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Interval decrease in size of bilateral pleural effusions with residual moderate left and small-to-moderate right pleural effusions remaining. Dense left retrocardiac opacity may reflect atelectasis associated with the pleural effusion or a co-existing region of infectious consolidation.
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The ng tube tip is off the film, at least in the stomach. The appearance of the lungs is similar compared to the study from four hours prior.
bile duct injury and aspiration, check ng tube.
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Single frontal view of the chest demonstrates the et tube ending <num> cm above the carina. A left internal jugular approach central venous catheter has tip along the mid brachiocephalic vein. The heart is top normal in size. Perihilar vascular markings are prominent, suggestive of mild edema. There is retrocardiac opacity which may represent a small pleural effusion with associated atelectasis, although supervening infection cannot be excluded. There is trace atelectasis in the right base.
<unk>-year-old male presents with tachycardia and sepsis. question et tube positioning.
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Mild cardiomegaly. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen.
<unk>m with chest pain // eval for pna
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As compared to the previous radiograph, the nasogastric tube was pulled back. Tip of the tube now projects over the middle parts of the stomach. No evidence of complications, notably no pneumothorax. Otherwise, the image is unchanged.
nasogastric tube was pulled back.
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As compared to the previous radiograph, there is an increase in lung volumes, likely reflecting improved ventilation. No new parenchymal opacities. Borderline size of the cardiac silhouette. No pneumonia, no pulmonary edema. No pleural effusions. No pneumothorax.
known pe, evaluation for pneumonia.
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In comparison with the study of <unk>, there is some indistinctness of pulmonary vessels, suggesting some elevation of pulmonary venous pressure. Streak of atelectasis or possible prior fluid in the minor fissure is seen. Atelectatic changes are noted at the retrocardiac region. There is some relatively ill-defined opacification in the left hilar and perihilar region. Although this could merely reflect some asymmetric pulmonary edema, the possibility of a superimposed infection would have to be considered in the appropriate clinical setting. There is dilatation of loops of gas-filled bowel in the abdomen, raising the possibility of adynamic ileus.
myeloma and hypoxia.
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The cardiac, mediastinal and hilar contours appear unchanged. There is again borderline cardiomegaly. Allowing for rotation as well as scoliosis, the cardiac, mediastinal and hilar contours are probably unchanged. There is similar mild relative elevation of the left hemidiaphragm. There is no definite pleural effusion or pneumothorax. The lungs appear clear. A picc line terminates in the lower superior vena cava.
history of ischemic colitis status post right hemicolectomy and ileocolic anastomosis, presenting with feculent material at surgical wound site. question picc line placement.
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Frontal and lateral views of the chest were obtained. No focal consolidation, large pleural effusion or evidence of pneumothorax is seen. The cardiac silhouette is top normal to mildly enlarged. The aorta is somewhat tortuous. There may be minimal central pulmonary vascular engorgement without overt pulmonary edema.
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Pa and lateral views of the chest demonstrate the lungs are well expanded and clear. The cardiomediastinal silhouette is unremarkable. There is no evidence of pneumothorax, pneumomediastinum, or pleural effusion or pulmonary edema.
caustic ingestion. evaluation for pneumonia or mediastinal free air.
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The heart is moderately enlarged without signs of heart failure including pulmonary edema or pleural effusions. There is no focal opacity or pneumothorax. The mediastinal contours are unremarkable.
chest pain. evaluate for pneumonia, edema.
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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs. Extensive bilateral opacities are consistent with widespread pulmonary metastatic disease, with mild improvement of the left lung. There is a new small to moderate right pleural effusion. No obvious focal consolidation is identified, although a small focus would be difficult to identify given background parenchymal opacities. The visualized upper abdomen is unremarkable.
evaluate for infection in a patient with metastatic rcc with extensive lung involvement, presenting with low-grade fever and cough.
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As compared to the previous radiograph, there is no relevant change. The monitoring and support devices are in constant position. Extensive bilateral areas of parenchymal opacities are noted. No evidence of pneumothorax or newly appeared other complication. Unchanged appearance of the cardiac silhouette.
developing hypertension, evidence of pneumothorax.
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Pa and lateral views of the chest demonstrate clear lungs. Cardiac size is enlarged and perhaps slightly increased since <unk>. There is no pleural effusion, edema or pneumothorax. Unchanged left pectoral pacemaker and course of the pacemaker lead terminating in the right ventricle.
<unk>-year-old man with chest pain.
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Single lead left-sided aicd is again seen, unchanged in position. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable and unremarkable. No pulmonary edema is seen.
shortness of breath.
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Lungs are hyperinflated. Bilateral perihilar airspace opacities and pulmonary vascular prominence are consistent with moderate pulmonary edema. No large pleural effusion is seen. The cardiac silhouette remains enlarged. Mediastinal contours are also enlarged.
history: <unk>f with increase of work of breath shortness of breath in the setting of pulmonary edema // r/o pna
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Frontal and lateral chest radiographs demonstrate stable cardiomediastinal contours. There is stable mild pulmonary vascular prominence. No clear sign of pneumonia. No pleural effusion or pneumothorax. No displaced rib fracture.
right-sided chest pain and cough, recent fall, evaluate for pneumonia or rib fractures.
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Cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Previously noted patchy opacities within the left lower lobe and medial aspect of the right upper lobe appear resolved. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is detected. No acute osseous abnormalities are visualized.
history: <unk>f with cough, congestion, recent pneumonia
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Ap upright and lateral views of the chest provided. Overlying ekg leads present. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. A chronic right lower rib cage deformity is noted. No free air below the right hemidiaphragm is seen.
<unk>m with fall // pna?
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Opacity at the left base with obscuration of left hemidiaphragm is likely atelectasis. There is a small left pleural effusion. The right lung is clear. The cardiac silhouette is unremarkable. Displaced fractures of the left fourth through eighth ribs are present.
history of fall, clavicle fracture, question pneumothorax or other acute process.
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Pa and lateral views of the chest provided. Lungs are hyperinflated. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
history: <unk>f with dyspnea // eval infiltrate or effusion
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There are increased bibasilar opacities, left greater than right. There is blunting of the right posterior costophrenic angle, likely related to pleural fluid. Evaluation of the cardiac silhouette is limited by overlying opacities. Upper lungs are well aerated. There is no pneumothorax.
infiltrate seen on x-ray earlier this month with some chest congestion. rule out infiltrate.
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Moderate cardiomegaly is relatively unchanged. The aorta is unfolded and diffusely calcified. There is crowding of the bronchovascular structures with mild pulmonary vascular engorgement. No focal consolidation, pleural effusion or pneumothorax is identified. There are mild degenerative changes in the thoracic spine.
shortness of breath.
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Portable ap upright chest radiograph was provided. Lower lung bandlike opacities are noted bilaterally which could represent atelectasis, less likely aspiration. Otherwise the lungs appear clear. Limited evaluation of the cardiac silhouette is unrevealing. The mediastinal contour appears normal. No large effusion or pneumothorax. Subtle deformities along the poster lateral arch of left <unk> and <num>th ribs appear chronic.
<unk>-year-old male with syncopal episode, assess for consolidation.
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No overt pulmonary edema. Mild possible vascular engorgement. No lobar consolidation. Moderate cardiomegaly. Bilateral small left-sided effusion. No pneumothorax.
<unk> year old woman with schf, as, asthma who presents for tavr; slightly volume overloaded and bnp <num>k // pulm edema? pna?
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Bilateral lung volumes are low. Because of the gross rotation, assessment of the cardiomediastinal silhouette was limited. A vague opacity in the right lower lung could be function of rotation and low lung volumes or true abnormality secondary to a combination of atelectasis and/or small pleural effusion. Right upper and left lung are without opacities of concern. No evidence of pulmonary edema.
<unk>-year-old man with new oxygen requirement of unclear etiology, rule out acute process.
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There has been an interval withdrawal of the right picc line, now seen terminating in the mid svc. No associated pneumothorax is identified. The remainder of the examination is essentially unchanged as compared to the chest radiograph performed <num> hour earlier on the same day.
picc line repositioning.
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Frontal and lateral views of the chest were obtained. The patient is status post median sternotomy. There are relatively low lung volumes. The aorta is calcified and tortuous. The cardiac silhouette is top normal. Bilateral suprahilar opacities are felt to more likely represent vascular structures versus less likely areas of consolidation. No pleural effusion or pneumothorax is seen. Right upper lobe nodular calcifications measuring up to <num> mm are most consistent with calcified granuloma.
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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. Hypertrophic changes are demonstrated in the thoracic spine. Clips are noted in the right upper quadrant of the abdomen.
history: <unk>f with chest pain
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As compared to the previous radiograph, the now known <num>-<num> cm left upper lung mass was not present. The mass is now clearly visible on the frontal and the lateral radiograph. The volume of the left hemithorax is reduced and the extent of pleural thickening is within the expected range. Elevation of the left hemidiaphragm, no pathological right lung changes. The morphology is better displayed on the pet-ct examination performed on <unk>.
recurrent lung cancer, shortness of breath, evaluation.
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There is dense opacity in the left lung base which could be due to combination of large left pleural effusion and left lower lobe volume loss. Superimposed pneumonia is also possible. Cardiac silhouette is obscured by large left pleural effusion, however probably moderately enlarged. Faint opacity at the right lung base is likely atelectasis. Left pectoral pacemaker with <num> leads terminating in right ventricle and right atrium are in unchanged position.
r/o pna vs pulmonary history: <unk>m with lethary // r/o pna vs pulmonary
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The lungs are hyperinflated. There is no pneumothorax or focal airspace consolidation. Blunting of the posterior costophrenic angles may represent small pleural effusions, unchanged. Heart is mildly enlarged . No pulmonary edema. Mediastinal and hilar contours are unchanged. The bones are diffusely sclerotic, compatible with metastatic disease. There is no significant change from <unk>.
failure to thrive with shortness of breath. evaluate for pneumonia.
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Aside from a small region of plate like atelectasis in the middle lobe the lungs are clear without focal consolidation, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged and there is no overt pulmonary edema. The cardiomediastinal and hilar contours are within normal limits. The trachea is midline. Mild degenerative changes of the bilateral acromioclavicular joints is noted.
history of liver transplant, now with abnormal breath sounds at the bilateral lung bases, here to evaluate for pleural effusion.
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Ap and lateral views of the chest are compared to previous exam from <unk>. Exam is limited secondary to ap technique and patient body habitus as well as low inspiratory volume. Increased bibasilar opacities, left greater than right, may be due to atelectasis. There is no effusion. Cardiac silhouette is prominent but potentially accentuated for the reasons above. Hiatal hernia is better seen on the lateral exam.
<unk>-year-old female with right leg cellulitis with brief hypotensive episode. question pneumonia.
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As compared to <unk> chest x-ray earlier in the day, left apical pneumothorax is stable. Moderate left-sided effusion with increasing atelectasis has progressed. There is also slight increase in the segmental atelectasis in the right lower lobe. Numerous displaced continuous left-sided rib fractures. The heart is not enlarged.
<unk> year old woman with pneumothorax // interval change
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Frontal and lateral views of the chest were obtained. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No overt pulmonary edema is seen.
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Chest, upright ap and lateral. The lungs are clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal. There is minimal biapical scarring, which is stable.
preoperative evaluation prior to evacuation of subdural hematoma.
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Pa and lateral views of the chest. There are new bilateral patchy opacities, mainly in the mid to lower lung fields concerning for multifocal pneumonia. Right upper lobe scarring and bronchiectasis is unchanged. The cardiomediastinal and hilar contours are normal.
prior treated tb, new cough.
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Cardiac, mediastinal and hilar contours are normal. There is no pulmonary vascular congestion. New focal consolidative opacity is seen within the left lower lobe, with a trace left pleural effusion. The right lung is clear. There is no pneumothorax. No acute osseous abnormalities are detected.
shortness of breath, cough and fever.
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Cardiac silhouette is normal in size. Pulmonary vascular congestion is accompanied by mild-to-moderate pulmonary edema as well as bilateral small-to-moderate pleural effusions. Biapical scarring is unchanged.
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There is a large hiatal hernia. Associated atelectasis is present at the lung bases, but probably unchanged. Otherwise, the lungs appear clear. There is no definite pleural effusion. There is no pneumothorax. The cardiac, mediastinal and hilar contours appear unchanged.
syncope.
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Since the chest radiograph obtained approximately <num> weeks prior, no significant changes are appreciated. There has been no reaccumulation of the prior right pneumothorax. Apical bullae appear unchanged. The lungs are otherwise fully expanded and clear. Cardiomediastinal and hilar silhouettes are normal. Pleural surfaces are normal.
<unk> year old man with recent spontaneous pneumothorax // ? interval change/ ? lung reexpansion/ ? ptx
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Pa and lateral views of the chest are obtained. Clips in the right and left neck are noted. Bilateral small pleural effusions are seen. In addition, a retrocardiac opacity is seen which most likely reflects the presence of a hiatal hernia. The lungs are otherwise clear. Cardiomediastinal silhouette appears normal. No signs of chf. Calcific densities project over the upper lungs which likely represent vascular calcifications. The bony structures appear intact.
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The lungs are well expanded and clear. The aorta is mildly unfolded. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. No foreign bodies are identified.
<unk>-year-old female status post fall with significant trauma and missing teeth. assess for foreign bodies in the thorax.
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In comparison with the study of <unk>, there is little overall change. Again there is a layering pleural effusion on the right, continued enlargement of the cardiac silhouette and probably some elevation of pulmonary venous pressure. Retrocardiac opacification is consistent with volume loss in the left lower lobe. Endotracheal tube remains in position and the large right mediastinal mass is again appreciated.
mediastinal mass and respiratory distress.
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Portable ap upright chest radiograph was provided. Lung volumes are markedly low and patient is rotated, which limits evaluation significantly. No convincing signs of pneumonia on this markedly limited exam. Cardiomediastinal silhouette is impossible to assess. No large pneumothorax or effusion. Deformity of the right humeral head appears chronic.
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The et tube terminates approximately <num> cm above the carina. The ng tube traverses below the diaphragm with the tip out of view of the scope of the film. There is moderate cardiomegaly, stable compared to prior exams dating back to at least <unk>. There is stable postop mediastinal widening. The swan-ganz catheter terminates in the pulmonary outflow tract. Lung volumes are low. There is stable streak of atelectasis in the right mid lung, unchanged compared to the prior exam. There has been interval improvement of the left lower lobe atelectasis, with a residual small left pleural effusion. No new focal consolidations are seen. There is no pneumothorax.
<unk>-year-old man status post redo ascending aortic repair, status post chest tube removal who presents for evaluation of a pneumothorax.
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There has been placement of an endotracheal tube which appears in appropriate position. A right central venous line is also noted. There is no definite pneumothorax. There is a left-sided picc line. Again seen are bilateral pulmonary opacities some containing calcifications which likely reflect numerous pulmonary hamartomas in this patient with known <unk> is disease. There is increased opacity, however at the right lung base and a superimposed aspiration or pneumonia is suspected.
pulmonary nodules and mds
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Cardiomegaly and calcified aortic knob are stable. There is also stable pulmonary nodule in the right hemithorax. There is no evidence of pneumonia, edema, pleural effusion, or pneumothorax.
<unk>-year-old woman, question tia.
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Lung volumes accentuate pulmonary vascular crowding. No pneumonia. No pleural effusion. Mediastinal contour, hila, and cardiac silhouette are normal.
<unk>f with hypotension*** warning *** multiple patients with same last name! // eval for pna
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. Surgical clips project over the left axilla. The thoracic spine again curves slightly to the right side.
chest pain. question pneumothorax.
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In comparison with study of <unk>, there is little overall change. Enlargement of the cardiac silhouette with elevated pulmonary venous pressure persists. Opacification at the left base is again consistent with volume loss and pleural effusion. Indistinctness at the right base suggests some pleural effusion and compressive atelectasis in this region as well.
cardiac surgery.
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Tip of nasogastric tube terminates in the mid thoracic esophagus, as communicated by telephone to dr. <unk> dr. <unk> on <unk> at <num> p.m. At the time of discovery.
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Cardiac silhouette size is normal. Mediastinal and hilar contours are within normal limits. Pulmonary vasculature is normal. Lungs are hyperinflated suggestive of copd. Scarring within the lung apices is unchanged. No focal consolidation, pleural effusion or pneumothorax is identified. Mild degenerative changes are noted in the thoracic spine.
history: <unk>f with chest pain
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Postoperative changes cervical spine. Endotracheal tube tip in good position. Enteric tube tip below diaphragm, not included on the radiograph. Subclavian central line tip not well seen, probably in the low svc. Improved right suprahilar, left perihilar opacities since prior. Bibasilar opacities, more prominent on the left, likely atelectasis, consider infection, aspiration in the appropriate clinical setting. Tiny bilateral pleural effusions. No pneumothorax.
<unk> year old man intubated on minimal vent settings now suddenly hypoxemic // sudden hypoxemia
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Metallic clip seen in relation seen the subpleural soft tissue mass in the posterior aspect of the right lower lobe. Small right lateral pneumothorax measuring <num> mm in diameter. No tension pneumothorax. Small right-sided pleural effusion. The left lung is clear. The cardiomediastinal shadow is normal. No features of decompensation. Spondylotic changes of the thoracic spine.
<unk> year old woman status post lung biopsy c/b a tiny right sided pneumothorax // pneumothorax?
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Ap upright and lateral views of the chest were provided. Midline sternotomy wires are again noted. The heart is mildly enlarged. The lung volumes are low, limiting evaluation. There is no overt sign of pneumonia or chf. No large effusion or pneumothorax. Bony structures appear intact with degenerative changes at bilateral ac joints. No free air below the right hemidiaphragm.
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Again noted are emphysematous changes in both lungs. A large hiatal hernia is present. Small left pleural effusion with adjacent atelectasis. The right lung is clear. No pneumothorax identified. The size appearance of the cardiomediastinal silhouette is unchanged.
<unk> year old woman with previous hypoxia and concern for pneumonia now with ams // new infiltrate?
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In comparison with study of <unk>, there is no change and no evidence of acute cardiopulmonary disease. Port-a-cath position is unchanged.
lymphoma relapse, for transplantation worker.
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Frontal and lateral views of the chest demonstrate normal lung volumes. There is no pleural effusion, focal consolidation or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. The heart size is normal. There is no pulmonary edema. Retrocardiac nodular opacity, best seen on the lateral view projecting over the spine, is new since prior exam.
syncopal episode.
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There are relatively low lung volumes. Left base opacity may in part be due to an elevated diaphragm, however findings raise concern for pleural effusion and atelectasis, underlying consolidation is difficult to exclude. Mild left base atelectasis is seen. There are left greater than right perihilar opacities which may be due to asymmetric pulmonary edema, infectious process not excluded. Mediastinal contours are unremarkable. The right aspect of the cardiac silhouette is not well assessed due to the right base opacity.
history: <unk>m with dyspnea // r/o infiltrate
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Single ap portable view of the chest is obtained. Midline tracheostomy tube is again seen. A single-lead right-sided pacemaker is again seen with lead extending to the expected position of the right atrium. There is obscuration of the left hemidiaphragm, which may be due to atelectasis, although underlying consolidation is not excluded. In the interval since the prior study, there has been development of scattered patchy opacities in the left lung, which raise concern for multifocal pneumonia. Correlate with history of malignancy, however, given interval development over the past <num> days, multifocal infection is most likely. There is persistent blunting and scarring at the right costophrenic angle/right lower chest. The cardiac and mediastinal silhouettes are stable.
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As compared to the previous radiograph, the right pectoral port-a-cath has been removed. A parenchymal scar is seen projecting over the lung apex. Perpendicular to this scar, a line of surgical <unk> is seen, so that the lesion is likely reflecting a post-operative change. Surgical clips are also projecting over the aortopulmonary window. There is extensive valvular calcification. Normal size of the cardiac silhouette. No pleural effusions. No lung nodules or masses. However, there is an asymmetric area of left apical thickening that is, however, unchanged as compared to the previous image.
heart failure, pleural effusion, lung cancer.
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A bedside ap radiograph of the chest redemonstrates the multifocal opacities of which the right upper lobe lesion was biopsied. The scapula now overlies this site, which may obscure local hemorrhage at the biopsy site. There is no pneumothorax or pleural effusion. The aorta is stably tortuous but the hilar and cardiomediastinal contours are otherwise normal. Pulmonary vascularity is normal.
cough immediately after right transbronchial biopsy. evaluate for pneumothorax.
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There has been interval removal of a right-sided picc. No focal consolidation, pleural effusion, pneumothorax or pulmonary edema is seen. Heart and mediastinal contours are stable. Sternal wires appear intact. Mediastinal clips are again seen.
<unk> year old female with hypotension.
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Cardiomediastinal silhouette and hilar contours are normal. A roughly <num> cm right middle lobe nodule is unchanged from <unk>. There is no pleural effusion or pneumothorax.
right middle lobe mass status post bronchoscopy and biopsy.
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The heart size is normal. The hilar and mediastinal contours are normal. The lungs are clear without evidence of pneumonia. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.
history of nausea, diaphoresis, please evaluate for pneumonia.
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Pa and lateral views of the chest show volume loss in the right hemithorax and some residual subcutaneous emphysema as well as what appears to be a sliver of pneumothorax or pneumomediastinum on the lateral view. This is decreased compared to yesterday's study. Right upper lobe peripheral opacification is not increasing. Blunted pleural angle at the operative site appears to be related to some residual fluid. Moderately prominent ascending thoracic aorta is unchanged.
status post right vats, right lower lobe lobectomy, question interval change.
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Pa and lateral views of the chest. The lungs are clear of consolidation or effusion. Cardiomediastinal silhouette is normal. Osseous structures are unremarkable.
<unk>-year-old male with <num>-day history of influenza like symptoms.
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Heart size is mildly enlarged. The aorta is tortuous and demonstrates diffuse atherosclerotic calcifications. Mediastinal and hilar contours are otherwise unremarkable. Pulmonary vasculature is not engorged. Previously demonstrated multifocal bilateral parenchymal opacities have largely resolved with only minimal residual opacity seen in the right lower lobe. No focal consolidation, pleural effusion or pneumothorax is identified. There are mild degenerative changes noted in the thoracic spine.
history: <unk>f with chest pain
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Compared with the prior study, no change in the positioning of the left-sided dual lead pacer, with leads projecting to the right atrium and right ventricle. The cardiac silhouette is now mildly enlarged, due to cardiomegaly and/or pericardial effusion. No focal consolidation, pleural effusion, or pneumothorax.
<unk>m with hx abdominal surgeries now with nausea and vomiting <num> hour after meals. also with <num> days constant l sided chest pain. evaluate for focal consolidation.
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Postoperative changes are again noted with support tubes and lines unchanged. There is mild pulmonary edema. Interval development of right basilar opacity may be due to combination of effusion and atelectasis.
<unk> year old woman avr // interval chnage
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There has been near-complete resolution of the cardiogenic pulmonary edema seen on the prior study. Moderate cardiomegaly is stable. There continues to be mediastinal vascular engorgement consistent with mild hypervolemia. There is no pneumothorax or pleural effusion.
evaluate for improvement in fluid balance in a patient with chf exacerbation.
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Single portable ap radiograph is provided. There is dense consolidation involving the right mid and lower lung zones as well as more patchy opacities in the upper lung zone concerning for infectious process. There is blunting of the right costophrenic angle which may be due to small pleural effusion or volume loss at the right base. The visualized left lung is predominantly clear. There is persistent elevation of the left hemidiaphragm. Cardiomediastinal silhouette is unchanged. Surgical clips are seen in the mid abdomen. There is a g-tube in place. There are no acute skeletal abnormalities.
<unk>-year-old female with multiple pneumonias in the past presents with abdominal pain and hypoxia, question pneumonia.
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As compared to the previous radiograph, the position of the pacemaker leads is unchanged. Moderate cardiomegaly without evidence of pulmonary edema, pneumonia, or pleural effusions. No pneumothorax.
congestion, chronic heart failure, evaluation for lead positions.
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Pa and lateral chest radiograph demonstrates clear lungs bilaterally. No focal consolidation convincing for pneumonia is identified. There is no pleural effusion or pneumothorax. Cardiomediastinal and hilar contours are within normal limits. Osseous structures demonstrate no acute abnormality.
<unk>f with fever, cough, sputum, dyspnea
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As compared to the previous radiograph, the patient has received a ventriculoperitoneal shunt. A minimal air bubble under the right hemidiaphragm could be resulting from this procedure. Both on the frontal and the lateral radiograph, the lung parenchyma is unremarkable. In particular, there is no evidence of pneumonia or other infectious process. No pleural effusions. Normal size of the cardiac silhouette. Normal hilar and mediastinal contours.
shunt placement, assessment for infection.
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The mild pulmonary edema that was present in <unk> has completely resolved. Small left chronic effusion have slightly increased and right pleural effusion is minimal. There is no pneumothorax. Cardiac contour is mildly enlarged and stable.
patient with chronic renal failure, dialysis, progressive shortness of breath, rule out copd, infiltrate, mass.
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In comparison with the earlier study of this date, there is little change. There may be a tiny apical pneumothorax on the right. Continued pulmonary vascular congestion with bilateral pleural effusions and compressive atelectasis at the bases, more prominent on the right. Three-channel pacer device remains in place.
shortness of breath, to assess for pneumothorax.
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Pa and lateral views of the chest provided. There has been no significant change from prior exam allowing for slight differences in technique. Slightly lower lung volumes with minimally increased left basal atelectasis is noted. Stable hazy opacity at the right lateral lung base likely reflect prior surgery. No large effusion or pneumothorax is seen. No signs of edema. The cardiomediastinal silhouette is stable. Chronic right rib resections noted.
<unk>m with copd, hypoxia now with <num> days of dizziness.
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No evidence of post-procedure pneumothorax. Left chest tube remains in place and the previously described perihilar and suprahilar mass is again seen. Increased opacification at the right base is worrisome for aspiration or supervening pneumonia. Less prominent opacification is seen at the left base.
bronchoscopy with falling o<num> and hemoptysis.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is retrocardiac opacity, probably referring to opacity in the left lower lobe, although best seen on the pa view, suggesting pneumonia. The lungs appear otherwise clear. There is no pleural effusion or pneumothorax.
fever.
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Pa and lateral views of the chest provided. Left atrioventricular pacemaker is unchanged. Lungs are well inflated and grossly clear. No pleural effusion or pneumothorax. The aorta is mildly tortuous, otherwise the hilar and cardiomediastinal contours are normal.
<unk> year old woman with cough for <num> weeks with wheezing. // pna?
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Pa and lateral chest radiograph demonstrate a right middle lobe opacity which silhouettes the right heart border. There is mild downward displacement of the minor fissure suggestive of atelectasis. There is no pleural effusion or pneumothorax. The remaining lungs are clear. Cardiomediastinal and hilar contours are within normal limits. There has been removal of the left-sided central venous line since the previous study.
<unk>f with hx aml, breast ca in remission now w/ likely r lung ca and lobe collapse per ?? pcp and<unk> w/u
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Cardiac silhouette size remains moderately enlarged. Mediastinal and hilar contours are relatively unchanged. There is mild upper zone vascular redistribution compatible with mild pulmonary vascular congestion. No focal consolidation, pleural effusion or pneumothorax is seen. Wedge compression fracture at the thoracolumbar junction is unchanged. No pneumothorax or pleural effusion is identified.
shortness of breath.
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Cardiomediastinal silhouette and hilar contours are normal. Lungs are clear. There is no pleural effusion or pneumothorax.
dka and leukocytosis.
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Mild bibasilar atelectasis is seen without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable and unremarkable.. Multi-level degenerative changes along the thoracic spine.
history: <unk>m with dyspnea on exertion // sob
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There are extremely low lung volumes which may account for much of the prominence of the transverse diameter of the heart. Bibasilar opacification, more prominent on the left, is consistent with some combination of pleural fluid and atelectasis. In the appropriate clinical setting, supervening pneumonia would have to be considered. Indistinctness of pulmonary vessels could reflect some elevated pulmonary venous pressure, though they could merely be a manifestation of the low lung volumes.
postoperative, to assess for fluid overload.
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The lungs are clear without consolidation, effusion, or pulmonary edema. Cardiac silhouette is enlarged but not significantly changed. No acute osseous abnormalities identified.
<unk>m with cough // r/o infiltrate
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Single frontal view of the chest was obtained. There are low lung volumes that accentuate the bronchovascular markings. There is bibasilar atelectasis. Slight blunting of the costophrenic angles likely relates to low lung volumes, although trace pleural effusion would be difficult to exclude. Right perihilar opacity is seen, which could be due to underlying consolidation, prominent vasculature, underlying mass is not excluded. Dedicated pa and lateral views would be helpful for further evaluation. Old right-sided rib fracture is again seen. Cardiac silhouette remains mildly enlarged. The aorta is calcified and tortuous.
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There is a tripolar pacemaker with the pacemaker generator in the left chest wall. Stable moderate cardiomegaly since the prior exam. The lungs are clear without pleural effusion or evidence of pulmonary edema.
history: <unk>f with l-shoulder and chest pain // evaluate for acute process
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The lungs are well-expanded and clear. The cardiomediastinal and hilar contours are unchanged. The heart remains moderately enlarged. There is no pneumothorax, pleural effusion, or consolidation.
<unk> year old man with leukocytosis // r/o pneumonia
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As compared to the previous radiograph, there is no relevant change. Relatively extensive and probably loculated right pleural effusion. Subsequent areas of right atelectasis. The left lung is unremarkable. Unchanged size of the cardiac silhouette. Unchanged course of the right picc line.
recurrent aspiration pneumonia, evaluation for change.
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No significant interval change from the prior radiograph apart from a interval decrease in the amount of subcutaneous emphysema over the left chest wall.
<unk> year old woman with ptx s/p chest tube // please get xray at <unk> <unk> to look for interval change in ptx per ir
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In comparison with study of <unk>, the endotracheal tube and nasogastric tube have been removed. The right subclavian picc line extends to the mid-to-lower portion of the svc. There are several old healed rib fractures, but no evidence of acute cardiopulmonary disease.
hypotension with intubation.
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Small right pleural effusion is stable compared to prior exam. Right lower lung base patchy opacity likely represents moderate basilar atelectasis. The lvad is in unchanged position. A left pectoral pacemaker is seen with transvenous leads in the right ventricle. The left lung is essentially clear. Heart size is moderately enlarged. Median sternotomy wires are intact and well aligned. No pneumothorax. Mild pulmonary vascular congestion without frank pulmonary edema is seen.
history: <unk>m with lvad, altered mental status
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Mild cardiomegaly is unchanged. Mediastinal contour is stable. There is no pleural effusion or pneumothorax. There is no focal lung consolidation. Mild pulmonary edema seen previously has improved.
<unk>-year-old woman end-stage liver disease and cough, evaluate for pneumonia
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with cough
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As compared to the previous radiograph, there is no relevant change. Known multiple partially displaced right rib fractures. No evidence of right pneumothorax. Unchanged right basal opacities. Low lung volumes with borderline diameter of the vascular structures. Normal size of the cardiac silhouette. Normal course of a right picc line.
multiple rib fractures, questionable pneumothorax, evaluation for interval change.
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Stable enlarged cardiac silhouette with left ventricular configuration, likely representing a combination of cardiac enlargement and pericardial effusion as demonstrated on <unk> ct. Aorta is mildly tortuous. Lungs are clear. Minimal blunting of lateral costophrenic angles may reflect residual pleural thickening in this patient with history of previous bilateral pleural effusions especially in the absence of pleural effusion on the more recent abdominal mri of <unk>.
<unk> year old woman undergoing evaluation for latent tb // <unk> year old woman undergoing evaluation for latent tb