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in comparison the prior study of <unk>, pulmonary vascular congestion has resolved. cardiomediastinal silhouette is notable for tortuosity of the thoracic aorta. linear opacities at the right base likely represent atelectasis. heterogeneously dense retrocardiac opacities may represent atelectasis or developing consolidation. there is no pleural effusion or pneumothorax. several compression deformities in the thoracic spine have progressed since the the study of <unk>.
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<unk> year old man with hx of myeloma now with cough. please further evaluate for cough. // <unk> year old man with hx of myeloma now with cough. please further evaluate for cough.
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the lungs are moderately well inflated. there is a new subtle right lower lobe opacity is noted. no pulmonary edema. no pleural effusion or pneumothorax. the heart is top-normal in size, unchanged since prior examination. mediastinal contour and hila are unremarkable. intact median sternotomy wires and mitral valve prosthesis are noted. a left anterior chest wall pacer device lead tips are in the right atrium and right ventricle.
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<unk>f with h/o asthma and hfpef presents with acute worsening of dyspnea over last <num> days. assess for volume overload vs consolidation
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the lungs are well expanded and clear. the previously seen pulmonary edema has improved since prior. there is no pleural effusion or pneumothorax. degree of cardiomegaly is unchanged pain.
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history: <unk>m with sob // r/o pna
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frontal and lateral radiographs of the chest were acquired. there is minimal left lower lung scarring/atelectasis, decreased compared to the prior study. the lungs are otherwise clear. there has been near-complete interval resolution of a small loculated left pleural effusion, with minimal residual pleural thickening/fluid along the lateral aspect of the left lower lung, best appreciated on the frontal projection. there is no right pleural effusion. no pneumothorax is seen. the heart size is normal. the mediastinal contours are normal.
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acute onset dyspnea.
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lungs are hyperinflated. there is no consolidation, pleural effusion, or pneumothorax. cardiomediastinal silhouette is normal size. large hiatal hernia. there is a <num> cm round opacity projecting over the right lung base and right hemidiaphragm on frontal view. compression deformity is noted in the lumbar spine.
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history: <unk>f with chest pain // eval infiltrate
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multiple nodules are seen with <num> particular nodule potentially new (overlying the third left anterior rib). the heart's size is at the upper limit of normal, however the cardiomediastinal is otherwise unremarkable. there is no pleural effusion or pneumothorax.
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<unk> year old man with cough for one year // tb vs malignancy r/o tb vs malignancy r/o
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two radiographs demonstrate descent of an enteric tube through the thorax an uncomplicated course. final images demonstrate the enteric tube its tip which projects over the left upper quadrant in the anticipated location of the gastric lumen. lung volumes are low with associated atelectasis at the bases. there is no large pleural effusion. opacity projecting over the right medial lung baselikely reflects bronchovascular crowding, less likely aspiration event. there is no large pleural effusion.
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<unk> year old man with cerebellar tumor resection // new <unk> placement
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in comparison to the recent cxr performed <num> minutes earlier, there has been interval placement of a dobhoff tube, which is currently located in the mid-esophagus. there is atelectasis at the right lung base. no evidence of pneumonia or pulmonary edema. there is no pneumothorax. the bilateral pigtail catheters and ij catheters are unchanged in position.
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<unk> year old man s/p <unk> step of dht placement // eval for dht placement
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no significant change since the prior chest radiograph. left apical sutures from recent surgery are unchanged in position. the lungs are well expanded and clear. there is no pneumothorax, focal consolidation, pleural effusion, or pulmonary edema. the cardiomediastinal silhouette, hila, and pleural are normal.
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<unk>-year-old man with h/o multiple spontaneous pneumothoraces s/p left vats apicalblebectomy and mechanical and chemical (<num> g doxycyclinepleurodesis performed <unk>. evaluate for interval change.
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ap upright and lateral views of the chest provided. lung volumes are low. there are small bilateral pleural effusions with bibasilar opacities concerning for atelectasis though pneumonia difficult to exclude in the correct clinical setting. the heart size is normal. mediastinal contour is also normal. there is no pneumothorax. bony structures are intact. lucency below the right hemidiaphragm may represent air-filled loops of bowel. please correlate clinically.
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<unk>m one month s/p colectomy // abscess, free fluid
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the heart is at the upper limits of normal size. a calcified lymph node again projects over the prevascular region of the mediastinum. there is no pleural effusion or pneumothorax. the lungs appear clear.
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new atrial fibrillation.
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partially visualized spinal fusion hardware again noted. the heart appears top-normal in size. hila are markedly congested and there is at least moderate pulmonary edema. no large effusion is seen. no pneumothorax. no convincing signs of pneumonia.
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<unk>m with hx of lung ca, presented with worsening shortness of breath for one week, recent dc lasix. recent admission for pneumonia
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pa and lateral views of the chest provided. lung volumes are low. the heart is moderately enlarged. there is a no focal consolidation, effusion or pneumothorax. no signs of pulmonary edema. imaged osseous structures are intact. there is no free air below the right hemidiaphragm.
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<unk> year old man s/p mcc with grade iii splenic lac and hematoma. // baseline cxr to evaluate focal hyperdensity in the right lower lobe could reflect a focal area of atelectasis from chest ct
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the lungs are hypoinflated, but do not demonstrate any focal opacities. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. the aorta is mildly tortuous.
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<unk>-year-old female with chest pain. evaluate for presence of pneumonia.
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the ng-tube is seen on the second radiograph curled into the partially intrathoracic stomach to the right of the midline. pacemaker is in appropriate position. substantial cardiomegaly remain stable. bibasilar opacities, a combination of effusions and atelectasis are worse on the left than the right. old, healing rib fractures are noted.
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<unk> year old woman with ams s/p og tube placement // ?og placement //<unk> year old woman with ams s/p og tube placement
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the cardiac silhouette is normal in size. the hilar and mediastinal contours are within normal limits. lungs are well expanded and clear. there is no focal consolidation, pleural effusion or pneumothorax. no acute osseous injury is identified.
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history: <unk>f with chest pain for one week. reproducible chest wall tenderness. // obvious fracture or pneumo
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the lungs are clear. bilateral small pleural effusions have resolved. the cardiac and mediastinal silhouettes are unremarkable.
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<unk> year old man with metastatic bladder cancer with fatigue, malaise // r/o pneumonia
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there are low lung volumes accentuating the cardiomediastinal silhouette and pulmonary vasculature. hilar and mediastinal contours are within normal limits. no acute consolidation is appreciated. no subdiaphragmatic free air is seen. no pleural effusions or pneumothorax is seen. sclerotic right humeral head is stable since <unk>.
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weakness. evaluate for infiltrate.
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overlying external artifact partially obscures the view. endotracheal tube is seen, terminating approximately <num> cm above the level the carina. no focal consolidation is seen. no large pleural effusion or pneumothorax. the cardiac silhouette is top-normal. mediastinal contours are grossly unremarkable. old posterior left-sided rib fracture was better seen on prior study, an external lead likely overlies it on the current study. right upper quadrant surgical clips are incidentally noted.
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history: <unk>f with hypoxia, respiratory distress // evaluate for acute process
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two views of the chest demonstrate clear lungs without pleural effusion or pneumothorax. the cardiac silhouette is normal in size. the mediastinal contours are normal.
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<unk>-year-old male with weakness.
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the lungs are well inflated and clear. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. there is no pleural effusion or pneumothorax.
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<unk>-year-old woman with cough and fever for <num> days, evaluate for pneumonia.
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one portable semi-erect ap view of the chest. there is a large hiatal hernia with adjacent atelectasis in the left lung. mass-like opacity in the right lung apex concerning for primary lung malignancy. there is no pleural effusion or pneumothorax. there are aortic calcifications. the cardiac, mediastinal and hilar contours are unremarkable. there is no free air.
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<unk>-year-old female with altered mental status. evaluate for acute process.
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there is no focal consolidation, pleural effusion, or pneumothorax. the heart size is normal. there is again seen abnormally enlarged contour of the right hilum consistent with lymphadenopathy on prior studies, unchanged.
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metastatic brain cancer, fall.
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the lungs are clear without focal opacity, pulmonary edema, pleural effusion or pneumothorax. the cardiac and mediastinal contours are normal.
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history: <unk>f with chest pain // eval pna/ptx
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there is tiny benign calcified granuloma in the left upper lung. postoperative changes right shoulder. . normal heart size, pulmonary vascularity. no infiltrates.
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<unk> year old man with hx of epilepsy // evaluate cardiovascular status
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lung volumes are lower. retrocardiac opacity is likely atelectasis. the heart is top-normal in size, unchanged. the mediastinum is not widened. no edema no pleural effusion, pneumothorax, or focal consolidation.
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<unk>-year-old woman with with meningioma, reduced mental status. evaluate for pneumonia.
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the patient is not in full inspiration. overall, no significant change compared to the prior exam. overall stable multi-focal bilateral opacities, without clear evidence of new focal opacities. stable small bilateral effusions with some tracking in the major fissures. stable moderate pulmonary edema. stable cardiomegaly and mediastinal contours. no pneumothorax. the sternotomy wires and cardiac valve devices appear intact and unchanged in position. no acute osseous abnormality.
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<unk>-year-old man with history of chf and multi focal pneumonia, now presenting with worsening shortness of breath; evaluate for pulmonary edema.
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mild to moderate enlargement of the cardiac silhouette persists. aorta remains mildly tortuous. mediastinal and hilar contours are similar, with mediastinal vascular engorgement re- demonstrated. there is mild upper zone vascular redistribution and enlargement of the pulmonary arteries, not substantially changed in the interval, without overt pulmonary edema. no focal consolidation, pleural effusion or pneumothorax is demonstrated. minimal streaky atelectasis is noted in the lung bases. there are no acute osseous abnormalities.
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history: <unk>m with esrd on hd presents with shortness of breath but no hypoxemia in setting of missing hd yesterday.
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the lungs are clear of focal consolidation, pleural effusion or pneumothorax. the heart size is normal. the mediastinal contours are normal. vertical linear markings over the left lung likely reflect the patient's hair though pneumomediastinum is another possibility.
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<unk>-year-old female with increased work of breathing, respiratory distress, history of iv drug abuse. evaluate for aspiration pneumonitis/pneumonia.
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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. a chronic deformity involving the left sixth rib is noted.
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<unk>f with s/p syncope and chest pain // r/o acute process
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cardiomediastinal contours are stable. multifocal peribronchial consolidations and nodules in the right upper lobe and lower lobes bilaterally larger on the right are grossly unchanged, better evaluated in prior ct. . there is no pneumothorax or pleural effusion. the osseous structures are unremarkable. right port a cath tip is in the cavoatrial junction
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<unk> yo female w diagnosis all undergoing cy/tbi conditioning prior to allo bmt // need pa chest for physics calculation prior to tbi
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evaluation is slightly limited by technique. within this limitation, the inspiratory lung volumes remain low. the coarse reticular markings in the lung parenchyma are increased from the prior study, more pronounced in the lung bases. in particular, there is decreased aeration of the right lung base, which may represent atelectasis or developing airspace disease. the pulmonary vasculature is unchanged. no pneumothorax is detected. the cardiac silhouette is enlarged but stable. the mediastinal and hilar contours are within normal limits. partial calcification of the aortic knob is re-demonstrated. no acute osseous abnormality is detected.
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history of pulmonary fibrosis, now with dyspnea, here to evaluate for pneumonia or pulmonary edema.
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the lungs are clear. heart and mediastinal silhouette is within normal limits. no acute osseous abnormalities.
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<unk>f with cough, shortness of breath, chest tightness // eval pneumonia, or other acute process
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shallow inspiration accentuates heart size, pulmonary vascularity. patchy bibasilar opacities, likely atelectasis. no pleural fluid
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<unk> year old man with fever, stroke, concern for aspiration pna // please eval for r lower lobe infiltrate, ?aspiration
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the lungs are well expanded. aeration of the lungs has dramatically improved since <unk> with near complete resolution of the bibasilar pulmonary opacities. there is no evidence of chf. no consolidation, effusion or pneumothorax. a nasogastric tube is in the appropriate position in the stomach. there are no abnormal cardiac and mediastinal contours.
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<unk>-year-old woman with new ng tube placement.
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the heart is mild to moderately enlarged. the heart is moderately tortuous with calcifications visualized along the arch. allowing for differences in technique, the cardiac, mediastinal and hilar contours appear unchanged. the pulmonary vascularity is indistinct with upper zone redistribution and there is very slight interstitial prominence, the appearance suggesting mild vascular congestion or fluid overload. there is no pleural effusion or pneumothorax. moderate degenerative changes involve the right glenohumeral joint. small osteophytes are noted along the lower thoracic spine. although views of bony detail are limited, there is no definite evidence for fracture.
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back and shoulder pain after a fall, on plavix.
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patient is status post median sternotomy and cabg. heart size is normal. the mediastinal contours are unchanged. right hemidiaphragm remains elevated with associated right basilar atelectasis. pulmonary vasculature is not engorged. left lung is grossly clear. no pleural effusion or pneumothorax is demonstrated. there are no acute osseous abnormalities. mild to moderate multilevel degenerative changes are noted in the thoracic spine.
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history: <unk>f with shortness of breath with chest pain
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cardiac silhouette is enlarged with increased bibasilar airspace opacities. there is no large pleural effusion. there is no pneumothorax. partially imaged dobbhoff tube is seen in the stomach with the tip not visualized.
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<unk> year old man with ams i am going to evaluate for pulmonary edema/and fusion.
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portable chest radiograph demonstrates worsened right lung pulmnonary edema with more confluent opacification in the right lower lung which may represent combination of increasing atelectasis and worsening edema or possible central hematoma. stable rightward shift of widened mediastinum, an expected posturgical finding. possible small right pleural effusion is unchanged. no left pleural effusion. right-sided chest tube is stable in position. no pneumothorax. minimally decreased subcutaneous emphysema evident.
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postop day <num> right lobe lobectomy and now acutely hypoxic and tachycardic. please evaluate for intrathoracic process.
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no significant change from the prior exam. persistent large left pleural effusion and adjacent atelectasis. stable probable cardiomegaly. unchanged appearance of the cardiomediastinal silhouette and hila. no focal consolidation, pneumothorax, or pulmonary edema. unchanged position of the right port-a-cath terminating in the right atrium.
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<unk> year old woman with recurrent malignant l sided effusion, here with dyspnea; assess size of l effusion.
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compared to the prior radiograph, heart size is decreased and previous cephalization has improved. the left-sided port-a-cath tip terminates at the cavoatrial junction. no focal consolidation, pleural effusion, or pneumothorax.
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history: <unk>f with bipolar d/o, h/o ivdu, l chest port, presenting with fever, tachycardia and right toe pain. assess for pneumonia.
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frontal and lateral radiographs were acquired. a radiopaque skin marker is seen along the left anterior second intercostal space. the lungs are clear. the heart size is normal. the mediastinal contours are normal. there are no pleural effusions. no pneumothorax is seen. no displaced rib fractures are identified.
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chest trauma from a "bball." assess for rib fracture.
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pa and lateral chest radiographs demonstrate low lung volumes. however, there is no focal consolidation, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is normal.
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chest pain. concern for pneumothorax or pneumonia.
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pa and lateral views of the chest provided. prosthetic cardiac valve projects over the heart. mediastinal clips are noted. 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 ams/stroke // pna?
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no focal consolidation is seen on this limited portable ap view of the chest. no pleural effusion or pneumothorax is present. there is stable appearance of mild cardiomegaly. there is no evidence of pulmonary vascular congestion. median sternotomy wires are unchanged from prior.
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rising white blood cell count, rule out pneumonia.
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blunting of the left costophrenic angle may reflect focal atelectasis or trace pleural fluid. left retrocardiac airspace opacity appears slightly more conspicuous compare to prior. the upper lung fields are clear bilaterally. there is no right pleural effusion, pneumothorax, or frank pulmonary edema. the heart remains mildly enlarged. the descending thoracic aorta is ectatic, and calcifications are seen at the aortic arch. multilevel degenerative changes are noted throughout the visualized thoracic spine.
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<unk>f with weakness // eval chf, infiltrate
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the enteric tube terminates in the stomach. the endotracheal to terminates <num> cm above the carina. the tip of the right ij catheter is at the cavoatrial junction. there are small-to-moderate bilateral pleural effusions with adjacent atelectasis. no pneumothorax.
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<unk> year old woman intubated by unresponsiveness and nonconvulsive status // ? pneumonia
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pa and lateral radiograph demonstrates stable dextroscoliosis with apex at the thoracolumbar junction. the aorta is tortuous. otherwise, mediastinal, hilar and cardiac contours are unremarkable. bibasilar increased lung markings likely reflect early pulmonary edema. deformity of right upper ribs and the right glenohumeral joint is unchanged compared to <unk>. there is a cardiac monitoring device projecting over the left heart, possibly a reveal monitor.
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palpitation, fatigue. please evaluate for pneumonia or mediastinal or cardiac disease.
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patient is status post right pneumonectomy with complete opacification of the right hemi thorax, clips in the right hilar region, and unchanged rightward shift of mediastinal structures. heart size cannot be assessed. left hilar contour is unchanged, and there is no pulmonary vascular engorgement in the left lung. left lung is clear without pleural effusion or pneumothorax. postsurgical deformity of the right thoracic rib cage is re- demonstrated.
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history: <unk>m with wheezing, sat <unk>% on arrival
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the lungs are well expanded. there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. the imaged upper abdomen is unremarkable. the bones are intact.
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history of left-sided chest pain and one month of cough. rule out infiltrate.
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heart size is normal. the aorta remains tortuous. mediastinal and hilar contours are unchanged, with tortuosity of the thoracic aorta again noted. diffuse ground-glass opacities with increased interstitial markings are noted bilaterally, predominantly with an upper zone and perihilar distribution. findings are similar compared to the prior exams. no pleural effusion or pneumothorax is seen, and no new focal consolidation is present. no acute osseous abnormality is present though there are mild degenerative changes throughout the thoracic spine.
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dyspnea.
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lung volumes are low. enlarged cardiac silhouette likely reflects low lung volumes. there is no pneumothorax or pleural effusion. there is no focal consolidation to suggest pneumonia. pleural surfaces are unremarkable.
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<unk>m with "cold, asthma exacerbation, cough // eval for pneumonia .
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the cardiomediastinal silhouette is unchanged, and shifted leftward. the right lung is hyperaerated expanded, unchanged since prior examination. the right-sided chest port is noted, with the tip terminating at the cavoatrial junction. a round opacity in the left upper lung corresponds to a rounded nodule seen on recent chest ct. another, the smaller round opacity is noted in the right lower lung which does not have a definite correlate on recent ct scan. there is stable elevation of the left hemidiaphragm. no definite pneumothorax or large pleural effusion is noted.
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<unk>f with sob
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there is a single-lead pacemaker device terminating in the right ventricle, as before. the heart is again mild-to-moderately enlarged. there is no pleural effusion or pneumothorax. the lungs appear clear. bony structures are unremarkable.
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dyspnea.
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there is no evidence of free air. cardiac size is normal. pleural surfaces are unremarkable with no pleural effusion. trachea is midline. no focal consolidations concerning for pneumonia. accentuation of the vasculature is likely due to low lung volumes.
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<unk>-year-old female with epigastric pain. evaluate for free air.
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there are low lung volumes. cardiomediastinal contours are normal. the lungs are clear. there is no pneumothorax or pleural effusion. there are mild degenerative changes in the thoracic spine. cervical spinal hardware is present.
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<unk> year old man with htn, dvt, niddm, presenting with abdominal distention diarrhea, and leukocytosis concerning for leukemia. // please evaluate for pneumonia; intraparenchymal process.
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feeding tube tip projects over lower third of the mid chest, in the distal esophagus, approximately <num> cm from the gastroesophageal junction. surgical clips in the right upper quadrant. normal heart size, pulmonary vascularity. lungs are clear. no pneumothorax. posttraumatic or postsurgical stable deformity distal left clavicle.
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<unk>m s/p dobhoff placement halfway to <num> cm // make sure dobhoff in esophagus, not lung
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frontal chest radiograph demonstrates the endotracheal tube terminating <num> cm above the carina. nasogastric tube sidehole terminates above the diaphragm though tip is within the stomach. lung volumes are low, and there is no large pleural effusion or pneumothorax. there is no focal consolidation. the cardiomediastinal silhouette is normal. partially imaged is fusion hardware within the lumbar spine.
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intubation required for mri. evaluation of et tube placement.
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cardiomediastinal silhouette and hilar contours are unremarkable. lungs are clear. there is no pleural effusion or pneumothorax.
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confusion.
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the lungs are better aerated compared to the prior radiograph. clear lungs with no pleural effusion or pneumothorax. stable cardio megaly. unchanged position of a left-sided pacemaker with intact pacer wires. bony thorax is unchanged. surgical clips project over the upper abdomen. unchanged severe glenohumeral arthropathy on the right side.
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<unk> year old man with prior hypoxia, cough // eval for interval chg, ?consolidation
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portable frontal radiograph of the chest demonstrates an ng tube ending at the level of the ge junction on the initial image, with a second image showing the ng tube within the stomach. a right picc line is in unchanged position of the cavoatrial junction. otherwise, there is stable appearance of the chest with stable cardiomediastinal silhouette, no focal consolidation, pleural effusion or pneumothorax.
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new ng tube placement.
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frontal and lateral radiographs of the chest show stable elevation of the left hemidiaphragm. a small left pleural effusion is new from the preceding radiograph. mild bibasilar atelectasis is noted. the lungs are otherwise clear without focal consolidation or pneumothorax. no pulmonary vascular congestion or edema is present. the cardiac silhouette is top normal in size but unchanged. the mediastinal and hilar contours are within normal limits. mild s-shaped thoracolumbar scoliosis is also unchanged.
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<unk>-year-old female postop day #<num> status post abdominal myomectomy, now with chest pain and shortness of breath, here to evaluate for acute pulmonary process.
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the heart size is normal. the aorta is tortuous. the mediastinal and hilar contours are otherwise unremarkable. lungs are clear. no pleural effusion, focal consolidation or pneumothorax is present. the pulmonary vasculature is normal. there are no acute osseous abnormalities.
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history: <unk>f with cough x<num> weeks and chest pain // assess for infiltrate, effusion, ptx
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there are chronic interstitial changes and flattened diaphragms consistent with copd. there is no cardiac or mediastinal enlargement. there is no pulmonary congestion, pneumothorax, or pleural effusion. no acute parenchymal abnormality.
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<unk>-year-old with history of lymphoma with mild hypoxemia.
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as compared to chest radiograph from earlier today, small right apical pneumothorax is unchanged. right pigtail catheter in unchanged positions. no other relevant change.
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<unk> year old man with ptx, chest tube clamped for <num> // assess for recurrent ptx
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the heart size, mediastinal, and hilar contours are normal. a new opacity in the left lower lung is likely atelectasis. the lungs are otherwise clear without pleural effusion, focal consolidation, or pneumothorax.
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<unk>f with pre op. eval for pre op.
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pa and lateral views of the chest. the lungs are clear. cardiomediastinal silhouette is within normal limits. note is made of pectus excavatum. osseous and soft tissue structures are otherwise unremarkable.
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<unk>-year-old with syncope.
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new from <unk>, is a moderate right pleural effusion with associated volume loss. additionally, there is fullness of the right hilum. minimal blunting of the left costophrenic angle it may represent an additional small left pleural effusion. there is no focal consolidation to suggest pneumonia although a right lower lobe process cannot be excluded. mild pulmonary edema is present. right-sided cardiac border is obscured. mediastinal silhouette is normal.
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<unk>m with <unk> days of hemoptysis, evaluate for pneumonia.
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the ng tube tip courses below the diaphragm with side ports at the distal esophagus, and must be advanced. the heart size is normal. there has been a slight interval increase in pulmonary vascular engorgement and bilateral pulmonary edema. otherwise, the hilar and mediastinal contours are unchanged. there is a new focal consolidation in the left lingula concerning for infection. there is a small left pleural effusion. there is no pneumothorax.
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<unk>-year-old man with history of cirrhosis and hepatic encephalopathy status post ng tube placement who presents for evaluation.
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lungs are hyperinflated but clear. there is mild left apical pleural thickening. cardiomediastinal silhouette is normal. no pleural effusion or pneumothorax. chronic deformity of the right sided ribs is again seen.
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<unk> year old man with weakness and history of etoh abuse. concern for aspiration. evaluate for infiltrate.
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pa and lateral views of the chest demonstrate massively widened upper mediastinum which is not significantly changed since the prior study from <unk>, and likely related to post-surgical changes from recent ascending aortic graft repair. there has been interval removal of right internal jugular central venous catheter. mediastinal and posterior left lateral chest wall <unk> are again seen. the heart is stable in size. there is atelectasis of the left lung base, with no evidence of pulmonary edema or focal consolidation concerning for pneumonia. there is no pneumothorax.
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<unk>-year-old man with type b aortic dissection repair on <unk>, now with chest and back pain.
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a dobhoff tube is seen coursing below the diaphragm, however the tip is not visualized. unchanged moderate pulmonary edema and bilateral pleural effusions. stable cardiomediastinal silhouette. no pneumothorax.
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<unk> y/o m s/p dobhoff replacement // eval for position
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evaluation is limited due to patient rotation with resultant accentuation of the cardiomediastinal silhouette. within this limitation, an endotracheal tube terminates at the level of the thoracic inlet approximately <num> cm above the carina. an enteric tube terminates in the lower esophagus, which should be advanced for proper positioning. the inspiratory lung volumes are low. the right hemidiaphragm is slightly elevated. there is right basilar opacification. no large pleural effusion or pneumothorax is seen. the pulmonary vasculature is not engorged. no acute osseous abnormality is detected.
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<unk>-year-old woman s/p intubation // eval ett
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compared to the prior study there is no significant interval change.
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<unk> year old man with chf exacerbation, ongoing cough despite appearing much less fluid overloaded // ? change in pleural effusion
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portable upright chest radiograph demonstrates clear, well expanded lungs. there is no focal consolidation, pleural effusion, or pneumothorax. the cardiac silhouette is normal in size, the mediastinal contours are normal.
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<unk>-year-old male with chest pain, question pneumonia.
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there is no pleural effusion or pulmonary edema. a vague, ellipsoid opacity is projects superior to the left hilum on both frontal and lateral views. this could be residual of pneumonia or a lung mass. the cardiac silhouette is within normal limits.
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history: <unk>f with hoarseness, recent pna // eval for pna
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the patient is status post median sternotomy and cabg. the aorta is calcified and tortuous. the cardiac silhouette is top-normal in size. minimal left basilar atelectasis is seen. there is no focal consolidation, pleural effusion, or evidence of pneumothorax. no pulmonary edema is seen.
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dyspnea on exertion, new conduction delay.
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the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified.
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<unk>f with chest pain, cough x<num> day // r/o infection
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compared with the prior study, the previous left pneumothorax has now significantly enlarged, without evidence of mediastinal shift. no change in right-sided pigtail catheter. the left-sided pigtail catheter appears to have been rotated. previous right apical pneumothorax is no longer detected. the endotracheal tube projects <num> cm above the carina. a right ij central line is unchanged in position. multiple cavitary lesions in the lungs are re- demonstrated.
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<unk> year old woman with infective endocarditis, with bilateral chest tubes. evaluate for interval change.
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there is no change compared to early or same-day study performed at <unk>. post-sternotomy cardiomediastinal silhouette and hilar contours are unchanged. there is central pulmonary vascular congestion with re-demonstration of increased interstitial markings throughout the right lung field with more prominent focal consolidations within the right upper lobe and the right middle lobe. there is no large pleural effusion or pneumothorax.
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shortness of breath and elevated troponins. evaluate for chf.
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as compared to prior chest radiograph from <unk>, lung volumes are decreased. there is bibasilar atelectasis. wispy opacities in both lungs correspond with pulmonary nodules seen on prior ct examination from <unk>. there is a probable small left pleural effusion. the cardiomediastinal and hilar contours are within normal limits.
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metastatic pancreatic cancer here for acute back pain. rule out pneumonia.
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patient is status post right upper lobe wedge resection. right chest tube is in place with no pneumothorax. mild bibasilar linear atelectasis with low lung volumes bilaterally. there is no pulmonary edema. no pleural effusion. cardiac size is mildly enlarged but unchanged. aorta is tortuous. metal clips noted in the right upper abdomen.
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<unk> year old man with rul wedge resection // ptx, hemothorax
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portable ap chest radiograph <unk> at <time> is submitted.
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<unk> year old woman with leukocytosis and sepsis // ?pneumonia ?pneumonia
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there is a right ij, which terminates in the right atrium and should be pulled back <num>-<num> cm. the ett terminates <num> cm above the carina and should be pulled back <num>-<num> cm. there is a minnesota tube coursing below the diaphragm. the patient is status post tips. low lung volumes. left retrocardiac opacification, which likely represents atelectasis. heart size is stable. the mediastinal and hilar contours are stable. the pulmonary vasculature is normal. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
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<unk> year old man with ugib and <unk> balloon in place // <unk> year old s/p r ij cvl placement, check for placement contact name: <unk> , <unk>: <unk>
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heart size is normal. the mediastinal and hilar contours are unremarkable. lungs are clear. pulmonary vascularity is normal. no pleural effusion or pneumothorax is seen. no acute osseous abnormalities demonstrated.
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right-sided chest pain, tenderness to palpation to the right upper anterior chest.
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pa and lateral views of the chest demonstrates the lungs are well expanded and clear. there is no evidence of pleural effusion, pulmonary edema or pneumothorax. a vague opacity in the left upper lung is persists on two frontal views, in the same area as seen on prior ct from <unk>. left pleural lipoma is unchanged. the cardiomediastinal silhouette is stable in appearance compared to the prior study and heart size is mildly enlarged, as before.
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chest pain.
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<num> views of the chest show that the lungs are well expanded and clear. the cardiomediastinal silhouette, hilar contours and pleural surfaces are normal. no pleural effusion or pneumothorax is present. a left clavicular fracture is better seen on dedicated films.
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question left clavicular fracture.
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low lung volumes with hazy opacity in the left lower lobe, likely atelectasis. crowding of hilar vasculature and mild cardiomegaly present. no pleural effusion or pneumothorax. unchanged position of endotracheal tube, right-sided central line and enteric tube extending below the diaphragm, tip not visualized. ekg leads overlie the chest wall.
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<unk> year old woman with shock of unclear etiology, intubated // interval change
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the cardiomediastinal and hilar contours are within normal limits. there is a <num> mm well demarcated, partially calcified density, likely in the right middle lobe, and likely representative of a fibrous nodule. lungs are otherwise clear. no focal consolidation, pleural effusion or pneumothorax is present. visualized osseous structures are grossly intact.
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<unk>-year-old man with fever. rule out pneumonia.
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lung volume is persistently low, but there is no evidence of consolidation suspicious for pneumonia. heart size is normal with aorta mildly elongated. there is no pleural effusion or pneumothorax. mild central venous dilatation, significance uncertain.
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evaluation for interval changes.
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a newly placed nasogastric tube terminates just beyond the ge junction. there is minimal left basilar linear atelectasis with otherwise clear lungs. there is no pneumothorax. the heart and mediastinum are within normal limits.
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<unk> year old man with new <unk>-<unk> tube, please evaluate position <unk> <unk>-<unk> tube.
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upright pa and lateral radiographs of the chest. the lungs are normally expanded without focal airspace consolidation. there is chronic scarring or pleural thickening at the left lower lobe. the cardiomediastinal silhouette and hilar contours are normal. there is no pleural effusion or pneumothorax. the costophrenic sulci are sharp. the retrosternal clear space is opacified, but when referring to the next most recent ct of the chest, this represents mediastinal fat.
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dyspnea and chest pain. rule out acute process.
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patient is status post right lower lobectomy, with persistent elevation of the right hemidiaphragm. bibasilar atelectasis/scarring is re- demonstrated. no large pleural effusion is seen. there is no pneumothorax. the cardiac and mediastinal silhouettes are stable.
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history: <unk>m with continuing cough and sob // r/o pneumonia
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an endotracheal tube is in satisfactory position, approximately <num> cm from the carina. an orogastric tube is present with the tip in the stomach. the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. no fracture is identified on this limited ap exam.
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endotracheal tube and orogastric tube. evaluate placement.
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the heart size is normal. the hilar and mediastinal contours are normal. no focal consolidations concerning for pneumonia are identified. similar eventration of the right hemidiaphragm which is moderately elevated anteriorly is unchanged compared to the prior exam. a calcified nodule suggestive of a granuloma projecting over the right upper lobe as well as suspected group of granulomas projecting over the left mid lung are also unchanged compared to the prior exam. there is no pneumothorax or pleural effusion.
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history of epigastric discomfort. please evaluate for pneumonia.
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upright pa and lateral views of the chest reviewed and compared to the most recent prior study. the lungs are clear without focal consolidation, signs of acute congestive heart failure, pleural effusion or pneumothorax. the cardiac and mediastinal contours are normal. there are no concerning osseous or soft tissue lesions.
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cough for <num> days in a patient with crackles on physical exam and a history of tobacco use.
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the lung volume is small. the left mid lung <num> cm nodule is also seen on recent chest ct. retrocardiac opacity partially obscuring the left hemidiaphragm could represent pneumonia in the right clinical setting. no pleural effusions or pneumothorax. the heart size is mildly enlarged. the mediastinal silhouette is normal.
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<unk> year old man with met colon cancer, intrahepatic mets/biliary obstruction with ptbd placement c/b <num> bleeds and subcapsular hematoma now w/ persistent tachycardia, increased lethargic, rising wbc // evidence of pneumonia?
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pa and lateral views of the chest provided. lungs are hyperinflated and 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>f with chest pain // r/o infiltrate
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lung volumes are low bibasilar opacities which likely represent atelectasis, however could represent early infection in the appropriate clinical setting. there is no pleural effusion, or pneumothorax. heart size and mediastinal contours are normal.
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history: <unk>m with chest pain. evaluate for pneumothorax.
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MIMIC-CXR-JPG/2.0.0/files/p15505564/s51048746/5d164b75-12468965-a02a6321-0bb0c043-695ef5d7.jpg
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pa and lateral views of the chest provided. compared to prior study from <num> days ago, there is substantially less amount of left pleural effusion. there is no pneumothorax. linear right lung base opacity is likely reflecting atelectasis. irregular pleural thickening is again seen on the left lateral costal margin. rows of surgical sutures in the right upper lobe is indicative of prior right upper lobe wedge resection. otherwise, there is no evidence of tumor recurrence. infusion port terminates in the mid-svc.
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<unk> year old woman with metastatic breast cancer an malignant pleural effusion status post thoracentesis
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