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there is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. the cardiomediastinal contour is normal. the osseous structures and upper abdomen are unremarkable. surgical clips projecting over bilateral upper quadrants and a partially visualized ivc filter studies.
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<unk>f with weakness, altered mental status, evaluate for infectious process for effusion.
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single semierect frontal view of the chest demonstrates a left pectoral pacer/aicd with leads terminating in the right atrium and right ventricle. the lung volumes are low, accentuating cardiomegaly. there is no vascular congestion. equivocal opacity in the left costophrenic angle correlates with consolidation on subsequent ct. the right lung is clear.
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<unk>-year-old female with altered mental status. question acute process.
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interval placement of a left subclavian cvl with tip in the mid svc. the lungs are mildly hypoinflated with crowding of vasculature. no focal opacity. no pleural effusion or pneumothorax. heart size, mediastinal contour, and hila are unremarkable.
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<unk>f with new left subclavian cvl. assess new line, eval for pneumothorax
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previously seen right pleural effusion has nearly resolved. no pneumothorax. pulmonary edema has improved. left pleural effusion is stable. right basilar atelectasis is nearly resolved. left lower lobe consolidation is stable, likely atelectasis. stable position of support devices. stable cardiomegaly.
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<unk> year old man with right sided thoracentesis // s/p thoracentesis
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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.
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history: <unk>m with left sided chest pain // eval for pneumothorax, pneumonia
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no focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
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history: <unk>m with weakness // eval for pna
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MIMIC-CXR-JPG/2.0.0/files/p18763864/s53471245/67ab94ce-d4f55f3c-fb356dfe-aa1fbaa0-64939220.jpg
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left subclavian porta catheter terminates just below the junction of superior vena cava and right atrium. heart size is normal. mediastinal and left hilar lightening are similar to the prior study, and accompanied by stable mediastinal and perihilar radiation fibrosis. widespread pulmonary nodules involving the right lung to a greater degree than the left have been more fully evaluated by recent chest ct <unk>. there is no evidence of pneumothorax or hemothorax following the recent procedure.
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<unk> year old man s/p lung biopsy // r/o hemothorax
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cardiac silhouette size is normal. the aorta is mildly tortuous. mediastinal and hilar contours are unremarkable. lungs are clear. no pleural effusion or pneumothorax is seen. the pulmonary vasculature is normal. no acute osseous abnormalities identified.
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history: <unk>f with ongoing upper respiratory infection, presents with shortness of breath and substernal chest pressure.
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the cardiac, mediastinal, and hilar contours appear unchanged. there is mild unfolding of the thoracic aorta. there is a moderate pleural effusion on the right, potentially with a degree of loculation. other than increased pleural effusion, however, there is no definitive change, noting otherwise similar patchy opacification of the right lung, particularly the right lower lung. the left lung remains essentially clear. there is no clear evidence for pleural effusion on the left. there is no pneumothorax.
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shortness of breath.
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enteric feeding tube coursing mid line with tip within the stomach and side ports below the level of the diaphragm. an endotracheal tube is seen <num> cm above the level of the carina at the inferior level of the clavicles. a left subclavian port tip is seen within the mid svc. the lungs are well inflated. no pleural effusion. no pneumothorax. <num> x <num> cm ovoid opacity projecting over the right mid lung is noted. an additional <num> x <num> cm opacity projecting over the right lower lobe is most consistent with a pulmonary vessel on end. elevation of the left hemidiaphragm is noted with associated retrocardiac atelectasis. heart size, mediastinal contour, and hila are unremarkable. calcifications of the aortic knob are noted. limited assessment of the upper abdomen is unremarkable and osseous structures are within normal limits.
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<unk>-year-old female with endotracheal tube placement. assess placement.
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the heart size, mediastinal, and hilar contours are normal. the lungs are clear without pleural effusion, focal consolidation, or pneumothorax.
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<unk> year old man with ppd positive, no symptoms. evaluate for active for latent tb.
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persisting retrocardiac opacity however there has been interval decrease in the extent of the patchy opacities in the right lung base. no right pleural effusion or pneumothorax identified. the size the cardiac silhouette is enlarged but unchanged.
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<unk> year old man with aspiration pna, acute respiratory distress // eval for volume overload
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the cardiomediastinal silhouette and pulmonary vasculature are unremarkable. again seen are calcified right hilar lymph nodes and subtle interstitial markings in the right upper and lower lung unchanged since <unk>, unchanged since the prior examination. there is no pleural effusion or pneumothorax.
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<unk>f with hemoptysis
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portable ap chest radiograph. right-sided picc tip is in the mid svc. ng tube courses below the diaphragm and terminates outside the field-of-view. the sidehole is at the level of the ge junction and the esophagus is air-filled. the lungs are clear and there is no pleural effusion or pneumothorax. the heart size is now mildly enlarged.
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recurrent bowel obstruction. evaluation of ng tube placement.
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as compared to chest radiograph from <num> day prior, interval insertion of a dobhoff tube with the tip in the proximal body of the stomach. pulmonary edema has improved and is now mild. persistent bibasilar opacities have not subsequent changed and are likely a combination of pleural effusion and atelectasis, slightly increased.
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<unk> year old man with dobhoff placement // dobhoff placement
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no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. evidence of a possible prior posterior left <num>th rib fracture is again seen, stable in appearance compared to prior.
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chest pain x.
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veil like opacity overlying the right lung is consistent with known moderate right hemothorax. no pneumothorax is seen on this supine radiograph. the cardiac and mediastinal silhouettes are unremarkable.
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<unk>m with stab wound // trauma
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ap upright and lateral views of the chest provided. given low lung volumes, evaluation is limited. allowing for this, no convincing signs of pneumonia, effusion or pneumothorax. heart size is difficult to assess. mediastinal contour is slightly prominent likely reflecting on full but thoracic aorta. bony structures are intact. no free air below the right hemidiaphragm is seen.
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<unk>m with hx of dementia p/w worsening confusion // r/o infiltrate
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allowing for changes in position, there is no gross change in the position of the prosthetic aortic valve. there has been interval removal of a left-sided picc line. there is severe dextroscoliosis of the thoracic spine, without significant interval change compared to prior examination. there is a tortuous and calcified thoracic aorta which is stable in appearance. evaluation of the cardiac silhouette is limited given low lung volumes and rotation/positioning, however there is no appreciable change as compared to prior examination. persistent elevation of left hemidiaphragm and secondary relaxation atelectasis of left lower lobe as seen on prior studies. there has been marked interval improvement in pulmonary vascular congestion as well as improvement in previously seen bibasilar opacities as compared to prior film. there are faint calcifications visualized in the medial right upper lobe which correlate to calcifications seen in the right subclavian artery on prior ct examination. there are no pneumothoraces or effusions seen.
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<unk> year old woman s/p tavr via transapical approach // pleural effusion, chf
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there is a moderate-sized right pleural effusion. there is mild interstitial edema. lung volumes are low, exaggerating heart and mediastinal contours; there is likely underlying mild cardiomegaly. the aorta is tortuous. increased density at the right lung base likely represents atelectasis, but infection cannot be excluded.
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<unk>-year-old male with behavioral change, wheezing, and new oxygen requirement.
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the lungs remain hyperinflated without focal consolidation seen. mild biapical pleural thickening is seen. there is mild left base atelectasis/scarring. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable and unremarkable.
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history: <unk>f with cough // ?pneumonia
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as compared to chest radiograph from <num> day prior, near complete opacification of the left lung from a combination of pleural effusion and left lung collapse. there is abrupt cut off of the left main bronchus. minimal aeration of the left upper lobe. small right-sided effusion.
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<unk> year old woman pod#<unk> s/p abd exploration, extubated <num> day prior with persistent <unk> requirement and +secreations, please eval for pna/aspiration. // r/o pna
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable.
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history: <unk>f with fevers, cough // ? pneumonia
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frontal and lateral radiographs of the chest demonstrate low lung volumes with resultant bronchovascular crowding. again seen are increased interstitial markings throughout bilateral lungs which are unchanged from earlier the same day, consistent with stable pulmonary edema superimposed on chronic fibrotic changes. there is a small left apical pneumothorax, which is unchanged. a chest tube projects over the left hemithorax. the cardiomediastinal contours are unchanged. there is a small right-sided pleural effusion and small to moderate left-sided pleural effusion.
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<unk> year old woman with l-ptx s/p ct to water seal this am. please get film at <unk> today // ? interval change
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a left-sided picc line again terminates in the lower superior vena cava. the cardiac, mediastinal and hilar contours appear stable. elevation of the right hemidiaphragm is also unchanged. there is no pleural effusion or pneumothorax. streaky opacity at the right lung base suggests minor atelectasis, but improved. otherwise, the lungs appear clear.
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myasthenia <unk>, presenting with flare and increased oral secretions.
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lung volumes are low. there is prominence of the pulmonary vasculature which most likely reflect mild pulmonary edema. linear opacity in the right mid lung zone is likely atelectasis. the cardiomediastinal silhouette is unchanged. there is no definite focal consolidation or pleural effusion, although study is slightly limited by body habitus.
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<unk>-year-old female with shortness of breath, evaluate heart and lungs.
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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. surgical clip is seen in the right upper abdominal quadrant.
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recent sore throat, nasal congestion, earache, sneezing, and dry cough. evaluate for acute process. requisition states "preop physical screening. no s/s."
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the patient is status post interval placement of right ij central line. et tube is in adequate position, terminating <num> cm above the carina. ng tube is in adequate position. surgical <unk> are noted overlying the left in the thorax, new from prior exam. despite low lung volumes, lungs remain relatively clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable.
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<unk> year old man s/p gsw and stabbing w/l diaphragm laceration // evaluate for ptx, hemothorax
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compared to radiograph from <unk>, there is likely increased left pleural effusion and increased amount of associated atelectasis. small amount of right pleural effusion is new. heart size is mildly enlarged. mediastinal and hilar contours are unremarkable. there is no evidence for pulmonary edema, pulmonary consolidation or pneumothorax.there has been interval removal of the left pigtail catheter.
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<unk> year old woman with pleural effusion and pericardial effusion. evaluate for progression of fluid collections.
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the patient is slightly rotated. allowing for this, the heart is not enlarged. the aorta is calcified, but the cardiomediastinal contours are otherwise within normal limits. calcified coronary arteries are noted. rounded density at the right lung base and at the periphery of the left base is thought to represent nipple shadows. crowding of vessels noted in the right base inferiorly. no increased interstitial markings seen in this area on the <unk> radiographs. there is artifact overlying posterior chest on the lateral view. while a focal infiltrate there cannot be excluded, there are no corroborating findings on the ap view. otherwise, no focal consolidation, pleural effusion or pneumothorax. chain sutures are noted at the right lung apex for which clinical correlation is requested. focal vascular calcifications are seen in the left upper arm. density of the bilateral humeral heads may reflect bone infarcts.
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history: <unk>f with fever, cough //
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et tube, ng tube, right and left ij lines, and left chest tube are similar in configuration. sternotomy wires are present, with a gap again noted between the second and third wires. a prosthetic valve is also present, likely an aortic valve. the cardiac silhouette is moderately severely enlarged, similar to prior. increased retrocardiac opacity compatible with left lower lobe collapse and/or consolidation is similar to the prior film. the left-sided effusion is slightly smaller. additional pleural fluid and/or thickening is again noted at the left lung apex. there is chf, which appears increased compared with the prior film. hazy opacity at the right lung base is increased, consistent with a slightly larger right pleural effusion and underlying collapse and/or consolidation. linear lucency along the right chest wall more likely relax her relates a skin fold, but a lateral sided pneumothorax could have a similar appearance.
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<unk> year old man s/p left ct placement // eval left effusion
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compared with the prior radiograph, the left picc tip has been retracted slightly, now projecting at the mid svc. lungs are clear without focal consolidation, pleural effusion, or pneumothorax. no evidence of free subdiaphragmatic air, on this limited evaluation.
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<unk>-year-old woman with hx crohn's disease, luq ttp x <num> days. evaluate for free air, picc placement, and focal consolidation.
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ap portable upright radiograph demonstrates clear lungs. cardiomediastinal and hilar contours are within normal limits. there is no pneumothorax or pleural effusion. no evidence of pulmonary edema. imaged upper abdomen demonstrates no free air under the right hemidiaphragm.
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history: <unk>f with dyspnea // ptx
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frontal and lateral views of the chest were obtained. the heart is mildly enlarged. pulmonary vasculature is unremarkable. the lungs are clear without focal or diffuse abnormality. no pleural effusion or pneumothorax. the osseous structures are unremarkable. cholecystectomy clips are present in the right upper quadrant.
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<unk>-year-old female with new atrial fibrillation. rule out acute process.
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frontal radiograph of the chest demonstrates low lung volumes. top normal heart size. multiple round opacities in the right mid and lower lung are concerning for metastases. mild pulmonary vascular congestion. small left pleural effusion. retrocardiac opacity consistent with left lower lobe pneumonia.
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shortness of breath from nursing home history of lung cancer. evaluate for infiltrate.
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heart size is normal. cardiomediastinal silhouette and hilar contours are normal. lungs are clear. pleural surfaces are clear without effusion or pneumothorax.
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dyspnea after laparoscopic cholecystectomy.
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pa and lateral chest radiographs demonstrate no focal consolidation, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is within normal limits.
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history of multiple myeloma. evaluation for bone marrow transplant.
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the lungs are clear. the cardiomediastinal silhouette is normal. no acute osseous abnormality is identified.
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<unk>f with shortness of breath // eval for acute process
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multiple air fluid levels noted in the left hemithorax with almost complete opacification. trachea and mediastinum is shifted to the left. hyperinflated right lung is noted with no focal consolidation, pleural effusion or pulmonary edema.
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<unk>-year-old woman status post left thoracotomy, left pneumonectomy. evaluate for interval change.
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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. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
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<unk>f with leukocytosis, <unk> pain
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pa and lateral views of the chest. the lungs are clear. there is no pneumothorax. the cardiomediastinal silhouette is normal. no acute osseous abnormality is detected.
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<unk>-year-old female with syncope and fall.
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portable semi-erect chest radiograph <unk> at <time> is submitted.
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<unk> year old man with trach, sepsis // pneumonia? pneumonia?
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allowing for technical differences, the overall appearance is similar. again seen is chf with interstitial edema, bilateral small to moderate effusions and underlying collapse and/or consolidation. chf findings are probably slightly improved. cardiomediastinal silhouette is unchanged. et tube, ng tube with tip extending beneath diaphragm, and right ij line noted. there is an unusual is semi circular density overlying the lower left heart medially -- this has been present on multiple prior films, though its position appears to change. it appears to correspond to a a metallic density in the superficial soft tissues of the left chest, possibly a fragment of sternal wires .
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<unk> year old woman with trach in place complaining of left sided chest pain and difficulty breathing // evaluate for pneumothorox, pulmonary edema
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there is no significant change since the prior study. the cardiac and mediastinal silhouettes are stable. hilar contours are stable. no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. the mediastinum is not widened. no displaced fracture is seen.
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chest pain.
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heart size is normal with mild tortuosity of thoracic aorta. hilar contours are unremarkable. lungs are clear. pleural surfaces are clear without large effusion or pneumothorax.
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chest tightness and shortness of breath.
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an endotracheal tube terminates <num> cm above the carina. the heart size is normal. the hilar and mediastinal contours are within normal limits. there is no pneumothorax, focal consolidation, or pleural effusion.
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assessment for organ donation.
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there is large right pleural effusion and moderate left pleural effusion. pleural effusions are slightly increased compared to <unk>. upper lungs are clear. right subclavian line terminates at low svc. et tube is <num> cm above the carina. cardiac silhouette is obscured by pleural effusion, but appear grossly unchanged.
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<unk> year old woman with known pneumonia, pleural effusion // pls eval for interval changes
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cardiomediastinal contours are normal. there is a small area of increased opacity in the retrocardiac region. is unclear if this represents an area of volume loss or small infiltrate the lungs are clear. there is no pneumothorax or pleural effusion. the osseous structures are unremarkable
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<unk> year old man with nstemi. lll opacity on osh cxr // ?pna
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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. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
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<unk>f with increasing frequency of seizures, h/o resected astrocytoma.
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chronic right-sided rib deformities noted. mild pulmonary edema is seen. no large pleural effusion is seen although a small left pleural effusion is difficult to exclude. the cardiac silhouette is mildly enlarged. the aortic knob is calcified. no pneumothorax is seen.
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history: <unk>f with sob // pelm edema
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there has been placement of an endotracheal tube, with the tip located at the carina. recommend pulling back <num> cm. new opacities at the right lower lung zones most likely represent atelectasis. opacities at the left lung base also most likely represent atelectasis. there is no definite focal consolidation, pleural effusion or pneumothorax. cardiomediastinal silhouette is stable.
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<unk>-year-old woman with afib, on coumadin, now with cholangitis, et tube placement.
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lung volumes are low. subtle opacity overlying the left lower lobe is most notable on the lateral view. there is no large pleural effusion or pneumothorax identified. the cardiomediastinal silhouette is within normal limits.
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history: <unk>f with left chest pain and l flank pain // pleas eval for any infiltrates on cxr. please eval for hydro on us.
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the cardiomediastinal and hilar contours are within normal limits. subtle opacities are seen at the lung bases bilaterally. there is no pneumothorax, fracture or dislocation. limited assessment of the abdomen is unremarkable.
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history: <unk>f with overdose, aspiration // eval for infiltrate
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frontal and lateral radiographs of the chest demonstrate a left chest wall port with catheter terminating in the mid svc. no pneumothorax is seen. otherwise, the lungs are clear. the cardiac and mediastinal contours are normal. mild left basilar atelectasis is seen. no pleural effusions are detected.
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left ij port placement.
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frontal and lateral views of the chest. lateral view is limited secondary to patient's arms being down by her side. the lungs appear clear of consolidation, large effusion, or pneumothorax. the cardiomediastinal silhouette is within normal limits. the aorta however is tortuous with dense atherosclerotic calcifications noted particularly at the arch. surgical clips project over the right axilla and right upper quadrant. no displaced fracture is identified.
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<unk>-year-old female with syncope.
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pa and lateral views of the chest provided. a left pacemaker is continuous with leads terminating in the right ventricle and right atrium. lungs are well inflated and grossly clear. no pleural effusion or pneumothorax. hilar and cardiomediastinal contours are normal.
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<unk> year old man with af, sss s/p dual-chamber pacemaker // lead position, pneumothorax
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the lungs are clear without focal consolidation. no pleural effusion or evidence of pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. no displaced fracture is seen, however, please note that this exam is not optimal for the evaluation of acute thoracic spine injury.
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fall from standing.
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the lungs are clear besides linear atelectasis in the left midlung laterally. cardiac silhouette is mildly enlarged as on prior. no acute osseous abnormalities.
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<unk>f with history of diabetes, asthma, obesity p/w <num> hours of <unk> chest pain // chest pain, ?pe, infection, pulm edema
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ap portable upright view of the chest. linear atelectasis in the lower lungs noted. no convincing evidence for pneumonia or edema. no large effusion or pneumothorax. heart appears top-normal in size. the mediastinal contour is normal. bony structures are intact. no free air below the right hemidiaphragm.
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<unk>m with sob // eval for consolidation
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cardiac, mediastinal and hilar contours are normal. lungs are clear. pulmonary vasculature is normal. no pleural effusion or pneumothorax is demonstrated. multilevel mild to moderate degenerative changes are visualized in the thoracic spine.
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history: <unk>m with fall, weakness
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compared to the chest x-ray from <unk> at <time>, there has been increase in degree of confluent opacity in the right upper and mid/perihilar zones and in left perihilar region. patchy retrocardiac opacity is also present behind the right an left cardiac silhouettes. minimal blunting of left costophrenic angle is again noted. mild vascular plethora is likely present. the right costophrenic angle is clear. no pneumothorax detected. compared to the prior film, an et tube is now in place, tip approximately <num> cm above the carina, at the level of the upper clavicular heads.
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<unk> year old woman s/p intubation // please evaluate for tube placement
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the lungs are clear. apparent increase in density of the lungs is likely secondary to overlying soft tissue. cardiomediastinal silhouette is normal. there is no pleural effusion or pneumothorax.
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history: <unk>f with cough. evaluate for pneumonia.
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when compared to prior, there has been no significant interval change. bibasilar opacities could be atelectasis noting that infection is not excluded. lungs are otherwise clear. right hilar fullness is again noted. cardiac silhouette is within normal limits. no acute osseous abnormalities.
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<unk>m with confusion, recent cardiac cath // ? pna
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the patient has had prior median sternotomy. sternotomy wires are intact and aligned. a left pectoral aicd partially obscures the left lateral mid lung. a swan-ganz catheter terminates in the left pulmonary artery. an endotracheal tube terminates at the level of the clavicles. a nasogastric tube enters the stomach, distal tip not visualized. there is no pneumothorax. moderate right and small left layering pleural effusions with associated bibasilar atelectasis are unchanged. heart size is prominent despite the projection. mediastinal contours are stable.
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<unk> year old man with as above // s/p ogt placement-check position
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the cardiac silhouette is enlarged. the pulmonary vasculature is prominent and unchanged since prior examination. no focal consolidation is noted. there is no pneumothorax or pleural effusion. again noted is a left-sided pacemaker with stable position of <num> leads. there is evidence of prior cabg. median sternotomy wires are intact and well aligned. degenerative changes are seen at the left glenohumeral and acromioclavicular joints.
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<unk>m with chest pain possible acs // pna? ptx?
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no focal consolidation, pleural effusion, pneumothorax or pulmonary edema is detected. heart and mediastinal contours are within normal limits.
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<unk>-year-old female five months postpartum with leg swelling.
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the cardiomediastinal and hilar contours are stable. lung volumes are low which accentuates bronchovascular markings. given that there are prominent interstitial markings bilaterally as well as bibasilar opacities, right greater than left which could represent atelectasis or infection in the appropriate clinical setting. there may be a small right pleural effusion.
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<unk> year old woman with hx of cirrhosis, hepatopulmonary syndrome, now with high grade l breast dcis s/p l simple mastectomy and l sln bx // sating to <unk>% on <num>l of o<num>
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frontal and lateral views of the chest. lower lung volumes are seen on the current exam with secondary crowding of the bronchovascular markings. the lungs remain clear of effusion, consolidation or pulmonary vascular congestion. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormality is detected.
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<unk>-year-old female with ascites and new onset of dyspnea.
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pa and lateral views of the chest were obtained. the central catheter tip of the right chest port terminates in the distal svc. the patient is slightly rotated. there is a nodular opacity adjacent to the left heart border, which is compatible with the known history of pulmonary nodules. there is no clear sign of effusion or pneumonia, although assessment is limited by the patient's rotation, and no correlating of effusion or pneumonia on the lateral view. the cardiomediastinal silhouette is normal. no bony abnormality is identified.
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chest pain. evaluate for injury.
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there is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. moderate to severe cardiomegaly is similar to the prior study allowing for differences in technique. a left pectoral single-chamber pacemaker and its lead projects in unchanged location. calcification of the aortic arch is unchanged.
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<unk>f with cough/fever following a procedure last week, evaluate for acute process
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ap and lateral views of the chest are compared to previous exam from <unk>. biapical scarring is again noted. the lungs are otherwise clear where not obscured by overlying cardiac pacing device. there is no effusion. dual leads are in stable position. cardiomediastinal silhouette is stable. osseous and soft tissue structures are unremarkable.
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<unk>-year-old female with fever and cough.
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pa and lateral views of the chest. there is an ovoid hyperintensity in the anterior lungs that may represent pleural plaque calcification or calcified lymph node. a <num> mm round opacity in the posterior left lobe represents a calcified granuloma. there is no evidence of interstitial disease. no evidence of pneumonia. heart size is normal. mediastinal and hilar contours are normal. no pleural effusion or pneumothorax.
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asthma and decreased vital capacity, assess for restrictive process.
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the heart size is normal. the hilar and mediastinal contours are normal. the lungs are clear without evidence of focal consolidations concerning for infection. there is no pleural effusion or pneumothorax. the visualized osseous structures are unremarkable.
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history of persistent cough. please evaluate for pneumonia.
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the cardiomediastinal shilhouette and hila are normal. the lungs are clear. there is no pleural effusion and no pneumothorax.
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<unk>-year-old with chest pain.
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the lungs are clear of airspace or interstitial opacity. the cardiomediastinal silhouette is unremarkable. no pleural effusions or pneumothorax. no acute or aggressive osseus changes.
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<unk> year old woman - asymptomatic // screen for fertility treatments
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left-sided dual-chamber pacemaker device is noted with leads terminating in the right atrium and right ventricle, unchanged. lung volumes are low which accentuate the size of the cardiac silhouette which appears moderately enlarged. aorta remains tortuous and calcified. there is crowding of the bronchovascular structures with probable mild pulmonary vascular congestion. patchy opacities in the lung bases likely reflect areas of atelectasis. a small left pleural effusion may be present. no pneumothorax is demonstrated. multilevel degenerative changes are seen in the thoracic spine.
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history: <unk>f with chest pain and weakness
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exam is limited as the costophrenic angles and right lung base are excluded from the field of view. increased interstitial markings are noted suggesting vascular congestion. moderate cardiomegaly is suspected. dense mitral annular calcifications are noted. no displaced fractures identified.
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<unk>f with fall, new spine fracutres, acute sob, tachypnea, and hypoxia // assess for infiltrate, edema
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pa and lateral views of the chest demonstrate the lungs are well expanded and clear. the cardiomediastinal silhouette is unremarkable. there is no pleural effusion, pulmonary edema or focal consolidation.
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<unk>-year-old female with chest pain. evaluation for pneumonia.
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please note the lateral aspect of the lower chest wall was excluded from view. ill-defined opacity is again noted at the right lower lung similar to the prior exam. there is slightly better definition of the left hemidiaphragm relative to the prior exam. a nodular density projects in the left upper lung between the posterior aspects of the left fifth and sixth ribs. there is no focal consolidation. aortic tortuosity with calcified plaque throughout is again seen. there are prominent bilateral pulmonary arteries. the cardiac silhouette remains enlarged. no pneumothorax is seen. there are no definite displaced fractures evident. calcifications are again seen in the right axilla.
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trauma from fall.
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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.
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<unk>f with seizures, please eval for occult pna as possible loweing of sz threshold // <unk>f with seizures, please eval for occult pna as possible loweing of sz threshold
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there is no focal consolidation, sizeable pleural effusion or pneumothorax. no pulmonary edema. cardiomediastinal contours are normal. no acute osseous abnormalities identified.
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<unk>-year-old man with zoster virus reactivation and rash along his abdomen. evaluate for pneumonitis.
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pa and lateral views of the chest. the heart size is slightly bigger than prior study, and there is increased pulmonary vascular engorgement. no overt pulmonary edema. no focal consolidation, pleural effusion, or pneumothorax.
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cough and shortness of breath.
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since prior, there has been development of a now moderate sized right apical pneumothorax. a right basilar pigtail catheter is unchanged in position. a left picc ends in the mid svc. dobhoff ends in the proximal stomach just below the gastroesophageal junction. a moderate left pleural effusion is not significantly changed. mild pulmonary edema persists.
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<unk> year old man with question b cell lymphoma, recurrent pleural effusions, worse on the right, assess for improvement.
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compared to the prior study there is no significant interval change.
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<unk> year old man with bilateral pleural fluid and pleural chest pain // worsening effusion, fracture, ptx
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low lung volumes accentuate the pulmonary vasculature markings. no focal consolidation, pleural effusions or pneumothorax are seen. the cardiac and mediastinal silhouette is unremarkable. no rib fractures are seen.
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left chest pain status post fall yesterday. evaluate for left rib fractures.
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lung volumes are slightly lower compared to the prior exam with associated bronchovascular crowding. no focal consolidation to suggest focal pneumonia. probably mild bibasilar atelectasis. no pleural effusion or pneumothorax. stable appearance of the cardiomediastinal silhouette. mildly ectatic or tortuous descending aorta is unchanged.
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<unk>-year-old man presenting with sudden onset chest pain and sob, hx of copd/asthma. evaluate for pneumonia.
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there is a new asymmetric perihilar opacification of the right mid lung. this is superimposed on moderate bilateral pleural effusions, similar to increased on the right and perhaps somewhat decreased on the left. increased opacification at the right lung base may also reflect increasing atelectasis associated with a pleural effusion, although an area of infection is not excluded. pulmonary vessels show upper zone redistribution and kerley lines are present suggesting coinciding mild congestive heart failure but generally similar in extent.
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hypoxia.
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frontal and lateral views of chest. when compared with prior, there has been continued interval decrease in the opacity blunting the left lateral costophrenic angle which may be due to resolving loculated effusion. this may also be due to pleural thickening or scar given overlying rib deformities suggesting prior trauma/surgery. the lungs are otherwise are clear. the cardiomediastinal silhouette is normal. no acute osseous abnormalities are noted with folds right <unk> lateral rib fracture and deformities of the left ribs.
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<unk>-year-old male with shortness of breath. question rib fracture or pneumonia.
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there is no pleural effusion or pneumothorax. there is widespread opacification, but predominantly involving the right upper and left lower lungs, new since the prior study.
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cough, fever, shortness of breath and hypoxia.
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the patient's body positioning somewhat limits the exam. with this in mind, there are no focal consolidations concerning for pneumonia. prominent vascular markings in the right lower hemithorax are a relatively unchanged finding. there is no right-sided pleural effusion. the left costophrenic angle is excluded from the film. cardiac size is within normal limits. no pneumothorax.
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<unk> year old man with <num>week h/o productive cough, right flank pain today // eval for pneumonia //<unk> year old man with <num>week h/o productive cough, right flank pain today
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frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation, or pneumothorax. hilar and mediastinal silhouettes are unremarkable. heart size is normal. there is no pulmonary edema. partially imaged upper abdomen is unremarkable.
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cough and fever for five days.
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pa and lateral chest radiographs. there is no focal consolidation, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is normal.
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metastatic rcc. evaluation of "status."
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frontal and lateral views of the chest were obtained. there is moderate cardiomegaly, exaggerated by low lung volumes. the aorta is tortuous, following the contours of a marked thoracic dextroscoliosis. no pleural effusion or pneumothorax is present. there is mild atelectasis at the right lung base but no consolidation or pulmonary edema. degenerative change of the bilateral humeral heads is seen with loss of joint space and subchondral cysts. a ventriculoperitoneal shunt is seen.
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<unk>-year-old female with orthopnea. evaluate for pneumonia or chf.
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the lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen.
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history: <unk>f with chest pain. evaluate for pneumonia.
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unchanged position of a pigtail catheter in the right lung. there is no we accumulation of the pneumothorax. lung volumes are within normal limits. there is a minimal right costophrenic pleural thickening versus pleural fluid. no consolidation seen. the cardiomediastinal contour is unchanged compared to the prior study.
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<unk> year old man with right spont ptx s/p pigtail placement, undergoing chest tube clamp trial // please evaluate for residual/recurrent ptx. please schedule for <num>pm <unk>
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ap single view of the chest has been obtained with patient in sitting upright position. comparison is made with the next preceding pa and lateral chest examination of <unk>. the heart size remains normal. no new acute pulmonary parenchymal infiltrates can be identified. appearance of the previously described right internal jugular approach central venous line is unaltered. no pneumothorax is seen. no pulmonary vascular congestion is present and the lateral pleural sinuses remain free.
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<unk>-year-old male patient with acute myelocytic leukemia, here for allo transplant with neutropenic fever after atg and tli. evaluate for pneumonia.
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portable ap view of the chest demonstrates et tube terminating <num> cm above the carina. nasogastric tube is positioned in the stomach. low lung volumes. costophrenic angles is obscured, suggestive of small pleural effusions. no pneumothorax is present. hilar and mediastinal silhouettes are unremarkable. moderate pulmonary edema appears minimally progressed since prior, expecially in the upper lobes. left lung base consolidation likely represents atelectasis. spinal fixation hardware is noted.
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patient with urosepsis.
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the lungs volumes are very low which limits evaluation. within this limitation, there is no pleural effusion, pneumothorax or defniite focal airspace consolidation. the cardiac silhouette is mildly enlarged but unchanged. the mediastinal and hilar contours are normal.
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dyspnea with worsening cough and sputum production.
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frontal and lateral views of the chest. the lungs are clear without focal consolidation, effusion or pneumothorax. cardiac silhouette is mildly enlarged but stable in configuration. thoracic aorta is tortuous. no acute osseous abnormalities identified.
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<unk>-year-old female with back and chest pain. question pneumothorax.
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the patient is status post endotracheal intubation. the endotracheal tube terminates approximately <num> cm above the carina. the heart is at the upper limits of normal size with a left ventricular configuration. the lung volumes are low. no focal opacity is seen. there is no pleural effusion or pneumothorax. the stomach is mildly distended.
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status post intubation.
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