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Pa and lateral views of the chest. The lungs are hyperinflated, consistent with emphysema. The lungs are otherwise clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable. A tortuous aorta is again noted.
chest pain, patient homeless, concerning for pneumonia.
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There is no focal consolidation, pleural effusion, or pneumothorax. Median sternotomy wires and cabg clips are again noted. The aorta is tortuous, unchanged. Cardiac silhouette size is normal.
cough and fatigue.
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Ap view of the chest. No focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal contours and hilar are normal.
stroke and desaturation, query aspiration or other process.
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Enteric tube tip is below diaphragm, not included on the radiograph. Endotracheal tube tip is in good position. Bilateral pleural effusions. Worsened bibasilar opacities, likely atelectasis, consider aspiration or pneumonitis if clinically appropriate. Stable heart size. Stable pulmonary vascularity. Old rib fracture. ...
<unk> year old man with ng tube placed. // ? ng tube placement
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Compared to the prior study, the degree of upper zone redistribution is increased, which could reflect early /mild chf. Otherwise, the overall appearance is similar. Patchy opacity at both lung bases and minimal blunting of the right costophrenic angle is similar. Cardiomediastinal silhouette is unchanged. Sternotomy w...
<unk> year old man with recent kidney transplant (pod<num>) // incr sob - etiology?
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Left pectoral pacemaker has a single lead terminating in the right ventricle. There is no consolidation, pleural effusion, or pneumothorax. Stable mild cardiomegaly.
<unk> year old woman with af and symptomatic bradycardia s/p single-chamber pacemaker via l cephalic vein // lead position, pneumothorax
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Compared to the prior cxr on <unk>, there is a significant decrease in opacification of the right lung. However, there is increasing opacity of the left mid/lower lung. Developing pneumonia is a possibility. There is no pneumothorax. The endotracheal tube and right internal jugular catheter are unchanged in position. S...
<unk> year old woman with ards with less o<num> requirement // evaluate for interval change
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Compared with prior radiographs on <unk>, there has been interval increase in the cardiomediastinal silhouette, with central vascular congestion. There is atelectasis at the left lung base and a small left pleural effusion. There is no overt pulmonary edema.there is no focal consolidation or pneumothorax. No displaced ...
<unk> year old man with fall, <unk>, supratheraputic inr, mild hypoxia // effusion, pna, chf
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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.
syncope x<num>, palpitations.
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The lungs are clear without focal consolidation. Lungs are hyperinflated. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. Patient has known bilateral bochdalek hernias, better assessed on ct.
history: <unk>m with chest pain, r side, ? new r chest wall mass? // chest pain eval
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Lung volume is normal. There are no consolidations or nodules. Cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax.
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Pa and lateral views of the chest provided demonstrate no focal consolidation, effusion or pneumothorax. The cardiomediastinal silhouette is normal. Bony structures appear intact. No free air below the right hemidiaphragm.
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Single upright portable view of the chest demonstrates interval placement of a right pigtail pleural catheter, directed toward the upper mediastinum on the right, with subsequent reexpansion of the right lung, with only a small right apical pneumothorax remaining. The left lung is clear. There is no pleural effusion. T...
<unk>-year-old man with history of pneumothorax, status post thoracostomy tube placement.
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As compared to the prior examination, there has been interval removal of a right internal jugular central venous line. A left ij hemodialysis catheter is unchanged in position. There is a new retrocardiac, left lower lobe opacity obscuring the left hemidiaphragm. A left small pleural effusion is stable. The patient is ...
<unk> year old woman with angina // ?interval changes
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Allowing for differences in technique and positioning, the cardiomediastinal silhouette is probably stable. Lungs are symmetrically expanded and mild pulmonary interstitial edema is unchanged. Slightly increased opacification at the left base may represent atelectasis. There is no large effusion or pneumothorax.
history: <unk>m with dyspnea and hypoxia // eval for acute process
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Cardiac, mediastinal and hilar contours are normal. The pulmonary vascularity is normal. The lungs are clear. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
asthma, gastroesophageal reflux disease, chest pressure.
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Single portable view of the chest. No prior. Endotracheal tube is seen with tip approximately <num> cm from the carina. Nasogastric tube seen with tip in the gastric body, side port passed the ge junction. There is confluent consolidation throughout the left lung most dense at the base laterally but seen throughout the...
<unk>-year-old female with tachycardia and hypotension and desaturation.
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There has been interval placement of a right chest wall port with catheter tip at the ra svc junction. Low lung volumes are again noted, the lungs remain posterior clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with recent fall // evaluate for cardiomegaly
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An endotracheal tube is in satisfactory position, approximately <num> cm from the carina. An enteric tube courses in the left mid hemithorax. This may due to deviation of the esophagus, though could be in the left main stem bronchus and into a posterior left lower lobe bronchi. There is complete opacification of the le...
found down.
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Single frontal view of the chest was obtained. The heart is of top normal size, with normal cardiomediastinal contours. The pulmonary vasculature is unremarkable. The lungs are clear without focal or diffuse abnormality. No pleural effusion or pneumothorax. The osseous structures are unremarkable. No radiopaque foreign...
<unk>-year-old female with hematemesis. evaluate for aspiration.
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Single portable view of the chest. Lower lung volumes seen on the current exam. There is, however, new bilateral predominantly basilar hazy opacities, left greater than right, silhouetting the descending thoracic aorta. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified...
<unk>-year-old female with respiratory distress.
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Post cabg changes are stable. The right-sided internal jugular vein catheter has been removed. Left-sided picc line in situ with the tip in the proximal svc. There is moderate size right-sided pleural effusion with associated atelectasis. Combination of scarring and minor atelectasis seen in the left lung base. The pul...
<unk> year old woman with as above // s/p avr w/increased wob r/o effusion
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Heart size and cardiomediastinal contours are normal. Lungs are clear without focal consolidation, pleural effusion, or pneumothorax.
history: <unk>f with fever, chills // ? pna
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.
history: <unk>f with diozziness // pna?
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Enteric tube terminates in left upper quadrant. Right picc line terminates in the mid svc. Diffuse parenchymal opacities and bilateral pleural effusions are similar. Increased opacification of the right lateral lung is likely a function of different orientation of the pleural fluid. Mild superimposed edema persists. He...
<unk> year old man with ivdu, hep c, fungual endocarditis, uti // pulm edema vs. pna
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Since the previous exam, the patient has been extubated and the ng tube has been removed. There is residual very mild bilateral perihilar band of atelectasis. There is no pneumothorax and no pleural effusion. The mediastinal and cardiac contour are normal and unchanged.
patient intubated, please evaluate for change. exam compared to the chest x-ray of <unk> and to the ct scan of <unk>.
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The lungs are clear. The hilar and mediastinal contours are normal. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal. There is no free air under the right hemidiaphragm.
chest, abdominal, and back pain.
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No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac silhouette is top-normal. The aortic knob is calcified. No overt pulmonary edema is seen.
shortness of breath.
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Single frontal portable view of the chest demonstrates small bilateral pleural effusions. The right pleural effusion has decreased slightly in size and the left remains unchanged. Heart size is enlarged. Increased perihilar prominence and cephalization of vasculature is compatible with volume overload. A left dialysis ...
dyspnea, evaluate for pulmonary edema.
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Heart size is borderline enlarged. The mediastinal and hilar contours are normal. Pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is seen. There is minimal atelectasis in the lung bases. No acute osseous abnormality is visualized.
history: <unk>f with exertional dyspnea // eval for acute process
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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 male with chest pain and shortness of breath.
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As compared to the previous radiograph, there is no relevant change. Moderate hyperinflation, deviation of the trachea due to a thyroid nodule on the right. Minimal apical scarring. Pleural effusions (minimal posterior blunting of the right costophrenic sinus was unchanged on the previous exam). No pneumonia, no pulmon...
history of remote colon cancer, fatigue and weakness, evaluation for acute process.
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Cardiomediastinal silhouette and hilar contours are normal. There has been interval resolution of the right-sided pleural effusion. Right apical post radiation fibrosis is unchanged. Lungs are otherwise clear. There is no pneumothorax or recurrent pleural effusion.
monitor malignant right pleural effusion.
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Again seen are large bilateral pleural effusions with associated atelectasis. Superimposed infection or aspiration cannot be excluded. Tracheostomy tube is in stable position. Ng tube courses below the diaphragm, off the inferior field of view, tip not clearly delineated. Linear hyperdensity projecting over left upper ...
bleeding from tracheostomy.
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Cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. Mild rightward curvature of the thoracic spine is demonstrated. A pectus excavatum deformity also noted.
history: <unk>f with left numbness / weakness
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Single lead left-sided aicd is stable in position. The cardiac and mediastinal silhouettes are grossly stable. Bilateral interstitial opacities are re- demonstrated, which may be due to underlying chronic lung disease, asymmetric pulmonary edema, infectious process not excluded in the appropriate clinical setting. As m...
history: <unk>m with reports shortness of breathe // ?infectious process
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In comparison with study of <unk>, there is little change and no evidence of acute cardiopulmonary disease. No pneumonia or vascular congestion.
elevated white count, to assess for pneumonia.
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Right-sided epicardial fat pad at the right costophrenic angle is again seen. No new focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable. There may be mild vascular congestion.
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Elevated right hemidiaphragm is again noted. The lungs are clear without focal consolidation or effusion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with tia // eval for infx
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There is now a right-sided central venous catheter with tip projecting over the mid svc. There is no pneumothorax. Previously seen opacity in the right hemi thorax has resolved. Left chest wall single lead pacing device is again seen.
<unk>m with s/p cvl // <unk>;l for cvl
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Lung volumes remain decreased, accentuating the bronchovascular structures. The cardiomediastinal and hilar contours are within normal limits. There is no focal consolidation, pleural effusion or pneumothorax.
lymphoma stage iii. rule out pneumonia.
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There is moderate-to-severe cardiomegaly with moderate pulmonary edema, slightly improved compared to yesterday. There is minimal blunting of the costophrenic angles, consistent with small pleural effusions. A right subclavian hemodialysis catheter is at the distal svc. No pneumothorax. There are no concerning lung con...
<unk>-year-old man after an accident and chf, on dialysis.
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Please note that the right lung apex is excluded from this image. Lung volumes are very low, resulting in bronchovascular crowding and exaggerating mediastinal contours. The heart does not appear enlarged. No pleural effusion, pneumothorax, consolidation. A right internal jugular central venous line ends at the cavoatr...
history: <unk>m with sepsis, hypotension, pain // r ij placement
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Frontal and lateral chest radiograph. Unremarkable cardiomediastinal and hilar contours. No focal pulmonary opacifications are evident. A slight prominence of the interstitium is likely exaggerated by low lung volumes, and unchanged across multiple prior radiographs. No pleural effusion or pneumothorax.
chest pain, nausea, evaluate for pneumonia.
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Bilateral pulmonary hilar contours are prominent and are unchanged since <unk>. No consolidation, pneumothorax, or pleural effusion. Top normal heart size. Mediastinal and hilar contours have been stable.
<unk> year old man with cough fever lung congestion // pls eval for pna or other infectious process
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Heart size remains mildly enlarged. The mediastinal and hilar contours are unchanged. Pulmonary vasculature is not engorged. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
history: <unk>f with cough, orthopnea
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There is no focal consolidation, pleural effusion, or pneumothorax. The heart size is within normal limits. The cardiac, hilar, and mediastinal contours are unremarkable.
smoker with a remote history of sarcoidosis with worsening shortness of breath.
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Slightly lower lung volumes are seen on the current exam with probable right basilar atelectasis. The lungs are otherwise clear. Cardiomediastinal silhouette is stable. No acute osseous abnormalities identified.
<unk>m with ams // eval for pneumonia
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In comparison with study of <unk>, the pulmonary vascular status has improved and the layering pleural effusions have substantially cleared. Some residual elevation of pulmonary venous pressure persists, as does increased opacification in the retrocardiac area that most likely represents atelectasis. Hemodialysis cathe...
renal failure, on hemodialysis.
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Frontal and lateral views of the chest were obtained. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. Cardiac and mediastinal silhouettes are unremarkable. Calcification is noted at the aortic knob.
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In comparison with the study of <unk>, the monitoring and support devices are essentially unchanged. Bilateral heterogeneous opacifications are again seen, more prominent on the right. Some of this probably reflects asymmetric pulmonary edema. There also are layering effusions with compressive atelectasis at the bases....
respiratory failure with concern for ards.
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Patient status post median sternotomy and cabg. Heart size is mildly enlarged. The mediastinal and hilar contours are unremarkable. The pulmonary vasculature is not engorged. Small bilateral pleural effusions, left greater than right are present, with the left-sided pleural effusion slightly larger compared to the prio...
history: <unk>m with dyspnea on exertion and lower extremity swelling
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No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.
history: <unk>m with sdh // admit
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Compared with radiograph from <unk>, there is increased moderate interstitial pulmonary edema and moderate cardiomegaly. Lung volumes are low, unchanged, with increased bibasilar atelectasis and retrocardiac opacification. There is no pneumothorax or pleural effusion.
<unk> year old man with all and chronic gvdh. with rhonchi and wheezing throughout lungs. please eval
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The lungs are clear. The heart size is normal. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen. Bilateral first rib fractures are better seen on subsequent ct from <unk>.
status post mvc. assess for pneumothorax.
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Lungs are low in volume but clear. The heart is mildly enlarged. There is no pleural effusion or pneumothorax.
<unk>-year-old woman with chest pain, assess for pneumonia or other acute process.
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Compared with the most recent radiograph, mild cardiomegaly is unchanged. Pulmonary edema has worsened, most pronounced in the right upper lobe. The patient has emphysema and possibly diffuse interstitial lung disease. No larger pleural effusions or new focal consolidation. No pneumothorax. Spiculated nodule seen in pr...
<unk> year old man with pmh of as, cad s/p cabg, hfref, hld, copd on home o<num> presented with nstemi and bms to svg-om now with new o<num> requirement. ?pna vs volume overload vs aspiration, patient with increased o<num> requirement.
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Pa and lateral views of the chest provided. Scarring at the left apex is unchanged. Lungs remain clear. 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 s/p fall on <unk> chronic alcohol femur ttp // eval for fall
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Stable cardiomegaly. Central pulmonary edema is improved compared to previous radiographs done between <unk> and <unk>. Left lower lobe atelectasis also improved no airspace consolidation. No pneumothorax. Presumed small pleural effusions.
<unk> year old man with shortness of breath // pna? vs. edema
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The small bilateral pleural effusions are better evaluated on the abdominal ct and not definitely visualized on today's radiograph. There is no large pleural effusion. The lungs are otherwise clear without consolidation or edema. There is no pneumothorax. The mediastinal contours are unremarkable. The cardiac size is m...
history of gi bleed with new ekg changes and basilar crackles.
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Heart size is normal. Mediastinal and hilar contours are unchanged. Pulmonary vasculature is not engorged. Low lung volumes are present with minimal atelectasis at the lung bases. No focal consolidation, pleural effusion or pneumothorax is present. Remote right seventh posterior rib fracture is again seen.
history: <unk>m with dysphagia
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The lungs are clear. There is no effusion, consolidation, or pneumothorax. The cardiomediastinal silhouette is within normal limits. Bilateral nipple rings are noted. No acute osseous abnormalities.
<unk>f with palpitations // ptx
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As compared to the previous radiograph, the lung volumes have increased, likely reflecting improved ventilation. The mild left pleural effusion with subsequent atelectasis is unchanged in appearance. Unchanged size and appearance of the cardiac silhouette. The pre-existing right basal parenchymal opacity with air bronc...
polytrauma, evaluation for interval change.
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Right chest wall port is again seen with catheter tip in the right atrium. There is pulmonary vascular congestion. Suspected small bilateral pleural effusions are noted. Cardiac silhouette is mildly enlarged as on prior. No acute osseous abnormalities.
<unk>f with liver cancer, ams, hypoxia // eval for cns mets, thoracic abnormality, pe
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Pa and lateral chest radiograph demonstrate low lung volumes. There is a nodular opacity in the right lung base which is worrisome for infectious process. There is no large pleural effusion. There is no pneumothorax. Cardiomediastinal silhouette is stable, cardiomegaly which is mild. There is mild central vascular engo...
<unk>m w/ sickle cell crisis and chest pain. eval for cardiopulmonary change or acute chest.
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The endotracheal tube terminates <num> cm above the carina. A right picc line terminates in the low svc, unchanged. Dobbhoff tube terminates in the stomach. Compared with the prior radiograph, there has been an interval increase in the severity of the left pleural effusion, but the left lower lobe atelectasis has impro...
<unk> year old man with intubation. evaluate for acute interval change.
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As compared to the previous radiograph, the previously malpositioned dobbhoff catheter has been removed. The current nasogastric tube is in correct position. Moderate cardiomegaly and mild fluid overload persists, but there is no evidence of overt pulmonary edema. Mild areas of atelectasis at both lung bases. No pleura...
volume overload, evaluation for interval change.
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The endotracheal tube is in good position m from the carina. The left-sided picc line is in similar position in the mid svc. The lung volumes remain low with bibasal atelectasis. No pneumothorax. Small bilateral effusions layering effusions persist.
<unk> year old man with ugib now intubated for egd // ? et tube placement
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Compared with ct chest on <unk>, there has been interval development of a small right apical pneumothorax. There is no evidence of tension. The lungs are clear without focal consolidation. There are small bilateral pleural effusions, right greater than left. The cardiac and mediastinal silhouettes are unremarkable. Hea...
<unk> year old woman s/p fall with comminuted right <unk> rib fx // serial cxr
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Right internal jugular central venous line is unchanged. The heart remains stably enlarged. A left-sided pleural effusion is small and has decreased in size. Bibasilar atelectasis persists. There is also a small right-sided pleural effusion.
status post cabg evaluate for effusion.
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The exam is limited by technique. Within the limitations, the lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. Degenerative changes are noted in the right shoulder.
fever.
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The et tube lies approximately <num> cm above the carina, at the level of the inferior edge of the clavicular heads. The og tube extends beneath the diaphragm, off film. Again seen are hazy bibasilar opacities. On the right, the right hemidiaphragm itself is now visible, although there is likely some layering fluid. Th...
<unk> year old woman with ett replacement // ett replaced, og tube placement
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In comparison with the study of <unk>, there is little overall change. Again, there is the vague suggestion of some increased opacification in the left lower lung areas. This could merely reflect some prominence of interstitial markings bilaterally that could reflect some chronic pulmonary disease. However, in the appr...
possible new left lower lobe pneumonia.
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In comparison with the study of earlier in this date, there is increased opacification at the right base. This most likely reflects a combination of atelectasis and effusion, though in the appropriate clinical setting, the possibility of supervening pneumonia would have to be considered. Left lung is essentially clear ...
postoperative.
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An endotracheal tube terminates <num> cm above the carinal. A right subclavian central venous catheter terminates at the lower svc. There is no pneumothorax, focal consolidation, or pleural effusion. The heart size remains normal. The hilar and mediastinal contours remain within normal limits.
traumatic brain injury.
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Moderate cardiomegaly is unchanged. Consolidation in the lower lobes could be due to a combination of dependent edema and atelectasis. No large effusions detected. No pneumothorax.
<unk> year old woman with <unk> on ckd and bad diabetes with new hypoxia and hypotension. evaluate for pneumonia or other acute process.
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Pa and lateral views of the chest were reviewed. The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. The lungs are well expanded. Crescentic scar projecting over the right hilus is again seen. Pulmonary vasculature is within normal limits.
chest pain, query pneumonia.
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In comparison with the study of <unk>, there has been placement of a dobbhoff tube that extends to the lower body of the stomach. The right subclavian catheter extends to the right atrium. Continued low lung volumes with some basilar atelectasis and probable small pleural effusions.
dobbhoff placement.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear.
nausea.
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As compared to the previous radiograph, there is no relevant change. Moderate cardiomegaly without evidence of pulmonary edema. No pleural effusions. No evidence of pneumonia. Moderate tortuosity of the thoracic aorta. No evidence of hilar or mediastinal lymphadenopathy.
history of mild chronic heart failure, persistent cough.
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Bilateral lung volumes are low. Veil-like opacity bilaterally suggesting mild-to-moderate pleural effusions (left side more than right) is unchanged . The right subclavian line approximately ends at lower svc. Dobbhoff tube end into the stomach and is appropriate. Top normal heart size is stable. Tracheostomy tube in s...
status post intubation with new fever, to look for any acute changes in the chest.
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Cardiomediastinal silhouette and hilar contours are unremarkable. There is a left anterior chest wall implanted single lead icd with appropriate positioning of lead in expected location of the right ventricle. Lungs are clear. There is no pleural effusion or pneumothorax.
<unk>'s disease, presenting with altered mental status and hallucinations.
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Ap upright and lateral chest radiographs demonstrate low lung volumes. Relative to prior radiographs, cardiomediastinal and hilar contours appear not significantly changed. Heart size is within normal limits. There is no evidence of pleural effusion, pulmonary edema, or pneumothorax. Lungs are clear without a focal con...
<unk>f with s/p mechanical fall
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Semi-upright portable chest radiograph demonstrates interval right chest tube placement, the tip and sidehole of which project over the right upper lung. There is an antero-apical right pneumothorax. Chain sutures are seen along the right lower lobe. Subcutaneous emphysema is present. The lungs are otherwise clear. The...
<unk>-year-old female status post right lower lobe wedge resection.
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In comparison with study of <unk>, there is no significant change. With the tube clamped, there is again a localized pneumothorax just above the tube. Severe atelectatic changes persist on the left and the cardiac silhouette cannot be properly visualized. The opacification at the right base medially appears to have dec...
chest tube clamped.
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The lungs are well inflated and clear. No consolidation, effusion, or pneumothorax is present. The heart and mediastinal contours are normal.
<unk>-year-old man with neutropenia, mild shortness of breath, left lower quadrant crackles.
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Cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is not engorged. Patchy opacities in the lung bases likely reflect areas of atelectasis. No focal consolidation, pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>m with chest pain.
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The heart size is normal. Mediastinal and hilar contours are unremarkable. Left picc has been removed. No focal consolidation, pleural effusion or pneumothorax is seen. Minimal patchy opacities in the lung bases likely reflect atelectasis. There are no acute osseous abnormalities.
left shoulder pain, abdominal pain, headache.
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Pa and lateral views of the chest provided. Left central venous line ends at the cavoatrial junction. Endotracheal tube ends <num> cm above the carina. Lung volumes are low. Lungs are grossly clear. No pleural effusion or pneumothorax. Hilar and cardiomediastinal contours are normal.
<unk> year old man with cirrhosis and variceal bleed now s/p l central line // l cvl position
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Ap single view of the chest has been obtained with patient in semi-upright position. Analysis is performed in direct comparison with the next preceding portable chest examination obtained seven hours earlier during the same day. Left-sided thoracocentesis has been performed during the interval. Left-sided pleural effus...
<unk>-year-old female patient status post mitral valve replacement with pleural effusions, now evaluate status post left-sided thoracocentesis for possible pneumothorax.
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In comparison with the study of <unk>, the tip of the nasogastric tube lies in the upper stomach. The side hole is probably just distal to the esophagogastric junction and the tube should be pushed forward somewhat. Endotracheal tube is in good position above the carina. Increased opacification in the retrocardiac regi...
deep neck abscess after drainage, nasogastric tube placed in the operating room.
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The patient is status post median sternotomy with three intact median sternotomy wires demonstrated. Mild enlargement of the cardiac silhouette is unchanged. The mediastinal and hilar contours are stable. Pulmonary vascularity is normal. Linear opacities within the lingula are compatible with areas of scarring. No foca...
chest pain.
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The lung volumes are low. There is crowding of the vascular structures and at the lung bases. The left costophrenic sinus, potentially caused by a minimal left pleural effusion. Mild atelectasis at the left lung base. Borderline size of the cardiac silhouette without overt pulmonary edema. No evidence of pneumonia.
hypotension, evaluation for pneumonia.
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As compared to the previous radiograph, there is no relevant change. Massive <unk>- and para-mediastinal or parahilar masses on the right, with partial volume loss of the right upper lobe. Moderate increasing size of the cardiac silhouette. No pleural effusions. No newly appeared focal parenchymal opacities. No evidenc...
cough, evaluation for pneumonia or pulmonary edema.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Right-sided effusion is resolved. Left effusion is improved. No focal consolidation or pneumothorax. Sternotomy wires, prosthetic mitral valve, and central venous catheter tips appear stable from <unk>.
<unk> year old man with bilateral pleural effusions s/p thoracentesis // assess for interval change
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In comparison to prior study there is new multifocal opacity in the right hemithorax. A moderate left pleural effusion with associated compressive atelectasis is unchanged. Cardiomediastinal silhouette is stable. There is no pneumothorax.
<unk>-year-old man with cough, evaluate for pneumonia.
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The lungs are well inflated with mild vascular congestion. Trace right pleural effusion noted. No left pleural effusion. No pneumothorax. Mild cardiomegaly is noted. Mediastinal contour and hila are otherwise unremarkable. Aortic arch calcifications are present.
<unk>f with chest pain. assess for infiltrate, widened mediastinum
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There is pulmonary vascular congestion, without frank edema, and mild distention of mediastinal veins compared to <unk>. The heart is moderately enlarged. Mediastinal contours are unchanged. No pneumothorax, pleural effusion, or consolidation.
history: <unk>m with b/l rales, hx of chf, recent fall // ?pleural effusion, pna
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There has been interval resolution in previously seen right basilar consolidation. No focal consolidation is seen currently. There is no large pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable.
history: <unk>m with dyspnea // pneumonia
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Compared to the prior radiograph, lung volumes are lower, particularly in the right lower lobe. A new right lower lobe opacity on both views is at least atelectasis. Superimposed pneumonia is not excluded. A small right effusion is new. No pneumothorax. Cardiomediastinal and hilar silhouettes are normal.
<unk>/f s/p right tka with oxygen requirement, increasing wbc, and elevated temp. evaluate for pneumonia or atelectasis.