window, this warrants further evaluation with ct the lungs are clear. There is no pneumothorax or pleural effusion. The osseous structures are unremarkable
<unk> year old man with cough and fever // high fever, likely flu, r/o pneumonitis
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The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear.
chest pain and dyspnea on exertion.
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In comparison with the study of <unk>, there is little overall change except for placement of the biopsy seed posteriorly and projected over the right hilum on the frontal view. No evidence of pneumothorax or acute pneumonia.
right lower lobe nodule, status post biopsy and seed placement.
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There is interval increase in size and density of left lower lobe opacification with possible small associated pleural effusion. New faint patchy opacifications are also noted on the right. Findings are consistent with aspiration event. No significant pulmonary edema identified. Cardiomediastinal and hilar contours are unchanged. Endotracheal tube terminates <num> cm above the carina. Degenerative changes noted at the right glenohumeral head.
neck cancer, status post radiation and aspiration event, assess for interval change.
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Comparison is made to the prior radiographs from <unk>. There is a dual-lead left-sided aicd with lead tips within the right atrium and right ventricle. There is a left ventricular prominence. There are low lung volumes without focal consolidation, pleural effusions, or signs for overt pulmonary edema. No pneumothoraces are identified.
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New right internal jugular central venous catheter terminates at the expected junction of the superior vena cava and right atrium, with no evidence of pneumothorax. There is otherwise no relevant change in the appearance of the chest since the recent study performed a few hours earlier.
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There are large worsening bilateral pleural effusions with associated atelectasis. There is also mild pulmonary edema. Trach tube is in good position with tip <num> cm above the carina. Upper alimentary tube is seen, post pylorus. Right picc tip is not well visualized past the brachiocephalic vein.
<unk>-year-old with necrotizing pancreatitis and worsening respiratory status.
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Single portable frontal upright chest radiograph demonstrates well-expanded lungs. Heart is top normal in size and cardiomediastinal contour is within normal limits. Lungs are clear. There is no pleural effusion and no pneumothorax.
fever and cough, evaluate for infiltrates.
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In comparison with the study of <unk>, there is continued enlargement of the cardiac silhouette with tortuosity of the aorta. Opacification at the right base could reflect consolidation or some element of atelectasis. Mild blunting of the costophrenic angles is again seen. The right paratracheal opacification most likely represents dilated brachiocephalic vessels.
altered mental status and weakness with mrsa.
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The lungs are well expanded and clear. Again seen is a slight opacity at the medial right lung base. This opacity does not have the typcial appearance of a pulmonary lesion and is unlikely to be of clinical significance. The cardiomediastinal silhouette, hilum, and pleural surfaces are normal. There is mild scoliosis of the thoracic spine.
<unk>-year-old female with patchy right cardiophrenic density on recent rib x-ray.
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Pa and lateral views of the chest provided. Midline sternotomy wires again noted. There are scattered areas of platelike atelectasis in the mid to lower lungs. Retrocardiac opacity is noted in the left lower lobe which is concerning for an early pneumonia. No large effusion or pneumothorax. The cardiomediastinal silhouette is unchanged. Bony structures are intact.
<unk>m with hypoxia // eval for pna
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As compared to prior chest radiograph from <unk>, there has been no significant change. The heart is large. There is mediastinal lipomatosis as seen on prior chest cta examination. Lung volumes are decreased. However, a focal consolidation cannot be definitely excluded.
shortness of breath. rule out pneumonia.
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Ap upright and lateral views of the chest provided. Aicd is noted projecting over the left chest wall with leads extending to the region the right atrium and right ventricle. Lungs are clear. There is no focal consolidation, effusion, or pneumothorax. No overt edema. Aorta is calcified. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f pre op
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A single portable ap chest radiograph was obtained. Aeration of the left base has minimally improved since the prior exam two days ago. A left basilar retrocardiac opacity continues to obscure the left hemidiaphragm. No new consolidation, effusion, or pneumothorax is present. Soft tissue density surrounding a left chest pacer corresponds with the clinically noted pacer pocket hematoma. A single cardiac lead projects over the right ventricle. Cardiomegaly remains mild. The aortic arch and mitral valve anulus are calcified.
<unk>-year-old man with low-grade temperature, pacer pocket hematoma, left basilar consolidation.
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Two views were obtained of the chest. The lungs are low in volume with subtle left base opacity likely due to bronchovascular crowding. There is no pleural effusion or pneumothorax. The heart is normal in size with normal mediastinal and hilar contours.
cough, assess for pneumonia.
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Since prior, dobbhoff tube remains in the stomach. There is no interval change to the heart, lungs, and mediastinum since prior. There is no pneumothorax or pleural effusion.
<unk> year old man with dobhoff placement.
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Low lung volumes significantly limits assessment. Vagal nerve stimulator device projects over the left lower chest wall with catheter extending into the left neck, unchanged in position from prior exam. Bronchovascular crowding at the lung bases noted. Heart size difficult to assess. No gross signs of pneumonia or overt chf. No large effusion or pneumothorax is seen.
<unk>m with increased seizures. evaluate for pneumonia
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The lung volumes are normal. There is a moderate left pleural effusion, appreciated on both the frontal and the lateral radiograph. Subsequent areas of atelectasis at the left lung bases. Moderate cardiomegaly without evidence of pulmonary edema. No evidence of pneumonia. At the time of dictation and observation, <time> a.m., <unk>, the referring physician, <unk>. <unk> was paged for notification.
large cell lymphoma, decreased breath sounds, evaluation for pleural effusion.
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The dobbhoff tube is now straightened, but the opaque portion crosses the esophagogastric junction. The tube should be pushed forward several centimeters if possible. Little change in the appearance of the heart and lungs. There is evidence of pulmonary vascular congestion with bibasilar opacification and obscuration of the right hemidiaphragm. Although this may merely reflect pleural effusion and atelectasis, in the appropriate clinical setting, superimposed pneumonia would have to be considered.
dobbhoff readjustment.
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Pa and lateral chest radiograph demonstrates clear lungs bilaterally except for minor atelectasis at the lung bases. Cardiomediastinal and hilar contours are within normal limits. There is no pleural effusion, pneumothorax, or evidence of pulmonary edema. Re- demonstration of right eleventh rib fracture. Twelfth right rib is incompletely imaged. No additional rib fracture is identified. Imaged upper abdomen is unremarkable.
history: <unk>m with recent ed visit found to have r <unk>ths rib fx. coming in with l sided pain with ttp over mid axilla. also with bruising over tender area. // rib fracture or pneumonia?
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In comparison the prior study of <unk>, pulmonary vascular congestion has resolved. Cardiomediastinal silhouette is notable for tortuosity of the thoracic aorta. Linear opacities at the right base likely represent atelectasis. Heterogeneously dense retrocardiac opacities may represent atelectasis or developing consolidation. There is no pleural effusion or pneumothorax. Several compression deformities in the thoracic spine have progressed since the the study of <unk>.
<unk> year old man with hx of myeloma now with cough. please further evaluate for cough. // <unk> year old man with hx of myeloma now with cough. please further evaluate for cough.
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An ng tube is seen coursing over the midline of the chest, with tip and side port below the level of the diaphragm, overlying the gastric fundus. Note is made of multiple dilated loops of small bowel in the left mid/upper abdomen, also demonstrated on a abdominal ct obtained earlier the same day. No free air seen beneath the diaphragm. The lungs are hypoinflated with crowding of vasculature and bilateral lower lobe atelectasis. There is mild vascular plethora, likely accentuated by low lung volumes. Mild cardiomegaly is likely accentuated due to low lung volumes and patient positioning. The aorta is tortuous. Biapical pleural thickening and parenchymal scarring is seen. No pleural effusion or pneumothorax.
<unk>m with ng tube placement. assess placement of ng tube .
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The lungs are clear without focal consolidation, pleural effusion or pneumothorax. No pulmonary mass is seen within the limits of a radiographic examination. There is minimal biapical scarring. The pulmonary vasculature is not engorged. The cardiomediastinal and hilar contours are within normal limits. The trachea is midline. No acute osseous abnormality is detected. There is suggestion of healed right clavicular fracture.
vertigo, here to evaluate for pulmonary mass.
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In comparison with the study of <unk>, there is no interval change or evidence of acute cardiopulmonary disease. Specifically, no skeletal or pulmonary metastases identified.
kaposi sarcoma, to assess for lung involvement.
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No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. The heart size is normal. Mediastinal contours are normal.
cough and smoke inhalation.
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Indwelling support and monitoring devices remain in standard position. Stable cardiomegaly. Prominent left cardiophrenic angle fat pad results in poor visualization of left costophrenic sulcus as demonstrated on recent ct. Minor areas of atelectasis are present at the bases. No visible pneumothorax.
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Lung volumes are low. Prominent left cardiophrenic fat pat is identified. No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. Heart and mediastinal contours are within normal limits.
<unk>-year-old male with fever.
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Frontal and lateral views of the chest were obtained. There are fibrotic changes at the right mid lung with right paratracheal opacity and retraction of the right hilum in this patient status post right lobectomy and lung volume loss. There is also mild elevation of the right hemidiaphragm. Recommend comparison with prior radiographs to assess for interval change. Surgical clip is noted in the right mediastinum projecting over the right paratracheal region. The left lung is clear. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac silhouette is not enlarged.
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Cardiac silhouette is normal in size. Diffuse calcification of the aorta is noted. There is an opacity in the right lung base which may reflect atelectasis. A small right pleural effusion is present. The left lung is clear. No pulmonary edema is present. There is no pneumothorax. Clips are seen in the right upper quadrant of the abdomen.
<unk>-year-old female with anterior chest pain, question pneumothorax.
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Frontal and lateral views of the chest were obtained. There has been interval increase in left-sided pleural effusion, with overlying atelectasis. Left basilar consolidation is difficult to exclude. There is minor blunting of the posterior right costophrenic angle and a trace right pleural effusion may be present. The cardiac silhouette is enlarged with a somewhat globular configuration and underlying pericardial effusion is not excluded. No pneumothorax is seen.
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In comparison with study of <unk>, there is now a dobbhoff tube in place that extends to the lower body of the stomach before the tip turns upward. Little overall change in the appearance of the heart and lungs.
dobbhoff placement.
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There is no pneumothorax. Lungs are fully expanded and clear. Mediastinal and cardiac contours are normal. There is no pleural effusion. Visualized osseous structures are unremarkable.
<unk> -year-old woman with 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.
<unk> year old man with esrd // new kidney transplant evaluation. please evaluate for cardiopulmonary abnormalities.
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In comparison with the study of <unk>, the patient has taken a much poorer inspiration. There is some elevation of the left hemidiaphragmatic contour. The substantial pleural effusions and bibasilar atelectasis seen previously is no longer present. Pulmonary vessels are no longer engorged.
pre-operative.
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Comparison is made to prior study from <unk>. The endotracheal tube, feeding tube, and right subclavian catheter are unchanged. Cardiac silhouette and mediastinum is normal. Lungs are grossly clear without focal consolidation, pulmonary edema, or pleural effusions.
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In comparison with study of <unk>, there is increasing opacification at the left base with poor definition of the hemidiaphragm. Less prominent changes are seen in the right. This could reflect merely atelectatic change with small pleural effusions. However, in the appropriate clinical setting, supervening pneumonia would have to be considered. Monitoring and support devices remain in place. Mild indistinctness of the pulmonary vessels is consistent with some elevated pulmonary venous pressure.
post-surgery.
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Ap and lateral views of the chest were obtained a hemodialysis catheter terminates in the low svc. Median sternotomy wires and surgical clips compatible with prior cabg. 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 fever, c/f dka // eval for pna
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Pa and lateral chest views have been obtained with patient in upright position. The heart is mildly enlarged. The configuration demonstrates a relative prominence of the left ventricular contour to the left and posteriorly. The thoracic aorta is mildly widened and elongated, but no local contour abnormalities are present. The pulmonary vasculature demonstrates an upper zone redistribution pattern, but there is no evidence of interstitial or alveolar edema and the lateral and posterior pleural sinuses are free. A permanent pacer is seen in left anterior axillary position connected to two intracavitary electrodes with termination points compatible with right atrial appendage and right ventricular apical portion. Skeletal structures demonstrate a mildly accentuated kyphotic curvature and somewhat demineralized vertebral bodies, but no evidence of compression fracture or other skeletal abnormalities in the thoracic area. Patient was unable to elevate left arm for the lateral view related to recent pacemaker placement. Our records do not include a previous chest examination available for comparison.
<unk>-year-old female patient status post dual-chamber permanent pacemaker placement via left cephalic vein on <unk>. evaluate lead position.
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Comparison is made to previous study from <unk>. Dobbhoff tube has been removed. There is marked cardiomegaly which is stable. Calcification of thoracic aorta is seen. There is worsening of the airspace opacities bilaterally and a left retrocardiac opacity. The lung apices are clear. There are no pneumothoraces.
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The lungs are clear. There is no pneumothorax. The heart appears large but cardiac size may be exaggerated by ap portable technique. The aorta is calcified. Mediastinal structures are otherwise unremarkable. The bony thorax is grossly intact
r/o free air
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In comparison with the study of <unk>, the kinked subclavian sheath has been removed. Other monitoring and support devices remain in place. The hazy opacifications bilaterally at the bases are less prominent. This probably reflects redistribution of pleural fluid in a more upright position. Prominence of pulmonary vascular markings is consistent with elevated venous pressure. There may be a more focal area of opacification just above the minor fissure on the right, raising the possibility of a developing consolidation in the upper lobe.
hypoxia, to assess for pneumonia, pneumothorax and effusion.
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As compared to the previous radiograph, no relevant change is seen. On the current image, there is no evidence of pneumonia or other acute lung disease. Normal size of the cardiac silhouette. Moderate tortuosity of the thoracic aorta.
cirrhosis, evaluation for pneumonia.
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A left internal jugular central line ends in the upper svc. A fracture of the most superior sternal wire is unchanged. The other sternal wires are intact. A sharp interface projecting over the lateral right lung is likely a skinfold, but a repeat chest radiograph carefully positioned should be able to exclude pneumothorax. The moderate right pleural effusion is smaller. Moderate pulmonary edema has slightly improved. Septic emboli--<unk> peripheral nodules, some cavitary--<unk> stable. No new nodules or consolidations are present. The cardiomediastinal silhouette is mildly enlarged and unchanged.
tricuspid valve endocarditis and pulmonary septic emboli. evaluate for change.
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An opacity overlying the left first rib extends beyond the boundaries of the ribs in the left lung apex. There is vague airspace opacity newly noted at the right base. No effusion or pneumothorax is present. A large hiatal hernia is unchanged. The cardiac and mediastinal contours are unremarkable. Severe thoracic kyphosis and multilevel retrolisthesis are stable.
<unk>-year-old woman with aml, left-sided chest and back pain.
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Portable ap upright chest radiograph was provided. Overlying ekg leads somewhat limit the evaluation. The lungs appear clear without focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette appears normal. Previously noted right middle lobe collapse has resolved in the interval. Cardiomediastinal silhouette appears stable. Bony structures are intact. No free air below the right hemidiaphragm.
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Very large hiatal hernia is again demonstrated. An apparent area of adjacent opacity has developed in the right lung base, and could represent an area of focal aspiration, atelectasis or developing pneumonia. Small pleural effusion is also noted. When the patient's condition permits, standard pa and lateral chest radiographs may be helpful for better characterization of the lower lobes.
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Ap portable views of the chest demonstrates clear lungs. Heart size is normal. No pleural effusion or pneumothorax. Along the posterior <num>th rib there is slightly irregularity which may be due to a prior rib fracture, also present on priors. No new displaced fracture is seen. A right-sided port-a-cath terminates in unchanged position.
metastatic breast cancer status post mechanical fall. question fracture.
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In comparison with the study of <unk>, the endotracheal tube and nasogastric tubes have been removed. Cardiac silhouette remains at the upper limits of normal in size. There is more engorgement of central and peripheral indistinct vessels, suggesting some worsening pulmonary vascular congestion.
fall with intubation.
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There relatively low lung volumes without definite focal consolidation. Minor basilar atelectasis is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with cough // eval for pna
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Portable ap upright chest radiograph provided demonstrates no focal consolidation, effusion or pneumothorax. Cardiomediastinal silhouette is normal. Imaged bony structures are intact.
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As compared to the previous radiograph, the swan-ganz catheter has been removed. The other monitoring and support devices are in place. The parenchymal opacities, bilateral in the lung parenchyma, with ill-defined margins and multiple air bronchograms, are unchanged in extent and severity. No new opacities. No pleural effusions. Normal size of the cardiac silhouette. No pneumothorax.
questionable pneumonia or pulmonary edema.
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Pa and lateral views of the chest provided. There are small bilateral effusions. The lung volume is again low, however unchanged from prior. There is no focal consolidation or pneumothorax. The cardiomediastinal silhouette is mildly enlarged, unchanged from prior. Patient is status post pacemaker placement. Severe kyphosis is seen with compression deformity of a lower thoracic vertebral body, unchanged from prior.
<unk>f with chest pain, right hand pain/swelling. evaluate for chest pain/shortness of breath, fracture/dislocation.
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Status post removal of right-sided chest tube, with a tiny right apical pneumothorax, which is slightly decreased compared to the previous radiograph. Widening of right mediastinal contour is consistent with neoesophagus related to recent esophagectomy procedure. Heart size and pulmonary vascularity are within normal limits. Lungs are clear except for focal atelectasis at the right lung base. Subcutaneous emphysema is present in the right chest wall and supraclavicular region.
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Et tube ends <num> cm above the carina. Left lower lung opacities are mainly due to left lower lobe collapse and minimal pleural effusion as shown on recent ct. This is unchanged. Right moderate basal atelectasis is also unchanged. There is no pneumothorax. Dobbhoff tube is below the diaphragm. Remaining of the lungs are unremarkable. Mediastinal and cardiac contours are normal.
patient with pancreatitis, intubated.
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No findings of pneumonia. There might be a small lung nodule at the level of the right second anterior interspace, and another above the left clavicle at the level of the third posterior rib. Nipple shadow should not be mistaken for nodules but nor should a button projecting over the mid portion of the right first rib. Heart size is normal. There is no mediastinal or hilar abnormality and the pleural surfaces are normal.
<unk>-year-old woman with metastatic gastric carcinoma and ascites, now with cough and fever. suspect pneumonia.
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The lung volumes are normal. Normal size of the cardiac silhouette. Normal hilar and mediastinal structures. No pleural effusions. No pulmonary edema. No pneumonia.
evaluation for opacities.
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In comparison with the study of <unk>, there is no change or evidence of acute cardiopulmonary disease or old tuberculous disease.
positive ppd.
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Frontal and lateral views of the chest demonstrate low lung volumes. There is no pleural effusion or focal consolidation or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. Left lung base opacities are noted. Partially imaged upper abdomen is unremarkable.
cough.
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Supine portable ap view of the chest provided. An endotracheal tube is seen with its tip residing approximately <num> cm above the carina. The ng tube courses into the left upper quadrant, though the tip is not in the imaged field. The lungs are clear without focal consolidation, effusion or pneumothorax. Cardiomediastinal silhouette appears normal. No bony injury.
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In comparison with study of <unk>, there is continued extensive opacification at the left base most likely reflecting a combination of pleural fluid and volume loss in the left lower lobe. In the appropriate clinical setting, superimposed pneumonia could certainly not be excluded. The right lung is clear. There is some indistinctness of pulmonary vessels that could reflect elevated pulmonary venous pressure.
cabg.
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Frontal and lateral chest radiograph demonstrates hyperinflated lungs with persistent bilateral scattered areas of parenchymal opacities many of which have nodular components, similar to <unk>. Chronic bronchiectasis is stable. Heart size, mediastinal contour, and hila are otherwise unremarkable. No pleural effusion or pneumothorax. Limited assessment of the upper abdomen is unremarkable.
weakness. assess for infiltrate.
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As compared to the previous radiograph, the patient is still intubated, with unchanged position of the endotracheal tube. There currently is no evidence for the presence of a pneumothorax, after multiple catheterization attempts. Unchanged moderate cardiomegaly without pulmonary edema or larger pleural effusions.
left internal jugular vein catheter. evaluation for pneumothorax.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with pots w/ presyncope // eval ? effusion, infection
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Lung volumes are low compared to the previous exam which accentuates the size of the cardiac silhouette. Heart size is likely mildly enlarged. Mediastinal and hilar contours are unremarkable. There is mild crowding of the bronchovascular structures but no pulmonary edema is demonstrated. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. There are moderate degenerative changes noted in the thoracic spine.
history: <unk>f with chest pain
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The lungs are well expanded. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. A small right upper lobe nodule is consistent with a calcified granuloma. Bones are intact.
history of hypoxia, shortness of breath and cough. question pneumonia.
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Ap and lateral views of the chest. There is probable background hyperinflation, sugesting copd. The heart is not enlarged. The aorta is calcified and unfolded. The mediastinal and hilar contours are otherwise unremarkable. Bibasilar atelectasis. There is no chf or focal consolidation. There is no pleural effusion or pneumothorax.
hyperglycemia. evaluate for pneumonia.
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Single supine ap portable view of the chest was obtained. Endotracheal tube is seen, terminating approximately <num> cm above the level of the carina. An enteric tube courses below the level of the diaphragm, coiled in the expected location of the stomach, portion not included on the image. A right-sided chest tube is seen projecting over the mediastinum. There is diffuse, extensive subcutaneous emphysema bilaterally throughout the thorax. Numerous rib fractures are seen, particularly on the right, which are displaced. It is difficult to exclude left-sided rib fractures. Known right-sided pneumothorax is difficult to identify. No large pleural effusion is seen. There is prominence of the right hilum, which could be due to underlying consolidation/contusion. However, underlying atelectasis from pneumothorax is not excluded. There are also subtle opacities projecting over the left lung base as well.
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The previously seen right hilar asymmetry corresponding to hilar adenopathy on prior chest ct appear slightly increased in size compared with prior studies. A nodule in the right lower lung is more prominent compared with the prior study, and may represent summation artifact. There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema.
<unk> year old woman with one week persistent cough, evaluate for pneumonia.
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Right internal jugular central venous catheter has been repositioned, the tip now terminating in the proximal right atrium. No pneumothorax is identified. The cardiac, mediastinal and hilar contours are normal. Lungs are clear. There is no pleural effusion.
replaced right internal jugular central venous catheter.
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Pulmonary vascular congestion without overt pulmonary edema. No focal consolidation, pleural effusion or pneumothorax identified. The size of the cardiac silhouette is within normal limits.
<unk> year old woman with poorly controlled diabetes, cad, systolic chf, presenting with chf exacerbation, now with dyspnea at rest // please evaluate for evidence of pulmonary edema or pleural effusion
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Cardiac size is mildly enlarged, likely exaggerated by the ap projection. There is no pleural effusion. Lung volumes are low. A retrocardiac opacity is noted and also seen on the lateral view which may represent a hiatal hernia, though more pronounced when compared with the prior exam. Difficult to exclude a subjacent pneumonia/mass. Bony structures appear intact.
<unk>m with weakness, hx of metastatic hepatocellular carcinioma // eval for pna
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Again noted are bilateral lower lobe opacities, which have been present on multiple prior studies, including a ct from <unk>. These were characterized as multifocal pneumonia. The upper lobes are clear. There is no pneumothorax or pleural effusion. Heart size is normal, as is the pulmonary vasculature. There is a nasogastric tube terminating within the stomach and a tunneled central venous catheter terminating at the cavoatrial junction.
<unk>-year-old man with coarse breath sounds and fever.
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The lungs are clear. The cardiomediastinal silhouette and hilar contours are normal. The pleural surfaces are normal without effusion or pneumothorax.
evaluation for pneumonia.
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A frontal chest radiograph again demonstrates two right-sided pleural catheters and a right apical pneumothorax, which is similar in size. The remainder of the exam is unchanged.
pneumothorax, with left chest tube in place. evaluate for interval change.
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Frontal and lateral views of the chest were obtained. There is persistent blunting of the right costophrenic angle which may be due to chronic pleural thickening/scarring, stable. Healed posterior right upper rib fractures are chronic and stable. The lungs remain hyperinflated. No new focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable, as are the hilar contours.
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The cardiomediastinal and hilar contours are within normal limits, allowing for rotation. A rounded density projects over the left upper lobe and air is thickening of the left apical pleural margin, which could be due to rotation. The lungs are otherwise clear. There is no pneumothorax, fracture or dislocation. Limited assessment of the abdomen is unremarkable.
history: <unk>m with s/p mvc, intoxication, facial injuries, unable to endorse sxs // eval ? traumatic injury
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The lungs are clear. There is no pleural effusion, pneumothorax, pulmonary edema, or focal consolidation.
<unk>f with cough, chest pain, evaluate for pneumonia or pneumothorax.
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Single upright portable view of the chest was obtained. Elevation of the right hemidiaphragm is again seen. No focal consolidation, pleural effusion or pneumothorax is seen. Enteric tube is seen coursing below the level of the diaphragm, terminating in the expected location of the stomach. Vascular stent in the region of the left axilla is again seen.
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Pa and lateral views of the chest provided. Port-a-cath resides over the right chest wall with catheter tip extending to the region of the low svc. There is no focal consolidation, effusion, or pneumothorax. There is mild blunting of the right cp angle which could indicate a tiny effusion. Cardiomediastinal silhouette is stable. Bony structures are intact.
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Frontal and lateral views of the chest. Lungs are clear without focal consolidation, effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
<unk>-year-old female with angina, ekg changes.
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There is mild patchy retrocardiac opacification, which may represent atelectasis. No additional focal consolidations. No pulmonary edema. Normal cardiomediastinal silhouette. No pleural effusion. No pneumothorax.
history: <unk>f with fever, sob // pna
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In comparison with the study of <unk>, the patient has taken a better inspiration. The large hilar and juxtahilar mass on the left again seen with opacification at the left base consistent with volume loss in the lower lobe and pleural effusion. Pleurx catheter remains in place and there is no evidence of pneumothorax. The right lung is essentially clear.
pleural effusion.
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Ap portable upright view of the chest. Tracheostomy tube projects over the mediastinum. A left upper extremity access picc line extends into the lower svc. An ivc filter projects over the mid abdomen. An azygous fissure is noted. There is minimal retrocardiac opacity which could reflect atelectasis versus pneumonia/aspiration. Lungs are otherwise clear. Cardiomediastinal silhouette is stable. No acute bony abnormalities.
<unk>m with transfer from osh with sepsis, reported pna
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Pa and lateral views of the chest provided demonstrate no focal consolidation, effusion or pneumothorax. The cardiomediastinal silhouette appears normal. No acute bony abnormalities are seen. No free air below the right hemidiaphragm.
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There is no interstitial lung disease related to amiodarone. Mediastinal and cardiac contours are normal. There is no pleural effusion or pneumothorax.
patient with paf, on amiodarone.rule out fibrosis.
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Patient is known with a chronic fibrotic lung process and symetric bronchiectasis as shown on the ct of <unk>. There is increased interstitial marking on today's exam compared to the baseline x-<unk> <unk> <unk>, which could be explained by superimposed pulmonary edema. This is unchanged since <unk>. Et tube ends <num> cm above the carina. Ng tube is in the stomach. Right jugular line is in lower svc. There is no pneumothorax. Pleural effusions are small if any. Mediastinal and cardiac contours are mildly enlarged and unchanged.
patient with longstanding boop, increasing secretion, evaluation for lung process.
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Two chest tubes remain in place in the right hemithorax. Small right apical pneumothorax has slightly changed in distribution, but overall size is similar. Improving asymmetrical pattern of interstitial opacities likely reflect improving asymmetrical edema. More confluent opacities in the right mid and lower lung region are also improving. Small pleural effusions are present bilaterally, new on the left and improved on the right with persistent intrafissural component.
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Tracheostomy tube remains in unchanged position. The cardiac, mediastinal and hilar contours are unchanged. Pulmonary vasculature is not engorged. Small bilateral pleural effusions are similar. Patchy opacities are re- demonstrated in the lung bases, compatible with a atelectasis as well as aspiration pneumonia, the latter better demonstrated on the recent ct. A left picc tip appears to terminate region of the left axilla, unchanged.
history: <unk>m with increasing oxygen requirement.
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The patient is rotated, slightly limiting the evaluation. Multiple sternal wires and a cardiac valve are present. There is no large consolidation and no pneumothorax. There is blunting of the left costophrenic angle, which could be due to a small left pleural effusion. The heart size is within normal limits. Moderate degenerative changes are seen throughout the thoracic spine.
concern for pneumonia.
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There is streaky retrocardiac opacity. Elsewhere, the lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with chest pain // ?pneumonia
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Left-sided chest drain in situ. Significant interval decrease in size of the left-sided pneumothorax. Associated interval decrease in size of the left-sided effusion. Rest of the findings are unchanged.
<unk> year old woman with l pleural effusion s/p thorascentesis c/b pneumothorax s/p chest tube // requesting <num>pm repeat cxr. please evaluate for interval changes in pneumothorax
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Frontal and lateral views of the chest were obtained. Right-sided port-a-cath is again seen terminating in the low svc. There is persistent elevation of the left hemidiaphragm. Overall, lung volumes are low. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. There is no overt pulmonary edema. Slight prominence of the left hilum is stable. Evidence of dish is seen along the spine.
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Based on a portable exam, the lungs are clear. The cardiomediastinal silhouette is stable. No acute osseous abnormalities.
<unk>f with chest pain // infiltrate?
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Ap portable view of the chest. The cardiac silhouette has decreased in size. Moderate right pleural effusion is unchanged and small left pleural effusion is unchanged. Interval development of mild pulmonary vascular congestion.
pericardial effusion, status post pericardiocentesis, shortness of breath.
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The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. Mild elevation of the right hemidiaphragm is new, and there is no intrathoracic finding to account for this. Lung volumes are lower than on the prior exam, but there is no focal consolidation concerning for pneumonia. Pulmonary vasculature is within normal limits. The upper abdomen is unremarkable.
<unk>m with asthma +sob +wheezing throughout lungs // r/o pna
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Frontal and lateral views of the chest. Low lung volumes. Left costophrenic angle is obscured compatible with moderate pleural effusion. Retrocardiac consolidation likely represents atelectasis. There is no right pleural effusion. Moderate pulmonary edema is unchanged. Hilar and mediastinal silhouettes are stable. Moderate cardiomegaly is noted. There is no pneumothorax. Small amount of loculated fluid within the fissure is best seen on the lateral view. Partially imaged abdominal organs are unremarkable. The visualized osseous structures are intact.
shortness of breath.
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The lungs remain clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with ha, constitutional sxs, nosebleed // eval ? infiltrate
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Frontal and lateral views of the chest. There has been no significant interval change. Again seen is mild pulmonary vascular congestion with a without frank pulmonary edema or pulmonary pleural effusion. Cardiac silhouette is moderately enlarged similar to prior. Prosthetic aortic valve and median sternotomy wires are again noted.
<unk>-year-old male with shortness of breath.