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As compared to yesterday's chest x-ray, there is a small left upper lobe opacity which has gradually decreased in size since the <unk> study. There is new mild prominence of the pulmonary vasculature but without edema. No large pleural effusion or pneumothorax identified. No new focal consolidation is seen. The cardiom...
bilateral crackles more pronounced on the right than the left. recently hospitalized for pneumonia. question pneumonia versus pulmonary edema.
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The endotracheal tube terminates approximately <num> cm above the carina. Enteric tube is unchanged in position. Bronchovascular markings are accentuated by very low lung volumes. There is decreased opacification of the left hemithorax, which may reflect improving pleural effusion or semi-erect positioning. There is al...
<unk> year old woman with multidrug ingestion, intubated // ? pulm edema, pna
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In comparison with the study of <unk>, there is now an endotracheal tube in place with its tip above the clavicles, approximately <num> cm above the carina. Continued low lung volumes accentuate prominence of the transverse diameter of the heart. No definite vascular congestion or pleural effusion or acute focal pneumo...
intubation for respiratory distress.
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Pa and lateral chest radiograph demonstrate no focal consolidation. Streaky opacities at the bases bilaterally likely reflects sequela of atelectasis. Minimal scarring is present at the right apex. Heart size is normal. Pulmonary vasculature is within normal limits. There is no pleural effusion or pneumothorax. No evid...
<unk>m with bladder cancer and confusion. +cough // eval for pneumonia, intracranial hemorrhage/edema
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There has been interval improvement in the moderate right-sided pleural effusion. There is evidence of atelectasis in the right mid lobe. There has been slight interval increase in the small-to-moderate left-sided pleural effusion. There is a right-sided chest tube. The heart borders are obscured. There has been an int...
<unk>-year-old female with a right loculated pleural effusion, status post vats and decortication, who presents for evaluation of pneumothorax.
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Lower lung volumes seen on the current exam. Linear right midlung opacity is likely secondary to atelectasis. There is no definite focal consolidation. Moderate cardiac enlargement is again noted. Chronic deformity of the proximal right humerus suggests prior fracture. Rounded structure projecting over left upper quadr...
<unk>f with ; ams, bradycardia // eval for pna. intracranial bleed
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Right upper lobe nodule measuring up to <num> x <num> cm is better seen on ct from <unk>. Left lower lobe nodule is better seen on prior ct. Chronic, unchanged left costophrenic angle blunting may represent pleural thickening or small effusion.heart size is within normal limits.mediastinal and hilar contours are unrema...
<unk> year old woman with cough and dyspnea basilar r>l changes eval for consolidation.
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Compared to the prior study, the left internal jugular approach swan ganz catheter and left chest wall pulse generator with single lead terminating in the right ventricle are unchanged in position. A left ventricular assist device is again seen. Intact median sternotomy wires are present. The heart is mildly enlarged, ...
<unk> year old man with lvad // ptx post chest tube pulled
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In comparison with the study of <unk>, with the chest tube on waterseal, there is no evidence of pneumothorax. Otherwise, little change in the appearance of the heart and lungs.
ct on waterseal.
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Pa and lateral views of the chest provided. Lung volumes are low limiting assessment. Allowing for this, the lungs are clear. No convincing evidence for pneumonia or edema. No large effusion or pneumothorax. The heart is top-normal in size. Mediastinal contour is unremarkable. Bony structures are intact. No free air be...
<unk>f with hx dvt subtherapeutic on coumadin with enlarged abdominal wall veins on ct.
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As compared to the previous radiograph, the left chest tube remains in situ. The diameter of the mediastinum and the size of the cardiac silhouette have markedly decreased. The apical portion of the left lung is substantially better ventilated. A small millimetric post-procedural pneumothorax persists. No change in app...
status post vats, evaluation.
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Pa and lateral views of the chest were provided demonstrating no focal consolidation, effusion or pneumothorax. Cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm.
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The lungs are clear without focal opacity, pulmonary edema, pleural effusion or pneumothorax. The cardiac and mediastinal contours are normal.
<unk>-year-old man with chest pain.
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The left port-a-cath is in unchanged position ending in the right atrium. Bilateral pleural drains are in unchanged position compared with yesterday. There has been increase in fissural pleural fluid bilaterally especially on the right with no significant change in the bibasilar pleural effusions.
cholangiocarcinoma complicated by malignant pleural effusions status post bilateral pleurx placement with most recent right pleurex placed <unk>. assess for interval change in right pleural effusion following right pleurx placement.
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There has been interval removal of the pigtail catheter with placement of an pleura stat. The loculated right pneumothorax appears slightly larger. Small right pleural effusion is also slightly increased. The lungs are clear. The heart and mediastinum are within normal limits. Hiatal hernia is re-demonstrated.
<unk> year old man s/p r spontaneous ptx, had pigtail placement, removed // eval of r ptx with pneumostat in place
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The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. The lungs are well-expanded and clear without focal consolidation concerning for pneumonia. Pulmonary vasculature is within normal limits.
<unk> year old woman with chest pressure and dyspnea on exertion // acute pulmonary vs. cardiac process
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The lungs are clear. There is no consolidation or pneumothorax. The cardiomediastinal silhouette is normal. No acute osseous abnormalities identified.
<unk>m with productive cough, subjective fever/chills // eval for pneumonia
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Pa and lateral views of the chest. Lungs are clear. The cardiac, mediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. Heart size is normal.
<unk>-year-old male with recent admission for pancreatitis presenting with positive blood cultures, question of consolidation.
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Patient atelectasis/scarring is seen without definite focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are grossly stable. Cardiac silhouette is mildly enlarged. Prominence of the right hilum is stable. No pulmonary edema is seen.
history: <unk>f with shortness of breath and cough // consolidation
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Again seen is a left basilar opacity, unchanged since the previous exam and likely representing combination of pleural effusion and/or atelectasis. No pneumothorax is identified. There is minimal right basilar atelectasis. There may be small right pleural effusion. Cardiomediastinal silhouette is unchanged.
history of dyspnea and leukocytosis. evaluate for pneumonia.
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As compared to the previous radiograph, there is no relevant change, the monitoring and support devices are in constant position. Tracheostomy tube, nasogastric tube and left jugular vein catheter are constant. Minimally increased is the retrocardiac atelectasis but no evidence of pneumonia is seen in the well-ventilat...
rule out pneumonia.
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The important change as compared to the previous image is the occurrence of a large pneumothorax on the left, with depression of the left hemidiaphragm has a sign of thickening tension. No change in appearance of the right lung. The patient is now intubated, the tube is located to high, projecting in the neck, approxim...
<unk> year old man status <unk> crt-d upgrade // concner for left pneumothorax
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Since the chest radiograph obtained approximately <num> hours prior, there has been interval placement of a dobhoff tube, which passes through the ge junction into the proximal stomach. Mild pulmonary edema has improved. Right lower lung and left mid lung opacities are unchanged. Increased retrocardiac opacities. Small...
<unk> year old man with right intraparenchymal hemorrhage s/p dobhoff placement // please evaluate dobhoff (ngt) position
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Pulmonary markings suggestive of interstitial edema are seen, but recommend correlation with chest ct from today. There is a partially loculated right pleural effusion. Chest tube is seen in place. There is no pneumothorax.
<unk>-year-old female with lung cancer and chronic effusion with pleur-evac in place, now with concern for blockage.
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Frontal and lateral views of the chest. No prior. The lungs are relatively low in volume but clear. There is no effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified.
<unk>-year-old male with chest pain, worse with movement.
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Frontal and lateral views of the chest were obtained. Enteric tube terminates in the stomach. The cardiac and mediastinal silhouettes are grossly stable. There is bibasilar atelectasis. Left base opacities are likely due to atelectasis, although an early infectious process is not excluded in the appropriate clinical se...
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Tracheostomy tube is stable. Lung volumes remain low. Heart size and hilar structures are accentuated by low lung volumes. No definite new consolidation concerning for pneumonia. Right picc terminates in the right atrium.
<unk> year old man with recent hemorrhagic cva, trach'ed and peg'ed - now with fever and tachypnea // please evaluate for acute process
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Heart size is normal. Mediastinal and hilar contours are unchanged and unremarkable. Focal consolidative opacity within the right upper lobe is concerning for pneumonia. Left lung remains clear. No pleural effusion or pneumothorax is present. Pulmonary vasculature is normal. No acute osseous abnormality is detected.
history: <unk>m with shortness of breath and fever
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New moderate right pleural effusion, small left pleural effusion, increased severe cardiomegaly, and mild pulmonary edema since <unk>. Median sternotomy wires are intact and well aligned. Unchanged appearance of aortic valve. No pneumothorax.
<unk> year old man with dyspnea // r/o pna
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There is no focal consolidation. Mild cardiomegaly stable. Mediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax.
chest tenderness and right axillary node, evaluate for acute cardiopulmonary process.
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Left lower lung pneumonia is better seen due to decrease in size of moderate left pleural effusion. Right basilar pneumonia is unchanged. Mild pulmonary edema has slightly decreased. New right jugular sheath ends in the upper svc. There is no pneumothorax. Mediastinal and cardiac contours are top normal.
patient with chf, cll, cardiogenic shock, acute worsening of dyspnea, interval change.
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There are slightly low lung volumes. Given this, no focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac silhouette is top normal. The aorta is slightly tortuous.
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The left-sided pneumothorax is unchanged compared to the most recent study. The remainder of the exam is unchanged.
left pleural effusion, status post thoracentesis and subsequent pneumothorax.
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The patient has been extubated in the interim since <unk>. The inspiratory lung volumes are very low, decreased from <unk>, with progressive bibasilar atelectasis. There is no large pleural effusion. The pulmonary vasculature is not engorged. The cardiomediastinal and hilar contours are within normal limits. No acute o...
<unk> year old man s/p t<num>-l<num> open treatment of fracture now with peristent o<num> requirement // comparison xr
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There are low lung volumes. The right lung is clear. There is a retrocardiac opacity obscuring the left hemidiaphragm, likely pneunonia vs atelectasis. There may be a tiny component of pleural effusion. The heart size is top normal. The cardiomediastinal and hilar contours are unremarkable. Sclerotic intramedullary les...
<unk>-year-old female with chest pain. evaluate for evidence of acute cardiopulmonary process.
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There has been interval placement of a left-sided chest tube. The moderate left pneumothorax and mild rightward mediastinal shift are unchanged in size from prior exam along with depression of the left hemidiaphragm suggesting a component of tension. Large cavitary lesion in left lower lobe as well as complex cavitary ...
history: <unk>m post left pigtail placement for pneumo // eval for decompression
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Comparison is made to previous study from <unk>. There is a tracheostomy and a dobbhoff tube which are unchanged in position. There is whiteout of the right lung. There is consolidation at the left base with some aeration of the left upper lobe. Overall, these findings are unchanged.
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The patient is status post median sternotomy and cabg. The lungs are hyperinflated with flattening of the diaphragms compatible with emphysema. The heart size is normal. Mediastinal and hilar contours are unchanged. Increased interstitial opacities are seen diffusely, with more focal confluent opacity seen within the r...
copd, interstitial lung disease, crackles in the right lower lobe.
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As compared to the previous radiograph, the right chest tube is in unchanged position. Relatively extensive soft tissue air collection in both left and right cervical regions as well as in the paramediastinal regions and the right chest wall have minimally increased. There is evidence of a minimal air collection in the...
lung cancer, status post right upper lobectomy, evaluation for chest tube placement.
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Pa and lateral chest radiographs. There is subsegmental atelectasis in the left lung base. Eventration of the right hemidiaphragm is noted. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.
chest pain, shortness of breath.
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There is a single-lead pacemaker terminating in the right ventricle. The heart is moderately enlarged. The mediastinal and hilar contours appear unchanged. There is similar mild elevation of the right hemidiaphragm. There is no pleural effusion or pneumothorax. A very vague opacity in the right upper lobe is not as dis...
suspected pneumonia. history of alcohol abuse.
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Note is made of severe dextroscoliosis of the thoracic spine as well as apparent fusion of several thoracic vertebral bodies and deformities of adjacent ribs presumably post traumatic, not significantly changed from the prior study. A retrocardiac opacity seen best on lateral view could possibly represent atelectasis h...
<unk>m with seizure // eval for pna
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As compared to the previous radiograph, there is substantial improvement with near-complete resolution of the pre-existing right pleural effusion and the right subsequent atelectasis. On the left, the contour of the hemidiaphragm is also sharper than before and suggests a decrease of the pre-existing small pleural effu...
onset of atrial flutter, cerebellar stroke, evaluation for interval change.
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The patient has been extubated; left-sided chest tube and mediastinal tubes are in unchanged position. Right-sided jugular line ends in mid svc. There is no pneumothorax. Mild pulmonary edema has resolved. Bibasilar atelectasis is unchanged. Pleural effusions are small if any. Mediastinal and cardiac contours are norma...
patient with dropping hematocrit, evaluation for pneumothorax.
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There is a left-sided picc line which terminates in the low svc. Again also seen is a nodule in the lingula which is better evaluated by the ct from <unk>. There is no evidence of pneumothorax or pleural effusion. The hilar and mediastinal contours are unremarkable.
<unk>-year-old female with a history of follicular lymphoma who presents for a replaced left-sided picc line.
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Lung volumes are somewhat low. There is mild cardiomegaly with unfolding of the thoracic aorta. There are mild calcifications in the aortic knob. Hilar contours are unremarkable. There are streaky bibasilar opacities. There is no pleural effusion or pneumothorax. Note is made of a cholecystectomy clip in the right uppe...
chest pain with ekg changes.
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Low lung volumes again noted. There is prominence of the pulmonary vascular markings likely due to in part low lung volumes and overlying subcutaneous tissues noting that pulmonary vascular congestion is also suspected. There is no large pleural effusion. Cardiac silhouette is enlarged but unchanged.
<unk>m with dyspnea // evaluate for pulmonary congestion
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Portable frontal semi-erect radiograph of the chest demonstrates a tracheostomy tube in expected position. New air under the right hemidiaphragm likely related to recent peg placement. Lung volumes remain low with persistent pulmonary edema. Stable bibasilar atelectasis and possible small left pleural effusion.
right thalamic bleed and bilateral lung opacities and pleural effusions. evaluate for interval change.
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Frontal and lateral views of the chest were obtained. There are low lung volumes. The patient is rotated to the right. The cardiac and mediastinal silhouettes are enlarged, although grossly stable given differences in technique and patient inspiration. Prominence of the hila persists, suggesting fluid overload. There i...
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There is a focal consolidations involving the posterior basal left lower lobe. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. Surgical clips are noted over the visualized portions of the abdomen.
chronic intermittent cough for four to six weeks with new onset fevers past few days. the methotrexate was started four to five weeks ago.
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Pa and lateral views of the chest were provided. The lungs are clear without focal consolidation, effusion, or pneumothorax. The heart and mediastinal contours appear normal. The imaged osseous structures are intact. The sternum appears intact on the lateral view.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>m with hx of pe with pleuritic chest pain // r/o consolidation, atelectasis
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No previous images. The heart is normal in size and there is no vascular congestion or pleural effusion. Retrocardiac opacification overlying the lower spine could well represent merely a combination of pulmonary vessels and streaks of atelectasis. However, in the appropriate clinical setting, supervening pneumonia wou...
elevated white count and delirium.
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The cardiac, mediastinal and hilar contours appear unchanged. The lungs appear clear. There are no pleural effusions or pneumothorax. Sequela of prior rib injuries appear unchanged. The bones are probably demineralized to some degree. Severe degenerative changes are noted along the right shoulder. The left humeral head...
altered mental status.
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The lung volumes are normal and the lungs are clear. There is no pleural effusion, pneumothorax or focal airspace consolidation. Heart is normal size. The mediastinal and hilar structures are unremarkable. A gastrostomy tube is partially imaged. There is no free air.
<unk> year old with tonsillar cancer s/p gj tube placement presenting with n/v and watery diarrhea.
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Lung volumes are low. There is increased interstitial markings bilaterally which may represent mild interstitial edema. More focally there is an opacity which obscuring the left costophrenic angle. There is mild cardiomegaly. There is no pneumothorax.
<unk>-year-old woman with shortness of breath and pancreatitis evaluate for fusion
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In comparison with the study of <unk>, there is little overall change. Hyperexpansion of the lungs with coarse interstitial markings are consistent with chronic pulmonary disease. No evidence of acute focal pneumonia. Blunting of the costophrenic angle on the right is again seen, most likely related to scarring or chro...
shortness of breath and hypoxia.
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As compared to <num> day prior, dobhoff tube has been advanced with the tip in the pylorus region. The lungs are clear. The cardiomediastinal contours are unremarkable. No pleural effusions or pneumothorax.
<unk> year old woman s/p stroke w copious secretions // eval for pna
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The lungs are hyperinflated, though the diaphragms are not flattened. The heart is not enlarged. Blunting of the right heart border seen only on frontal radiograph likely reflects a mediastinal fat pad. The patient's known mediastinal mass, seen on multiple prior ct scans, is not well delineated radiographically. The a...
chest pain and shortness of breath. assess for pneumonia or cardiomegaly.
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Portable ap upright chest radiograph was provided. The endotracheal tube is seen with its tip <num> cm above the carina. Ng tube courses into the left upper abdomen with its tip just beyond the ge junction. There is effusion on the right, which layers posteriorly. There is a small left effusion. There is vague opacity ...
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Frontal and lateral views of the chest. The lungs are clear without focal opacity, pleural effusion or pneumothorax. There is no pulmonary edema. The heart and mediastinal contours are normal. There is no free air beneath the right hemidiaphragm. There is no acute fracture. There are mild degenerative changes within th...
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Frontal and lateral views of the chest were obtained. The lungs are hyperinflated with flattening of the diaphragms, suggesting chronic obstructive pulmonary disease. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable and unremarkable. No di...
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Et tube ends <num> cm above the carina. Left-sided picc line is in mid svc and dobbhoff tube ends in the stomach. Right basal opacity which is of mix of pleural effusion and atelectasis is unchanged since <unk>. Left lower lobe atelectasis is new, with adjacent small pleural effusion. Superimposed aspiration cannot be ...
sah , evaluation of et tube.
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Lung volumes are decreased, mdct and there are linear bibasilar opacities which likely represent atelectasis. No large pleural effusion or pneumothorax. Cardiomediastinal contours are normal.
history: <unk>m with chest pain, dyspnea cough // acute cardiopulm disease
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Right picc tip has been withdrawn in the interval and now terminates in the mid/proximal right subclavian vein. The cardiac silhouette size is mildly enlarged. The aortic arch is calcified. Mediastinal and hilar contours are unremarkable. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute ...
clogged picc.
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Triple lead left-sided pacer device is stable in position. The cardiac silhouette is enlarged. Aorta is calcified and tortuous. There are relatively low lung volumes. No focal consolidation, large pleural effusion or evidence of pneumothorax is seen. There may be minimal pulmonary vascular congestion.
history: <unk>f with ams // acute process?
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There has been no significant interval change. Costochondral calcifications are again seen bilaterally. The cardiac and mediastinal silhouettes are stable. The lungs remain hyperinflated. No new consolidation is seen. There is no pleural effusion or pneumothorax. Degenerative changes.
history: <unk>f with unresponsive episode // acute process?
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There are <num> right-sided chest tubes in-situ. There is a persistent moderately large right pleural effusion. There are numerous nodular opacities throughout both lungs consistent with the patient has known metastatic disease. A more focal airspace opacity at the right lung base may reflect atelectasis versus consoli...
<unk> year old man with new r chest tube and pleurex // r/o ptx
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An endotracheal tube is noted with the tip terminating approximately <num> cm above the level of the carina. A nasogastric tube courses below the diaphragm and out of view radiograph. Lung volumes are low leading to crowding of the bronchovascular structures. Bibasilar atelectasis is noted. The upper lung fields are gr...
history: <unk>m with intubation and oral bleeding*** warning *** multiple patients with same last name! // eval for ett placement
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The patient is rotated <unk> and the lung volumes are low, both of which extremely limit interpretation. Further evaluation is limited by overlying soft tissue. There is a probable small right pleural effusion, best appreciated on the lateral view. Overlying opacities are likely atelectasis and superimposed soft tissue...
altered mental status, cough and leukocytosis. evaluate for pneumonia.
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Right chest tube with the tip at the right base and a right internal jugular central venous catheter with tip in the upper svc appear unchanged. Median sternotomy wires appear intact and aligned. Otherwise, there is little interval change in comparison to the prior study. It is difficult to exclude tiny right basilar p...
status post cabg with clamping of chest tube.
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Cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. There is no focal pulmonary consolidation concerning for pneumonia or contusion. There are no fractures.
right-sided thoracic pain status post mvc, query fracture.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>m with ruq pain, diminished breath sounds in rll // eval for free air
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The lungs are clear of consolidation or overt pulmonary edema. There is no pleural effusion. The cardiac silhouette is enlarged similar compared to prior. Atherosclerotic calcifications noted at the aortic arch. Hypertrophic changes noted in the spine. No acute osseous abnormalities identified.
<unk>m with weakness // r/o infection
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Frontal and lateral views of the chest were obtained. The chest is relatively underpenetrated due to the patient's body habitus. Given this, no definite focal consolidation is seen. There is no pleural effusion or evidence of pneumothorax. The cardiac and mediastinal silhouettes are unremarkable given ap technique. The...
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As compared to the previous radiograph, no relevant change is seen. The patient has received a dobbhoff catheter. The appearance of the right and the left lung as well as the monitoring and support devices, including the pigtail catheter in the pleural space are constant in appearance.
clamped chest tube.
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As compared to the previous radiograph, the left lung is now ventilated again. However, a left pleural effusion and left lower lobe atelectasis, combined to a mild left parenchymal opacity is unchanged. The opacities at the right lung base are also unchanged. No new parenchymal opacities. Unchanged size and shape of th...
intermittent atrial fibrillation, evaluation.
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In comparison with the study of <unk>, the patient has taken a somewhat better inspiration. Little change in the appearance of the heart and lungs with no evidence of aspiration or pneumonia.
weakness with possible aspiration.
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Compared with <num> day earlier, <num> of the <num> left chest tubes has been removed. A single left-sided chest tube remains, with tip overlying the left upper lung. No obvious pneumothorax is detected, though a tiny left apical pneumothorax could still be present. Again seen is evidence of volume loss on the left, wi...
<unk> year old man with left upper lobectomy // evaluate for ct and ptx
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The lungs are hypoinflated with crowding of vasculature. Heterogeneous right lower lobe opacity is most consistent with atelectasis. No pleural effusion or pneumothorax. Persistent mild cardiomegaly is noted. Mediastinal contour and hila are unremarkable.
<unk>f with chest pain. assess for pna, effusion, infection
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Frontal and lateral views of the chest were obtained. There are relatively low lung volumes. There is slight prominence of the interstitial markings which may be due to mild pulmonary edema versus less likely atypical infection. There is slight blunting of the posterior right costophrenic angle and a trace pleural effu...
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Posterior basilar opacity best seen on the lateral view may be due to atelectasis, aspiration, infection is not entirely excluded in the appropriate clinical setting. No large pleural effusion is seen. There is no pneumothorax. The cardiac silhouette is moderately enlarged. The aorta is calcified. A right-sided central...
history: <unk>m with ams // pna?
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Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No displaced fracture is seen.
<unk> year old man s/p high speed bike accident/fall and significant facial trauma. //
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No focal consolidation is seen. Small pulmonary nodules reported on prior chest ct from <unk> were better assessed on that more sensitive study and follow-up recommendation per that study remains. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.
history: <unk>f with c/o cough with back pain/thoracic pain // ? pna
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There is a prominent area of increased opacity at the left lung base, with increased retrocardiac density and obscuration of the left hemidiaphragm, compatible with left lower lobe collapse and/or consolidation. There is probably also an associated small to moderate size left pleural effusion. There is minimal atelecta...
<unk> year old woman with cvid, fever // eval for pneumonia
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Large right pneumothorax appears overall unchanged from the earliest exam on <unk> but is increased from the prior. An apical pneumothorax also appears similar and is likely in communication with the large basilar component and increasing in size. The right hemidiaphragm appears more depressed, suggesting tension. Righ...
<unk> year old man with chronic respiratory failure on long-term positive pressure mechanical ventilation, persistent vegetative state s/p remote cva, prior r exudative pleural effusion of uncertain etiology, with <unk> cxr demonstrating r hydropneumothorax/trapped lung (?)related to underlying bronchopleural fistula ...
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Tip of right picc terminates in the region of the junction of the superior vena cava and right atrium. Exam is otherwise unchanged since the previous study. A sclerotic focus overlying the sixth anterior left rib corresponds to an apparent bone island of this rib on older ct torso of <unk>.
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Frontal radiographs of the chest demonstrate normal heart size. The hilar contours are normal. Stable widening of the upper mediastium most likely reflects fat; however an enlarged thyroid could have the same appearance. The lungs are clear. No pleural effusion or pneumothorax. No displaced rib fracture identified.
urinary retention and back pain. pre-op, evaluate for infection.
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As compared to the previous radiograph, the right jugular vein catheter has been removed. The opacity in the right lung has substantially decreased in extent. The other monitoring and support devices, including the left-sided chest tubes are constant. There is no convincing evidence of left pneumothorax, but the chest ...
radical excision of a left chest wall tumor, chest tube on waterseal.
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No focal consolidation is seen. There is slight blunting of the left costophrenic angle which could be due to a trace pleural effusion versus pleural thickening. No evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. There is a fracture of the left mid to distal clavicle which is...
history: <unk>m s/p bike fall today onto head (w/helmet), l shoulder and ant chest assoc w/confusion, dec rom in l shoulder // eval for acute processes
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Small bilateral pleural effusions are unchanged. Heart size and mediastinal contours are stable.endotracheal and enteric tubes are unchanged.bilateral reticular interstitial opacities, predominantly in the lower lobes, are essentially unchanged. Hyperinflation and scattered lucencies may represent bronchiectasis and em...
<unk> year old man with hiv, asthma, intubated for resp distress. assess interval change.
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Frontal and lateral chest radiograph demonstrates a right porta cath tip in the lower svc, unchanged in appearance since previous examination. Intact median sternotomy wires as well as a prosthetic aortic valve are noted. The lungs are moderately well expanded and clear. No focal opacity. No pleural effusion or pneumot...
history of pancreatic cancer on chemotherapy presenting with fever and chills. assess for pneumonia.
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Dobbhoff tube identified with tip in fundus of stomach. Normal bowel gas pattern. The incompletely visualized lung bases demonstrate improved aeration with the decreased bibasilar atelectasis and edema though interstitial prominence persists, likely combination of residual edema and background emphysematous changes.
please evaluate dobbhoff tube placement.
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As compared to the previous radiograph, there is unchanged evidence of a left internal jugular vein catheter. The precise venous anatomy of the mediastinum is better documented on a ct examination from <unk>. There is unchanged evidence of low lung volumes and bilateral basal areas of atelectasis, right more than left....
right middle lobe collapse, new dyspnea, evaluation.
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Pa and lateral views of the chest were reviewed. The cardiomediastinal and hilar contours are stable. Again visualized is an aortic corevalve replacement. Chronic elevation of the right hemidiaphragm is seen. There is no pleural effusion or pneumothorax. Lungs are well expanded and clear. Exaggerated kyphosis of the th...
chest pain.
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As compared to the previous radiograph, one of the three left-sided chest tubes has been removed. There could be a minimal pneumothorax in the paramediastinal areas and at the bases of the left lung. The extent of the known chest wall soft tissue opacity on the left is unchanged. The size of the cardiac silhouette is a...
status post left chest mass, status post reconstruction.
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The appearance of the chest is stable as compared to the prior study. The cardiac and mediastinal silhouettes are stable. There is persistent elevation of the left hemidiaphragm. No new focal consolidation is seen. There is no pleural effusion or pneumothorax.
<unk> year old man with chills and non-specific abd pain // r/o pna
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Ap portable upright view of the chest. Tubing projects over the right upper abdomen. There is large left pleural effusion with associated compressive atelectasis in the left lower lobe and lingula. Right lung remains clear showing no signs of edema or congestion. The aorta is densely calcified and somewhat unfolded. Im...
<unk>f with missed dialysis // eval for volume overload
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As compared to the previous radiograph, there is a marked improvement with decrease in extent of the pre-existing massive pulmonary edema. The radiograph currently shows only mild signs of fluid overload. Unchanged moderate cardiomegaly without pleural effusions. Mild retrocardiac atelectasis. Unchanged right internal ...
pulmonary edema, comparison.
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One portable ap view of the chest. There are low lung volumes compared to most recent study. Overall appearance is unchanged. The left chest tube is in same position. Tubes and lines are in unchanged position. Left upper and lower lobe opacities are unchanged. No pleural effusion or pneumothorax. Extensive subcutaneous...
chest tube in place, now clamped, evaluate for interval changes.