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moderate bilateral layering pleural effusions are not appreciably changed. moderate pulmonary edema is also unchanged. marked cardiomegaly despite the projection has increased. there is no pneumothorax. generalized osteopenia and multilevel spinal degenerative changes are stable.
<unk> year old woman with breast cancer, cad s/p stent placement and multiple strokes // is there pneumonia?
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the et tube is unchanged, ending at <num> cm from carina bifurcation. the ng tube is unchanged and end in proximal gastric cavity. the swan-ganz catheter has been pulled back, ending in proximal main pulmonary artery. lung volume are slightly increased, with reduced opacification of the right lung mainly for reduced pleural effusion. persistent atelectasis and small pleural effusion left lung. heart size is still markedly enlarged.
interval changes.
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cardiac, mediastinal and hilar contours are normal. the pulmonary vasculature is normal. hazy consolidative opacity within the lingula is concerning for pneumonia. right lung is clear. no pleural effusion or pneumothorax is present. no acute osseous abnormality is visualized.
history: <unk>f with cough for <num> days
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right-sided picc is unchanged in position terminating in the mid svc. cardiomediastinal silhouette and hilar contours are unremarkable. lungs are clear. pleural surfaces are clear without effusion or pneumothorax.
movement of right arm picc. evaluate position.
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there is a tracheostomy tube. consolidation throughout the right lobe is relatively unchanged as is a small right pleural effusion and pleural thickening. the cardiac and mediastinal contours are stable. the left lung is grossly clear. there is no pneumothorax. elevation of the right hemidiaphragm is chronic.
<unk> year old woman with als coming in with pneumonia, vap, however increasing o<num> requirement despite treatment. evaluate for interval change.
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heart size is normal. mediastinal and hilar contours are within normal limits. lungs are clear. pulmonary vascularity is normal. no pleural effusion or pneumothorax is present. no acute osseous abnormalities are present.
chest pain.
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lungs are clear without focal consolidation, effusion, or pneumothorax. minimal atelectasis at the right medial base. mediastinum, hila and pleural surfaces are unremarkable. heart size is normal. compression deformity of the mid thoracic spine, age indeterminate. please correlate with patient symptoms
<unk> year old man with one episode aspiration solid food // evaluate for aspirated material / pneumonia
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the lungs are clear. the cardiomediastinal silhouette is within normal limits. atherosclerotic calcifications are noted at the aortic arch and in the superior right paratracheal region likely due to calcifications of the great vessels. incidentally noted is lack of fusion of posterior elements of the upper thoracic vertebrae. no acute osseous abnormalities.
<unk>f with chest pain // r/o pna
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ap portable supine view of the chest. there has been interval intubation with the tip of the endotracheal tube residing approximately <num> cm above the carina. mild cardiomegaly and pulmonary interstitial edema persists. no large effusions are present.
<unk>f with intubation // eval et tube
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a right central venous catheter tip extends to the cavoatrial junction. there is no focal consolidation, pleural effusion or pneumothorax identified. an opacity in the peripheral right lower lung zone may reflect material external to the patient. the size the cardiomediastinal silhouette is within normal limits.
<unk> year old man with aml and neutropenic fever. // evaluate for cause of fever.
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cardiomediastinal contours are unchanged with tortuous aorta . port a catheter is in standard position. . the lungs are clear. there is no pneumothorax or pleural effusion. the osseous structures are unremarkable
<unk> year old man with nhl // pre bmt
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pa and lateral views of the chest are compared to previous exam from <unk>. right chest wall port-a-cath is again seen with tip at the ra/svc junction. the lungs are clear of effusion or consolidation. cardiomediastinal silhouette is normal. osseous and soft tissue structures are unremarkable. surgical clip in the right upper quadrant suggests prior cholecystectomy.
<unk>-year-old female with chest pain. pleuritic in nature.
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cardiac silhouette size is mildly enlarged. the mediastinal contours are unremarkable. previous pattern of pulmonary edema has improved with only mild pulmonary vascular congestion remaining. aeration of the lung bases is incorrect streaky opacities, potentially atelectasis. a small right pleural effusion is noted. no pneumothorax is identified. no acute osseous abnormality is seen.
<unk> year old man with chf, ?mediastinal widening/aortic dissection
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the lungs are slightly hyperinflated, similar to priors.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 chest pain // ptx
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the lungs are well expanded and clear. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax.
patient with history of hiv positive and asthma with cough for two days.
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there is a left lower lobe opacity that is worsened when compared to <unk>. the top normal size of the cardiomediastinal silhouette is likely due to low lung volumes. there is no pleural effusion or pneumothorax.
recent chemoembolization for liver tumor. rigors.
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pa and lateral views of the chest provided. there is consolidation of the right middle lobe, concerning for pneumonia. there is additional consolidation in the left lung base, which is confounded by chronic scarring but is also likely reflective of pneumonia. there are no pleural effusions. heart size is normal. mediastinal and hilar contours are normal.
<unk> year old man with hiv (cd<num>><unk> in <unk>), cough and weight loss
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ap upright and lateral views of the chest provided. lung volumes are low with bibasilar atelectasis noted. difficult to exclude a component of aspiration or pneumonia at the lung bases. no large effusion or pneumothorax. cardiomediastinal silhouette is stable. bony structures are intact. no displaced rib fracture is seen.
<unk>f with etoh cirrhosis with seizure today //
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lungs are clear. the cardiomediastinal silhouette is normal. no acute osseous abnormalities identified, mid thoracic dextroscoliosis is noted.
<unk>f with fevers // ? acute cardiopulm process
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one portable ap view of the chest. there are low lung volumes compared to most recent study. overall appearance is unchanged. the left chest tube is in same position. tubes and lines are in unchanged position. left upper and lower lobe opacities are unchanged. no pleural effusion or pneumothorax. extensive subcutaneous emphysema unchanged.
chest tube in place, now clamped, evaluate for interval changes.
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the cardiomediastinal silhouettes are within normal limits. the bilateral hila are unremarkable. the lungs are clear without focal consolidation. there is no pulmonary vascular congestion. there is no pneumothorax or pleural effusion.
<unk>f with cough, pna // ? pna .
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frontal and lateral views of the chest were obtained. the heart size and cardiomediastinal contours are normal. the lungs are clear. no focal consolidation, pleural effusion, or pneumothorax. no radiopaque foreign body.
<unk>-year-old male with mild cough.
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the ascending thoracic aorta is prominent, as confirmed on prior chest ct examination. the cardiac size is normal. increased linear opacities in the right middle and right lower lobe could reflect mild bronchiectasis as was seen on prior chest ct examination. these findings however appear worsened since prior chest radiograph from <unk>. additionally, ill-defined opacities are seen abutting the minor fissure. the left lung is clear. no pleural effusion or pneumothorax identified.
<unk> year old woman with persisting cough and congestion ×<num> months right posterior chest discomfort with a history of right-sided bronchiectasis on chest ct <unk> // please evaluate for pneumonia please evaluate for pneumonia
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pa and lateral views of the chest. the lungs are clear. there is no consolidation, pneumothorax or pleural effusion. the cardiac, mediastinal and hilar contours are normal. there is no pulmonary vascular congestion.
cough, assess for pneumonia.
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ap and lateral views of the chest. right pleural effusion is significantly decreased, now with trace amount on the right. small-to-moderate left pleural effusion is unchanged. pulmonary edema has decreased some residual hazy opacities in the right lung. bibasilar atelectasis. no pneumothorax. cardiomediastinal and hilar contours are stable.
chf and recurrent right pleural effusion thorax in place. drainage of <num> liter.
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the lungs are clear. the cardiomediastinal silhouette is normal. osseous structures are unremarkable.
<unk>f with recent immobilization, ocp, here with sob // ?cause of sob
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the endotracheal tube terminates <num> cm from the carina. the degree of vascular congestion has increased, with possible small bilateral pleural effusions. atelectasis of the left lower lobe is unchanged. no focal consolidation concerning for pneumonia. a hiatal hernia is unchanged, and an ng tube follows the hernial contour below the diaphragm.
<unk> year old woman s/p seizure, intubated. presence of pulmonary edema, infiltrate.
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no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. no pulmonary edema is seen.
abnormal lung sounds, sore throat.
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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. no nodules are seen within the limitations of plain radiographs.
hypertension, history of right lung nodule
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no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. coronary artery stenting is again noted. no displaced fracture is seen.
chest pain.
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persistent moderate right pleural effusion is noted. there is pulmonary vascular congestion without overt edema. streaky right midlung and left lung base opacities suggestive of atelectasis. there is no consolidation worrisome for infection. moderate cardiac enlargement is noted as well as atherosclerotic calcifications at the aortic arch. no acute osseous abnormalities.
<unk>f with hx chf w/ weight gain, tachy // ? effusion, consolidation
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interval increase in bilateral pleural effusion with associated compressive atelectasis. there is mild pulmonary vascular congestion. the cardiomediastinal silhouette is unchanged. the patient has known copd which is not significantly changed from prior exam. no pneumothorax is present.
copd, increased work of breathing. evaluate for fluid or consolidation.
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the et tube is located <num> cm above the carina. there is no pneumothorax or other complication. lung volumes have improved. there is less vascular congestion than on previous exam. there are bibasilar opacities, likely representing the atelectasis seen on prior ct. the left lower lobe is better aerated. the right lower lobe and right upper lobe are collapsed. there is stable mediastinal widening, corresponding with lipomatosis seen on prior ct. a feeding tube passes along the expected path to the stomach and out of view.
<unk>-year-old male status post mvc with possible aspiration during intubation, bilateral frontal hematoma, and rib fractures, now requiring assessmenet of et tube position.
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mildly hypoinflated lungs with crowding of vasculature and bibasilar atelectasis. new heterogeneous right lower lobe opacity best seen on lateral projection. heart size, mediastinal contour, and hila are unremarkable. limited assessment of the osseous structures are remarkable and upper abdomen is within normal limits.
<unk>f with ? sickle cell crisis, known sickle cell disease. assess for acute chest.
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enlargement of the cardiac silhouette may reflect cardiomegaly or pericardial effusion. lung volumes are low. no pulmonary edema. no airspace consolidation. no pleural effusions. spondylotic changes of the thoracic spine.
<unk> year old man with pre-op avr // pre-op chest xray
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since the prior study performed <num> hours earlier, there has been no significant interval change. there is persistent pulmonary vascular congestion, without overt pulmonary edema. again noted is dense retrocardiac consolidation, which may represent atelectasis or pneumonia in the appropriate clinical setting. right picc terminates at the mid svc.
history: <unk>m with hypoxia // eval for pna
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the lungs are clear without consolidation or effusion. there is no overt pulmonary edema. the cardiomediastinal silhouette is stable, mildly enlarged. hypertrophic changes seen the spine.
<unk>f with cough, hx of copd // eval for infiltrate, edema
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the et tube ends at <num> cm from carina. ng tube ends in proximal gastric cavity. as compared to prior chest x-ray, there are no major interval changes except for lower lung volume which apparently increased opacity at the lung bases. heart size is still moderately enlarged with mild vascular congestion. aortosclerosis. there is no pneumothorax.
assess for consolidation and effusion.
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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. nipple rings noted bilaterally.
<unk>f with chest discomfort
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the lungs remain clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified. surgical clips in the right upper quadrant suggest prior cholecystectomy.
<unk>f with epigastric pain // eval cardiomegaly, pna
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when compared to multiple prior exams, there has been no significant interval change. persistent left perihilar and lower lung opacities are again seen as well as the right apical opacity. there is no new focal consolidation or effusion. the cardiomediastinal silhouette is stable. no acute osseous abnormalities.
<unk>f with cough, fever // pna?
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the lungs are well expanded and clear. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax.
<unk>-year-old male with fever and coughing
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no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. the aorta is slightly tortuous. the cardiac silhouette is not enlarged. several old right-sided rib fractures are again seen. again, there appears to be resorption of the distal right clavicle, not optimally evaluated on this study.
hoarse voice and wheeze greater than <num> week.
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ap upright and lateral views of the chest provided. previously noted feeding tube is been removed. there is persistent large left pleural effusion with associated compressive atelectasis in the left lung. mild increase in interstitial markings could reflect a component of interstitial edema. difficult to exclude a pneumonia in the left base in the correct clinical setting. the heart is difficult to assess. mediastinal contour appears grossly unchanged. bony structures are intact. a compression deformity involving the thoracolumbar junction appears unchanged.
<unk>f with generalized weakness // eval for pneumonia
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ap portable upright view of the chest. a tracheostomy tube is unchanged in position. a left subclavian central venous catheter terminates at the lower svc. the lung volumes are low. the heart size is normal. the hilar and mediastinal contours are within normal limits. the central pulmonary vessels are engorged, however, there is no overt edema. there is no pneumothorax or pleural effusion. there is a new focal opacity within the right upper zone which may reflect aspiration or small consolidation.
<unk> year old man s/p mvc s/p trach and peg, ?aspiration event // look for evidence of aspiration
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heart size is mild to moderately enlarged, unchanged. mediastinal and hilar contours are similar. pulmonary vasculature is not engorged. patchy and streaky opacities in the lung bases likely reflect areas of atelectasis. no focal consolidation, pleural effusion or pneumothorax is present. diffuse idiopathic skeletal hyperostosis is re- demonstrated.
history: <unk>m with history of boop, sarcoid presents with <num> days of nausea, vomiting, nonproductive cough
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pa and lateral views of the chest. the lungs are clear of focal consolidation, effusion or pulmonary vascular congestion. the cardiomediastinal silhouette is within normal limits. osseous structures demonstrate no acute abnormality.
<unk>-year-old male with cough and fever, history of sarcoid and hiv.
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the lungs are well expanded. unchanged interstitial markings are consistent with chronic pulmonary disease with superimposed mild pulmonary edema. bibasilar opacities are seen, concerning for pneumonia or aspiration in the right clinical setting. bilateral small pleural effusions are likely present. no pneumothorax. the cardiomediastinal silhouette is moderately enlarged.
history: <unk>m with dyspnea, concern for chf exacerbation // acute process
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redemonstrated is a left pectoral pacemaker with leads seen terminating within the right atrium and right ventricle. no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. minimal left lower lobe atelectasis is noted. the heart size is top normal, unchanged from prior examination. mediastinal contours are normal. no bony abnormality is detected.
cough and shortness of breath.
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the right mid lung opacity laterally is unchanged over multiple prior scans although not present in <unk>. the lungs are otherwise clear without consolidation or large effusion. cardiomegaly is again seen. intra-atrial device and left chest wall dual lead pacing device are also noted. no acute osseous abnormalities.
<unk>f with weakness, fatigue, whole body pain // pneumonia?
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patient is status post median sternotomy, cabg, and left-sided aicd/pacemaker device with leads in unchanged positions. mild cardiomegaly is re- demonstrated. atherosclerotic calcifications of the aortic knob are again seen. mediastinal and hilar contours are otherwise within normal limits. pulmonary vasculature is not engorged. lung volumes are slightly low. no focal consolidation, pleural effusion or pneumothorax is demonstrated. minimal atelectasis is seen in the right lung base. degenerative changes are noted involving the right acromioclavicular and glenohumeral joints.
<unk> year old man with chest pain
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there is significant cardiomegaly and obscuration of the left costophrenic angle which may represent a small pleural effusion and adjacent atelectasis. the lungs are otherwise clear. no pneumothorax. osseous structures are intact.
history: <unk>f with abnormal ekg at outside facility. evaluate for acute process.
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the right lung base pleural thickening or small pleural effusion is decreased in size compared to <unk>. the compressive deformity of multiple thoracic spine seen on the lateral view is similar to prior. there is linear atelectasis at the left lung base, but no focal consolidation. the cardiomediastinal silhouette is normal size.
<unk> year old woman with metastatic peritoneal cancer with hx of malignant pleural effusion // r/o pleural effusion r/o pleural effusion
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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. fracture of the right mid clavicle with inferior displacement of the distal fracture fragment is better assessed on this same day dedicated shoulder and clavicle radiographs.
history: <unk>m with status post motorcycle accident, pain in right shoulder
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there is no pulmonary edema. no consolidation, large pleural effusion, or pneumothorax is identified. cardiac silhouette is mildly enlarged. lung volume is low. left hemidiaphragm appears less sharp than on the prior study of <unk>
history: <unk>m with sob, fever, pls eval pna //
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the lungs are clear without consolidation, effusion or pulmonary edema. moderate cardiomegaly is again noted as well as an aortic core valve device. atherosclerotic calcifications are seen at the aortic arch.
<unk>f with fever and malaise // r/o infiltrate
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ap upright portable chest radiograph was provided. increasing bibasilar consolidation is concerning for worsening pneumonia. underlying emphysema is evident in the upper lobe lucency. the heart size cannot be assessed.
<unk>-year-old man with history of copd with dyspnea.
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the lungs are well expanded and clear. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax.
<unk>-year-old male with fever and rigors status post kidney transplant on <unk>.
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prominence of the right hilum is unchanged. lung volumes are low, however consolidation at the lung bases, could represent aspiration or pneumonia. there is loss of vertebral body and disc height at numerous levels, unchanged from <unk>.
history: <unk>m with etoh intoxication, fall complaining of pain in shoulder, clavicle, sternum and l knee*** warning *** multiple patients with same last name! // fracture?
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a <unk> drain is seen in the left hemi thorax, no pneumothorax. there is a small right pleural effusion. there is obliquely oriented linear opacities near the right heart border. the heart is at the upper limit of normal.
<unk> year old man with lung cancer sp vats left upper lobectomy // ptx ptx
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the cardiac, mediastinal and hilar contours are normal. lungs are clear and the pulmonary vasculature is normal. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
cough, shortness of breath.
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no interval change in the position or appearance of the supporting medical devices. mild interval decrease in the bilateral airspace opacities. persisting retrocardiac opacity. no pneumothorax identified. the size and appearance of the cardiomediastinal silhouette is unchanged.
<unk> year old man with high ct output // eval for widened mediastinum
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the patient is status post mitral valve replacement. the cardiac, mediastinal and hilar contours appear unchanged. there is a new opacity obscuring the right side of the heart suggesting a right middle lobe opacity and there is also a vague geographic opacity projecting over the left upper lung. linear opacity in the left lower lung suggests minor atelectasis. there are pleural effusions or pneumothorax.
stroke. question infiltrate.
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single portable view of the chest is compared to previous exam from <unk>. right picc is no longer seen. vascular markings are indistinct which could be in part due to technique; however, there may be a component of mild interstitial edema. cardiomediastinal silhouette is stable given differences in positioning and technique. osseous and soft tissue structures are unremarkable.
<unk>-year-old female with shortness of breath and chest pain.
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there has been interval placement of a left internal jugular central venous catheter with tip terminating at the confluence of the brachiocephalic veins. no pneumothorax is identified. lung volumes remain low. heart size remains moderately enlarged. mediastinal and hilar contours are similar. crowding of the bronchovascular structures remains. patchy opacities in the lung bases are slightly worse in the interval and may reflect worsening atelectasis. no pleural effusion is present.
history: <unk>m status post right subclavian attempt (aborted), status post left internal jugular central line placement
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endotracheal tube tip in good position. left picc line tip not well seen, likely near cavoatrial junction. t avr. pulmonary edema is mildly improved. stable heart size, pulmonary vascularity since prior. mildly improved bibasilar opacities. improved pleural effusions. no definite pneumothorax.
<unk> year old man with recent chest tube, pneumothorax // interval change in pneumothorax
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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.
<unk>f with chest pain // eval for ptxz
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endotracheal tube in situ <num> mm proximal to the carina. nasogastric tube in situ in the proximal thorax with the tip projecting at the level of the aortic arch. left lower lobe opacifications unchanged. small left-sided pleural effusion. subcutaneous air seen in the left chest wall. no right-sided airspace consolidation. no right-sided effusion. contrast material seen in the proximal stomach
<unk> year old woman s/p hiatal hernia repair yesterday with increasing o<num> requirement. // s/p intubation
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mildly kyphotic positioning slightly limits assessment. the patient is status post median sternotomy. there is moderate enlargement of cardiac silhouette which is unchanged. the aorta is tortuous, similar compared to the previous study. no pulmonary edema is seen. linear opacities within the lung bases are compatible with subsegmental atelectasis. no pleural effusion or pneumothorax is demonstrated. multiple clips are seen projecting over the right axilla. remote right-sided rib fractures are re- demonstrated.
altered mental status, chest pain.
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single. ap and lateral views of the chest. there are small bilateral effusions. there is new retrocardiac opacity silhouetting the medial hemidiaphragm and silhouetting of the left heart border. linear opacity in the lateral views suggestive of atelectasis likely in the lingula. superiorly lungs are grossly clear. the cardiomediastinal silhouette not definitely changed. hypertrophic changes seen in the spine.
<unk>-year-old male with weakness.
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heart is mildly enlarged. the aorta is mildly tortuous. there is no pleural effusion or pneumothorax. the lungs appear clear.
dyspnea on exertion.
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the cardiacmediastinal and hilar contours are within normal limits. there is scarring at the right lung base. there is otherwise no focal consolidation concerning for pneumonia. there is no pleural effusion or pneumothorax.
chest pain. assess infiltrate, pulmonary edema.
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heart size is normal. mediastinal and hilar contours are unremarkable. pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. no acute osseous abnormalities are demonstrated. there is no subdiaphragmatic free air.
epigastric pain, vomiting.
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as compared to <unk> radiograph, marked elevation of the right hemidiaphragm has slightly increased in severity, with persistent adjacent linear atelectasis or scarring. lungs are otherwise clear, and cardiomediastinal contours are stable in appearance. no pleural effusion.
<unk> year old woman with hx of positive ppd needs screening chest xray for active tb for work // <unk> year old woman with hx of positive ppd needs screening chest xray for active tb for work
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heart size is normal. mediastinal and hilar contours are normal. lungs are clear and the pulmonary vasculature is normal. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
hemoptysis.
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frontal and lateral views of the chest demonstrate normal lung volumes. no focal consolidation, pleural effusion or pneumothorax. hilar and mediastinal silhouettes are unremarkable. heart size is normal. there is no pulmonary edema. partially imaged upper abdomen is unremarkable.
patient with cough. assess for pneumonia.
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since prior, there is a new moderate to large right pleural effusion with associated atelectasis. lung volumes are low. the left lung is grossly clear. there is no definite left pleural effusion. enlarged cardiomediastinal contour reflects low lung volumes. there is no pneumothorax.
<unk> year old woman with hemolytic anemia, with worsening shortness of breath and decreased breath sounds at the right lung base.
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pa and lateral views of the chest were reviewed. compared to the prior study, mild hyperinflation of the lungs and flattened hemidiaphragms is unchanged. the lung fields are clear and there is no evidence of vascular congestion, pleural effusion, or pneumothorax. the cardiac and mediastinal silhouettes are normal. there are no concerning osseous or soft tissue abnormalities.
evaluation for bone changes in a patient with pituitary tumor.
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ap and lateral views of the chest provided. there are diffusely increased interstitial markings bilaterally likely related to pulmonary vascular congestion. 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.
history: <unk>m with immunocompromised renal txp with fever // eval for pna
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endotracheal tube is <num> cm from the carina. the lungs are clear without focal consolidation or large effusion. cardiac silhouette is enlarged likely due to combination of technique and underlying cardiomegaly. median sternotomy wires and mediastinal clips are again seen.
<unk>m with ich intubated // confirm ett placement, ? worsening ich
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when compared to chest radiograph dated <unk>, this portable chest radiograph demonstrates improved lung volumes with no new opacifications. mild pulmonary vascular congestion persists. no overt pleural effusion. no pneumothorax. an enteric tube is seen in appropriate position with its terminal and in the expected location of the stomach.
<unk>-year-old male status post craniotomy for cerebellar hemorrhage. evaluate for acute process.
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there is volume loss in both lower lungs. early infiltrates in these regions cannot be excluded. compared to the study from <num> months ago the right upper lobe process has resolved the heart continues to be mildly enlarged. sternal wires are again seen. mediastinal clips are again visualized. there are tiny bilateral pleural effusions
<unk> year old man poor historian, has anoxic brain injury, now with question of change in mental status. need to rule out infection. // evaluate for infection
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portable semi-erect chest film <unk> at <time> is submitted.
<unk> year old woman with trach, increased secretions, leukocytosis, fevers // r/o evolving pna r/o evolving pna
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et tube tip lies approximately a <num> cm above the carina. ng tube tip extends beneath diaphragm, off film. no pneumothorax detected. cardiomediastinal silhouette is enlarged, but unchanged. hazy opacity at right base with underlying collapse and/or consolidation an increased retrocardiac density are also similar to the prior film. vascular plethora with interstitial edema and vascular blurring is also overall similar to the prior film.
<unk> year old woman with respiratory failure, intubated, now diuresing // interval change?
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the heart size is normal. the mediastinal as well as the hilar contours are unremarkable. there are calcified left ap window lymph nodes compatible with prior granulomatous disease. calcified granuloma in the left upper lung field is also noted. lungs are otherwise clear. no pleural effusion or pneumothorax is seen. there is hyperinflation of the lungs with flattening of the diaphragms suggestive of underlying copd. no pneumothorax or pleural effusion is seen. there are no acute osseous abnormalities.
dysphagia for <num> months.
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the ett is slightly low lying, terminating in the lower trachea <num> cm above the carina. a nasogastric tube enters the stomach, however the side port sits at the ge junction. there is no pneumothorax. aside from minimal left lower lobe subsegmental atelectasis, the lungs are clear. the heart and mediastinum are within normal limits despite the projection.
<unk> year old woman with sdh, intubated // ett position
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right picc is again seen although tip is not clearly delineated on today's exam. the lungs remain clear of consolidation, effusion, or pulmonary edema. the cardiomediastinal silhouette is normal. atherosclerotic calcifications are noted at the arch. degenerative changes noted at the acromioclavicular joints and there are hypertrophic changes in the spine.
<unk>m with picc // verify picc line placement
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the cardiomediastinal silhouette is normal. there is no pleural effusion or pneumothorax. there is no focal lung consolidation. there is no acute osseous abnormality.
<unk>f with pleuritic chest pain low-grade fever, evaluate for pneumonia.
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the cardiac, mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. there is a vague opacity in the right upper lobe that appears new and is concerning for pneumonia.
cough, fever, and decreased breath sounds on the right.
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left port-a-cath terminates in the superior cavoatrial junction, near the upper right atrium. since the prior study performed <num> day earlier, there has been substantial improvement in underlying pulmonary edema. no new consolidation in the aerated portions of the lungs. right pleural effusion has also decreased, with a slightly loculated appearance. left pleural effusion is small. no pneumothorax. there may be minimal bi-apical scarring. heart remains enlarged.
<unk> year old man with poems syndrome and capillary leak // evaluation of r pleural effusion
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the lungs are hyperinflated. there is no evidence of focal consolidation, pleural effusion, pneumothorax, or frank pulmonary edema. biapical pleural thickening is noted. an oval calcified density is noted within the right lung apex overlying the right scapula and portions of the posterior right fourth rib, likely of little clinical significance. the cardiomediastinal silhouette is within normal limits.
history: <unk>m with cough, fevers // infiltrate?
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frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs without focal consolidation, pleural effusion, or pneumothorax. the visualized upper abdomen is unremarkable.
evaluate for pneumonia, pneumothorax, pleural effusion, in a patient with intermittent chest pain.
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pa and lateral views of the chest provided. a subtle focal hazy opacity projecting over the right mid lung is new from prior may represent an early focus of pneumonia. there is mild left basal atelectasis. no large effusion or pneumothorax. cardiomediastinal silhouette is unchanged. bony structures are intact. no free air below the right hemidiaphragm peer
<unk>f with ? pseudoaneurysm s/p recath yesterday p/w hypotension and cp
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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. mild effacement of the left heart border likely due to an adjacent fat pad. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>m with shortness of breath and pnd
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heart size within normal limits. the aortic knob is calcified. spiculated right hilar mass is relatively unchanged compared to previous exams. no overt pulmonary edema is noted. left lower lobe opacity concerning for pneumonia. no acute bony abnormalities present. no pleural effusion or pneumothorax noted.
<unk>-year-old male with metastatic nsclc, admitted for septic shock, presumed secondary to pneumonia.
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the lung volumes are very low. within that limitation, the cardiac, mediastinal and hilar contours are probably unchanged. there is apparent asymmetric opacification of the right lung, particularly in the right lower lung, but somewhat hazy lung fields bilaterally, with increased density at the right lung base, although the study is very limited. there is no pleural effusion or pneumothorax.
seizure, cough and congestion.
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cardiac silhouette size is normal. minimal atherosclerotic calcifications are noted at the aortic knob. mediastinal and hilar contours are unremarkable. prominent fat pad is noted at the right cardiophrenic angle. lungs are hyperinflated with attenuation of vascular markings towards the apices compatible with emphysema. no focal consolidation identified. there is no pulmonary edema. scarring is noted within the lung apices, more so on the right. no pleural effusion or pneumothorax is seen.
fever, chills
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lungs are fully expanded and clear without focal consolidations. there is a single, approximately <num> mm nodular opacity projecting over the posterior lungs only appreciated on lateral view. heart size is normal and cardiomediastinal silhouettes are unremarkable. no pleural effusions or pneumothorax.
<unk> year old woman with recent hospitalization at <unk> for possible pneumonia // cough, f/u pneumonia
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moderate cardiomegaly is stable. small right and small to moderate left pleural effusions have increased. adjacent bibasilar opacities likely atelectasis have increased on the left. there is no pneumothorax. there are moderate degenerative changes in the lower thoracic and lumbar spine
<unk> year old woman with dyspnea, diastolic dysfunction // f/u pleural effusions
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the pacemaker is unchanged. there is stable cardiomegaly. there is no chf. there is no consolidation or pneumothorax. there is stable blunting of the cp angles bilaterally. degenerative changes are present spine.
<unk> year old woman with af, gib, shortness of breath // assess for chf