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The lungs are clear without focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with chest pain, sob // ptx
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The patient is rotated. Lungs are hypoinflated, which results in crowding of the bronchovascular structures and bibasilar atelectasis. There is mild vascular congestion without frank pulmonary edema. No pleural effusion, pneumothorax or focal airspace consolidation. Heart is mildly enlarged, unchanged. Left pectoral pacemaker is constant. Cholecystectomy clips are again noted.
headache and weakness.
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Single frontal view of the chest. Lung volumes are low, exaggerating heart size which remains stable. There is a moderate degree of pulmonary edema with probable bilateral pleural effusions. No pneumothorax or lobar consolidation.
hypotension.
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The feeding tube has been advanced with the tip in the body of the stomach. Right ij catheter has been removed. Retrocardiac opacities have substantially improved likely resolving atelectasis. Small left effusion or pleural thickening is suspected. The lungs are otherwise clear. The heart size is normal. No pneumothorax.
<unk> year old woman with submassive pe and l vocal cord, concern for aspiration // r/o aspiration
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In comparison to the prior radiograph, there is now increased partial collapse of the right middle lobe and worsening atelectasis/collapse of the right lower lobe. Hazy opacity in the right middle lung zone and prominence of the fissures suggest increased pleural fluid; however, it is difficult to quantify due to the atelectasis. Cardiomediastinal silhouette is difficult to evaluate also due to atelectasis. The left lung is clear. There is no pneumothorax or acute skeletal abnormalities.
<unk>-year-old man with shortness of breath, history of cirrhosis, ascites, and pleural effusion. assess for hydrothorax, pleural effusion.
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>m with fever and cough
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The lungs are well expanded and clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
<unk>f with falure to thrive // evaluate for acute process
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The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear.
dyspnea and chest pain.
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Frontal and lateral radiographs of the chest demonstrate well-expanded clear lungs. The cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
<unk>-year-old female with immunoglobulin deficiency and multiple prior pneumonias. evaluate for pneumonia.
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Patient is status post median sternotomy and cabg. Aortic valvular calcifications are re- demonstrated. Heart size is mildly enlarged. The thoracic aorta is diffusely calcified. Mild pulmonary edema is worse compared to the previous study. There may be a trace left pleural effusion. No focal consolidation or pneumothorax is identified. There are no acute osseous abnormalities.
history: <unk>f with shortness of breath
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Pa and lateral views of the chest are reviewed. Linear opacities in the right lower lobe represent atelectasis; otherwise, the lungs are clear without focal consolidation, pulmonary edema, pleural effusion or pneumothorax. The cardiac and mediastinal contours are normal. Scoliosis of the thoracic spine is noted. There are no concerning osseous or soft tissue abnormalities.
cough.
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There has been interval removal of a left picc. A single frontal radiograph of the chest was acquired. Hazy opacification of the mid-to-lower lungs is partially attributable to overlying soft tissues. Retrocardiac dense opacification is not significantly changed compared to the prior study and is likely attributable to atelectasis, although infection or effusion at the left lung base cannot be excluded. There is no right pleural effusion. No pneumothorax is seen. The heart size is somewhat difficult to assess, although appears mildly enlarged, unchanged. The mediastinal contours are normal.
fevers.
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Frontal and lateral views of the chest were obtained. The lungs are well expanded. Subtle opacity in the right mid lung, without a correlate on the lateral view may be an early or developing pneumonia given the provided history. There is no focal consolidation, pleural effusion or pneumothorax. Heart size is normal. Mediastinal silhouette and hilar contours are normal. There is no free air under the diaphragm. No acute osseous abnormality is identified.
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Pa and lateral views of the chest. No prior. The lungs are clear of consolidation or effusion. The cardiomediastinal silhouette is normal. Osseous and soft tissue structures are unremarkable.
<unk>-year-old female with near syncope and palpitations.
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Cardiomediastinal silhouette and hilar contours are normal. Lungs are clear. There is no pleural effusion or pneumothorax.
<unk>-year-old female with arthralgia.
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As compared to the previous radiograph, there is improvement of the pre-existing right basal opacity. There also is improvement of the pre-existing left retrocardiac atelectasis. Otherwise, the radiograph is unchanged. Unchanged tracheostomy tube, nasogastric tube and right chest tube. Unchanged moderate cardiomegaly.
tracheobronchomalacia, intubation, evaluation for interval changes.
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The right-sided swan-ganz catheter has now been removed and the patient is now extubated. The enteric tube is also now been removed. Chest tube projects over the left lower hemithorax and the right lower mediastinum. There is a small left apical pneumothorax. Lung volumes remain low. The heart and mediastinum remain mildly enlarged. Bilateral basilar atelectasis is unchanged. No pleural effusion. Median sternotomy wires and replaced valve are unchanged.
<unk> year old man with s/p mvrepair pfo closure and cabg // chest tubes on water seal ? ptx
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The lungs are clear without focal consolidation. Pleural thickening seen along the left lung laterally. There is no effusion. Cardiomediastinal silhouette is within normal limits. Tortuosity of the descending thoracic aorta is noted. There are no acute osseous abnormalities. Partially fused mid thoracic vertebral bodies may be congenital, unchanged.
<unk>f with abdominal pain // eval for signs of volvulus
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Right mid lung linear atelectasis/scarring is seen. No new focal consolidation is seen. There is no pleural effusion or pneumothorax. Cardiac silhouette is top-normal in size. Mediastinal contours are unremarkable. Surgical clips are noted left upper quadrant.
history: <unk>m with dyspnea // r/o acute process
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The lungs are grossly clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
<unk>m with sob, tachy rle swelling // pe?
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New endotracheal tube terminates <num> cm above the carina. The lungs have very low volumes but are clear. Heart size and cardiomediastinal contours are normal. Tips shunt in the right upper quadrant has stable position.
altered mental status, now intubated.
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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. No evidence of free air is seen beneath the right hemidiaphragm.
right upper quadrant pain.
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Streaky right middle lobe opacity is most compatible with atelectasis. There is no consolidation worrisome for pneumonia. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk> year old woman with hx of behcets' now w/ pleuritic cp // r middle lobe infiltrate vs atelectasis
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Two views of the chest demonstrate clear lungs without pleural effusion, focal consolidation, or pneumothorax. The cardiac silhouette is normal in size, the mediastinal contours are normal.
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The tip of the endotracheal tube projects over the mid thoracic trachea. Two tubes extend to the gastric body. Low bilateral lung volumes. There are perihilar and diffuse airspace opacities as well as a more confluent opacity projecting over the peripheral left mid to lower lung zone. Right upper zone opacification is less confluent compared to prior. No pleural effusion or pneumothorax identified. Heart size is unremarkable allowing for projection.
<unk> year old woman with pna vs ards
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Portable semi-upright radiograph of the chest demonstrates slight retrocardiac opacity consistent with atelectasis. There has been marked interval improvement in bilateral interstitial opacities consistent with improving pulmonary edema. The mediastinum remains widened, although has decreased slightly in size as compared to the prior. The heart is mildly enlarged. There is no pneumothorax. A chest tube projects over the right hemithorax. There is a stent in the decending thoracic aorta.
<unk>-year-old female status post cardiac surgery. evaluate for interval change.
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In comparison with the earlier study of this date, the tip of the endotracheal tube is at the mid clavicular level, approximately <num> cm above the carina. Otherwise, little overall change.
readjusted et tube.
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Cardiomegaly is a stable. The patient is rotated, this accentuates the widened mediastinum and tortuous aorta. Improving left lower lobe atelectasis, otherwise the lungs are clear. There is no pneumothorax or pleural effusion. Right ij catheter tip is in the lower svc
<unk> year old woman with <num>v disease awaiting revascularization // source of hypoxia, volume overload
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In comparison with the earlier study of this date, the tip of the picc line is in the mid-to-lower portion of the svc. There is again enlargement of the cardiac silhouette with pulmonary vascular congestion and moderate bilateral pleural effusions with basilar atelectatic changes. Cervical fusion device is again seen.
picc placement.
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Frontal radiograph of the chest demonstrates a right internal jugular central venous catheter in the low svc. The patient has been extubated and the ng tube, left chest tube and mediastinal drains have been removed. Lung volumes are lower with increased retrocardiac atelectasis and a small left pleural effusion. A small left apical pneumothorax present. No right pleural effusion or pneumothorax.
cabg, rule out pneumothorax status post chest tube removal.
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Ap portable upright chest radiograph provided. Tracheostomy tube and a left ij central venous catheter are again noted. Midline sternotomy wires are again seen. There is diffuse pulmonary edema which appears similar to prior exam from same day. There are likely small bilateral pleural effusions. The heart size appears stable. No pneumothorax. Bony structures appear intact.
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A left chest wall port-a-cath ends in the low svc. The cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. There is no focal lung consolidation.
<unk> year old woman with right-sided breast cancer // receiving docetaxel chemotherapy, recent weight gain. please evalute cardiac shilouette for pericardial effusion or pulmonary effusion which may be related to fluid retention from chemotherapy .
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The lines and tubes are unchanged in position. A right sided pigtail chest tube is noted. No pneumothorax is appreciated. The hazy left lower lobe and retrocardiac opacity reflecting a combination of effusion and atelectasis is a more conspicuous. Metallic objects overlying the upper chest are consistent with bullet fragments.
status post gunshot wound.
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Lung volumes are low with increased bibasilar atelectasis. Stable postoperative mediastinum. Moderate left and small right pleural effusions are increased from <unk>. No pneumothorax. Unchanged right internal jugular central venous catheter with tip terminating in the right atrium and left chest tube. There has been interval removal of the endotracheal and nasogastric tubes.
<unk> year old man with s/p cabg and lul wedge resection // eval for ptx chest tubes on water seal - please do with <num>pm rounds
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Intra-aortic balloon pump projects <num> cm below top of aortic arch. Pulmonary edema has decreased. Mildly prominent heart size, pulmonary vascularity, stable. More prominent retrocardiac opacity left base, likely atelectasis. Minimal right basilar atelectasis is seen.
<unk> year old man with severe mr on iabp // is balloon pump in correct location?
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Frontal and lateral views of the chest. No prior. The lungs are clear. There is no pneumothorax. Cardiomediastinal silhouette is within normal limits. Hypertrophic changes seen in the spine. Osseous and soft tissue structures are otherwise unremarkable.
<unk>-year-old male with chest pain on the left.
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. Mid thoracic dextroscoliosis is noted. Surgical clips project over the left chest wall laterally. There are hypertrophic changes in the spine.
<unk>f with weakness // pna?
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. Mild scarring is seen in the right mid and left lower lung as on prior ct. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with chest pain, history of endocarditis
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No previous images. Relatively low lung volumes enhance the transverse diameter of the heart. There is some prominence of the azygos region, which could reflect mild elevation of right-sided venous pressure. No evidence of pulmonary vascular congestion or acute focal pneumonia or pleural effusion.
seizure, to assess for aspiration.
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The lungs are well-expanded and clear. No focal consolidation, effusion, or pneumothorax. The heart is normal in size. The mediastinum is not widened. This exam is not dedicated for imaging of the osseous structures. Within this limitation, no obvious rib fracture is identified. Levoconvex scoliosis of the thoracic spine mild and could be positional.
<unk>-year-old woman presenting after a door fell on her. evaluate for fracture.
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Pa and lateral chest radiograph demonstrates clear lungs bilaterally. Cardiomediastinal and hilar contours are within normal limits. There is no focal consolidation pleural effusion or pneumothorax identified. Osseous structures demonstrate no acute abnormality.
<unk>-year-old female with intermittent persistent tachycardia and chest tightness.
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Endotracheal tube tip is <num> cm from the carina. Right subclavian line tip is seen overlying the mid svc. Enteric tube passes below the field of view. There is no visualized pneumothorax. Lungs remain grossly clear and the cardiomediastinal silhouette is within normal limits.
<unk>f with central line // confirm placement
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The lung volumes are low. 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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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>f with shortness of breath for <num> week
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Bronchovascular markings are accentuated by low lung volumes. There is no focal consolidation or pneumothorax. Opacification at the left lung base is likely due to a combination of pleural effusion and atelectasis. Cardiomediastinal silhouette is within normal limits. Endotracheal tube terminates within the right mainstem bronchus, and should be withdrawn by approximately <num>-<num> cm. The enteric tube terminates in at least the stomach, although the tip extends beyond the inferior margin of this image. A right internal jugular catheter terminates in the right atrium.
history: <unk>m with intubated xfer // ett placement
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Heart size is top normal, likely related to low lung volumes. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lung volumes however the lungs are clear. No pleural effusion or pneumothorax is seen. There is irregularity of the left ac joint, similar in appearance to <unk>.
<unk> year old woman with abdominal wound infection, now with rising leukocytosis // ?infiltrate
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The lungs are clear. The pleural and mediastinal surfaces are normal. Moderate cardiomegaly is stable since <unk>.
history: <unk>f with dyspnea // acute process?
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The heart appears mildly enlarged. The aorta is mildly tortuous. There is no pleural effusion or pneumothorax. The lungs appear clear. There is a very mild anterior wedge compression deformity of a lower thoracic vertebral body, likely chronic. Mild degenerative changes are noted along the mid thoracic spine. There is also mild s-shaped thoracolumbar curvature.
chest pain.
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Frontal and lateral views of the chest were obtained. There are multifocal opacities in both lungs, particularly in the right mid-to-lower lung fields, involving the right upper lobe and superior aspect of the lower lobes. No pleural effusion is seen. There is no pneumothorax. The cardiac and mediastinal silhouettes are unremarkable.
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The endotracheal tube terminates <num> cm above the carina. The right internal jugular sheath ends at the thoracic inlet. Compared with the prior scan, edges of the first and second ribs are unchanged, but extrapleural bleeding has increased in the right apex with right upper lobe atelectasis. A heterogeneous left lung consolidation has worsened, concerning for pneumonia. Opacity in the right bronchial tree could be due to retained secretions or clot.
<unk> year old woman with blunt force thoracoabdominal trauma. eval for resolving contustions.
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As compared to the previous radiograph, the lung volumes remain low. There is a minimal pleural effusion bilaterally, with subsequent areas of atelectasis at the lung bases. No focal parenchymal opacity suggesting pneumonia. Moderate cardiomegaly persists. The right internal jugular vein catheter is in unchanged position.
necrotizing pancreatitis, evaluation for pulmonary edema or pleural effusion.
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Again seen is a large hiatal hernia, overall stable compared to the prior exam. There is stable moderate cardiomegaly. The hilar and mediastinal contours are unremarkable. No focal consolidations concerning for infection is identified. There is a plate-like opacity in the left lower lobe consistent with atelectasis. There is no evidence of pleural effusions or pneumothoraces. A right subclavian infusion port ends in the low svc. There is a stable well-healed right-sided fourth rib fracture. Degenerative changes are again seen throughout the spine.
history of multiple myeloma who presents for pain and weakness. rule out infection.
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The tip of the endotracheal tube projects over the mid thoracic trachea. Two right sided chest tubes are present. Postsurgical including complete opacification of the right lung apex as well as opacification of the right lung base, likely reflecting combination of pleural fluid and atelectasis. There is a new consolidation at the left lung base. No left pleural effusion or pneumothorax identified. The size of the cardiomediastinal silhouette is widened, increased since prior, likely reflective of postsurgical change and increased volume status. Subcutaneous gas projects over the right lateral chest wall.
<unk> year old man with right empyema now s/p vats decortication, ct x<num> // eval post-op baseline please perform in pacu
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Chest, pa and lateral. The lungs are clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal.
syncope.
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The lungs are well inflated and clear. The cardiomediastinal silhouette, hila contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax. Visualized upper abdomen is unremarkable. Osseous structures are grossly intact.
chest tightness and dyspnea, evaluate for pneumonia or cardiomegaly
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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. Small anterior osteophytes are noted along the lower thoracic spine.
chest pressure and sputum production.
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A calcified granuloma is unchanged in the posterior basal segment of the left lower lobe. There is no pleural effusion, pneumothorax or focal airspace consolidation. There is no evidence of hilar or mediastinal lymphadenopathy. Cardiac and mediastinal contours are normal. There is a tortuous aorta.
localized renal cancer. evaluate for new lesions.
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Pa and lateral views of the chest provided. Lungs appear 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.
<unk>m with chest pain
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Heart size remains mildly enlarged. Mediastinal and hilar contours are stable. Lungs remain hyperinflated with moderate emphysematous changes again noted primarily in the upper lobes. No pulmonary edema is present. Linear opacities in the lung bases are compatible with areas of subsegmental atelectasis. No focal consolidation, pleural effusion or pneumothorax is identified. No acute osseous abnormality is detected.
history: <unk>f with cough, chest pain
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There is moderate pulmonary vascular congestion. Cardiomegaly is mild. There is no focal consolidation, pleural effusion, pneumothorax.
<unk>m with <num> wk cough, dyspnea, evaluate infiltrate.
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One ap view of the chest. There is a linear right basilar atelectasis or scarring. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are normal.
altered mental status.
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In comparison with the chest radiograph obtained <num> days prior, there is new, mild pulmonary vascular congestion without overt pulmonary edema and increased retrocardiac opacity, most likely atelectasis. Lungs are otherwise clear without focal consolidation. Heart size is normal. Cardiomediastinal and hilar silhouettes are normal. No pleural effusions. An enteric tube passes through the stomach, into the proximal small bowel, and outside the field of view.
<unk> year old woman with new oxygen requirement s/p albumin challenge. // pulmonary edema?
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The lungs are clear of consolidation, effusion, or pulmonary edema. The cardiac silhouette is enlarged but stable. Left chest wall triple lead pacing device is again seen. Degenerative changes seen at the right shoulder.
<unk>m with h/o uri sx, productive cough // eval for cardiopulmonary process, pna
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Right chest tube is in place and there is no evidence of pneumothorax. There are lower lung volumes. Opacification at the right base silhouetting the hemidiaphragm most likely reflects layering of pleural effusions that has a different appearance because this is a supine ap view rather than an erect pa view. Bibasilar atelectatic changes are apparent.
right chest tube placement for hemothorax in patient with multiple rib fractures.
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As compared to the previous radiograph, the left chest tube has been removed. There currently is no evidence of pneumothorax. The parenchymal opacities in the left lung have not increased or decreased in extent. There is unchanged appearance of the right lung. Unchanged evidence of air collections in the left lateral and cervical soft tissues.
left lung wedge resection, status post chest tube removal.
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In comparison with study of <unk>, the patient has taken a much better inspiration. The cardiac silhouette is mildly enlarged. There is again evidence of prominence of interstitial markings consistent with some interstitial edema. Atelectatic changes are seen at the left base. In the appropriate clinical setting, the more coalescent opacification at the left base with apparent silhouetting of the hemidiaphragm could represent a developing consolidation.
possible volume overload.
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Pa and lateral views of the chest are compared to previous exam from <unk>. The lungs are clear. Cardiomediastinal silhouette within normal limits. Osseous and soft tissue structures are unremarkable.
<unk>-year-old female with cough.
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There is mild atelectasis as the left lung base, and the lungs are clear of focal consolidation, pleural effusion or pulmonary edema. The heart size is normal. The mediastinal contours are normal.
<unk>-year-old male with chest pain.
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Ap portable upright view of the chest. Vagal stimulator projects over left chest wall with catheter extending into the left neck. Overlying ekg leads are present. Lungs are clear and hyperinflated. Multiple external wires project over the lateral aspect of the right hemi thorax. The lungs appear clear without focal consolidation, large effusion or pneumothorax. Cardiomediastinal silhouette appears normal. Bony structures are intact. No displaced fractures identified. No free air below the right hemidiaphragm.
<unk> year old woman with seizures. // ?pna
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In comparison with study of <unk>, the overall cardiac size is within normal limits and there is no definite pulmonary vascular congestion. Left pleural effusion and small right effusion persists. Multiple nodular metastases are seen as well as extensive prominence of the mediastinum caliber that could reflect venous engorgement, lymphadenopathy, or both. Central catheter has been removed.
metastatic renal cell carcinoma with possible pulmonary edema.
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No focal consolidation, pleural effusion, underline evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable, as are the hilar contours.
fever, cough.
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No previous images. There is a large soft tissue opacification at the right base medially. No pneumothorax. Upper right lung and entire left lung are essentially clear.
mediastinoscopy, to assess for lung expansion.
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The patient is status post cabg with intact sternotomy wires. The orientation of the left chest wall pacer is inverted compared to the prior exam, but leads are in stable position. Minimal cardiomegaly is similar to prior. The cardiomediastinal contours are otherwise unremarkable. Lungs are clear without focal consolidation, pleural effusion, or pneumothorax.
history: <unk>f with weakness // eval for pna
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Pulmonary edema has slightly improved and is now moderate. Pleural effusions are small if any in this patient with moderate cardiomegaly. There is no pneumothorax.
end-stage renal disease. acute respiratory distress, fluid overload.
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Endotracheal tube remains in unchanged position. The enteric tube tip terminates at the level of the gastroesophageal junction, unchanged, and should be advanced by approximately <num> cm such that the side port is within the stomach. There is interval improvement in aeration of the right upper lobe with continued atelectasis noted. Patchy left upper lobe and bibasilar airspace opacities otherwise appear grossly unchanged, concerning for aspiration. No pleural effusion or pneumothorax is present. The cardiac and mediastinal contours are relatively unchanged.
history: <unk>m with cardiac arrest, new hypoxia.
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The lung volumes are decreased and there is bibasilar atelectasis as well as new increased opacity in the left lower lobe. There is no pleural effusion or pneumothorax. The cardiac and mediastinal contours are normal. Degenerative changes in the thoracic spine are unchanged.
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Following right-sided thoracocentesis, mild-to-moderate right pleural effusion has decreased and mild residual fluid persists. Opacity at the right lung base reflects right basal atelectasis. Left lung is normal. There is no left-sided effusion. There is no evidence of pneumothorax.
to look for pneumothorax or residual effusion. recent thoracocentesis.
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The cardiomediastinal silhouette is unchanged. There is no pleural effusion or pneumothorax. There is retrocardiac opacity, unchanged from prior most consistent with atelectasis. The lungs are hyperinflated. There is no focal consolidation. There is no acute osseous abnormality.
<unk>-year-old man with copd an dyspnea, evaluate for acute process.
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Frontal and lateral radiographs of the chest show stable elevation of the left hemidiaphragm. A small left pleural effusion is new from the preceding radiograph. Mild bibasilar atelectasis is noted. The lungs are otherwise clear without focal consolidation or pneumothorax. No pulmonary vascular congestion or edema is present. The cardiac silhouette is top normal in size but unchanged. The mediastinal and hilar contours are within normal limits. Mild s-shaped thoracolumbar scoliosis is also unchanged.
<unk>-year-old female postop day #<num> status post abdominal myomectomy, now with chest pain and shortness of breath, here to evaluate for acute pulmonary process.
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Pa and lateral views of the chest. Mild volume loss of the right hemithorax with elevation of the right hemidiaphragm is unchanged. No focal consolidation, pleural effusion or pneumothorax.
on amiodarone, evaluate for toxicity.
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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. Minimal subtle cortical abnormality is seen along the inferior aspect of the left posterolateral ninth rib which could reflect a nondisplaced fracture.
history: <unk>m with rib pain after trauma // lower left rib pain after trauma
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The lungs are clear, the cardiomediastinal silhouette and hila are normal. There is no pleural effusion and no pneumothorax.
<unk>-year-old woman with syncope, please assess for chf.
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Frontal and lateral chest radiographdemonstrates moderately well expanded and clear lungs.no pleural effusion or pneumothorax. Mild prominence of the right heart border is likely due to patient rotation. Heart size, mediastinal contour, and hila are otherwise unremarkable. Limited assessment of the upper abdomen is within normal limits.
fever. assess for pneumonia. none.
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<num> portable ap views of the chest. The lungs are hyperinflated as on prior with coarse interstitial markings suggestive of chronic underlying lung disease. More focal opacities projecting over the left lung are compatible with callus formation from interval, healing rib fractures involving the posterior left <unk> <unk> and <num>th ribs. The cardiomediastinal silhouette is within normal limits. No definite acute osseous abnormality.
<unk>-year-old male with shortness of breath.
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The endotracheal tube is approximately <num> cm above the carina. However, the patient's neck is in flexion and the patient is positioned lordotically. A left picc line ends in the upper svc. An enteric tube projects over the stomach. The appearance of the cardiac silhouette is stable. The lungs are clear. No focal consolidation, effusion or pneumothorax is present.
<unk>-year-old woman with intraparenchymal hemorrhage, intubated, question of endotracheal tube positioning on ct.
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Single ap frontal view of the chest was obtained. There is new blunting of the left costophrenic angle, concerning for trace left pleural effusion. The right lung is clear. No definite focal consolidation is seen. There is no pneumothorax. Cardiac and mediastinal silhouettes are unremarkable.
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The metallic pattern along the mid portion of a left brachiocephalic and subclavian stent shows irregularity along the mid portion of the stent where it crosses over the left first rib. This is probably due to an impression on the stent by the rib, but appears new since the prior ct, which was performed very shortly after placement. The cardiac, mediastinal and hilar contours appear within normal limits. The lungs appear clear. There are no pleural effusions or pneumothorax. There is similar mild relative elevation of the right hemidiaphragm.
clot in dialysis fistula.
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Pa and lateral views of the chest were obtained. Lung volumes are low, though lungs appear clear. Cardiomediastinal silhouette appears normal and stable. No signs of cardiomegaly. Bony structures are intact. No free air below the right hemidiaphragm.
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No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. Heart and mediastinal contours are within normal limits.
<unk>-year-old female with rheumatoid arthritis, prior to starting biologic therapy.
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In comparison with the study of <unk>, the lungs are clear without evidence of consolidation. No vascular congestion, pleural effusion, or cardiomegaly.
hiv with hyperglycemia, to assess for pneumonia.
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The cardiac silhouette remains markedly enlarged. The aorta is calcified and tortuous. Minimal pulmonary vascular congestion persists but appears improved compared the prior study. No large pleural effusion is seen. There is no pneumothorax. Basilar atelectasis is again seen.
history: <unk>f with chf, afib p/w exertional sob, palpitations // eval for pulm edema
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Frontal and lateral views of the chest were obtained. Heart size and cardiomediastinal contours are normal. Lung volumes are slightly decreased with bibasilar patchy opacities. No pleural effusion or pneumothorax.
<unk>-year-old female with shortness of breath and wheezing.
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The cardiac silhouette appears slightly decreased in size with improvement of central pulmonary vascular engorgement. A small layering left effusion is unchanged and there is slightly increased layering right pleural effusion. A left apical chest tube remains in place without appreciable pneumothorax. There is no focal consolidation worrisome for pneumonia. A left internal jugular central venous catheter, endotracheal tube and upper enteric tube remain in unchanged position. Multiple contiguous left sided rib fractures are again noted.
<unk> with ruptured spleen, status post splenectomy, left hemothorax, status post chest tube, evaluate for interval change.
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Pa and lateral views of the chest were obtained. Heart is top normal in size, and cardiomediastinal contour is unremarkable. Lungs are clear. There is no pleural effusion or pneumothorax.
<unk>-year-old man with liver failure, new edema, evaluate heart and lungs.
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Extensive bilateral interstitial opacities have progressed since yesterday's examination representative of progressive severe pulmonary edema. There is otherwise no change compared to prior examination. A right-sided picc remains at the cavoatrial junction. Median sternotomy wires are in place.
aortic stenosis and pulmonary edema. evaluate for change.
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Ap single view of the lower chest was obtained with patient in supine position. It shows the tip of the dobbhoff line which has reached below the diaphragm, pointing towards the mid portion of the stomach. A previously existing ng tube has also reached below the diaphragm and points towards the pylorus. In the area an abdominal drainage is seen overlying the right upper abdominal quadrant where also subcutaneous suture lines are identified.
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The lung volumes are normal. No evidence of metastatic disease. Normal appearance of the hilar and mediastinal structures. Normal appearance of the cardiac silhouette. No pleural effusions.
melanoma, rule out metastatic disease.
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There is a consolidation involving majority right lung. This is likely due to a combination of consolidation and atelectasis. Small masses within the consolidation cannot be excluded. Plate-like atelectasis is noted at the left base. There is a mild interstitial abnormality in the left lung, of uncertain significance. The mediastinum is wide with several lobulations. The heart size is normal. There is no definite pleural effusion. There is no pneumothorax.
hypoxia and hypotension.
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There are new moderate bilateral pleural effusions with a mild-to-moderate interstitial abnormality suggesting pulmonary edema. The heart borders are not well defined, but the heart appears moderately enlarged and probably with a relative increase since the prior examination. There is no pneumothorax. Small osteophytes are noted along the lower thoracic spine.
increasing dyspnea.
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Upright ap portable view of the chest was obtained. No focal consolidation, large pleural effusion, evidence of pneumothorax is seen. There is mild central pulmonary vascular engorgement without overt pulmonary edema. The cardiac and mediastinal silhouettes are stable.
bradycardia.