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Patchy e right pas, right lower lobe opacity is worrisome for pneumonia. There is also left mid lung opacity in a relative linear configuration which may be due to atelectasis. . No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. The cardiac silhouette remains enlarged.
history: <unk>f with cough // eval infiltrate
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There is a focal area of plate-like atelectasis in the left lower lobe, unchanged from a chest x-ray on <unk>. There is no focal consolidation or pleural effusion. The cardiomediastinal silhouette is normal.
chest pain. evaluate for acute cardiopulmonary process.
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The nasogastric tube extends to the fundus of the stomach with the sidehole distal to the esophagogastric junction. Mild elevation of the right hemidiaphragm with atelectatic changes at the base.
ng tube placement.
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In comparison with the last study on <unk>, there is little change in the diffuse bilateral pulmonary opacifications. Monitoring and support devices remain in place.
respiratory failure with atypical pneumonia.
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Ap portable upright view of the chest. In the short interval, there has been placement of an endotracheal tube with its tip residing mycotic approximately <num> cm above the carina. An ng tube courses into the left upper abdomen. There is left basal opacity concerning for pneumonia versus aspiration. Otherwise lungs ar...
<unk>m with s/p ett // ett placement
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Endotracheal tube ends approximately <num> cm above the carina and is appropriate. Orogastric tube is seen to course below the diaphragm into the stomach; however, the distal end is off radiographic view. There is very minimal atelectasis at the right lung base. There are no lung opacities concerning for aspiration or ...
rule out aspiration.
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Ap upright and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with chest pain, dizziness // r/o acute process
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Other than bilateral platelike atelectasis, the lungs are clear. No pleural effusion, focal consolidation, pulmonary edema, or pneumothorax. The heart is normal in size. The mediastinum is not widened. The hila are within normal limits. The right internal jugular venous catheter sheath ends in mid svc, unchanged. Left ...
<unk> year old man with chest pain with inspiration // please evaluate for fluid overload or other respiratory cause for pain with inspiration
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As compared to the previous radiograph, the patient has been intubated. The lung volumes have decreased, with increasing areas of atelectasis at both left and right lung bases. No pleural effusions. Borderline size of the cardiac silhouette. No pulmonary edema. The nasogastric tube is in unchanged position.
cough, questionable pneumonia.
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Frontal and lateral chest radiographs demonstrate clear well-expanded lungs without pleural effusion or pneumothorax. There is mild cardiomegaly, the mediastinal contour is notable for tortuosity and dilatation of the aorta, unchanged. The right paratracheal stripe is widened by an osteophyte. Minimal right infrahilar ...
<unk>-year-old female with chest pain and shortness of breath.
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Ap portable upright view of the chest. Right ij dialysis catheter again noted with tip in the low svc. Lung volumes are low. Lung volumes are low limiting assessment. There is mild bibasilar atelectasis. No focal consolidation is seen. No large effusion or pneumothorax. Cardiomediastinal silhouette appears normal. Bony...
<unk>m with fever, bmt // eval heart and lungs and picc placement
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The patient is status post cabg. Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. Small left pleural effusion. No pneumothorax. There are no acute osseous abnormalities.
history: <unk>m with anginal equivalent s/p cabg <num> months prior // eval ? effusion, cardiomegaly
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As compared to the previous radiograph, there is minimal improvement in lung ventilation, likely reflecting increased ventilatory pressure. No new parenchymal opacities but the widespread pre-existing opacities are almost unchanged. The monitoring and support devices are constant. No pneumothorax.
ards, evaluation for interval change.
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The cardiomediastinal hilar contours are within normal limits. The lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax. Free air is seen below the diaphragm, consistent with recent surgery.
right-sided onset of chest pain, ovarian surgery today. rule out pneumothorax.
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The lungs are clear without focal opacity, pulmonary edema, pleural effusion or pneumothorax. The heart size is normal. There are aortic knob calcifications.
<unk> -year-old man with recent stroke and slurred speech. evaluate for pneumonia.
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Evaluation for the previous right apical pneumothorax is limited, as there are multiple overlying bone shadows and external tubes. Right middle and lower lung consolidation and left retrocardiac consolidations are unchanged. Cardiomediastinal silhouette is unchanged.
<unk> y/o m w/ pna small r apical ptx. evaluate for interval change.
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Normal heart size, mediastinal and hilar contours. Calcification of the aortic arch is not significantly changed. No focal consolidation, pleural effusion or pneumothorax.
history: <unk>f with chest pain // ? pna
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Lungs are clear. No pulmonary edema. Descending aorta is tortuous or dilated. No cardiomegaly. No pleural effusion. No pneumothorax.
history: <unk>m with syncope // ?cpd
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As compared to the previous radiograph, the monitoring and support devices are constant. The extent of the right pleural effusion has minimally decreased. Otherwise, the radiograph is unchanged, with minimally improved ventilation at the left lung bases. No other relevant changes. No new parenchymal opacities. No pulmo...
pneumomediastinum, seizures, intubation, evaluation for interval change.
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As compared to the previous radiograph, there is no relevant change. There is a left pleural effusion of mild to moderate extent. The effusion is now drained by a pleurx catheter. There is no evidence of pneumothorax. Known serial left rib fractures that are healed. No acute changes in the right lung parenchyma. Unchan...
pleural effusion, evaluation.
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Pa and lateral views of the chest provided. Previously noted picc line has been removed. The heart remains mildly enlarged. There is minimal retrocardiac linear density which may represent mild scarring or atelectasis. No focal consolidation concerning for pneumonia. No effusion or pneumothorax. Mediastinal contour app...
<unk>f with shaking chills // pna?
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Comparison is made to previous study from <unk>. Heart size is within normal limits. There is a tortuous aorta. There is improved aeration of the lungs. There are no signs for focal consolidation, pleural effusions, or overt pulmonary edema. No pneumothoraces are present. Bony structures are intact. There is some eleva...
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On the initial image, the dobbhoff tube extends well into the right main stem bronchus. Two subsequent studies show the tube coiled within the nasopharynx.
dobbhoff placement.
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Postoperative changes including: median sternotomy wires, vascular postoperative clips and mild scarring overlying the anterior heart (on the lateral). There are no pulmonary consolidations, pneumothorax or pleural effusions. There are no pleural effusions. The aorta is markedly ectatic. On the lateral, a bochdalek her...
<unk> year old man with copd and worse doe for a few months // assess for any chf, effusions, ild, etc assess for any chf, effusions, ild, etc
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Lung volumes are low causing mild crowding of the vascular structures. Otherwise, the lungs are clear without evidence of consolidation or edema. There is no pleural effusion or pneumothorax. The cardiac silhouette is mildly enlarged, but unchanged from prior exams. There is no free air below the hemidiaphragms.
left upper quadrant pain with normal abdominal ct. evaluate for cause of pain.
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A right port-a-cath, ng tube and epidural catheter are in unchanged position. Bibasilar opacities are new from <unk>, worse on the left and could represent atelectasis or pneumonia in the correct clinical setting. Heart size is unchanged and the mediastinal contours are normal. Small bilateral pleural effusions are unc...
new postop fever, atelectasis versus pneumonia.
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Cardiomediastinal contours are normal. The lungs are clear. There is no pneumothorax or pleural effusion. The osseous structures are unremarkable
<unk> year old man with hcv cirrhosis w/ decompensated liver failure // r/o infection
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<num> views were obtained of the chest. The lungs are well expanded. A small left pleural effusion has increased over <num> hours. Associated peripheral opacities seen better on outside hospital ct are probably pulmonary infarctions. Heart and mediastinal contours are unremarkable. There is no pneumothorax.
chest pain. assess for acute process.
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As compared to prior chest radiograph from <unk>, lung volumes have decreased and there is bibasilar atelectasis. There is no pleural effusion, focal consolidation or pneumothorax. A left chest pacemaker with leads terminating in the right atrium and right ventricle is seen. The cardiomediastinal and hilar contours are...
left sided chest pain. rule out effusion.
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Minimal linear atelectasis in the left lower lung. Slight elevation of the left hemidiaphragm. No focal consolidation, pulmonary edema, or pneumothorax. Normal heart size and cardiomediastinal contours. Normal hila. No acute osseous abnormality.
pre-operative evaluation for an <unk>-year-old woman with a history of cns lymphoma, who was found recently to have a new brain mass.
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Frontal ap and lateral views of the chest were obtained. There is no focal consolidation, pleural effusion, or pneumothorax. Pulmonary vasculature is normal. Cardiac and mediastinal silhouettes are normal. Increased density in the right hilum is likely due to lymphadenopathy seen on ct <unk>, unchanged. Widening of the...
<unk>-year-old man with fall.
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Ap upright and lateral chest radiographs were obtained. The lungs are well expanded with increased right greater than left basal opacities concerning for aspiration or pneumonia. Trace bilateral effusions may be present. The heart is normal in size with normal cardiomediastinal contours. No pneumothorax is seen.
weakness, assess for pneumonia.
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Frontal and lateral views of the chest demonstrate normal cardiomediastinal silhouette. The lungs are clear. A tiny radiodensity projecting over the underside of the right posterior tenth rib does not have definite correlate on lateral view and could potentially represent a small calcified granuloma. There is no pneumo...
<unk>-year-old male with chest pain.
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Frontal and lateral radiographs of the chest demonstrate well-expanded clear lungs. The cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
<unk>-year-old female with end-stage renal disease, diabetes, hypertension. pre-operative renal transplant evaluation.
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A dual-lead pacemaker/icd device has leads terminating in the right atrium and ventricle, respectively. The cardiac, mediastinal and hilar contours appear stable. The lungs appear clear. There no pleural effusions or pneumothorax. A moderate lower thoracic compression appears unchanged.
left scapular and upper back pain.
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A large retrocardiac mass is again visualized, extending to both sides of the midline, right greater than left, and measuring about <num> cm in greatest transverse dimension. On the lateral view, this projects posterior to the heart, in a location that is typical for hiatal hernias, although no definite air-fluid level...
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Frontal and lateral chest radiograph demonstrate a focal opacity in the right lower lobe. The left lung is clear with no focal consolidation. There is no pleural effusions or pneumothorax. The cardiomediastinal and hilar contours are unremarkable.
<unk>-year-old female with cough and fever.
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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.
<unk>f with sob // sob
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There has been interval placement of a nasogastric tube which extends into the stomach. However, the ng tube port sites at the ge junction. There is no pneumothorax or pneumomediastinum. Small right pleural thickening is unchanged. Bilateral linear atelectasis versus scarring is again noted, unchanged. The regional bon...
status post ng tube placement; evaluate position of ng tube.
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One ap portable upright view of the chest. There are bilateral deformities of the glenohumeral joints. The upper lung zones are clear. There is slight increase in interstitial markings compared to prior study which may represent mild interstitial edema. No pleural effusions. No pneumothorax. The cardiac, mediastinal, a...
shortness of breath and tachycardia, evaluate for acute process.
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Compared to the prior film, there has been marked decrease in the size of the right sided pneumothorax. Tiny right apical pneumothorax remains visible. The pigtail catheter overlies the right mid lung laterally. Subcutaneous emphysema is again noted overlying the right chest. The cardiomediastinal silhouette is unchang...
<unk> year old man with right ptx s/p chest tube // daily xr chest tube (<unk> am please)
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Pa and lateral views of the chest were reviewed and compared to the prior studies. The lung volumes have severely decreased since <unk>. Moderate right middle and lower lobe atelectasis and mild left lower lobe atelectasis is new since <unk>. Otherwise, the lungs are clear without evidence of pulmonary edema or vascula...
evaluation for pulmonary edema in a patient with new hypoxia and history of hepatocellular cancer.
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Patchy of bibasilar opacities are present, greater on the left, which may reflect pneumonia in the proper clinical context. There is no pleural effusion or pneumothorax identified. The size the cardiomediastinal silhouette is within normal limits. The tip of the left picc line projects over the left brachiocephalic/ sv...
<unk> year old woman with concern for infection // eval for infection and picc line.
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Cardiac mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Lungs are clear. No focal consolidation, pleural effusion pneumothorax is present. No acute osseous abnormalities detected. Clips in the right upper quadrant indicate prior cholecystectomy.
history: <unk>m with no significant pmh who presents with upper back pain, tenderness to palpation over upper thoracic spine and perhaps c<num>
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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 altered mental status
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As compared to the previous radiograph, there is a left basal parenchymal opacity that has newly occurred. The opacities are ill-defined and limited to the lateral basal segments of the left hemithorax. Although not completely typical, the presence of pneumonia must be suspected, given the clinical presentation. At the...
altered mental status, metastatic breast cancer, questionable pneumonia.
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Frontal and lateral views of the chest were obtained. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. There may be minimal prominence of the ascending aorta which may relate to mild tortuosity and is without significant interval change since scout radiographs from ct from <unk>. Cardiac s...
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Heart size is normal but demonstrates left ventricular configuration. Aorta is mildly tortuous. The right hilum appears asymmetrically enlarged and more dense than the left hilum with a somewhat lobulated configuration. Lungs are grossly clear and note is made of minimal blunting of posterior costophrenic sulci, which ...
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Frontal and lateral chest radiographs demonstrate normal cardiomediastinal and hilar contours. The lungs are clear. No pleural effusion or pneumothorax identified. No osseous abnormality is evident. No significant air-fluid level is identified within the breast tissue.
recent right breast abscess, now with worsening chest pain and shortness of breath for two days. assess for pneumonia.
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Ap portable upright view of the chest. There is subtle retrocardiac opacity which in the correct clinical setting may represent pneumonia. Lateral view may aid in diagnosis. No large effusion or pneumothorax. No convincing signs of edema. Heart size is normal. Mediastinal contours unremarkable. Bony structures appear i...
<unk>f with resp distress // eval for pna
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Heart size is normal. Mediastinal and hilar contours are within normal limits. Pulmonary vasculature is normal. Minimal atelectasis is noted in the bases, as seen previously. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormality is detected.
history: <unk>f with shortness of breath, cardiomyopathy
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The lungs are clear. The cardiomediastinal shilhouette is normal. There is a small left pleural effusion and left basilar atelectasis. The endotracheal tube is too high, at the thoracic inlet and <num> cm above the carina. New compared to <unk> at <time> a.m.
<unk>-year-old woman after apr, please assess for pneumonia.
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Since <unk>, substantial pulmonary edema is increased, bilateral layering pleural effusions, right greater than left, are increased with persistent bibasilar and retrocardiac atelectasis. Lung volumes remain low. Cardiomegaly is difficult to evaluate but also appears worse. No pneumothorax.
<unk> year old woman with chf, diastolic failure ? worsening pulm edema // r/o pulm edema compared to <unk>
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The ap view is lordotic and rotated. The lateral view is limited, particularly anteriorly, given that the arms are down. There is similar dextrocardia which may relate to volume loss in the right hemithorax. The cardiac, mediastinal and hilar contours appear stable. The lungs appear clear within the limitations of tech...
pre-operative.
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The heart size is normal. The mediastinal and hilar contours are unchanged with mild tortuosity of the thoracic aorta re- demonstrated. There are scattered atherosclerotic calcifications within the thoracic aorta. The pulmonary vascularity is not engorged. The lungs are hyperinflated. No focal consolidation, pleural ef...
left-sided chest pain and recent uri.
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The lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. Cardiac and mediastinal silhouettes are normal. No acute fractures are identified.
status post assault with rib pain.
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The lungs are hyperexpanded. Ill-defined interstitial opacities are most prominent in both upper lungs, increased from <unk>. Mediastinal contours, and hila are overall unchanged. Cardiac silhouette is larger than in <unk>. There is no pleural effusion pneumothorax.
<unk>m with sob // eval for pneumothorax
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In comparison with study of <unk>, there is little change and no evidence of acute cardiopulmonary disease. No pneumonia, vascular congestion, or pleural effusion.
shortness of breath, pre-radionuclide scan.
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Lung volumes are normal and lungs are clear. No pleural effusion, pneumothorax or focal airspace consolidation. Heart is normal size. Mediastinal and hilar contours are unremarkable.
shortness of breath, evaluate for an acute process.
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Interval extubation. Cardiomediastinal contours are within normal limits and without change. Improved aeration at the lung bases with residual subsegmental atelectasis at the left lung base.
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Frontal and lateral views of the chest were obtained. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are unremarkable. Mild degenerative changes are seen along the spine.
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Pa and lateral views of the chest provided. Lungs are clear. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with no significant pmhx here w/ sob, chest pressure, intermittent confusion
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There is no interval change since prior chest radiograph from <unk>. Severe cardiomegaly persists. Lungs are clear. No pneumothorax, pleural effusion, or pulmonary edema.
<unk> year old man lvad with vt after rhc // interval change
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Comparison is made to the prior study performed <num> hours earlier. The heart size is within normal limits. The right base demonstrates atelectasis. There is mild pulmonary edema with prominence of the pulmonary interstitial markings. There is a small left-sided pleural effusion. No pneumothoraces are seen.
<unk>-year-old woman with increased cough and secretions.
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The study is somewhat limited due to patient rotation. Left-sided aicd/pacemaker device is noted with leads terminating in the right atrium and right ventricle, unchanged. Multiple mediastinal clips are again demonstrated. Moderate cardiomegaly is again seen. Left lower lobe opacification appears slightly worse when co...
sudden left-sided weakness with known brain metastases from lung carcinoma.
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The lungs are clear. The cardiomediastinal silhouette is stable with mild cardiomegaly. No acute osseous abnormalities identified. Surgical clips in the right upper quadrant suggest prior cholecystectomy.
<unk>f with <num> wk sinusitis, ? bronchitis with intermittent hemoptysis. // r/o pna / atypical infection
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Frontal and lateral radiographs of the chest were acquired. Lung volumes are low, causing accentuation of the pulmonary vasculature. There is minimal bilateral lower lobe atelectasis. The lungs are otherwise clear. The heart size is normal. The mediastinal contours are normal. There are no pleural effusions. There is n...
status post chest compressions. evaluate for rib fractures.
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Coarse bilateral interstitial opacities are consistent with patient's known interstitial lung disease. There is minimally increased prominence of pulmonary vasculature and heart size compared to prior, possibly secondary to slightly lower lung volumes and/or interval hydration/fluid overload. Mild congestive heart fail...
<unk>-year-old female with gastrointestinal bleed and elevated white blood count.
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Lungs are hyperinflated with flattening of the diaphragms and increased ap diameter suggestive of copd. Minor left base atelectasis/scarring is seen. No definite focal consolidation is seen. There is no pleural effusion or pneumothorax. Cardiac silhouette is top-normal to mildly enlarged. The aorta is calcified.
history: <unk>f with dyspnea // please evaluate for acute abnormality
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The lung volumes are normal. Borderline size of the cardiac silhouette with tortuosity of the thoracic aorta, but no evidence of pneumonia or other acute lung process. No pulmonary edema. The hilar and mediastinal contours are normal. A minimally denser band-like lesion in right perihilar location is seen on the fronta...
rule out chronic heart failure.
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The lungs appear clear. The cardiomediastinal silhouette, hilar contours, and pleural structures are normal. No pneumothorax or pleural effusion. No evidence of a focal apical lesion causing brachial plexopathy.
<unk> year old woman with right shoulder pain and neuropathy of her right hand. please assess for any cause of brachial plexopathy. // assess for cause of chest pain
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As compared to prior chest radiograph, there has been interval improvement of a large left pneumothorax. The apical visceral pleural line is at the level of the inferior aspect of the left third posterior rib. There is a small loculated hyropneumothorax. Pigtail catheter remains in place in the left hemithorax. Right l...
<unk> year old male patient with left pneumothorax s/p pigtail now to suction. study requested for evaluation of interval change.
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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 dyspnea // please eval for pna
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The heart appears mildly enlarged. The cardiac, mediastinal and hilar contours appear stable, including patchy calcification along the aortic arch. There is similar mild relative elevation of the right hemidiaphragm. There is no pleural effusion or pneumothorax. Mild congestion is suspected along each hilum, but otherw...
chest pain.
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Frontal chest radiographs demonstrate the heart which is top-normal in size and low lung volumes. No focal consolidation, large pleural effusion, or pneumothorax is identified. Again seen is a <num> cm nodule projecting over the right upper lobe, unchanged.
dyspnea and cough.
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In comparison with the earlier study of this date, the degree of pulmonary edema appears to be slightly less. Monitoring and support devices remain in place. Bilateral pleural effusions with compressive atelectasis at the bases. Monitoring and support devices are essentially unchanged.
cabg.
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Compare to <unk>, lung volumes are low, accentuating the heart size and interstitial opacities. Bibasilar opacities obscuring the diaphragms are likely due to atelectasis, though pneumonia cannot be excluded. Small left pleural effusion is likely. The mediastinum and the hilar contours are unremarkable. Left-sided vp s...
<unk> year old woman with cough, leukocytosis. evaluate for pneumonia.
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Pa and lateral views of the chest provided. Low lung volumes limits assessment. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>m with c/o cough ili sx // ? pna
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Both lung volumes are low. Minimal bibasal opacities are likely lung atelectasis. Small bilateral pleural effusions are present. No discrete lung opacities which are concerning for pneumonia.
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Ap semi upright and lateral views of the chest provided. There is a left chest wall pacer device with a single lead extending into the region of the right ventricle. The heart remains moderately enlarged. There is mild pulmonary edema. No large effusion is seen. No pneumothorax. Mediastinal contour is prominent likely ...
<unk>m with need for mri // patient pre-op. has pacemaker. for mri
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Somewhat technically limited study shows no evidence of appreciable pneumothorax. When compared to the study of <unk>, there is increased opacification at the bases with poor definition of the hemidiaphragms. This could reflect some layering pleural fluid with volume loss in the lower lobes, as well as streaks of plate...
intubation with epiglottitis tube placement, to assess for pneumothorax.
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Frontal and lateral views of the chest were obtained. The lung volumes are relatively low. Calcifications projecting over both lung fields are consistent with pleural plaques which appears progressed as compared to the prior study. Lateral left mid to lower hemithorax opacity most likely may relate to calcified pleural...
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Portable semi-upright radiograph of the chest demonstrates stable bilateral diffuse lung parenchymal opacities. The left apical pneumothorax is unchanged. Free air is seen beneath the bilateral hemidiaphragms. Known pneumomediastinum is better assessed on ct of the chest dated <unk>. The cardiac silhouette is unchanged...
<unk> year old man with hypercarbia // new opacity? history of aspiration, altered
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The tip of the ett is approximately <num> cm from the carina with the patient's chin elevated. The ng tube crosses the diaphragm. Bilateral low lung volumes, which appears worse compared to <unk>. Recurrent right lower lobe atelectasis with rightward shift of the cardiomediastinal silhouette. Bilateral lower lobe pneum...
<unk>-year-old man status-post trauma. evaluate for interval change.
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Compared to <unk>, i doubt significant interval change. The heart is not enlarged. The aorta is minimally unfolded, also unchanged. Within the limits of plain film radiography, no hilar or mediastinal lymphadenopathy is detected. No chf, focal infiltrate, pleural effusion, or pneumothorax is detected. Slight elevation ...
history: <unk>f with cp // acute process
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Ap single view of the chest has been obtained with patient in semi-upright position. Comparison is made with the next preceding pa and lateral chest examination <unk> <unk>. Mild cardiac enlargement as before. Unchanged general widening and elongation of the thoracic aorta with walled calcifications. No significant int...
<unk>-year-old female patient status post tracheostomy and ng tube placement. evaluate for pneumothorax or pneumomediastinum.
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Lines and tubes: none lungs: moderately well inflated with bibasilar linear opacities, likely atelectasis. Pleura: possible small left pleural effusion. No pneumothorax. Mediastinum: unchanged cardiomegaly and mediastinal silhouette. Bony thorax: diffuse osteopenia with unchanged appearance of right humeral prosthesis ...
<unk> year old woman with hypoxia, pod<unk> s/p revision tka // please evaluate for acute process
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The cardiomediastinal silhouette is stable, with stable enlargement of the cardiac silhouette. Previously seen right lower lobe opacity has significantly improved since the prior study with minimal residual remaining. Since is in the same location, it is felt to more likely represent residual opacity however, new focus...
hypotension.
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A port-a-cath terminates in the mid superior vena cava. The cardiac, mediastinal and hilar contours appear stable. The lungs appear clear. There are no pleural effusions or pneumothorax.
fever and leukocytosis.
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Lung volumes are low, but there are no focal opacities concerning for an infectious process. There is diffuse subcutaneous emphysema throughout extending from the neck all the way down through the imaged portion of the abdomen. Cardiomediastinal silhouette is unremarkable. No pleural effusion or pneumothorax is seen. T...
<unk>-year-old woman with hiatal hernia repair. evaluate for pneumothorax.
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Right-sided pigtail catheter is seen projecting over the lateral right lower hemi thorax. The right base opacity representing pleural effusion possible consolidation, is stable. No evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. Remainder of the examination is stable in appearance.
<unk> year old man with copd and pneumonia and chest tube in place // r side chest tube placement
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Improved inspiratory effort seen on the current exam when compared to most recent prior. Previously seen vascular congestion has also improved. There is mild left basilar atelectasis. There is no effusion or consolidation. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with history of asthma presents with worsened dyspnea over last day without infectious symptoms. // evaluate for consolidation vs pulmonary edema
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Cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
chest pain and syncope.
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As compared to the previous radiograph, the patient has received a hemodialysis catheter over the left central venous access. The sternal wires are in unchanged alignment. Status post cabg. No evidence of pneumothorax. Moderate cardiomegaly with signs of mild fluid overload but no overt pulmonary edema. Low lung volume...
hemodialysis, preoperative assessment.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Low lung volumes. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>m with presyncopal episode// ?cpd
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Heart size is normal. The aorta is slightly unfolded. The pulmonary vasculature is normal. Hilar contours are normal. Subsegmental atelectasis is noted in the right lung base. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormalities detected.
history: <unk>m with tachycardia, near syncope // eval for acute process
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Mild basilar atelectasis/scarring is seen without definite focal consolidation. No large pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal to mildly enlarged. The aorta is calcified and tortuous. No displaced fracture seen.
<unk>m w/ left-sided chest pain // <unk>m w/ left-sided chest pain
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The endotracheal tube terminates at the level of the carina and should be withdrawn <num> cm for standard positioning. Bilateral chest tubes, mediastinal drains and an enteric tube are well positioned. A left paramedian drain is sharply angulated and should be revised if poorly functioning. Sternotomy wires are constan...
status post pericardial window.
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A new right lower lobe consolidation is seen compared with the immediate prior study of <unk>. There is no pulmonary edema, pleural effusion, or pneumothorax. There is stable moderate cardiomegaly. There is severe levoscoliosis of the thoracic spine. The aorta is tortuous.
<unk> year old woman with cough // ** requires assitance with standing
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Dual lead left-sided pacemaker is again seen with leads extending to the expected positions of the right atrium and right ventricle. The cardiac and mediastinal silhouettes are stable. Increased perihilar interstitial opacities bilaterally consistent with mild to moderate pulmonary edema. No pleural effusion or pneumot...
history: <unk>f with h/o htn, chf, afib on coumadin, sick sinus syndrome s/p pacer p/w left chest pain // eval pneumonia