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Compared to chest radiograph from <unk>, there is little overall change. Lung volumes remain slightly low. Mild basilar atelectasis and scarring is similar to prior study. Mild cardiomegaly is stable. There is no focal consolidation, pleural effusion or pneumothorax. There is mild central vascular congestion without ov...
history: <unk>f with cough/lt calf swelling // evaluate for chf/pneumonia/evaluate for dvt
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Lung volumes are slightly reduced compared to the previous exam. The heart size remains mildly enlarged. The mediastinal and hilar contours are unremarkable. There is crowding of the bronchovascular structures as a result of low lung volumes. Patchy opacities are seen in the lung bases. This is nonspecific, and could r...
altered mental status
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The lungs are hyperinflated, suggesting chronic obstructive pulmonary disease. No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Aortic knob calcification is noted.
history: <unk>m with syncope, hyponatremia // please evaluate for infectious pathology
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Right apical chest wall mass appears similar to the recent ct scan and is associated with destructive changes in the right fourth rib. Fiducial seeds are present in the inferior aspect of the mass. Since the recent study, the patient has undergone a procedure in the left supraclavicular region with associated surgical ...
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Pa and lateral views of the chest were obtained. The heart size is normal. The mediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. There is no focal consolidation concerning for pneumonia.
cough and shortness of breath.
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Frontal and lateral views of the chest are obtained. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are unremarkable.
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The lungs are severely hyperinflated, consistent with emphysematous changes. These changes are more pronounced at the apices. There is minimal, if any, pulmonary edema, which is slightly improved from the prior exam. There is no focal airspace consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silh...
shortness of breath. evaluate for an acute process.
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Pa and lateral views of the chest provided. No focal consolidation is seen concerning for pneumonia. No large effusion or pneumothorax. Coarsened lung markings noted diffusely raising concern for underlying fibrosis. Cardiomediastinal silhouette is stable and normal. Bony structures are intact.
<unk>m with hypoxia, shortness of breath
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A tracheostomy is unchanged in position. Again seen are low lung volumes with bilateral heterogeneous opacities likely representing mild pulmonary edema superimposed on a background of chronic interstitial lung disease. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable.
<unk>m with tachypnea, hypoxia, inc. o<num>. assess for consolidation
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Ap and lateral views of the chest provided. Evaluation is limited due to underpenetration and low lung volumes. Allowing for this, there is no focal consolidation, effusion, or pneumothorax. No pulmonary edema. The cardiac silhouette remains mildly enlarged. Imaged osseous structures are intact. No free air below the r...
<unk> year old woman with afib and cp pls eval pulm edema
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Single frontal view of the chest was obtained. Right atrial, right ventricular, and left ventricular pacer defibrillator leads of a left chest wall generator terminate in stable position. Moderate sized right pleural effusion is unchanged. No pneumothorax or evidence for pulmonary edema. Moderate cardiomegaly is stable...
<unk>-year-old male with altered mental status.
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Pa and lateral views of the chest were provided. The heart is moderately enlarged, though appears grossly stable from prior exam. No focal consolidation or discrete mass is seen within the chest. The aorta appears unfolded. No large effusion or pneumothorax. The bony structures appear intact.
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Low lung volumes. Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. There is left basilar atelectasis. Lungs are otherwise clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. Note is made of multiple severe compression def...
<unk>m with right chest pain. evaluate for pneumonia.
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Single ap view of the chest provided. No significant changes from the prior examination. Mild atelectatic change in the left lung base. No pleural effusion, no pneumothorax. Left chest tube position is unchanged ending in the apex of the left hemi thorax.
<unk>f w/ spinal hardware infection/osteomyelytis s/p t<num>-l<num> corpectomy with instrumentation via left thoracotomy // assess for interval changes, chest tube
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Since the prior radiograph performed several hr earlier, there has been interval placement of a right internal jugular catheter, which terminates in the mid superior vena cava. Previously described opacity at the right lung base is unchanged. No new areas of focal consolidation, large pleural effusion or pneumothorax. ...
<unk>m with rij placement, please confirm placement // confirm placement of central line in rij
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Portable ap upright chest radiograph obtained. There is airspace consolidation within the left lower lobe, involving the left lower lobe superior segment and basal posterior segments. Right lung is clear. No large effusion is seen. No pneumothorax. Cardiomediastinal silhouette is normal. Bony structures are intact.
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The heart size is normal. Cardiomediastinal silhouette and hilar contours are normal. Lungs are clear. There is no effusion or pneumothorax. Visualized osseous structures are grossly unremarkable.
chest pain, pleuritic. evaluate for pneumothorax.
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As compared to the previous radiograph, the patient has received a left-sided chest tube. The pre-existing left effusion has substantially decreased. There is a minimal paramediastinal post-procedure pneumothorax with a diameter of approximately <num>-<num> mm. No evidence of tension. No apical pneumothorax. The monito...
left-sided chest tube placement. evaluation.
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Single portable view of the chest is compared to previous exam from <unk>. Again, there is elevation of the right hemidiaphragm. Blunting of the right lateral costophrenic angle may be due to atelectasis versus small effusion. Left lung is clear, noting that the costophrenic angle is excluded from the field of view. Th...
<unk>-year-old male with central line placement.
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The <unk> film shows the dobbhoff tube in the esophagus however on follow up the dobbhoff tube is appropriately in the stomach. In the interval the et tube has been removed. Lung volumes are low and there is new atelectasis at the right base. The left hemidiaphragm is better seen and the left pleural effusion is nearly...
replacement of dobbhoff. please confirm placement stomach.
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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. A mild superior endplate compression deformity at t<num> is stable from prior imaging. Mild spurring is seen in the thoracic spine anteriorly. No free air below the right h...
<unk>f with cough, wheezing
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There is moderate pulmonary edema but no focal airspace consolidation. The hilar and cardiomediastinal contours are unchanged. There is no pneumothorax. There is a small right pleural effusion.
<unk>-year-old man presenting with weakness. evaluate for acute process.
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Left internal jugular central venous catheter tip terminates in the mid svc. No pneumothorax is identified. Heart size is normal. Aorta is tortuous and calcified diffusely. The hila are prominent bilaterally, compatible with prominent pulmonary arteries as seen on the prior ct from <unk>. Mild pulmonary vascular conges...
central line placement.
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Cardiac silhouette size is mildly enlarged but unchanged. Mediastinal and hilar contours are similar with unchanged prominence of the right superior mediastinal contour likely due to tortuous vasculature. Mild upper zone vascular redistribution suggests mild pulmonary vascular congestion. Streaky opacities in the lung ...
history: <unk>m with cough, fever after known flu weeks ago
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The lungs are clear of consolidation, effusion, or edema. Cardiomediastinal silhouette is within normal limits. Atherosclerotic calcifications noted at the aortic arch. Median sternotomy wires and mediastinal clips are again noted. No acute osseous abnormality is identified.
<unk>m with unwitnessed loc, fall // eval for trauma, pna
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As compared to the previous radiograph, there is a <num> cm right apical pneumothorax after chest tube clamping. The image also shows removal of a second right chest tube. The other monitoring and support devices, including the endotracheal tube, are constant. No evidence of tension. The large opacities that are seen f...
chest tube clamping, apical chest tube. evaluation for pneumothorax.
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The lungs are well inflated and clear. Mild vasculature engorgement is not very different than before, and apparent mild cardiomegaly could be due to differences in projection. Nevertheless cardiac evaluation would be reasonable; these findings neither suggest nor exclude pulmonary embolism. Bulges in the contours of d...
<unk>-year-old female with chest pain and palpitations. evaluate for evidence of pneumothorax or aortic dissection.
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Right porta cath terminates in the right atrium. No pneumothorax. The mediastinal contours, hila, and cardiac borders are unchanged. Small right and moderate left pleural effusions are unchanged. Increased opacity in right lower lung likely represents overlapping soft tissue and atelectasis.
<unk> year old woman with metastatic breast cancer, extensive pleural/pulmonary mets, increased dyspnea // worsening effusion, ?pneumonitis or pna
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In comparison with the study of <unk>, the left chest tube has been removed and there is no evidence of pneumothorax. The endotracheal tube, nasogastric tube, and right ij catheter and mediastinal drains have also been removed. Some residual opacification at the left base is consistent with volume loss and effusion.
chest tube removal.
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The heart size is normal. Mediastinal and hilar contours are unremarkable and unchanged. Lungs are clear and the pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormality is detected.
hypertension, depression, chest pain.
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Ap view of the chest provided. As compared to prior study, there is no significant change. No new consolidation seen concerning for aspiration or pneumonia. Cardiomediastinal and hilar contours are stable. Right hemidiaphragm flatting is likely post-surgical related versus small right pleural effusion.
<unk> year old man with h/o esophageal ca s/p esophagectomy w/ aspiration episode, sob, wheezing, emesis, evaluate for aspiration pneumonitis/pneumonia
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Persistent elevation of the right hemidiaphragm. No focal consolidations to suggest pneumonia. No pulmonary edema. Stable appearance of the cardiomediastinal silhouette. No pleural effusion. No pneumothorax. Prior left picc is no longer seen. Rounded calcific density projecting over the left lung base is unchanged and ...
<unk>f with shortness of breath // eval for pneumonia
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An ill-defined opacity is seen in the right perihilar region, with associated elevation of the right hemidiaphragm and a small right-sided pleural effusion. Right basilar patchy opacity is identified. Otherwise, the left lung is well expanded without focal opacities. There is no left-sided pleural effusion. Cardiac siz...
<unk>-year-old female with acute change in mental status. history of metastatic lung cancer. evaluate for pneumonia.
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There is a new dual-lead pacemaker with the leads in the expected region of the right atrium and right ventricle and the generator overlying the left upper hemithorax. There is no evidence of a pneumothorax. The lungs are clear with no evidence of consolidation or effusion. The cardiomediastinal silhouette is normal. M...
evaluation of patient with new pacemaker placement.
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There is no focal consolidation, pleural effusion or pneumothorax. There is mild atelectasis at the lung bases. The cardiomediastinal silhouette is top-normal in size. The imaged upper abdomen is unremarkable.
history: <unk>m with <num> hr of waxing/waning chest pain // eval for cardiomegaly
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As compared to the previous radiograph, the pre-existing parenchymal opacities have overall slightly decreased in extent and severity. However, areas of opacities in the right upper lobe, the right perihilar and right basolateral as well as the left perihilar areas persist. Increasing retrocardiac atelectasis. No pleur...
respiratory failure and chest x-ray with pulmonary edema, evaluation.
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The lungs are clear confluent consolidation, effusion or overt pulmonary edema. Vague opacity projects over the right anterior fifth rib likely osseous in origin, potentially a healing fracture. Vague opacity projecting over the left lung apex is again osseous in nature. Cardiomediastinal silhouette is stable. Dual lea...
<unk>f with ams // eval for pna
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Again seen is a small right apical pneumothorax, unchanged compared to the prior exam. Extensive consolidation in the left upper lobe and left lower lobes are unchanged and consistent with patient's known cancer. The right middle lobe opacity could be secondary to worsening malignancy or atelectasis and appears increas...
<unk>-year-old man status post right lung biopsy, presents for evaluation.
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Comparison is made to previous study from <unk>. Tracheostomy tube is seen. There is a right-sided central line with its lead tip at the cavoatrial junction. Heart size is within normal limits. There are again seen opacities in the perihilar regions, right greater than left. There is minimal improvement of aeration at ...
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Pa and lateral chest views were obtained with patient in upright position. Comparison is made with the next previous pa and lateral chest examination of <unk>. Heart size and appearance of thoracic aorta including mediastinal structures are unchanged. The pulmonary vasculature is not congested. No evidence of acute or ...
<unk>-year-old male patient with history of chronic lymphocytic leukemia and recent respiratory infection as well as history of interstitial pneumonitis. compare to prior study.
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The heart is normal in size. There is similar mild unfolding along the descending thoracic aorta. The mediastinal and hilar contours appear unchanged. The chest is hyperinflated. There is no pleural effusion or pneumothorax. The lungs appear clear. There has been no significant change.
new onset of atrial fibrillation and oxygen requirement.
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Frontal and lateral views of the chest were obtained. There is mild left base atelectasis. No focal consolidation is seen. There is no pleural effusion or pneumothorax. Anterior wedging of a lower thoracic vertebral body is stable since the prior study.
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Left-sided port-a-cath tip terminates at the svc /right atrial junction. The patient is status post esophagectomy and gastric pull-through. Gastroesophageal stent is re- demonstrated in unchanged position. Cardiac and mediastinal contours are unchanged. Worsening ill-defined parenchymal and nodular opacities are noted ...
esophageal cancer with acute shortness of breath.
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A frontal upright view of the chest was obtained portably. A right moderate pneumothorax is seen without evidence of tension. Right basilar opacity is likely atelectasis. The left lung is clear. The patient is status post cabg with intact median sternotomy wires. The left chest icd lead is unchanged in position. Modera...
pneumothorax on prior ct.
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A frontal upright view of the chest was obtained portably. The lungs are well expanded and clear without focal consolidation, pleural effusion or pneumothorax. Cardiac and mediastinal silhouettes and hilar contours are normal. No displaced rib fracture is seen.
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The dobbhoff tube extends below the diaphragm and points towards the mid portion of the stomach. Cardiomegaly, widened mediastinum, and pacemaker leads in the right atrium and right ventricle are unchanged. External ekg leads are also noted as well as an orthopedic screw in the humeral head. The basilar and right perih...
<unk>-year-old with new dobbhoff placement.
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Stable mild cardiomegaly with left ventricular configuration, and unchanged tortuosity of the thoracic aorta. No evidence of pulmonary edema or pneumonia. Localized linear scar or atelectasis adjacent to the left heart border with otherwise grossly clear lungs.
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No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. <num> mm rounded nodular opacity in the right mid lung medially most likely represents a vessel on end or possibly a granuloma.
chest pain.
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An ng tube is present. It is difficult to trace beyond the level of the ge junction, though this may be related to underpenetration. Suggest repeat films centered at the level of the diaphragms. An additional iatrogenic structure overlies the mediastinum,? Mask. Again seen is left-sided picc line with tip over mid svc....
<unk> year old woman with recurrent aspiration pneumonias. // assess for ng tube placement, please take facemask and other lines off of lung fields.
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Heart size is mildly enlarged, unchanged. Mediastinal and hilar contours are similar. Pulmonary vasculature is not engorged. Mild interstitial abnormality is seen within the lung bases, similar to prior, likely reflective of a chronic interstitial lung disease as seen on the prior chest ct. No focal consolidation, pleu...
history: <unk>m with congestive heart failure with worsening shortness of breath and leukocytosis
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Ap portable upright view of the chest. Aicd is again noted with distal aspect of the single lead not clearly visualized. The heart is moderately enlarged which is unchanged. There is no focal consolidation, large effusion or pneumothorax. There is mild hilar congestion without frank pulmonary edema. Imaged bony structu...
<unk>m with palpitations n/v // consolidation vs effusion vs pna
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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 left sided chest pain // eval for cardiomegaly, acute process
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There is mild bibasilar atelectasis; otherwise, the lungs are clear. There is a linear density lateral to the descending aorta of unclear etiology. Additionally, there is a second density lateral to the aortic arch of unclear etiology. Cardiac and mediastinal silhouettes are otherwise within normal limits. Diffuse oste...
left lower lobe crackles with elevated white count.
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In comparison with the study of <unk>, the monitoring and support devices remain in place. There are continued bilateral pleural effusions, probably worse on the right, with compressive atelectasis at the bases. Continued evidence of pulmonary edema. In the appropriate clinical setting, it would be impossible to exclud...
esophageal stent and left pleurx catheter, to assess for pneumonia and effusions.
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Cardiomediastinal contours are normal. The lungs are clear. There is no pneumothorax or pleural effusion. Bilateral healed rib fractures are noted. There are no new rib fractures. There are degenerative changes in the thoracic spine.
history: <unk>m with right sided rib pain // ? rib fractures
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Following removal of right pigtail pleural catheter, there is a probable tiny right apical pneumothorax present, and a moderate layering right pleural effusion has increased in size. Cardiac silhouette is enlarged (due to cardiomegaly or pericardial effusion) and accompanied by pulmonary vascular congestion and moderat...
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Portable supine ap chest radiograph obtained. Evaluation limited due to patient rotation to the left. There is left basal opacity which could represent effusion and possibly atelectasis/pneumonia. The right lung appears clear. A picc line is seen in the right arm tip extending to the level of the low svc. Aortic athero...
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Lung volumes are low compared to the previous study which accentuates the size of the cardiac silhouette which is top normal. The thoracic aorta is mildly tortuous. Pulmonary vasculature is normal and the hilar contours are unremarkable. Streaky opacities in the lung bases likely reflect areas of atelectasis, without f...
history: <unk>m with abdominal pain, back pain for <num> weeks now with persistent abdominal pain, fever
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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 evidence of pneumomediastinum.
<unk>f with abdominal pain s/p endoscopy. evaluate for mediastinal air.
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Frontal and lateral views of the chest were obtained. A right-sided port-a-cath is again seen terminating at the cavoatrial junction. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
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There are persistent small bilateral pleural effusions. Retrocardiac opacity could be secondary to atelectasis. The lungs are otherwise clear. There is no edema. Mild cardiac enlargement is accentuated by low lung volumes but similar to prior. No acute osseous abnormalities.
<unk>m with fevers and pos bcx // eval for pna
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Right-sided chest tube has been removed and there is no pneumothorax. Left lower lobe collapse has significantly increased with possible minimal left pleural effusion. Right-sided loculated pleural effusion and small fissure is stable. Right-sided swan-ganz projects around the pulmonary valve. Sternotomy was done for a...
patient with avr, evaluation for pneumothorax, chest tube removal.
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There has been interval improvement in the overall size of left pneumothorax. There has been interval decrease in size of the left apical component -- a small residual left apical component remains visible. The left costophrenic angle component is re-demonstrated, compatible with small residual pneumothorax. The retros...
<unk>-year-old woman with a left pneumothorax and pigtail in place, evaluate for interval change.
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In comparison to the prior radiograph on <unk>, the right lung base consolidation has significantly improved. There is mild residual opacification in this region, which could represent resolving pneumonia. Previously noted left lung base atelectasis has also resolved. No other focal consolidation, pleural effusion or p...
history: <unk>m with epigastric abd pain, s/p recent admission and incisional hernia repair, admission c/b pna // evidence of infiltrate, acute cardiopulmonary process
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Pa and lateral views of the chest demonstrate well expanded lungs. The right upper lobe and right middle lobe opacities seen on chest ct are not visualized on this exam. Again seen is some thickening of the minor fissure with some volume loss in the right lower lobe. The lungs are otherwise clear. There is no pleural e...
<unk>-year-old female requiring followup for right upper lobe and right middle lobe opacities seen on recent ct.
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Calcified granuloma in the left upper lung is again noted. Streaky retrocardiac opacity is likely atelectasis. The lungs are otherwise clear. Mild cardiomegaly is again noted. No acute osseous abnormalities.
<unk>m with syncope // acute process
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The lungs are well inflated and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax.
<unk>m with near syncope, fall with headstrike, evaluate for acute process.
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A dobbhoff feeding tube is seen extending to the level of the diaphragm with the weighted tip extending just below the diaphragm, which should be advanced further for appropriate positioning. A small right pleural effusion is present. The lungs are otherwise clear with resolution of previous bibasilar opacities. There ...
history of alcoholic cirrhosis and catabolic syndrome status post ng tube placement, here to evaluate ng tube position.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There are no pleural effusions or pneumothorax. There is minimal rightward convex curvature along the lower thoracic spine. Bony structures are otherwise unremarkable.
neck pain after motor vehicle collision. question fracture.
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Left-sided pacer device is noted with leads terminating in the right atrium and right ventricle. Right-sided port-a-cath tip terminates in the low svc, unchanged. Bilateral chest tubes are in similar positions. A moderate size right pleural effusion has increased from the prior study and is loculated laterally. Small l...
history: <unk>f with pleural effusions, bilateral pleux catheters presenting with chest pain
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Heart size and cardiomediastinal contours are normal. Lungs are clear without focal consolidation, pleural effusion, or pneumothorax. No displaced rib fracture identified.
history: <unk>m s/p mvc last night, + anterior chest wall tenderness // eval for pnx
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Fissure attention limits assessment. However, allowing for this there has been interval placement of a pigtail chest tube with its tip at the right apex. There has been interval re-expansion of the right lung with no residual right pneumothorax identified. Otherwise, there has been no change.
<unk>f with ptx s/p pigtail // s/p pigtail, ? improvement of ptx
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There is no consolidation, pleural effusion, or pneumothorax. Cardiomediastinal and hilar silhouettes are within normal size.
<unk> year old man with persistent cough // ? pneumonia
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The heart and mediastinal contours are slightly enlarged, but unchanged from prior. The lungs are clear, without focal consolidation to suggest pneumonia. There is bibasilar atelectasis. There is no pneumothorax or pleural effusion. Mild degenerative changes of the thoracic spine, marked by anterior osteophytosis, are ...
chest pain, cough, evaluate for pneumonia.
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Comparison is made to previous study from <unk>. Pacemaker, endotracheal tube and feeding tube are unchanged in position. The heart size is within normal limits. There is again seen increase in pulmonary interstitial markings, left side worse than right. There has been improvement of the pulmonary edema in the right lu...
<unk>-year-old woman with flu. evaluate for interval changes.
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In comparison with study of <unk>, there is little overall change in the diffuse areas of increased opacification bilaterally, consistent with the clinical diagnosis of multifocal pneumonia. No definite pleural effusion identified. Some dilatation of gas-filled bowel is consistent with an adynamic ileus pattern.
persistent pneumonia.
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Portable view of the chest demonstrates low lung volumes with bibasilar atelectasis and bilateral pleural effusions. The cardiomediastinal silhouette is not well evaluated secondary to effusions and bilateral atelectasis. Consolidation at the left lung base is compatible with aspiration.
decreased oxygen saturation and altered mental status. evaluation for pneumonia.
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Frontal and lateral views of the chest were obtained. Patchy left mid-to-lower lung opacity seen on the frontal view, not well seen on the lateral, view but appearing new since the prior study, may represent atelectasis; however, in the appropriate clinical setting, early consolidation is not excluded. There is no pulm...
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No previous images. The cardiac silhouette is within normal limits and there is no vascular congestion or pleural effusion. There is hyperexpansion of the lungs, consistent with chronic pulmonary disease. However, no convincing evidence of acute focal pneumonia.
hemoptysis and sinus infection.
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Again demonstrated are multiple bilateral metastatic nodules, the largest in the left upper lung field measuring <num> mm, previously <num> mm. There is no consolidation concerning for pneumonia. The heart size, hilar, and mediastinal contours are normal. The left chest wall port is unchanged in the catheter terminates...
altered mental status and hypoxia.
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There is no focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. Atherosclerotic calcifications are noted at the aortic arch. No acute osseous abnormalities identified.
history: <unk>m with htn, hypercholesterolemia, recent stroke w/ l sided intermittent chest discomfort with occasional numbness in l hand // intrathoracic abnormality?
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Ap portable semi-upright view of the chest. Endotracheal tube has been removed. The nasogastric tube appears in unchanged position with its tip not clearly visualized. The right upper extremity picc line is unchanged with tip in the expected region of the superior vena cava. The lungs are clear. There is no focal conso...
<unk> year old woman - obtunded. possible new aspriation.
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The heart size is normal. The hilar and mediastinal contours are within normal limits. There is no pneumothorax, focal consolidation, or pleural effusion.
fever and upper chest pain.
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There is new asymmetric elevation of the right hemidiaphragm, which is most consistent with volume loss in the right lower lobe. Cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation.
worsening confusion. evaluate for pneumonia.
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The heart size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vascularity is normal. The lungs are clear. There is minimal blunting of the left costophrenic angle posteriorly on the lateral view which may indicate a tiny pleural effusion. No right-sided pleural effusion or pneumothorax is identif...
productive cough.
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Since the next preceding pa and lateral chest examination, sizable parenchymal density has developed in the left upper lobe lateral segment. In addition, now evidence of left-sided pleural effusion obliterating the contour of the left-sided diaphragm and blunting the left lateral pleural sinus. There is no evidence of ...
<unk>-year-old male patient with likely recurrent small cell carcinoma, status post right rigid bronchoscopy for cleanout. questionable pneumothorax, post-bronchoscopy changes?
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As compared to the previous radiograph, after chest tube removal, the known left pneumothorax is of unchanged <unk>. The pneumothorax has not increased in the interval. Also unchanged are the pre-existing air collections in the cervical and left lateral soft tissues as well as the areas of pleural thickening and the pr...
status post chest tube removal, evaluation for pneumothorax.
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Et tube tip is <num> cm above the carina. The ng tube tip is off the film, at least in the stomach. Bilateral alveolar infiltrates, right greater than left are again seen and are similar in appearance compared to the most recent prior.
aspiration pneumonia, respiratory failure.
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The lungs are clear. There is no focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. Surgical clips seen in the upper abdomen.
<unk>f w/sob and chest pain, please eval for occult pna
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Left-sided pacer is again noted with single lead terminating in the region of the right ventricle. Mild enlargement of cardiac silhouette is again noted with dense mitral annular calcifications. Mediastinal and hilar contours are unchanged with atherosclerotic calcifications appearing most pronounced at the aortic knob...
history: <unk>f with cough
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The patient is status post median sternotomy and cabg. Left-sided pacemaker device is noted with leads terminating in the right atrium and right ventricle. Heart is moderately enlarged but unchanged. The aorta is diffusely calcified and tortuous. Pulmonary vascularity is not engorged. The lungs remain hyperinflated wit...
productive cough, fever and aches.
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The exam is somewhat limited by technique and body habitus. Within the limitations, mild vascular congestion is significantly changed from the most recent radiograph. There is no overt pulmonary edema. There is no focal airspace opacity, pleural effusion, or pneumothorax. The mediastinal contours are normal. The heart ...
chest pain. evaluate for pneumonia or pulmonary edema.
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Pa and lateral views of the chest provided. Right chest wall port-a-cath is seen with catheter tip in the low svc. No signs of pneumonia or edema. Left hilar prominence consistent with no lymphadenopathy with lobulated lesion in the left mid lung, resides within the left lower lobe and is better assessed on prior pet-c...
<unk>f with weakness. patient has a history of small cell lung cancer
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Pa and lateral views of the chest provided. Multiple buckshot fragments are again seen projecting over the chest and upper abdomen unchanged from prior. The lungs are clear. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No f...
<unk>f with shortness of breath // eval heart and lungs
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Portable ap chest radiograph. Ng tube tip and sidehole are well within the stomach. Lung volumes are low with crowding of the bronchovascular markings and bibasilar atelectasis. There is no large pleural effusion or pneumothorax. No distended air filled loops of small bowel are seen in the included portions of the abdo...
small-bowel obstruction. evaluation of ng tube position.
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Ap view of the chest. Right ij central venous line ends in the right brachiocephalic vein. Right mid lung and retrocardiac opacity are unchanged. No large pleural effusion. No pneumothorax. Heart size is normal. Median sternotomy wires and mediastinal clips are stable.
altered mental status and pneumonia.
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As compared to the previous radiograph, the bilateral parenchymal opacities at the lung bases, left more than right, are virtually unchanged in extent and severity. Although these opacities are likely to have an atelectatic component, they could well represent pneumonia. Bilaterally, there is blunting of the costophren...
laparoscopic cholecystectomy, evaluation for left lower lobe pneumonia.
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The cardiomediastinal and hilar contours are within normal limits. The lungs are mildly hyperinflated. The lung fields are clear. There is no pneumothorax, fracture or dislocation. Limited assessment of the abdomen is unremarkable. A rounded opacity projecting over the anterior aspect of two mid to lower thoracic verte...
history: <unk>f with syncope // eval for chf/pneumonia
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Frontal and lateral views of the chest are obtained. There are slightly low lung volumes and minimal basilar atelectasis. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. There is minimal right apical thickening, unchanged. The aortic knob is calcified. Otherwise, the cardiac silhouette is...
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Pa view of the chest. The lungs are clear without consolidation or effusion. The cardiomediastinal silhouette is top-normal in size. No acute osseous abnormalities detected.
<unk>-year-old male with seizure. fever.