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The endotracheal tube was slightly advanced, the tube, however, is still high and should be advanced by another <num> to <num> cm. No evidence of complications. Otherwise unchanged radiographic appearance.
ett re-positioning.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Chronic rib deformities are re- demonstrated.
history: <unk>m with pain in l ribs, worse with movement and inspiration, presenting s/p fall. // l rib fx?
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
<unk>f with chest pain, cough x<num> day // r/o infection
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Single ap view of the chest provided. Lungs are well inflated. Prominence of the pulmonary vasculature and diffuse interstitial opacities are suggestive of mild to moderate pulmonary edema. No pleural effusion or pneumothorax. Cardiomediastinal contours are normal.
<unk> year old woman with new oxygen requirement. patient in <unk> <unk>. // rule out aspiration pneumonia or chf
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As compared to the previous radiograph, there are new parenchymal opacities in both mid and lower lungs. The opacities are alveolar in appearance and are combined to mild pulmonary edema. However, the distribution of the changes is suggestive of infection. The heart is borderline in size. There are no pleural effusions. The morphology of the infectious changes, predominantly consisting of ground-glass opacities, also visualized on a ct examination performed at <time> a.m. At the time of dictation and observation, <time> p.m., on the <unk>, the referring physician, <unk>. <unk>, was paged for notification.
status post kidney and pancreatic transplant, fever of unknown origin, evaluation.
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There has been interval removal of the nasogastric tube. The right internal jugular central line is unchanged. The degree of vascular congestion is less prominent. However, a right lower lobe opacity appears more coalescent, which could be postsurgical substantial atelectasis. However, in the appropriate clinical setting, superimposed pneumonia could be considered. There is a left-sided pleural effusion. The heart and mediastinal contours are stable and enlarged.
<unk> year old man with w/ multiple comorbidities including severe copd w/ high-grade sbo, now s/p exlap, loa, abdomen left open <unk> now s/p closure <unk>, no afib with rvr to <num>s. r/o acute cardiopulmonaruy process, hx of severe copd.
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As compared to the previous radiograph, there is no relevant change. The monitoring and support devices, including the left pectoral pacemaker, are unchanged in position. Unchanged extent and severity of the bilateral parenchymal opacities, predominating at the lung bases. Unchanged retrocardiac atelectasis, alignment of sternal wires and size as well as shape of the cardiac silhouette. No pneumothorax.
resolving ards, evaluation for interval change.
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Supine portable chest radiograph shows no focal parenchymal consolidation to suggest pneumonia. Uncoiled, atherosclerotic thoracic aorta is unchanged. A squarish opacity of uncertain etiology is projected over the left upper quadrant and may be something plastic. There is gaseous distention of the stomach
<unk> year old woman with uti and hyponatremia, triggered with hypothermia // evidence of pneumonia
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Lung volumes are low. The heart is normal in size. The mediastinal and hilar contours are within normal limits. There is a moderate right pleural effusion, not significantly changed from the prior study allowing for differences in technique. There is minimal adjacent right basilar atelectasis. The left lung is clear. No evidence of left pleural effusion. No pneumothorax identified.
<unk> year old man s/p right upper lobectomy // ? rll pneumonia/effusion
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The cardiomediastinal and hilar contours are within normal limits. The lungs are clear without focal consolidation, pleural effusion or pneumothorax.
<unk>f with r orbital swelling s/p fall // evidence of fracture or bleed
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The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.
weakness, atrial fibrillation, and hypotension. evaluate for pneumonia.
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Minimal left base atelectasis/scarring without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.
history: <unk>f with generalized weakness // eval for pneumonia
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An endotracheal tube terminates at the level of the clavicles. Nasogastric tube enters the stomach, distal tip not visualized. Bilateral ij central venous catheters terminate in the low svc. Bilateral airspace opacities are not appreciably changed in extent or distribution. Small layering pleural effusions are also unchanged. The cardiac silhouette is slightly smaller.
<unk> year old man with sepsic shock, course c/b stemi and lung hemorrhage, remains intubated // eval for interval changes
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Pa and lateral views of the chest demonstrate the lungs are well expanded. Two adjacent nodular opacities project along the upper aspect of the left ventricle on the lateral view. The cardiomediastinal silhouette is otherwise unremarkable. There is no evidence of pleural effusion or focal pneumonia. Azygous vein distension is present, with no evidence of left heart failure. No pneumothorax is identified.
<unk>-year-old with cough and shortness of breath. evaluation for pneumonia.
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Single ap upright portable view of the chest was obtained. There are low lung volumes accentuate the bronchovascular markings. Left basilar atelectasis is seen. There is no definite focal consolidation. No pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are unremarkable. There is no evidence of free air beneath the diaphragms.
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No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. There has been interval improvement in the interstitial abnormality seen in <unk>. Heart size is mildly enlarged, similar compared to prior. Mediastinal contours are stable.
<unk>-year-old female with chest pain.
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The patient is slightly rotated. Minimal deviation of the trachea to the right could be caused by a goiter. Normal size of the cardiac silhouette. Mild tortuosity of the thoracic aorta. No evidence of pneumonia or other lung parenchymal abnormalities.
new agitation, evaluation for interval change.
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The heart size is normal. The hilar and mediastinal contours are normal. No focal consolidations concerning for pneumonia are identified. There is no pleural effusion, or pneumothorax.
<unk>f with palpitations triggered by cold air, since yesterday. left-sided upper lobe fine crackles. please evaluate.
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Extremely low lung volumes could account for opacification of the lung bases, greater on the right, due to atelectasis as well as mild engorgement of pulmonary vasculature. A small right pleural effusion cannot be excluded. No pneumothorax is detected, however there is a crescent of lucency in the left diaphragmatic region that i discussed with dr <unk> <unk> said pneumoperitoneum is excluded clinically . The cardiomediastinal and hilar contours are within normal limits. The trachea is midline. Partially imaged spinal fusion hardware is noted at the thoracolumbar junction.
hypoxia and altered mental status, here to evaluate for pneumonia.
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Pa and lateral views of the chest provided. Confluent consolidation within the right lower lobe with air bronchograms is compatible with pneumonia. Small right effusion difficult to exclude. Left lung is clear. Heart size and mediastinal contour appear normal. Bony structures are intact.
<unk>f with shortness of breath and cough // rule out pneumonia
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Pa and lateral views of the chest provided. Surgical clips in the mediastinum are stable. Since <unk>, atelectasis at the right midlung and right lung base are substantially improved. Bilateral, small pleural effusions are also significantly improved. No pneumothorax. Hilar contours are normal. Focal widening of the mediastinum at the right paratracheal station is unchanged.
<unk> year old man s/p mie <unk> for t<num>n<num>mx esophageal cancer. completed neoadjuvant chemorads. // eval for interval change
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Cardiomediastinal silhouette is unchanged. Lungs are hyperinflated, as before. The central pulmonary arteries remain prominent. A linear opacity at the right base is unchanged and likely represents scarring. There is no consolidation or pleural effusion. No pneumothorax.
<unk> year old man with hx of asthma; cough and shortness of breath // r/o pneumonia
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The cardiac, mediastinal and hilar contours appear unchanged. Again seen is a large hiatal hernia. There is no pleural effusion or pneumothorax. The lungs appear clear. Bony structures are unremarkable.
right flank pain.
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Two views were obtained of the chest. The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The heart is normal in size with normal cardiomediastinal contours.
<unk>-year-old with chest pain.
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Supine portable view of the chest demonstrates an endotracheal tube in appropriate position, terminating <num> cm above the level of the carina. An ng tube is also seen coursing through the esophagus, into the stomach, and out of view. The cardiomediastinal silhouette is unremarkable. A small amount of opacification in the left lung base likely represents aspiration. There is no pulmonary edema or pneumothorax.
transferred from outside hospital for massive intracranial hemorrhage.
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Comparison is made to previous study from <unk>. Endotracheal tube, feeding tube, and right-sided picc line are unchanged in position. There is prominence of pulmonary interstitial markings and cardiomegaly. No large pneumothoraces are seen. Overall, the findings are stable.
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Left sided pacer is noted with leads terminating in the right atrium and right ventricle. Heart size remains mildly enlarged. Mediastinal and hilar contours are normal. No pulmonary edema, focal consolidation, pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
history: <unk>f with shortness of breath and cough
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Heart size is upper limits of normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
<unk> year old woman with healthy donor // healthy donor
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There is a moderate right pneumothorax that is slightly increased in size compared to the study from the prior day. The right pigtail catheter is again visualized. There is a moderate amount of right subcutaneous emphysema most notably around the tract of the pigtail catheter. There is volume loss./ infiltrate in the left lower lung. Left-sided pleural plaque is again visualized.
<unk> year old man with ptx and chest tube // f/u ptx perform exam at <num>am
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There is a persistent opacity at the left base, similar to the prior exam. This likely represents a pneumonia, and less likely reexpansion edema given that it has now persisted for two days. There is a small residual left pleural effusion, which is not significantly changed since one day ago. Overall, the volume of fluid is significantly decreased since the patient's initial presentation. There is a new tiny left apical pneumothorax. The right lung is clear. A tiny right pleural effusion is unchanged. There is no right pneumothorax. The cardiomediastinal silhouette is normal.
status post drainage of a left parapneumonic effusion. an <num> chest tube was removed yesterday evening. evaluate for reaccumulation.
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Right picc is unchanged in position. Cardiomediastinal and hilar contours are stable status post mie procedure. The heart is enlarged but stable. Increasing opacity at the right base. Left basal opacity is also minimally increased from the prior exam. No pneumothorax. There is mild pulmonary vascular congestion, similar in extent the prior study.
<unk> year old man s/p mie and subsequent washout for anastomotic leak // interval change
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Pa and lateral views of the chest provided. Right chest wall aicd is noted with leads extending to the region of the right atrium and right ventricle. Lungs are clear. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>m with pancreatic cancer on chemo with fever.
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The heart is mildly enlarged, stable since the prior study. Lung volumes are slightly low, with mild pulmonary vascular congestion. There is no evidence of pleural effusion, pulmonary edema, pneumothorax, or focal consolidation concerning for pneumonia. Multiple surgical clips project over the right hemi thorax, unchanged.
history: <unk>f with chest pain and afib w/ rvr // eval for chf/pneumonia
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<num> views were obtained of the chest. The lungs are low in volume with small right pleural effusion. Right basal atelectasis is likely also present. No focal consolidation or pneumothorax identified. The heart is top-normal in size with normal mediastinal and hilar contours. The right internal jugular port-a-cath terminates in the mid svc.
vomiting and belly pain.
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The heart size, mediastinal, and hilar contours are normal.the lungs are clear without pleural effusion, focal consolidation, or pneumothorax.
<unk> year old man with cough x <num> weeks. evaluate for worrisome lesions.
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Heart size is normal. The mediastinal and hilar contours are unremarkable. Pulmonary vascularity is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
pain.
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Again seen is a vagal stimulator device that projects over the left chest wall with the catheter extending to the left neck region. Again, the lung volumes are quite low, which may limit the evaluation in the bases. There is evidence of bibasilar atelectasis. The mid upper lungs are clear. There is no effusion or pneumothorax. The heart and mediastinal contours are stable.
<unk>-year-old male with a history of seizures, who presents for evaluation of pneumonia.
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Patient is kyphotic which slightly limits assessment. Heart size appears mild to moderately enlarged. Mediastinal and hilar contours are grossly unremarkable. Low lung volumes results in crowding of bronchovascular structures without pulmonary edema. Minimal patchy opacities in the lung bases likely reflect areas atelectasis without focal consolidation. No pleural effusion or pneumothorax is seen. There are mild degenerative changes in the thoracic spine.
history: <unk>f with fatigue, altered mental status
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There has been no significant interval change. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable with the cardiac silhouette is top-normal to mildly enlarged. No pulmonary edema is seen.
<unk> year old woman with cp // rule out pna vs. pulmonary edema i/s/o cp
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In comparison with the earlier study of this date, there has been a thoracentesis on the left with removal of substantial fluid from the pleural space. Specifically, no evidence of appreciable pneumothorax.
bilateral effusions with left thoracentesis.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is patchy posterior basilar opacity depicted on the lateral view. It is not certain to which side it may refer, but more likely the right lower lobe than left. There no pleural effusions or pneumothorax.
new stroke.
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The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. No fracture is identified.
shoulder pain after a fall.
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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. The lungs appear clear. Bony structures are unremarkable. A port-a-cath terminates in the superior vena cava.
fever.
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The lungs are normally expanded. There is persistent right infrahilar opacity which has been present on prior radiographs and may be artifactual or atelectasis. There is no new focal airspace opacity to suggest pneumonia. Heart size is top normal. The mediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax.
history: <unk>m with cp // pna
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Lung volumes are low. Bronchovascular markings are prominent. There is no focal consolidation. There is streaky density at the lung bases likely representing subsegmental atelectasis. The right pulmonary hilum remains prominent. The aorta is calcified and tortuous. Mediastinal structures are otherwise unremarkable. The bony thorax is grossly intact. Allowing for differences in technique, there is no significant change.
r/o pna
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Single ap view of the chest demonstrates an unchanged position of tracheal stent. The heart and mediastinal contours are stable. There is no pleural effusion or pneumothorax. There is no focal consolidation concerning for pneumonia seen on the radiograph. Again seen is a left port-a-cath with tip terminating in the proximal left brachiocephalic vein. Postoperative changes after upper lobectomy are again seen.
cough, tracheal stent.
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There is new complete opacification of the left hemithorax with rightward shift of mediastinal structures concerning for a large left pleural effusion. Multiple nodular opacities in the right lung are re- demonstrated, better characterized on the previous ct. No focal consolidation or pneumothorax is demonstrated. Cardiac silhouette size is difficult to assess given the opacification of the left hemi thorax. Pulmonary vasculature in the right lung is not engorged. No acute osseous abnormalities are demonstrated.
history: <unk>m with known left pleural effusion and mass diagnosed on ct today
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Again the tracheostomy tube appears to project over the midline. There is stable extensive subcutaneous emphysema in the lateral chest wall, pectoralis muscles and cervical regions bilaterally. Diffuse unchanged reticulonodular interstitial process with a more focal airspace confluent opacity at the right apex appears stable compared to the prior exam. There has been slight interval improvement in the previously noted pneumothorax. There are stable small bilateral pleural effusions. There is stable pneumoperitoneum.
history of trach leak repositioned by ip. please evaluate for position.
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There is opacity in the left superior and posterior basal segments. There is associated volume loss of the left lower lobe.heart size is within normal limits.mediastinal and hilar contours are unremarkable. There is no evidence for pulmonary edema, pleural effusion, or pneumothorax.
<unk> year old woman with cough and fever. evaluate for pneumonia.
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Since the prior exam, the lung volumes are lower. Opacities at the bilateral bases are most compatible with atelectasis. There is no pulmonary edema, pleural effusion, or pneumothorax. The aorta is tortuous with calcifications along the aortic arch. It is unchanged in appearance since the prior exam. The heart is mildly enlarged.
chest pain. evaluate for widened mediastinum.
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In comparison to the prior study, there is interval placement of a pigtail pleural catheter a projects over the right mid chest. Right apical pleural effusion has decreased in size but remains visible. Cardiomediastinal silhouette is stable. There is no focal consolidation or pleural effusion.
history: <unk>m with right pigtail chest tube // eval for interval changes
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The right cardiomediastinal contour has a pronounced convexity, and extends farther lateral than expected, particularly considering the normal appearance of the left cardiac contour. There is an additional rightward convexity to the left of the spine. It is uncertain whether this represents a markedly enlarged cardiac chamber or a paracardiac mass such as a hiatal hernia. Pulmonary vascularity is normal centrally, but paucity of vessels in upper lobes suggests the possibility of emphysema. With the exception of atelectasis adjacent to the right cardiac border, lungs are otherwise grossly clear.
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Moderately well inflated lungs with no change in prominence of pulmonary vasculature. Stable cardiomegaly. Enlarged left atrial shadow is again identified. No pleural effusions or pneumothorax. No change in bony thorax.
<unk> year old woman with hcv cirrhosis, decompensated, here for expedited liver transplant, now with worsening encephalopathy. looking for infectious source. // evidence of infiltrate?
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As compared to the previous radiograph, the patient has received a dobbhoff catheter. The tip of the catheter projects over the middle parts of the stomach. There is no evidence of complications, notably no pneumothorax. Unchanged appearance of the lung parenchyma in the heart, with known right apical opacities and moderate cardiomegaly as well as bilateral areas of atelectasis.
dobbhoff tube placement.
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Two views were obtained of the chest. The lungs are well expanded. There is no pleural effusion or pneumothorax. The heart is normal in size with normal cardiomediastinal contours.
melanoma, assess for disease recurrence.
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No focal opacity to suggest pneumonia is seen. No pleural effusion, pulmonary edema or pneumothorax is present. The heart, mediastinal and pleural surface contours are normal.
pleuritic chest pain and cough.
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Right lung base coalescing consolidation could represent early pneumonia. No pleural effusions or pneumothorax. The hila and pulmonary vasculature are normal. Mild cardiomegaly is unchanged. Mediastinal silhouette is unchanged. The thoracic spine stimulator is again seen with no complications.
<unk>-y/o female with copd and poorly-characterized respiratory disease presenting with acute on chronic dyspnea and chest pain with negative stress test and relative hypotension. // pre-vq scan
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Small right apical pneumothorax is slightly increased compared to the prior study, with visceral apical pleural line now just above the right fourth posterior rib level. Cardiomediastinal contours are stable in appearance. Worsening right juxtahilar and basilar consolidation as well as persistent left lower lobe atelectasis and/or consolidation, the latter accompanied by a moderate pleural effusion. Small right pleural effusion is unchanged. Right lower lobes septal thickening may reflect interstitial edema, possibly on the basis of reexpansion given recent right sided thoracentesis.
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There are low lung volumes. Bibasilar opacities, right greater than left, are seen which may be due to aspiration or infection is not excluded. No large pleural effusion is seen. There is no pneumothorax. The cardiac and mediastinal silhouettes are unremarkable.
seizure.
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No previous images. The heart is normal in size and there is no evidence of vascular congestion, pleural effusion, or acute focal pneumonia. Specifically, no mediastinal widening or evidence of aortic abnormality.
hypertension, to assess for mediastinal widening.
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Compared to the prior study, there has been placement of a second left-sided chest drain. This results in a significant decrease in the left-sided pleural fluid however there is a small to moderate-sized left pneumothorax. Airspace opacity in the right lung has progressed in the apex but improved in the right lower lung. Appearances are concerning for liver pneumonia. Multiple rib fractures are seen along the left lateral chest, presumed to be postoperative. A left-sided subclavian catheter is unchanged in position compared to the prior study. An endotracheal tube terminates approximately <num> cm above the level of the carina.
<unk> year old man s/p vats // effusion, ptx,
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The heart size is normal. The hilar and mediastinal contours are within normal limits. There is no pneumothorax, focal consolidation, or pleural effusion.
<unk>-year-old female with cough.
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Frontal and lateral views of the chest were obtained. The heart is of normal size with normal cardiomediastinal contours. The lungs are clear without focal or diffuse abnormality. The pulmonary vasculature is unremarkable. No pleural effusion or pneumothorax. The osseous structures are unremarkable. No radiopaque foreign bodies.
<unk>-year-old man with cough. evaluate for cardiopulmonary process.
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk> year old woman with chest pain // r/o acute process
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Frontal and lateral views of the chest. The lungs are clear. Cardiac silhouette is mildly enlarged. Osseous structures are unremarkable.
<unk>-year-old female with fever.
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Pa and lateral views of the chest. There is no focal consolidation, pleural effusion or pneumothorax. The cardiopulmonary and mediastinal contours are normal. Again seen is hyperinflation of the lungs, unchanged.
left chest pain.
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Lungs are well-expanded and clear. Cardiomediastinal and hilar contours are unchanged. The patient has had prior median sternotomy, and the inferior most sternotomy wire remains fractured in multiple places. No pneumothorax, pleural effusion, or consolidation. Severe dextroscoliosis.
history: <unk>f with hx of aortitis, pe, presenting with pleuritic chest pain*** warning *** multiple patients with same last name! // evidence of infiltrate
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The inspiratory lung volumes are appropriate. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged. The cardiomediastinal and hilar contours are within normal limits. No acute osseous abnormality is detected.
<unk> year old woman with cough and fever // r/o infiltrate
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No overt pulmonary edema is seen.
hypotension.
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The heart size is top normal, stable compared to radiographs dating back to <unk>. The hilar and mediastinal contours are normal. There is mild bibasilar atelectasis. No new focal consolidations are identified. There is no pleural effusion or pneumothorax. Note is made of chronic blunting of the left costophrenic angle, seen as far back as <unk>.
<unk>-year-old man with history of chronic dysphagia and increased cough who presents for evaluation of pneumonia.
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The lung volumes are stable. Known numerous metastatic pulmonary nodules are not as apparent on current chest radiograph as on prior ct. The right cardiophrenic nodule identified in <unk> is not as conspicuous on today's chest radiograph. No focal consolidation. Cardiomediastinal and hilar contours are enlarged but stable. The pleural surfaces are normal. The right port-a-cath terminates in the lower svc without radiographic evidence of obstruction. The left pacemaker is intact with leads terminating in the appropriate positions.
<unk>f with rcc and port not working // port placement
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Pa and lateral views of the chest provided. Lung volumes are low limiting assessment though allowing for this, there is no focal consolidation concerning for pneumonia. No large effusion or pneumothorax. The heart appears mildly enlarged. The mediastinal contour is normal. Bony structures are intact. No free air below the right hemidiaphragm.
<unk>f with afib. // pneumonia?
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The lungs are mildly hyperinflated. The previously seen subtle density projecting over the right upper lung is unchanged. A small opacity that projects over the right lower lung is new. There is no pleural effusion, pneumothorax, or pulmonary edema. A left pectoral dual-chamber pacemaker and its leads project in unchanged location.
<unk>f with fever, evaluate 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.
<unk>f with leukocytosis and shortness of breath // pneumonia?
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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 evidence of pneumomediastinum is seen.
history: <unk>m with hematemesis, repetitive vomiting x <num> week // pneumomediastinum
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Frontal and lateral radiographs of the chest demonstrate residual bronchiectasis in the right middle lobe. Opacities in the left lower lobe have cleared over the interval. There is no evidence of active infection. Cardiomediastinal and hilar contours are unchanged. There is no pneumothorax or pleural effusion.
<unk>-year-old male with cough, sweats, and ronchi on the right side who was recently treated for pneumonia. evaluate for residual pneumonia or mass lesion.
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Pacer lead is unchanged. Left ij cordis is unchanged. There is increased pulmonary vascular redistribution and hazy areas of alveolar infiltrate most marked in the right lower lobe and left upper lobe. The heart size is mildly enlarged
<unk> year old man with shortness of breath post avr. // eval for interval change
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Ap frontal portable chest radiograph demonstrates persistent of the right middle lobe opacification which appears more aerated when compared to chest radiograph dated <unk>. The remainder of the right lung is clear. The left lung is clear with no focal consolidation. On frontal radiograph, there is no large pleural effusion identified. Cardiomediastinal and hilar contours are stable in appearance. There is no pneumothorax.
<unk>-year-old male status post bronchoscopy.
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Frontal and lateral views of the chest are compared to previous exam from <unk>. The lungs are clear. The cardiomediastinal silhouette is normal. Old healed left mid clavicular fracture again noted.
<unk>-year-old male with altered mental status.
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The ng tube tip is in the stomach. Again seen is the right-sided aortic arch. There is some hazy alveolar infiltrates in the lower lobes left greater than right that is increased compared to prior
<unk>f with h/o ulcerative proctitis now w/severe pancolitis refractory to iv steroids now s/p tac end ileostomy // ngt placement
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There are small bilateral pleural effusions, similar on the left, new or more apparent on the right. . Bibasilar opacities have improved, likely improving atelectasis. Heart size is stable. Pulmonary vascularity has improved. Shallow inspiration
<unk> year old woman with recent desaturations and tachycardia. r/o intectious etiology // ? infection
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As compared to prior chest radiograph from <unk>, there has been interval worsening of a vague opacity in the right mid lung zone. The left lung is clear. Costophrenic sulci are blunted bilaterally, likely related to pleural thickening. There is no pneumothorax. The cardiomediastinal and hilar contours are within normal limits.
<unk>-year-old male patient with acute dyspnea and hypoxia, history of cirrhosis, encephalopathy. study requested for evaluation of aspiration, and/or pneumonia.
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Lung volumes are low. Streaky bibasilar opacities, compatible with atelectasis. No other focal consolidation in the well aerated portions of the lungs. There is no pneumothorax. Heart size is normal.
history: <unk>m with inr <unk> after ercp. // acute cardiopulmonary process
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Evaluation is limited secondary to patient body habitus. Lung volumes are low leading to crowding of the bronchovascular structures. As compared to the most recent prior examination dated <unk>, there has been no significant interval change. There is no lobar consolidation, pleural effusion, or pneumothorax identified. A subtle, <num> cm nodular opacity is again noted overlying the right upper lung. The heart is top-normal in size.
history: <unk>m with right sided chest pain // ?fx ? pna
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Pa and lateral views of the chest are compared to previous exam from <unk>. Lungs are clear of focal consolidation or effusion. Cardiomediastinal silhouette is normal. Osseous and soft tissue structures are unremarkable.
<unk>-year-old female with dizziness.
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The lungs are moderately well inflated and clear. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable.
<unk>f with chest pain. assess for infiltrate, edema, effusion.
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Pa and lateral views of the chest were obtained. There has been interval removal of the left picc line. An esophageal stent is in place. The lungs are hyperinflated, consistent with emphysema. There is emphysema with reticular opacity in the lungs without definite focal consolidation, effusion, edema, or pneumothorax. A calcified nodular opacity projecting over the left upper lung corresponds with a calcified pleural plaque seen on prior ct. The cardiomediastinal silhouette is normal. There is a prominent anterior osteophyte of the thoracic spine. No other bony abnormality is identified.
on chemo, now with low-grade fevers and chest pain. assess for infiltrate.
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Cardiac, mediastinal and hilar contours are normal. Lungs are clear and the pulmonary vascularity is normal. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities detected.
fall with nausea and vomiting.
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Differences in cardiomediastinal silhouette likely related to ap position. There is left basilar atelectasis. There is no focal consolidations suspicious for pneumonia. There is no pleural effusion or pneumothorax.
<unk>-year-old woman with weakness, confusion, history of seizures, evaluate for pneumonia
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The patient is status post recent median sternotomy and coronary artery bypass surgery. Tip of endotracheal tube terminates <num> cm above the carina. Other support and monitoring devices are in standard position. Cardiomediastinal contours are within normal limits for post-operative status of the patient. Patchy and linear areas of atelectasis are present in both lung bases as well as additional linear focus in the left mid lung region. There is no visible pneumothorax. Small left pleural effusion is noted.
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Et tube ends <num> cm above carina. The feeding tube is in adequate position below the diaphragm. Left-sided picc line is in mid svc. Bilateral moderate pleural effusion with bibasilar atelectasis is unchanged. Right upper lobe decreased opacity could reflect improvement of the lung process versus modification in ventilation parameters. Pulmonary edema is mild to moderate and unchanged. Mediastinal and cardiac contours are normal. There is no pneumothorax.
patient with respiratory failure, bilateral effusions, evaluation for interval change.
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Two frontal images of the chest demonstrate a new opacity in the right upper lobe likely representing hemorrhage status post bronchoscopic biopsy or, if a lavage was performed, this could also represent a post-lavage appearance. There is no pneumothorax seen. Diffuse interstitial opacities are seen, consistent with mild interstitial edema. Small bilateral pleural effusions are seen. There is mild cardiomegaly, stable from previous imaging. Pacer is in left anterior axillary position with intact leads in the expected course to the right atrium and right ventricle. Sternotomy wires and cabg clips are again seen.
<unk>-year-old female with right upper lobe bronchoscopic biopsy.
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The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. The lungs are well-expanded clear without focal consolidation concerning for pneumonia. The upper abdomen is unremarkable.
<unk>f with asthma, htn, hld with presyncope, back pain, and hypotension. // r/o pna, widened mediastinum
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Pa and lateral views of the chest provided. No focal consolidation, large effusion or pneumothorax is seen. The heart is normal in size. There is an unfolded thoracic aorta. There is minimal pulmonary vascular congestion without frank edema. Bony structures are intact.
<unk>f with cough, chest pain // ?pneumonia
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No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable and unremarkable. Disk space narrowing at a level of the lower thoracic spine is stable.
cough, rigors.
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The cardiac silhouette is mildly enlarged. The pulmonary vasculature is slightly more indistinct than on prior examination. Mild left basilar opacity may represent atelectasis. No pleural effusion or pneumothorax is present.
<unk> year old woman with edema, rales on exam // assess for evidence of chf
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The lungs are clear without focal consolidation. There is no pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are within normal limits. There is a comminuted, displaced fracture of the middle third of the right clavicle, which is also evaluated on the shoulder x-ray from the same date. The distal fragment is displaced inferiorly <num> shaft width. No other fractures are seen.
<unk>m with trauma. evaluate for traumatic injuries.
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The patient is intubated. The tip of the endotracheal tube projects approximately <num>cm above the carina. A nasogastric tube is in place and shows a normal course. The size of the cardiac silhouette is at the upper range of normal. There is no evidence of pleural effusions or free intra-abdominal air. Most importantly, however, are bilaterally, relatively widespread opacities and consolidations of various sizes, ill-defined, and with air bronchograms. The appearance of the changes is suggestive of multifocal pneumonia. Ards could be another differential diagnostic consideration. Short-term followup is required, and comparison with previous films would be beneficial.
status post cholecystectomy, intubation.
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The right subclavian central line ends in the cavoatrial junction. The lung volumes are low, with crowding of the bronchovascular markings in the bases. No consolidation, edema, pleural effusion, or pneumothorax is seen. The cardiomediastinal and hilar contours are normal.
<unk>-year-old woman with new right subclavian central line placement.
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The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. Streaky basilar opacity, seen posteriorly on the lateral view, suggests minor atelectasis. Otherwise, the lungs appear clear.
motor vehicle collision and possible seizure.