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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. minimal atelectasis appears decreased at the left costophrenic angle. the lungs appear otherwise clear.
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hypotension, cancer, and fever.
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frontal and lateral views of the chest. enlargement of the heart may be exaggerated by low lung volumes and lordotic positioning. the lungs appear clear without focal consolidation, pleural effusion, or pneumothorax. right picc terminates in unchanged position in the lower svc.
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<unk>-year-old male with leukocytosis.
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frontal and lateral chest radiograph demonstrates new small bilateral pleural effusions with mild basilar atelectasis. no overt pulmonary edema. new linear opacity in the right mid lung is consistent with atelectasis as is linear opacity in the left lower lung. no new focal consolidations. elevation of the left hemidiaphragm is consistent with hernia identified on ct dated <unk>. moderate cardiomegaly is chronic and unchanged. hilar contours are stable in appearance. median sternotomy wires and clips identified. no pneumothorax.
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<unk>-year-old female postop day <num> status post lap appendectomy unable to get off oxygen.
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the patient is status post a right internal jugular central venous catheter with the catheter tip at the superior cavoatrial junction. there is no pneumothorax. bibasilar opacities are noted likely representing combination of atelectasis and or aspiration. the lungs are otherwise without a focal consolidation. heart size is at the upper limits of normal. no acute fractures are identified.
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central line placement.
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the heart is mildly enlarged. the aortic arch is calcified. patchy bibasilar opacities suggest minor atelectasis. there is upper zone redistribution of pulmonary vascularity suggesting pulmonary venous hypertension without frank congestive heart failure. there is no free air. there is no definite pleural effusion or pneumothorax. no free air is seen.
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chest pain and vomiting.
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there is re- demonstration of bilateral moderate pulmonary edema that appears unchanged compared to <unk> study. again there are bilateral upper lobe nodular opacities that is suggestive of disseminated infection with septic emboli. stable mild cardiomegaly. there may be bilateral small pleural effusions.
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<unk> year old man with cirrhosis // interval change?
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ap portable upright view of the chest. there is a new right thoracostomy tube with interval decrease in size of a moderate right pleural effusion since the <time> study. there is no pneumothorax. a small left pleural effusion is present. the endotracheal tube and orogastric tubes remain unchanged in position.
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<unk> year old woman with pleural effusions, s/p pleurx // pleurx placement, r/o pneumothorax
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. subtle, streaky opacities in the right and left lower lobes are most consistent with atelectasis. no pleural effusion or pneumothorax is seen.
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<unk>m with s/p crack cocaine use p/w chest pain // r/o chf/pneumonia
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moderate to severe cardiomegaly is similar compared to the previous study with dense mitral annular calcifications as well as evidence of prior coronary artery stenting. the aorta remains tortuous and diffusely calcified. mild pulmonary edema is demonstrated along with small bilateral pleural effusions, all of which have progressed since the previous chest radiograph. patchy opacities are seen in the lung bases which may reflect areas of atelectasis. no pneumothorax is detected. multiple clips are noted within the left upper abdomen. the osseous structures are diffusely demineralized.
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history: <unk>m with history of pulmonary hypertension, hypertension, hyperlipidemia, presents with cough x <num> weeks, dyspnea, now with hypoxia, right crackles on exam
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diffuse interstitial fibrosis is present compatible with provided history of idiopathic pulmonary fibrosis. difficult to exclude a superimposed pneumonia especially in the absence of baseline prior chest radiograph. no large effusion or pneumothorax. heart size is difficult to assess. bony structures appear grossly intact.
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<unk>f with cough and fever for <num> days, hx of idiopathic pulm fibrosis.
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pa and lateral images of the chest demonstrate well-expanded lungs which are clear. there is no evidence of vascular congestion. there is no pneumothorax or pleural effusion. cardiomediastinal silhouette is unremarkable. visualized osseous structures are unremarkable.
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<unk>-year-old female with ms, now with general fatigue, tremor, and shortness of breath.
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ap upright and lateral views of the chest provided. previously noted port-a-cath has been removed. 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. right humerus is not visualized.
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<unk>m with chest pain // eval for acute process
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compared to the prior study there is no significant interval change.
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<unk> year old man with copd and respiratory failure. // eval for interval change
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lung volumes are low. the cardiomediastinal and hilar contours are within normal limits. there is no pneumothorax, fracture or dislocation. limited assessment of the abdomen is unremarkable. an opacity at right lung base is concerning for pneumonia. no pneumothorax.
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history: <unk>m with fever, rhonci // evaluate for pneumonia, acute process
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the lungs are clear. there is no focal consolidation, effusion, or edema. prominent left cardiophrenic angle fat pad is noted. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
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<unk>f with episode of chest pain and shortness of breath, as well as right shoulder pain for the past two weeks // please assess for pleural effusion, right shoulder dislocation/fx
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moderate cardiomegaly is unchanged. mild pulmonary vascular congestion has improved since <unk> and there is no pulmonary edema. flattening of the hemidiaphragms, seen on the lateral view is consistent with hyperinflation. bilateral pleural effusions are small if present. there is mild bibasilar atelectasis. no pneumothorax or consolidation. a pacemaker device is present, with unchanged position of the leads, ending in the region of the right atrium and right ventricle.
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history: <unk>f with dyspnea // acute process
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lung volumes remain low. severe cardiomegaly is re- demonstrated. the large left pleural is larger, layering along the left lateral chest wall. the moderate right pleural effusion is minimally increased. bibasilar atelectasis is worse. mild pulmonary congestion is not appreciably changed. a new right picc line terminates in the mid svc. a left pacer lead terminates in the right ventricle. there is no pneumothorax.
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hypoxia. evaluate for worsening venous congestion or effusion.
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the endotracheal tube and nasogastric tube have been removed. the right picc remains in good position. the lung volumes are very low. worsening left basal and retrocardiac opacity. small bilateral pleural effusions are stable. mild to moderate interstitial edema is stable. no pneumothorax.
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<unk> year old man with lung cancer, pe, hcap and worsening respiratory status. // ? new infiltrate, ? pulmonary edema
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pa and lateral views of the chest. biapical scarring is again seen, more extensive on the left than on the right. the lungs are otherwise clear. cardiomediastinal silhouette is within normal limits. there is no free intraperitoneal air. surgical clips project over the left lateral chest wall.
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<unk>-year-old female with abdominal pain.
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heart size remains mild to moderately enlarged. the mediastinal and hilar contours are unchanged. the pulmonary vasculature is normal. new consolidative opacity in the right lower lobe is concerning for pneumonia. there is a small right pleural effusion. left lung is clear. no pneumothorax is present. no acute osseous abnormality is visualized.
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history: <unk>m with hiv here with hematuria, fever
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the lungs are clear. there is no pneumothorax. the heart and mediastinum are within normal limits. old healed left rib fractures are present.
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ms. <unk> is a <unk> year old female with a history of pvd s/p bilateral iliac stents, htn, and hld who presents with bilateral pedal edema and progressive rash with transaminitis // please eval for edema or other process
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the cardiomediastinal and right hilar contours are normal. prominence of the left hilum is noted. there is no pleural effusion or pneumothorax. the lungs are well-expanded and clear without focal consolidation concerning for pneumonia. pulmonary vascularity is within normal limits. the upper abdomen is unremarkable. no acute osseous abnormality detected.
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<unk>f with likely leukemia // r/o adenopathy, effusion
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the cardiac, mediastinal and hilar contours appear stable. the heart appears at the upper limits of normal size. streaky right mid lung opacities suggest thickening or minor atelectasis along the minor fissure. there is possibly a trace pleural effusion on the left side only. the lungs appear otherwise clear. kyphotic curvature appears exaggerated, but vertebral body heights appear preserved along the thoracic spine. the bones appear demineralized.
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status post fall.
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portable upright and lateral chest radiographs were obtained. examination is limited due to poor penetration and low lung volumes. no focal consolidation, pleural effusion or pneumothorax is identified. the heart is enlarged with otherwise normal mediastinal and hilar contours.
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fall and weakness, assess for infiltrate.
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the lungs are clear with left pleural effusion noted. no focal consolidation or pneumothorax is seen. there is no right effusion. the heart is top normal in size. normal cardiomediastinal silhouette. surgical clips noted in the right breast.
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chest pain, assess for acute process.
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support lines and tubes are unchanged in appearance compared to the prior study. subtle lucencies are adjacent the mediastinum are likely artifactual due to a combination of atelectasis and pulmonary edema. patchy bilateral airspace opacities are noted, there has been improvement in aeration of the right upper lobe with a more focal area of consolidation in the right lower lobe. the given the rapidly changing appearance, this likely reflects pulmonary edema. the previously demonstrated left pneumothorax is less clearly seen on today's study. multiple rib fractures noted.
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<unk> year old man s/p vats // interval change
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the lungs are clear without focal consolidation, pleural effusion or pneumothorax. there is no pulmonary edema. the heart is normal in size, and the mediastinal contours are normal.
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<unk>-year-old female with substernal chest pain and recent upper respiratory infection. evaluate for cardiopulmonary disease.
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pa and lateral chest radiograph demonstrates a vague opacity projecting over the right upper lung not clearly identified on the lateral. otherwise, lungs are clear without opacity. cardiomediastinal and hilar contours are within normal limits. there is no evidence of pleural effusion, pneumothorax, or pulmonary edema. no air under the right hemidiaphragm is identified.
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<unk>-year-old male with chest pain
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frontal and lateral views of the chest were obtained. small bilateral pleural effusions have enlarged since <unk>. worsening heterogeneous and linear bibasilar opacities are likely atelectasis but other etiologies such as aspiration or pneumonia cannot be excluded. the heart size and cardiomediastinal contours are stable. the catheter of a left chest wall port, which has been accessed, terminates in the lower svc. multiple vertebral body deformities are similar to prior, including vertebra plana of the upper thoracic vertebral body.
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<unk>-year-old male with multiple myeloma with increased work of breathing.
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the lungs appear. cardiac silhouette is unremarkable. mediastinal contours and pleural surfaces are normal. no pneumothorax. slight pectus is appreciated. no rib fractures are noted.
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<unk>-year-old female with right-sided rib pain.
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pa and lateral views of the chest were reviewed and compared to the prior studies. a left port-a-cath ends in the mid svc. linear opacities in the right lung base represent atelectasis; otherwise, the lungs are clear. there is no pulmonary edema, pleural effusion or pneumothorax. the heart size is normal and a clacified tortuous aortic contour is unchanged. expansion and sclerosis of a few right lower ribs is consistent with the diagnosis of myeloma. in the thoracic spine severe vertebral body compression fractures of the t<num> and t<num> vertebral bodies are unchanged since <unk>, but are slightly worse compared to the radiograph of <unk>.
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cough in a patient with multiple myeloma.
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there continues to be mild blunting of the right costophrenic angle. the lungs are clear of focal consolidation, pneumothorax or pulmonary edema. the heart and mediastinal contours are normal.
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<unk>-year-old male with fevers. evaluate for pneumonia.
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an endotracheal tube terminates <num> cm above the carina. the right picc line terminates in the mid svc, unchanged from the last radiograph. compared to the prior radiograph, bilateral parenchymal opacities have worsened, concerning for pulmonary edema versus ards. no pneumothorax. no larger pleural effusions.
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<unk> year old woman with resp failure. assess for change.
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ap and lateral views of the chest. no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal and hilar contours are normal.
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fever, productive cough for five days.
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enteric tube seen to the level of distal stomach, tip not included. right pleural effusion, worsened. right basilar opacity, worsened since prior exam, with volume loss, at least partially atelectasis. infiltrate cannot be excluded. left lung clear. surgical clip left upper quadrant.
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<unk> year old man with new nausea/vomiting, tachycardia // r/o pna
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there is streaky left basilar opacity. blunting of the left lateral costophrenic angle could represent small effusion. the right lung is grossly clear noting that the apex is obscured due to patient's facial/chin. there is no pulmonary edema. the cardiomediastinal silhouette is within normal limits. atherosclerotic calcifications are noted in the thoracic aorta. no acute osseous abnormalities.
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<unk>f with dyspnea // eval for pulmonary edema
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frontal and lateral chest radiograph show well-expanded lungs. there is no focal consolidation. re- demonstration of <num> mm nodular opacity which projects over the right upper lung and is stable. heart size is top-normal. the aorta is torturous. the compared to chest radiograph dated <unk>, there is much decreased interstitial fluid indicating resolution of prior pulmonary edema. there is no pleural effusion or pneumothorax.
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<unk>-year-old male with dyspnea on exertion.
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the cardiac, mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. left lower lobe opacity has resolved. the lungs appear clear. mild reversed s-shaped curvature is again noted along the visualized thoracolumbar spine.
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altered mental status and leukocytosis.
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the cardiomediastinal and hilar contours are within normal limits. lungs are well expanded and clear. there is no focal consolidation, pleural effusion or pneumothorax.
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<unk>m w sudden cp/sob <num>h ago pls r/o ptx, subq air // <unk>m w sudden cp/sob <num>h ago pls r/o ptx, subq air <unk>m w sudden cp/sob <num>h ago pls r/o ptx, subq air
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single portable view of the chest is compared to previous exam from <unk>. since prior, there has been development of a left basilar opacity seen laterally. superiorly, the lungs are clear. cardiomediastinal silhouette is within normal limits for technique. osseous and soft tissue structures are unremarkable.
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<unk>-year-old male with vomiting. question pneumonia.
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lung volumes are low. there are new small to moderate bilateral pleural effusions with adjacent atelectasis. heart is obscured by pleural effusions and not well evaluated. there is no pneumothorax. the aorta is calcified. multiple bilateral rib fractures are better seen on recent ct of the torso.
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<unk>f with recent admission for trauma/assult here for decreased h h // hemothorax from rib fractures?
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the patient is status post median sternotomy and tricuspid and mitral valve replacements. heart size remains mildly enlarged. mediastinal contours are unchanged. there is no pulmonary edema. left basilar consolidative opacity is similar compared to the prior study with a small left pleural effusion, unchanged. patchy right basilar opacity is new, though no right-sided pleural effusion is demonstrated. there is no pneumothorax. left picc tip terminates in the svc. clips are noted in the right upper quadrant the abdomen, likely due to prior cholecystectomy.
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recent pneumonia.
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et tube is <num> cm from the carina. left internal jugular central venous catheter remains in the low svc at about the superior cavoatrial junction. right internal jugular central venous catheter remains in the mid svc. enteric tube terminates in the stomach. there is persistent irregular high density material projecting over the left upper quadrant overall unchanged since <unk> small to moderate layering left pleural effusion with associated atelectasis is unchanged. the lungs are otherwise clear. heart size is normal. the mediastinal and hilar contours are normal. there is no large pneumothorax.
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<unk> year old woman with resp failure s/p intubation with rising leukocytosis please. evaluate for interval change
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits aside from a moderate hiatal hernia projecting along the central lower mediastinum with an air-fluid level. the lungs appear clear. there are no pleural effusions or pneumothorax. bony structures are unremarkable.
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right upper quadrant and epigastric pain.
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pa and lateral chest radiographs again demonstrate mild hyperexpansion. there is no focal consolidation, pleural effusion, or pneumothorax. bilateral apical pleural thickening is unchanged.
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cough and chills. concern for pneumonia.
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mild cardiomegaly is unchanged. the lungs are clear. no pleural effusion, consolidation, or pneumothorax. multilevel degenerative changes of thoracic spine without compression deformity.
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history: <unk>f with chest pain, palpitations. evaluate for pneumonia.
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since the prior exam, the endotracheal tube and enteric tube have been removed. a left picc is unchanged with the tip at the origin of the svc. allowing for changes in lung volumes, mild vascular congestion and retrocardiac atelectasis is not significantly changed. there is likely a small left pleural effusion. there is no new opacity, right pleural effusion, or pneumothorax. marked enlargement of the cardiomediastinal silhouette is stable.
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history of chf. evaluate after extubation.
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portable semi-erect chest film <unk> at <time> is submitted.
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<unk> year old woman with h/o multiple abdominal surgeries p/w <num> days abd pn, nausea/vomiting, ct shows <num>cm ventral hernia containing loop of bowel causing partial sbo, s/p open ventral hernia repair, now desating at ra, sob, tachy to <num>, has hx of cad, // rule out acute cardiopulmonary process rule out acute cardiopulmonary process
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frontal and lateral chest radiographs demonstrate clear lungs, without pleural effusion, or pneumothorax. the cardiac silhouette and mediastinal contours are normal though the aorta is tortuous. the pulmonary vasculature is normal. thoracic kyphosis is unchanged, moderate in degree.
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<unk>-year-old female with history of pulmonary embolus and rheumatoid arthritis with several days of cough, rule out infiltrate.
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the lungs are clear. there is no effusion or pneumothorax. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. surgical clips project over the neck.
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<unk>f with chest pain // ?acute cardio/pulmonary process?
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no focal consolidation is seen. there is no pleural effusion or pneumothorax. the cardiac silhouette is top-normal. mediastinal contours are unremarkable. no displaced fracture is seen.
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history: <unk>f with history of frontotemporal anaplastic oligodendroglioma s/p resection and radiation <unk> years ago presenting with increased frequency of falls. //
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the lung volumes are low. there is a moderate right-sided pleural effusion. a pleural effusion is also suspected on the left. a mild interstitial abnormality is predominantly perihilar and suggests pulmonary vascular congestion. prominence of each hilum also probably reflects mediastinal adenopathy as does widening of the right paratracheal stripe. pulmonary nodules are not well assessed. suture material projects over the left lower chest as before.
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shortness of breath.
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shallow inspiration accentuates heart size. there are small pleural effusions, new since prior. bibasilar opacities are new, likely atelectasis, consider pneumonitis if clinically appropriate. heart size and pulmonary vascularity have increased, partially secondary to shallow inspiration.
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<unk> year old woman with o<num> sat <unk>% on room air post c section. preeclampsia, on magnesium sulfate // ? pulmonary edema
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left basilar atelectasis is noted. there is no evidence of focal consolidation, pleural effusion, pneumothorax, or frank pulmonary edema. the cardiomediastinal silhouette demonstrates fullness of the aorticopulmonary window shown to be due to prominent mediastinal fat on recent ct exam. no acute osseous abnormalities are detected.
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history: <unk>m with <num> week hx of cough refractory to antibiotics // evaluate progression of recent pneumonia
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a nasogastric tube terminates within the proximal stomach with the side port near the gastroesophageal junction, and a epidural catheter is seen. the lungs are grossly clear without focal consolidation, pleural effusions or pneumothorax. the heart is normal in size. abdomen drains and <unk> are noted.
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<unk> year old man with recent epidural placement in thoracic space. rule out pneumothorax.
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the cardiomediastinal silhouette is unremarkable. there is no pleural effusion or pneumothorax. no focal concerning parenchymal opacity. bony structures are unremarkable. no rib fractures is seen on this non-dedicated study.
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<unk>m with fall c/o rib pain, rib fracture or pneumonia.
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median sternotomy wires and prosthetic cardiac valves are re- demonstrated. clear lungs. no pneumothorax or pleural effusion. cardiomediastinal and hilar contours are within normal limits. no evidence of pulmonary edema.
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history: <unk>f with h/o chf, no diuretics for <num> days, coughing, has uri // ? pulmonary edema or other acute cardiopulm process
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the left costrophrenic angle is blunted on pa chest radiograph, but does not persist on lateral view. there is no focal consolidation or pneumothorax. bibasilar atelectasis is resolved. the cardiomediastinal silhouette is within normal limits. prior right rib fractures are partially visualized.
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multiple rib fractures from prior trauma.
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the lung volumes are chronically low likely due in part to severe thoracic kyphosis. the air spaces appear clear without evidence of pneumonia. the heart is mildly enlarged. the mediastinal and hilar contours are unremarkable. pleural effusion likely on the left obscures the posterior costophrenic sulcus. as before the thoracic aorta is tortuous. compression deformities of multiple vertebral bodies are re- demonstrated.
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history: <unk>m with cough and sob // eval for pna
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portable upright frontal view of the chest. dual chamber pacer is noted. the aortic knob is calcified. moderate to severe cardiomegaly is stable. there is no focal consolidation or overt pulmonary edema. tiny right pleural effusion, if any. no left pleural effusion or pneumothorax.
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preoperative evaluation. hip fracture.
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severe cardiomegaly is again noted, similar when compared to prior. left chest wall dual lead pacing device is again noted. the lungs are clear without focal consolidation, effusion, or pulmonary edema. no acute osseous abnormalities.
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<unk>f with hemoptysis // assessment for infiltrate
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heart size remains mildly enlarged. the aortic knob is calcified. pulmonary vasculature is not engorged. severe emphysema is re- demonstrated within the upper lobes. patchy opacities are noted in the lung bases, more so in the right lower lobe. no large pleural effusion or pneumothorax is present. no pulmonary edema seen. there are no acute osseous abnormalities.
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history: <unk>m with increased frothy sputum production, concerning for aspiration. // ? pneumonia / pulmonary effusion
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frontal and lateral views of the chest were obtained. the heart is of normal size with normal cardiomediastinal contours. the pulmonary vasculature is unremarkable. subtle possible nodular opacities in the left and right lower lobe, not well seen on the lateral may reflect superimposition. no frank consolidation. the osseous structures are unremarkable.
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<unk> year old woman with <num>pyh with complex pmhx including severe copd, htn, cad (s/p stentsx<num>), stroke, s/p cholecystectomy, osa on home cpap, malignant melanoma (shoulder, s/p excision <unk>), bladder cancer (low grade, non-invasive), transferred from <unk> for management of newly diagnosed presumed metastatic cholangiocarcinoma that presented w/ acute pancreatitis now improved w/ supportive care, now with leukocytosis and fever // evaluate for infiltrate
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cardiomediastinal contours are normal. lungs are grossly clear on the frontal view. questionable opacity overlying the lower thoracic spine on the lateral view without silhouetting of the diaphragm contours may be due to superimposition of normal structures due to suboptimal positioning on the lateral radiograph limited assessment of the upper abdomen is within normal limits.
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fever. assess for pneumonia.
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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. minimal fluid or thickening is seen involving the right minor fissure. there are no acute osseous abnormalities.
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history: <unk>m with fever and rash
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ap view of the chest. low lung volumes. there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal and hilar contours are stable.
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fever, question pneumonia.
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the patient is status post median sternotomy with multiple intact appearing wires. the inspiratory lung volumes are appropriate. there is mild pulmonary vascular congestion and interstitial edema. small bilateral pleural effusion, right greater than the left are similar to <unk>. opacities at the right lung base are slightly increased from the prior study. the cardiomediastinal and hilar contours are unchanged with top-normal size of the cardiac silhouette and unfolding of the thoracic aorta. mild calcification of the aortic knob is seen. no acute osseous abnormalities detected.
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history: <unk>m with cough // r/o pna
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no significant change compared to the prior exam. the lungs are well-expanded and clear. no focal pulmonary consolidation, pleural effusion, pneumothorax, or pulmonary edema. normal heart size with normal cardiomediastinal contours. normal appearance of the hila. no acute osseous abnormality. no intra-abdominal sub-diaphragmatic free air.
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<unk>-year-old woman complaining of bilateral pleural pain; evaluate for an effusion.
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the lungs are well expanded and clear. there is no focal consolidation, effusion, or pneumothorax. cardiac and mediastinal contours are normal. surgical clips project over the breasts and axilla on the lateral view. there are no vertebral body compression fractures visualized.
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pleuritic back pain, history of breast cancer.
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a frontal semi-upright view of the chest was obtained portably. there is no focal consolidation or pneumothorax. left basilar opacity is likely atelectasis and small left effusion. cardiac and mediastinal silhouettes and hilar contours are stable.
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<unk>-year-old man with tachypnea and hypothermia.
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there are new small bilateral pleural effusions. the left heart border is obscured. there are new perihilar opacities likely secondary to pulmonary edema. there is evidence of mild pulmonary edema. no evidence of a pneumothorax. pacemaker leads are seen terminating in the appropriate position.
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history of shortness of breath.
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the lungs are well-expanded and clear. no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. the heart size is normal. cardiac and mediastinal contours, hila, and pleura are normal.
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<unk>-year-old woman with history of a positive ppd. evaluate for active tuberculosis.
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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. partially imaged is hardware in the lower cervical spine.
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history: <unk>m with cp // r/o pna
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ap and lateral views of the chest. the lungs are clear. previously seen pleural effusions have essentially resolved. the cardiomediastinal silhouette is stable, noting moderate cardiomegaly. median sternotomy wires are again noted. no acute osseous abnormality is identified.
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<unk>-year-old female with past medical history of coronary artery disease, status post multiple stents with afib and aortic stenosis presenting with lightheadedness and bradycardia.
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pa and lateral views of the chest provided. minimal scarring in the left lower lung noted. otherwise lungs are clear. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
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<unk>m with stroke // eval for pna
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ap and lateral views of the chest are compared to previous exam from <unk>. linear opacities at the lung bases are suggestive of subsegmental atelectasis, especially given low lung volumes. elsewhere, lungs are grossly clear without confluent consolidation or effusion. cardiomediastinal silhouette is within normal limits. osseous structures again notable for degenerative changes at the shoulder joints including evidence of prior surgery at the proximal left humerus. large air-fluid level identified within the stomach.
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<unk>-year-old male with fever and slow speech and weakness. rule out pneumonia.
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frontal and lateral radiographs of the chest show appropriate inspiratory lung volumes. the lungs are clear without focal consolidation, pleural effusion or pneumothorax. the pulmonary vasculature is not engorged. the cardiac silhouette is mildly enlarged but stable. prominence of the azygos vein is also unchanged. the mediastinal and hilar contours are otherwise within normal limits.
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<unk>-year-old male with history of crohn's and psc with cirrhosis, here to evaluate for infection.
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in comparison to <unk> chest radiograph, diffuse interstitial opacities appear to have worsened suggesting worsening pulmonary edema and volume overload. there is also bilateral small pleural effusions (left greater enlarged right) unchanged from <unk> chest radiograph. right ij is in stable position at the cavoatrial junction. median sternotomy wires are intact and aligned.
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<unk> year old man s/p cabg // eval for effusion/ infiltrate/ worsening atelectasis
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dual lead left-sided pacer device is stable in position. patient is status post median sternotomy. there is a small left pleural effusion with overlying atelectasis. the cardiac and mediastinal silhouettes are unremarkable.
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history: <unk>f with cough // acute rpcoess?
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right picc tip projects over the upper svc. the lungs are grossly clear given patient positioning, leaning towards the right. the cardiomediastinal silhouette is within normal limits. multiple metallic densities are noted with the largest piece projecting over the left upper lung measuring up to <num> cm in size. additional smaller fragments seen scattered over the right lung field and soft tissues of the back. no acute osseous abnormalities. mid thoracic dextroscoliosis is noted.
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<unk>m with cough // eval for pna
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no significant interval change in a short time span from the prior radiograph. the ng tube again could be advanced a few cm from <unk> purchase. there is a right-sided pigtail catheter in position. no pneumothorax. et tube good position.
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<unk> year old man with new a-fib // interval change
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there has been interval development of airspace opacity in the right mid lung, and retrocardiac left lower lobe concerning for pneumonia. there is no significant effusion, or pneumothorax. the pulmonary vasculature appears normal. the cardiac silhouette is top normal in size, the mediastinal contours are normal.
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<unk>-year-old female on immunosuppressants for psoriatic arthritis, now with low-grade fever and cough, question pneumonia.
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portable upright chest radiograph <unk> at <time> is submitted.
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<unk> year old woman with metastatic pancreatic cancer now with chest pain // please assess for infection, effusion, edema please assess for infection, effusion, edema
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pa and lateral views the chest provided. cardiomediastinal silhouette is stable. lungs are clear. bony structures are intact. no free air below the right hemidiaphragm.
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<unk>f with hyperglycemia and cough, evaluate for pneumonia.
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as compared to the previous radiograph, the right pleural effusion has minimally decreased in extent. the small left pleural effusion slight increased. borderline size of the cardiac silhouette. unchanged bilateral pleural drains and right port-a-cath as well as the left pacemaker. no pulmonary edema.
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<unk> year old woman with pleural effusion // eval
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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>m pmh colon cancer, cad, hyperlipidemia, hypertension, herpes zoster,bph, gerd p/w htn, tachycardia. // pna, cardiac
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there is a moderate-sized right pneumothorax without significant tension component streaky opacification of the right lung base most likely reflects bronchovascular crowding and associated collapse of the lung. small bilateral pleural effusions are present on the right greater than the left. the lungs are hyperexpanded with flattening of the diaphragm compatible with copd. the pulmonary vasculature is not engorged. cardiac silhouette is normal in size. the mediastinal and hilar contours are within normal limits. there are minimally displaced fractures of the <unk> anterolateral, <unk> posterolateral, and <unk> anterolateral ribs. multilevel degenerative changes are noted in the thoracic spine.
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right-sided chest pain, dyspnea and cough status post trauma, here to evaluate for rib fracture or pneumothorax.
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airspace opacity is seen overlying the right upper lung. there is also prominence of the hila and perihilar vessels bilaterally suggesting some pulmonary edema. there are low lung volumes. there is blunting of the left costophrenic angle which could be due to a trace pleural effusion. relatively linear opacity projecting over the lateral left mid to lower lung, is nonspecific. the aorta is calcified and tortuous. the cardiac silhouette is mild to moderately enlarged. the patient is rotated somewhat to the left.
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history: <unk>m with cough, dyspnea, <unk> edema // presence of infiltrate, pulmonary edema
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low lung volumes cause bronchovascular crowding. there is no pneumothorax, pleural effusion, pulmonary edema, or focal consolidation. there is no displaced rib fracture. the cardiomediastinal silhouette is within normal limits.
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<unk>m with s/p mvc, chest and knee pain, evaluate for fracture or pneumothorax.
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left apical pleural fibrosis is unchanged. no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. the heart size is normal. mediastinal contours are normal. no bony abnormality is detected.
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shortness of breath and right-sided wheezing.
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lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. no pulmonary edema is seen.
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history: <unk>m with chest pain // ? chf
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a port-a-cath terminates in the superior vena cava. the heart is normal in size. the mediastinal and hilar contours appear within normal limits. the lungs appear clear. there is no pleural effusion or pneumothorax.
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nausea and vomiting after desmoid tumor removal recently. history of recurrent bowel obstruction.
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single ap view of the chest was reviewed. the cardiomediastinal and hilar contours are stable. there is no pneumothorax or large pleural effusion. lingular scarring is again noted with left hemidiaphragmatic elevation. increased opacity at the right lung base likely reflects minimal atelectasis. right total shoulder arthroplasty is again noted. there is no free air under the diaphragm.
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epigastric pain, hypoxia.
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ap portable upright view of the chest. patient is intubated and tip of the endotracheal tube resides <num> cm above the carina. an ng tube courses into the left upper abdomen. midline sternotomy wires are again noted. there is an aicd with leads extending into the region of the right atrium and right ventricle. the heart remains stable e enlarged. small bilateral pleural effusions are present with lower lung opacities concerning for aspiration versus pneumonia. hilar congestion and mild pulmonary edema is noted. no definite pneumothorax. bony structures appear intact.
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<unk>m with s/p intubation// ett and og
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the lungs are clear, the cardiomediastinal silhouette and hila are normal. there is no pleural effusion and no pneumothorax.
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<unk>-year-old with ankle fracture, pre-op chest radiograph.
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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 sob // eval for pneumonia
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the lungs are hyperinflated consistent with the given history of asthma. there is no evidence of focal consolidation worrisome for pneumonia. no pleural effusion or pneumothorax. the cardiac size is normal. the hilar contours are unremarkable. there is slight loss of height anteriorly of a mid thoracic vertebral body seen on the lateral views.
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asthma and cough. question acute process.
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lungs are well-expanded and clear. cardiomediastinal air and hilar contours are unremarkable. no pneumothorax, pleural effusion, or consolidation.
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history: <unk>m with cough, copd // eval for infiltrate
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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>m with chest pain and cough // eval for pna
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right-sided pleural drain in situ. right-sided picc line in situ with the tip in the proximal to mid svc. the right-sided hydro pneumothorax is essentially unchanged. opacification of the right upper lobe shows interval improvement. no airspace opacification involving the left lung. left-sided pleural effusion is moderate and unchanged compared to prior imaging. left prepectoral pacemaker in situ with the lead tip seen in the right atrium and right ventricle. no cardiomegaly. no pulmonary edema. spondylotic changes of the thoracic spine.
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<unk> year old woman with r sided effusion s/p pigtail catheter placement, now with worsening respiratory distress // eval for ptx, worsening effusion
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