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In comparison to the recent chest x-ray on <unk>, the ng tube has been removed. Again noted is left greater than right lung base atelectasis. There is also a small left pleural effusion, which appears to be new. No evidence of pneumothorax. Stable mild cardiomegaly.
<unk> year old man <num> day s/p nissen fundoplication, c/o sob and chest pain // rule out pneumothorax or acute cardiopulmonary changes
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The lungs are hyperinflated. Coarsened lung markings, similar compared to prior are likely due to a chronic underlying interstitial changes. There is no consolidation, effusion, or pneumothorax. Calcified paraesophageal node partially visualized. No displaced fractures identified.
<unk>m with syncope, + head strike, ams // eval for cardiomegaly
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The patient is after placement of a pacemaker. The left pectoral generator is in correct position, projects over the right atrium, one over the right ventricle. There is no visible pneumothorax. Borderline size of the cardiac silhouette with tortuosity of the thoracic aorta. No overt pulmonary edema. No pleural effusio...
assessment for pneumothorax.
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Following recent bronchoscopy procedure, there is no evidence of pneumothorax or pneumomediastinum. Overall appearance of the chest is similar to the recent study except for very slight improved aeration in the left retrocardiac region.
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Support devices are in stable position. Left base opacification has improved compared to prior study. There is a new right linear opacification which likely represents fluid in the fissure. There is improvement in the left lung vascular congestion.
<unk>-year-old with subarachnoid hemorrhage. evaluate interval change.
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Compared to the study from two days prior, there has been some interval partial clearing of the left upper lung. There continues to be retrocardiac opacity and left pleural effusion. There has been interval decrease in the right pleural effusion. There continues to be pulmonary vascular re-distribution. There is no new...
pneumonia and respiratory distress, question mucus plugging.
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In comparison with study of <unk>, there is little change. Tracheostomy and nasogastric tubes remain in place. No evidence of acute focal pneumonia or vascular congestion.
persistent vegetative state with fever.
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Compared to the prior study the free air is no longer visualized in the abdomen. Bilateral chest tubes are present and there has been some interval decrease in the bilateral pleural effusions there continues to be volume loss in the lower lobes left greater than right
<unk>f cecal adenoca w/liver met s/p lap segment <num> wedge on <unk> c/b subhepatic collection s/p drainage now w/reaccum fluid, large pericardial/pleural effusion s/p pericardial window, bl ct // interval change in free air/assess interval change; please do am <unk>
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As compared to the previous radiograph, the tube has been pulled back. The tube is coiled with the distal parts pointing upwards in the esophagus. The tube needs to be re-positioned. At the time of dictation and observation, the referring physician <unk>. <unk> was paged for notification.
ards, evaluation for orogastric tube.
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Ap upright and lateral views of the chest provided. There is diffuse pulmonary edema with small bilateral effusions. The heart is moderately enlarged. Mediastinal contour is stable. Bony structures intact.
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There is vascular congestion and low lung volumes in the left lung base, possibly due to obstructed airways from aspiration versus retained secretions as atelectasis was seen in the left lung base on the ct from <unk>. Central hilar and mediastinal adenopathy including some calcified lymph nodes are better seen on the ...
<unk>-year-old female with history of congestive heart failure, possible sarcoidosis, altered mental status and oxygen requirement. evaluate for infiltrate/pneumonia.
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Compared with most recent prior radiograph, there is no significant change with right subclavian dialysis catheter, tracheostomy, right chest tube and left picc line in unchanged position. Minimal blunting of the right costophrenic angle consistent with small effusion is unchanged but there is no pneumothorax. Moderate...
history of pneumothorax and effusions. evaluate changes after chest tube.
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The feeding tube is coiled in the stomach. The appearance of the lungs is unchanged.
check dobbhoff placement.
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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.
history: <unk>m with dyspnea
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Single portable view of the chest. Left picc is seen with tip in the mid svc. There is an opacity projecting over the anterior right <num>nd rib, potentially related to osseous structures however underlying parenchymal changes are also possible. The lungs are otherwise grossly clear. The descending thoracic aorta is to...
<unk>-year-old female with shortness of breath and elevated white blood cell count. cough. question pneumonia.
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Lung volumes are low. The cardiac silhouette is unremarkable. The mediastinal silhouette is somewhat prominent. There is no pneumothorax or pleural effusion. No definite consolidation is identified. Evaluation for rib fractures is limited on this examination. Lower thoracic vertebral compression deformities are age ind...
history: <unk>f with fall out of bed // eval for traumatic injury
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The lungs are clear. There is no pneumothorax. The cardiomediastinal silhouette is normal. No acute osseous abnormality is identified.
<unk>m with l rib pain // r/o acute process
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The endotracheal tube terminates in the proximal right mainstem bronchus. The right internal jugular catheter is unchanged in position and the tip is in the mid svc. There is no pneumothorax. Otherwise, there are no significant changes compared to the prior radiograph performed earlier this morning. Again noted are dif...
<unk> year old man with intubated s/p et dislodgement and re-intubation // confirm et tube placement
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Frontal and lateral views of the chest were obtained. The heart is of normal size with normal cardiomediastinal contours. The lungs are clear without focal or diffuse abnormality. The pulmonary vasculature is unremarkable. The osseous structures are unremarkable. A ventriculoperitoneal shunt traverses the anterior ches...
<unk>-year-old man with confusion. evaluate for infection.
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The lung volumes are normal. Normal size of cardiac silhouette. No pleural effusions. No focal parenchymal opacity suggesting pneumonia. No pulmonary edema. No pneumothorax. Normal hilar and mediastinal contours. The osseous structures are stable. Right chest port line terminates in the right atrium.
<unk> year old man with dlbcl and cough // pna
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In comparison to recent examination from <num> day prior, there are no significant changes when consideration is given to slightly larger lung volumes. The cardiac silhouette is mildly enlarged. Hiatal hernia is noted. Again noted is a multiloculated left hydropneumothorax and dependent left effusion, essentially uncha...
<unk>f s/p robotic convert to thoracotomy sup segmentectomy and lingular wedge resecton cb l hemothorax pod<unk> s/p l vats hematoma evacuation // please eval for interval change
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Pa and lateral views of the chest were obtained demonstrating clear and well expanded lungs without focal consolidation, effusion, or pneumothorax. Heart and mediastinal contours appear normal. Bony structures are intact. No free air below the right hemidiaphragm.
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Ap upright frontal and lateral views of the chest are provided demonstrate bibasilar plate-like atelectasis. No large effusion or pneumothorax is seen. There is a vague nodular opacity projecting over the right upper lung, which could represent a pulmonary nodule and non-emergent ct may be obtained to further assess. T...
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Heart size is upper limits of normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are remarkable for a subtle area of increased opacity in left retrocardiac region, projecting over the lower thoracic spine on the lateral view. . No pleural effusion or pneumothorax is seen. ...
<unk> year old woman with copd/asthma being treated for exacerbation that is resistant to conventional therapy. // please evaluate for infectious process
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The lungs are clear. Cardiomediastinal silhouette is within normal limits. Right chest wall port and left vagal nerve stimulator are again noted. No acute osseous abnormalities.
<unk>f with colon ca, on chemo. hypotensive today // please evaluate for acute infectious process
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Heart size and cardiomediastinal contours are normal. Lungs are clear without focal consolidation, pleural effusion, or pneumothorax.
<unk>f with palpatations earlier today, hx of dmii // eval for cardiac
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Heart size is normal. The mediastinal and hilar contours are unremarkable. The pulmonary vasculature is normal. Consolidative opacity within the right lower lobe is demonstrated. No pleural effusion is seen. The left lung is grossly clear. There is no pneumothorax. No acute osseous abnormalities detected.
history: <unk>f with productive cough and intermittent fever for the past <num> days // ? pneumonia
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Comparison is made to prior studies from <unk>. Heart size is upper limits of normal. There is some atelectasis at the lung bases. There is some subcutaneous emphysema along the left lower neck soft tissues. Please correlate with any recent intervention in this location. There are no pneumothoraces. Bony structures are...
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Lungs are clear. The cardiomediastinal silhouette, hilar contours, pleural surfaces are normal. No pulmonary edema, pleural effusion, or pneumothorax. No focal consolidations are noted.
history: <unk>f with <num> wks of cp // eval heart size, lung fields
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The lungs are clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. No pulmonary edema, pleural effusion, or pneumothorax. No focal consolidations are seen. Chronic deformity of the right acromioclavicular joint is unchanged.
<unk>m with hemoptysis, cough // eval for hemoptysis, ? bronchitis
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The cardiomediastinal and hilar contours are stable. There is no pneumothorax or large pleural effusion. The lungs are well-expanded with no focal consolidation concerning for pneumonia. A moderate to large hiatal hernia is again noted. Dextroscoliosis centered in the midthoracic spine is present.
<unk>f with fever.
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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. Fat pads (as seen on prior ct abdomen pelvis) abut the heart border likely accounting for subtle opacity seen. Imaged osseous structures are intact. No free air below the r...
<unk>f with cough // eval for infiltrate
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The ng tube tip is too high, at the gastroesophageal junction. The et tube, port-a-cath, left upper lobe collapse are unchanged.
recent og tube placement.
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Pa and lateral views of the chest are provided. The lungs are clear bilaterally without focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette appears normal. The imaged osseous structures are intact. There is no free air below the right hemidiaphragm. Clips in the right upper quadrant likely ...
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Lungs are hyperinflated but clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are within normal limits. There is no pleural effusion or pneumothorax. Degenerative changes are seen at the bilateral acromioclavicular joints.
<unk>f with chest pain and sob. evaluate for acute cardiopulmonary process.
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Increased interstitial markings seen particularly with a perihilar distribution. There is no large effusion or superimposed consolidation. Cardiac silhouette is enlarged but grossly unchanged. No acute osseous abnormalities.
<unk>m with chest pain // acute process?
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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.
history: <unk>f with chest pain
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In comparison with chest radiograph from <unk>, diffuse bilateral interstitial markings have somewhat improved, which may reflect improvement in pulmonary edema in the background of chronic interstitial lung disease. There is no focal consolidation, pleural effusion or pneumothorax. Biapical pleural thickening is seen,...
<unk> year old woman with encephalopathy, n/v, eval for acute cardiopulmonary process // <unk> year old woman with encephalopathy, n/v, eval for acute cardiopulmonary process
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Comparison is made to the chest ct scan from <unk>. There is an aortic stent identified. The heart size is within normal limits. There is crowding of the pulmonary vascular markings at the lung bases consistent with atelectasis. There are no pneumothoraces or signs for overt pulmonary edema.
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Interval placement of a left-sided internal jugular central venous line with the tip projecting over the expected location of the superior svc. No pneumothorax. Lung volumes are mildly decreased leading to crowding of the bronchovascular structures. Mild-pulmonary edema and central pulmonary vascular congestion is gros...
<unk>m with fever and s/p central line // eval central line placement
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Ap and lateral views of the chest. Aortic calcifications are again seen. No focal consolidation is seen. There is no pneumothorax. The cardiomediastinal contours are stable.
<unk>-year-old female with fever and right upper quadrant tenderness.
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Comparison is made to prior study from <unk>. There has been removal of the picc line. There is again seen prominence of pulmonary interstitial markings consistent with mild fluid overload. There is unchanged cardiomegaly. No pneumothoraces or definite consolidations are seen.
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Since prior exam, the patient has been extubated. Ng tube and left chest tube has been removed. There is no pneumothorax. Left small-to-moderate pleural effusion with atelectasis is unchanged in this patient with recent sternotomy. Moderate cardiac and mediastinal enlargement is stable. Left-sided picc line has been sl...
chest tube removal.
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A portable supine frontal chest radiograph demonstrates a right jugular central catheter with the tip in the mid svc. The portable technique and supine position account in part for the apparent increase in heart size. There is mild vascular congestion. The lungs are otherwise clear and there is no pleural effusion or p...
postoperative evaluation after renal transplant.
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Comparisons to the prior study, there has been a significant increase in the left upper lobe opacities as well as continued persistence of the left lower lobe opacities and total left lung haziness superimposed on severe emphysema. Patient's right sided masses are more obscured on today's film due to rotation. There co...
history: <unk>f with hypoxia, weakness, fever // evaluate for pneumonia, acute change //history: <unk>f with hypoxia, weakness, fever
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The heart size is normal. Cardiomediastinal silhouette and hilar contours are unremarkable. Lungs are clear. There is trace right pleural effusion. There is no pneumothorax. The osseous structures are grossly unremarkable.
ventricular arrhythmia.
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Et tube is in good position. Ng tube appears in good position. Mild pulmonary edema not significantly changed from the prior study poor inspiration effort.
<unk> year old man with secretions // interval change?
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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.
chest pain.
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There has been interval placement of an enteric tube which enters the stomach. A right lung base airspace opacity is developed since the prior exam. The left lung remains clear. There is no pneumothorax. There is stable mild cardiomegaly. Mild biapical pleural scarring is unchanged. The patient is status post prior aor...
<unk>-year-old female with ronchi.
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As compared to the previous radiograph, no relevant change is seen. Moderate cardiomegaly without pulmonary edema. No pleural effusions. No pneumonia, no pulmonary edema. The cervical vertebral fixation devices are in unchanged position.
evaluation for pneumonia.
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Cardiac size is top normal. Bulging a of aortic contours consistent with diffuse aneurysmal dilation of the aorta seen on recent ct. The lungs are clear. No pulmonary edema. There is no pneumothorax or pleural effusion. Moderate scoliosis.
<unk> year old woman with asc ao aneurysm // pre-op
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In comparison with the study of <unk>, there is worsening bilateral opacifications, especially on the right. This is consistent with diffuse pneumonia, probably complicated with some elevation of pulmonary venous pressure and bilateral pleural effusions, worse on the right.
pneumonia and lung collapse status post bronchoscopy, to assess for pneumothorax.
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Frontal chest radiograph demonstrates no focal consolidation, pleural effusion, or pneumothorax. The heart size is normal. The cardiac, hilar, and mediastinal contours are unremarkable.
shortness of breath and wheezing. evaluation for pneumonia.
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Two views of the chest were obtained. The lungs are somewhat low in volume but clear. There is no pleural effusion or pneumothorax. The heart is top normal in size with normal hilar and mediastinal contours.
<unk>-year-old man with chest pain.
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Compare to <unk>, there has been interval resolution of left pneumothorax. Small residual pleural effusion and minimal atelectasis are unchanged. Asymmetrical right basal reticular opacity is likely due to lymphangitic spread, and better assessed on prior chest ct from <unk>. Cardiomegaly is unchanged. Mediastinal and ...
<unk> year old man with cll and metastatic intrahepatic cholangiocarcinoma with large l pleural effusion, now s/p <num>l thoracentesis with small apical pneumothorax on cxr immediately after procedure on <unk>. // evaluate for worsening pneumothorax
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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 similar study <unk> <unk>. During the interval, the swan-ganz catheter has been withdrawn, but the right internal jugular approach sheath remains. The heart size has no...
<unk>-year-old female patient, status post mitral valve repair, evaluate for interval change.
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Compared to chest x-ray in the morning (<time> am), there are no major interval changes. Lung volume is still low with new right base linear atelectasis. There is no pleural effusion. The cardiomediastinal silhouette is unchanged. The multiple rib fractures, left lung and pneumothorax are not visible in the cxr. There ...
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Pa and lateral views of the chest show dense horizontal linear scar in the right middle lobe and somewhat stellate increased opacity just below this in the region of the patient's cyberknife markers. This is not significantly different compared to recent plain films and no other areas of consolidation are seen suggesti...
<unk> year old woman with h/o lung ca s/p cyberknife with scar vs. recurrence, now with fever/cough // ?new infiltrate
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The patient is slightly rotated to the right. The right port-a-cath is in stable position. Lung volumes remain low with basilar atelectasis, though improved on the left. The cardiomediastinal silhouette is stable. There is no pneumothorax.
axial brain injury and increased secretions. concern for aspiration or pneumonia.
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The lungs are hyperinflated but clear. There is no evidence of pneumonia. Heart size and mediastinal contours are stable. There is no evidence of pleural effusion or pneumothorax. Biapical scarring is stable. Clips project over the right lower chest wall/breast. Dextro convex scoliosis of the thoracic spine is unchange...
history: <unk>f with weakness // ? pna
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Right-sided dual lumen central venous catheter tip terminates in the proximal right atrium, unchanged. Heart remains mildly enlarged. Mediastinal and hilar contours are unchanged with unfolding of the thoracic aorta again noted. There are mild atherosclerotic calcifications of the aortic knob. Pulmonary vasculature is ...
fevers, fatigue.
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Pa and lateral views of the chest provided. Minimal scarring in the midlung, bilaterally is a chronic finding. No pneumothorax. Small, left pleural effusion is unchanged. Hilar contours are normal. The aorta is tortuous. Chronic left rib fracture is unchanged. Multiple compression deformities in the mid and lower thora...
<unk> year old woman with recent abnormal cxr during admission // please evaluate for resolution
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Nasogastric tube terminates in the body of the stomach with side-port near the estimated location of the gastroesophageal junction. Post pyloric dobhoff tube is seen coursing into the jejunum with distal tip out of view. Other support lines, left pleural effusion, and left lower lobe opacification are unchanged.
<unk> year old man with ngt placement. // please evaluate for ngt location.
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Portable ap upright view of the chest was reviewed and compared to the prior studies. The tracheal stent in the right main bronchus has been removed. Right perihilar opacity represents metastatic disease that has significantly decreased since <unk> due to radiation therapy. Multiple nodules seen throughout both lung fi...
evaluation for interval change in patient status post tracheal stent removal and tumor debulking with known renal cell carcinoma metastasis to the lungs.
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A portable frontal chest radiograph is somewhat difficult to evaluate secondary to blurring of the image, presumably related to patient motion. A tracheostomy terminates in the upper thoracic trachea. The right approach picc terminates in the mid svc. The exam is largely unchanged, with somewhat low lung volumes exagge...
history: <unk>m with trach, inc. sob // eval for consolidation
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Compared to prior chest x-ray, there has been no significant interval change. Vague opacity projecting over the left lung base laterally is unchanged. On the lateral view, there is more conspicuous opacity over the posterior costophrenic angle which correlates with regions of mucous plugging and tree-in-<unk> opacities...
<unk>m h/o mds <unk>/p mud x<num> for failed graft on <unk> and <unk> complicated further by cgvhd of skin, lungs and presumed gut, recent stenotrophomonas pneumonia and recent pancreatitis s/p sphincterotomy, discharged yesterday from the hospital presents with weakness, diff ambulating on stairs/ difficulty managing...
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Frontal and lateral views of the chest were obtained. Small-to-moderate left and small right pleural effusions are again seen with overlying atelectasis. Bibasilar opacities may represent combination of effusions and atelectasis; however, underlying consolidation is difficult to exclude. The cardiac and mediastinal sil...
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Single frontal portable chest radiograph demonstrates persistent elevation of the right hemidiaphragm. Right lower lung opacification relatively stable and likely represents atelectasis. No focal opacification concerning for pneumonia identified. Cardiomediastinal and hilar contours are unremarkable. No pleural effusio...
hypotension, egd today, evaluate for cardiopulmonary process.
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The lungs are clear. There is no consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. There is no free intraperitoneal air. Osseous structures are unremarkable.
<unk>f with chest pain epigastric constant // eval for pna
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Pa and lateral chest radiographs demonstrate no focal consolidation, pleural effusion, or pneumothorax. There is no pulmonary vascular congestion or interstitial edema. The cardiomediastinal silhouette is normal.
shortness of breath and chest pressure.
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As compared to the previous radiograph, the patient has developed a relatively extensive right lower lobe pneumonia, associated to a small right pleural effusion. The left lung and the size of the cardiac silhouette are unchanged. Signs of severe overinflation with destruction of lung parenchyma persists. At the time o...
copd, shortness of breath, rule out pneumonia.
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Endotracheal tube tip terminates approximately <num> cm from the carina. An enteric tube tip is within the stomach. The heart size is normal. Mediastinal and hilar contours are unremarkable. There is mild pulmonary vascular congestion with trace left pleural effusion. Patchy atelectasis is likely present in the lung ba...
history: <unk>m with intubation
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In comparison with the study of <unk>, there is little overall change. Hyperexpansion of the lungs with flattening of the hemidiaphragms is consistent with chronic pulmonary disease. However, there is no acute focal pneumonia or evidence of interstitial prominence to suggest amiodarone toxicity. No vascular congestion ...
shortness of breath, on amiodarone.
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The cardiomediastinal silhouette is stable. There is mild vascular congestion. An area of chronic scarring and atelectasis in the left retrocardiac space and the left lower lung is unchanged. However, there is probable interval increase of a small left pleural effusion. There is increased atelectasis of the right lung ...
<unk>-year-old female patient with lung cancer, now desaturating. study requested for evaluation of pulmonary edema.
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A nasogastric tube is in-situ, the tip is in the stomach. Lung volumes are within normal limits. The cardiomediastinal contour is normal. The heart is not enlarged. Scarring and atelectasis of the right lung base is similar in appearance when compared to the prior ct. No pleural effusion or pneumothorax seen.
<unk>m with esrd <unk> to dm, s/p ldrt <unk>, with pmh significant for metast scc now with llq pain found to have small bowel mass c/f met scc now s/p ex-lap, sbr s/p ngt reinsertion // placement of ngt
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The cardiac, mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vascularity is normal. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities are detected.
fatigue, congestion, recent uri.
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The lungs are clear of focal opacities concerning for infection. There is no pleural effusion or pneumothorax. The patient is status post median sternotomy.
chest pain.
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The lungs are clear without consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. S-shaped thoracic scoliosis is again noted.
<unk>f with anterior chest pain // role out pneumonia
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As compared to the previous radiograph, the known right fluid or pneumothorax has slightly decreased in extent. Intrathoracic part of the pigtail catheter has not changed. Mild atelectasis at the right lung bases. No evidence of tension. The appearance of the heart and of the left lung is constant.
pneumothorax, evaluation.
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The lungs are normally expanded and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax.
history: <unk>m with fevers // eval for pna, effusions
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Left internal jugular vascular catheter has been removed since the prior study. Postoperative alterations are again demonstrated, consistent with prior left upper lobe resection and right upper lobe wedge resection procedures. Blunting of the right costophrenic angle is longstanding and attributed to postoperative pleu...
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The cardiac silhouette is borderline enlarged. The pulmonary vasculature is unremarkable and unchanged since the prior examination. Atelectasis is noted in the azygous lobe. The lungs are otherwise clear. No definite pleural effusion or pneumothorax is identified.
history: <unk>f with palpitations and cp // pna?
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Airspace opacities within the left lower lobe and lingula obscuring the left hemidiaphragm and left heart border, respectively. There is a probable superimposed small-moderate left pleural effusion. Streaky right basilar opacities likely reflect atelectasis. The cardiomediastinal silhouette is within normal limits. Pos...
<unk>f with pna // eval pna
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Left-sided port-a-cath tip terminates in the mid svc. The right-sided chest tube is in unchanged position. There is continued evidence of volume loss in the right lung with slight interval increase in size of the small right pleural effusion. Right upper lung field opacification is compatible with patient's known lung ...
altered mental status and lung cancer.
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As compared to the previous radiograph, there is a newly appeared plate-like atelectasis in the right lung. No changes suggesting aspiration pneumonia are present. Borderline size of the cardiac silhouette. Minimal tortuosity of the thoracic aorta. No pulmonary edema. No pleural effusions. The previously seen fracture ...
aspiration after vomiting.
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Cardiomediastinal contours are normal. The lungs are clear. There is no pneumothorax or pleural effusion. There are mild degenerative changes in the thoracic spine
<unk> year old man with > <unk> years of chronic cough, former smoker // eval for infiltrates, parenchymal disease
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The previously seen left-sided pacemaker and associated leads have been removed. There is no pneumothorax. The lungs are clear. Lower lung volumes could account for the slight increase in heart size, now top normal. The mediastinal contours are unchanged. There are no definite pleural effusions.
lead extraction. assess for pneumothorax.
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Lung volume is low. Elevated left hemidiaphragm is similar to <unk>. There is no focal consolidation, pneumothorax, or pleural effusion. Enlarged cardiac silhouette and prominent pulmonary vessels are similar to before. Multiple old healed fractures are noted in the right ribs.
history: <unk>m with chest pain, hypertension. // acute process?
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An endotracheal tube terminates at the level of the clavicles. Sternotomy wires remain intact and aligned. The patient is status post recent aortic and mitral valve replacements. The nasogastric tube has been repositioned, and now terminates in the stomach. The swan-ganz catheter terminates in the right pulmonary arter...
<unk> year old man s/p avr/mvr // eval feeding tube
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The cardiomediastinal and hilar contours are within normal limits. There is bibasilar atelectasis, most prominent at the left lung base. Increased opacity in the left lower lobe could reflect early pneumonia. There are probable small bilateral pleural effusions. No pneumothorax is identified.
cough. question pneumonia.
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As compared to the previous radiograph, the right-sided chest drain is in unchanged position. The extent of the right pleural effusion has minimally increased. There is no evidence of the pneumothorax. On the left, there is increasing retrocardiac and left basal atelectasis but no effusion is present. No focal parenchy...
right-sided effusion, status post thoracocentesis, evaluation for interval change.
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The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. No rib fractures are identified, although this study is not tailored for assessment of the ribcage and has suboptimal sensitivity for detection of rib fractures.
<unk>-year-old male with seizure. evaluate for pneumonia or aspiration.
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Ap portable upright view of the chest. Extensive right-sided pulmonary opacities are minimally changed since the radiograph from <unk>. No new superimposed consolidation, pneumothorax, or effusion is present. The cardiac and mediastinal contours are unchanged.
<unk> year old man with cad, copd, lung cancer s/p resection, here with pna and uti now tachycardic <unk><num>s. // evaluate for worsened pulmonary edema, effusions
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. Compared to the prior chest radiograph performed <num> days prior the swan-ganz catheter is in similar position in the right descending pulmonary artery. Retraction of <num> cm is recommended. Cardiomegaly is stable. Mild pulmonary vascular congestion is similar to the <unk> radiograph. No pneumothorax or pleural eff...
<unk> year old man with decompensated chf with pa catheter just manipulated please assess location // evalute position of pa catheter
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Ap portable upright view of the chest. Interval placement of right ij central venous catheter with its tip in the mid svc. Et tube and og tubes are unchanged. Airspace opacities again noted in the lower lungs and to a lesser extent in the right upper lung concerning for pneumonia.
<unk>f with septic shock // line placement
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Monitoring and support equipment is unchanged in position compared to the prior study. Extensive subcutaneous emphysema continues, limiting assessment of the lung parenchyma. Bilateral ill-defined airspace opacities are grossly unchanged. No definite pneumothorax seen.
<unk> year old man with resp failure of uncertain etiology, intubated // interval change
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Lungs are low in volume but are clear aside from incompletely evaluated faint left basal opacity with subtle obscuration of the left hemidiaphragm. Calcified granuloma or lymph node is seen in the right apex. There is no pleural effusion or pneumothorax. The heart is normal in size with normal cardiomediastinal silhoue...
dementia and als with failure to thrive and worsening dysphagia, assess for pneumonia or aspiration.
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The left lower lobe opacity consistent with a pneumonia is unchanged. Calcified granulomas are noted in the right upper lobe. Again seen is an enlarged left hilum for which follow-up imaging is recommended after treatment of the pneumonia.no pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouet...
<unk> year old woman with aspiration event post colonoscopy with hypoxemia // eval for interval change
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Lung volumes are very low with increasing bibasilar opacities. No convincing evidence of pneumonia. Mild to moderate cardiomegaly persists. Low lung volumes cause crowding of the bronchovascular markings.
<unk> year old woman with sob // eval infiltrate
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Ap and lateral views of the chest. Increased interstitial markings are again seen suggesting \vascular congestion. Increased opacity at the right costophrenic angle on the frontal may be due to underpenetration and overlying soft tissues. There is no definite effusion. On the lateral view, there is slightly more conspi...
<unk>-year-old male with chf history, asthma presents with shortness of breath and productive cough.