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The lungs are well-expanded. There is a large mass in the right upper lobe measuring <num> x <num> cm with a connection to the pleura concerning for malignancy. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. There are no displaced fractures.
history: <unk>m with ams // eval bleed
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There are right mid and lower lung infiltrates, minimally improved at right costophrenic angle. Findings suggest pneumonitis. Unilateral edema or other process less. No infiltrates in the left lung. Small left pleural effusion, similar. Tiny right pleural effusion, similar. Increased heart size. Shallow inspiration. Sternotomy. There is cardiac pacemaker. Advanced degenerative arthritis bilateral shoulders, with osseous intra-articular loose bodies, stable.
<unk> year old woman with chf, poor responsise lasix, worsening sys bp, concern pna vs pulm edema // r/o pna vs pulm edema, compare <unk> cxr
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Interval decrease in size of the right pleural effusion, now small in extent. Opacity in the right lower lung zone likely reflect atelectasis and residual pleural fluid. There is no pneumothorax identified. There persisting opacities centrally in the left lung. Small left pleural effusion. The size and appearance of the cardiac silhouette is unchanged.
<unk> year old man s/p tavr with acute decompensated chf and r pleural effusion now s/p <unk> // s/p <unk> <unk> for ptx
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Partially evaluated thoracic spinal hardware is present. The patient is status post median sternotomy. The size of the cardiac silhouette is enlarged but unchanged. There is mild hilar congestion and pulmonary edema, decreased since the prior radiograph. No pleural effusion or pneumothorax is identified.
<unk> year old man with shortness of breath, likely chf exacerbation. // evaluate for pulmonary edema vs consolidation
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Frontal and lateral radiographs of the chest demonstrate well expanded clear lungs. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation.
cough. evaluate for acute process.
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A right thoracostomy tube is unchanged in position. There is no pneumothorax. The patient is post cabg. The lung volumes are low. A small left pleural effusion and adjacent atelectasis are stable since the <unk> study. There has been interval removal of a right ij sheath.
post cabg.
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Interval insertion of a right internal jugular catheter with the tip in the low svc. Right-sided pleurx catheter is in the chest wall with surrounding subcutaneous emphysema. There is a new small pneumothorax on the right. There is further collapse of the right lung associated large right upper lobe mass. The left lung is relatively clear.
<unk> year old woman with right lung cancer s/p right plaurex catheter placement // eval for ptx, pleurex placement
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In comparison with study of <unk>, there is still enlargement of the cardiac silhouette with some elevation of pulmonary venous pressure and prominence of central pulmonary vessels. The atelectatic changes at the bases have improved. Small bilateral pleural effusions, more prominent on the left.
productive cough.
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Mild hilar prominence is unchanged from prior. There is no lobar consolidation, effusion or pneumothorax. Difficult to exclude a mild airways inflammation given mild central peribronchovascular prominence. Cardiomediastinal silhouette is stable. No overt signs of edema. Bony structures are intact.
: <unk>m with ant <unk> cp, pls eval for pna edema or abnl mediastinum
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As compared to the previous radiograph, the endotracheal tube, the nasogastric tube, the bilateral chest tubes and the swan-ganz catheter are in unchanged position. The pre-existing right pneumothorax at the apex is no longer visible. There are minimally increasing vascular diameters and interstitial markings, potentially reflecting mild fluid overload. This is supported by a slightly increase in size of the cardiac silhouette. All these changes, however, could also lead to a change in respiratory pressure. Unchanged retrocardiac atelectasis. Unchanged absence of larger pleural effusions.
status post cabg, increasing output, evaluation.
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Left port tip is in low svc. Interval increase in moderate-sized left pleural effusion. Right lung is clear without pleural effusion. No pneumothorax. Heart size is obscured by pleural parenchymal process with normal mediastinal contour and hila. No bony abnormality.
<unk>-year-old male with pleural effusion.
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The lungs are clear with no sign of consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. No acute fractures are identified.
tachycardia.
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Lung volumes are low. The patient is status post esophagectomy and gastric pull-through at, with no significant interval change in the appearance of the mediastinum compared to the prior radiograph. Heart size is normal. Hilar contours are unremarkable, with no evidence of pulmonary edema. There is blunting of the right costophrenic sulcus, suggestive of a trace effusion, but no pneumothorax is identified. Left lung is clear. There are no acute osseous abnormalities. No free air is seen under the diaphragms.
esophageal cancer, nausea and vomiting.
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In comparison with the study of <unk>, the right ij catheter remains in place. Continued bilateral pleural effusions with compressive atelectasis at the bases. Continued enlargement of the cardiac silhouette with similar mediastinal and hilar contours. Poor definition of the left hemidiaphragm is consistent with substantial volume loss in the left lower lobe.
liver failure, to assess for pulmonary process.
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As before, the lung volumes are low and this causes crowding of the pulmonary structures but there is no evidence of pneumonia. Heart size and mediastinal contour are normal. No suspicious bone findings.
history: <unk>f with cough, fevers // ? pna
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No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. Heart and mediastinal contours are within normal limits. Right upper quadrant surgical clips are incompletely imaged and better seen on prior study.
<unk>-year-old female with chest tightness.
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As compared to the previous radiograph, the monitoring and support devices are unchanged. Unchanged appearance of the cardiac silhouette and of the lung parenchyma. Bilateral pleural effusions, bilateral areas of atelectasis, and mild pulmonary edema are constant
intubation, sedation, evaluation of changes.
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Pa and lateral views of the chest provided. Central venous catheter terminates in the region of the low svc. The lungs are clear without signs of pneumonia or chf. No pleural effusion or pneumothorax is seen. The heart and mediastinal contour is normal. The imaged osseous structures appear intact. Clips are noted in the right upper quadrant.
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Heart size is mildly enlarged but unchanged. The mediastinal and hilar contours are similar. Pulmonary vasculature is normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. No acute osseous abnormality is detected.
history: <unk>m with chest pain
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The heart size is moderately enlarged. Mediastinal contours are unremarkable. There is perihilar haziness and vascular engorgement with diffuse interstitial opacities compatible with mild interstitial pulmonary edema. Small bilateral pleural effusions are noted, left greater than right. There is no pneumothorax. Retrocardiac atelectasis is also likely present. Marked degenerative changes of the right glenohumeral joint are seen with loss of joint space, subchondral cysts and subchondral sclerosis.
shortness of breath, dyspnea and cough.
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As compared to the previous radiograph, there is no relevant change. Monitoring and support devices are in constant position, including the right chest tube and the swan-ganz catheter. Minimally increased left pleural effusion with increasing atelectasis in the retrocardiac lung areas. The overall size of the cardiac silhouette is unchanged. No pneumothorax. No pneumonia. No pulmonary edema.
status post aortic valve repair.
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Frontal and lateral views of the chest were obtained. There has been interval removal of a right ij central venous catheter in a left picc. Partially imaged hardware is seen in the lower cervical spine. There is slight blunting of the bilateral posterior costophrenic angles, which may be due to trace effusions. There is some linear left base atelectasis/scarring. Right paratracheal opacity is stable. The hilar contours are stable. The cardiac silhouette is not enlarged.
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As compared to the prior examination, there has been minimal interval change. Redemonstrated is severe emphysema with increased interstitial markings and several large bullae. There is no definitive consolidation, pleural effusion, pneumothorax, or pulmonary edema identified. Stable, mild cardiomegaly is noted. Mediastinal hilar contours are largely unchanged from prior examination.
leukocytosis and cough.
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Compared to the most recent prior examination there has been interval placement of a right-sided internal jugular venous catheter which terminates in the mid to distal svc. No other significant change from the prior exam. No pneumothorax
<unk>f with rij cvl // evaluate cvl placement
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Widespread pulmonary opacities are minimally changed since the <unk> examination, likely reflecting known severe parenchymal fibrosis demonstrated on the <unk> ct. No superimposed consolidation, pneumothorax, effusion, or edema is seen in comparison to the prior two radiographs. The cardiac and mediastinal contours are unchanged.
concern for cardiogenic pulmonary edema.
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The heart size is normal. Mediastinal and hilar contours are unremarkable. No pulmonary edema is present. The lungs are hyperinflated suggestive of copd. No focal consolidation, pleural effusion or pneumothorax is identified.
syncope, altered mental status.
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The endotracheal tube terminates in the mid trachea. A nasogastric tube courses below the hemidiaphragm, distal tip not visualized. There is no new consolidation or pleural effusion. A rounded opacity at the lateral left lung base is most likely due to overlapping soft tissue shadows. The heart and mediastinum are magnified by the projection.
<unk> year old man post-op still intubated // please confirm et tube and ng tube placements
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A tracheal and bilateral bronchial stents are again visualized, unchanged in position from the prior examination. The lungs are well expanded and clear without focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is unchanged from prior examination.
history: <unk>f with hemoptysis. // eval for stent placement
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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 <num> days of cough, sore throat
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The cardiac silhouette appears larger than on the prior study despite comparable lung volumes. Mediastinal and hilar contours are unremarkable. There is no evidence for pulmonary edema, pulmonary consolidation, or pleural effusion. Instrumented posterior fusion of the lower thoracic and upper lumbar spine is again partially visualized. Ossification of the anterior longitudinal ligament is noted in the thoracic spine.
cough and chest pain. evaluate for chf.
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In comparison with the study of <unk>, there is no change or evidence of acute cardiopulmonary disease. No pneumonia, vascular congestion, or pleural effusion.
seizures, to assess for infection.
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Pa and lateral views of the chest. There are mild interstitial opacities, small bilateral pleural effusions and mild increase in size of the cardiac silhouette consistent with mild volume overload. No pneumothorax. No opacification concerning for pneumonia. Mediastinal contours are normal.
shortness of breath and question of pneumonia or chf.
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Pa and lateral chest radiographs were obtained. The cardiomediastinal silhouette is unchanged. Postsurgical changes are seen at the right base. Known right upper lobe opacity continues to improve. Left lung is clear. No pleural effusions. No pneumothorax.
<unk>-year-old woman with lung nodule status post wedge resection in <unk>, assess for interval changes.
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Known metastatic melanoma with innumerable bilateral pulmonary nodules. Known large right upper lobe mass and right lower lobe mass, accompanied by a right pleural effusion. Known moderate cardiomegaly and borderline sized lymph nodes. Overall, the findings are massive, but no safe progression is seen as compared to a ct torso examination from <unk>. No bony changes.
history of metastatic melanoma and hemoptysis, chest discomfort, evaluation.
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Bibasilar subtle opacities most likely represent atelectasis. The cardiomediastinal silhouette and hilar contours are normal. The pleural surfaces are clear without effusion or pneumothorax.
multiple cranial neuropathies. evaluation for abnormality.
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As compared to the previous radiograph, the monitoring and support devices are unchanged. Lung volumes remaining low and the spinal stabilization device is in unchanged position. Unchanged moderate cardiomegaly with mild fluid overload and bilateral pleural effusions. No newly appeared focal parenchymal opacities. No pneumothorax.
status post fusion, evaluation for interval change.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There are no pleural effusions or pneumothorax. Bony structures are unremarkable. Cholecystectomy clips project over the right upper quadrant.
right upper quadrant abdominal pain and cough.
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There is pulmonary vascular congestion with mild pulmonary edema. Left retrocardiac opacity is consistent with atelectasis. No focal consolidation, pleural effusion or pneumothorax. Mediastinal and hilar contours are stable. Severe cardiomegaly is unchanged.
<unk> year old woman with multiple myeloma, low grade fevers, cough // eval for pna
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Pa and lateral images of the chest demonstrate well-expanded lungs which are clear. There is some hyperinflation of the lungs seen. There is no pneumothorax or pleural effusion. Cardiomediastinal silhouette is unremarkable. Visualized osseous structures are unremarkable.
<unk>-year-old female with copd, weight loss, and shortness of breath.
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Heart size is normal. Mediastinal and hilar contours are within normal limits. Lungs are clear. Pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are present.
chest pain.
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Slightly asymmetric increased opacity in the left lower lobe persists but appears to have improved compared to the prior exam, likely reflecting atelectasis. No definite focal consolidation, pleural effusion, edema, or pneumothorax. The heart is normal in size. The mediastinum is not widened. The aortic knob is calcified. Extensive distension of multiple loops of bowel with inter in the visualized that abdomen is noted. There is free air under the diaphragm. Surgical clips project over the right upper abdomen, perhaps related to cholecystectomy.
<unk> year old woman with esophageal adenocarcinoma and concern for aspiration in setting of egd now with fever to <num>, evaluation of pna. patient had peg placed this morning.
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As compared to the previous radiograph, there is unchanged evidence of markedly coiled tube in the stomach. The coiling occurs in the middle parts of the stomach. There is no evidence of complications, notably no signs suggesting perforation. Otherwise, the heart and the basal lung parts visualized on the image are unchanged. Unchanged position of an endotracheal tube.
stroke, nasogastric tube placement.
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Pa and lateral chest radiographs demonstrate clear lungs. The heart size is top normal. The cardiac, hilar, and mediastinal contours are unremarkable. Large right ureteral calculus is partially imaged and described on subsequent ct-abdomen/pelvis.
abdominal pain.
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There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. The imaged upper abdomen is unremarkable. Median sternotomy wires are intact.
history: <unk>f with retrosternal cp // eval for acute process
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No previous studies for comparison. There is a right-sided picc line with distal lead tip is in the right atrium. This could be pulled back <num>-<num> cm for remarkable placement. The side port of nasogastric tube is below the gastroesophageal junction. The tip of the endotracheal tube is <num> cm above the carina. There is increase in pulmonary interstitial markings suggestive of pulmonary vascular edema. There are more confluent opacities within the left mid and lower lung fields, which may represent asymmetric pulmonary edema or developing consolidation.
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Lung volumes are normal and lungs are clear. No pleural effusion, pneumothorax or focal airspace consolidation. Heart is normal size. Mediastinal and hilar contours are unremarkable.
cough with shortness of breath. evaluate for pneumonia.
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A single portable upright view of the chest was obtained. Cardiomediastinal silhouette is stable. Lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax. Pulmonary vasculature are more prominent compared to the prior exam but there is no edema. Cervical fusion hardware noted.
<unk>-year-old female with dyspnea, copd, nstemi, please evaluate for consolidation versus pulmonary edema.
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Bilateral multifocal opacities are unchanged since the prior study. Cardiomediastinal silhouette is also unchanged. There is no pneumothorax or new areas of focal consolidation. There is no significant pleural effusion.
<unk>-year-old female with overdose and aspiration. evaluate for interval change.
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Single portable view of the chest. Lower lung volumes seen on the current exam. There is increase in degree of the opacity at the right lung base likely due to pleural effusion with underlying atelectasis, noting infection is not excluded. There is also a small left pleural effusion, new since prior. Retrocardiac opacity is in part due to known hiatal hernia. The cardiac silhouette is enlarged, similar to prior. Core-valve is also seen, similar to prior. Degenerative changes seen at the shoulders.
<unk>-year-old male with tachycardia.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>f with cough
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Frontal and lateral views of the chest were obtained. There is a large hiatal hernia containing multiple air-fluid levels. Amorphous calcifications are again seen projecting over the left upper lobe. No new focal consolidation is seen. There is no pneumothorax. There is no large pleural effusion.
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Ap upright and lateral views of the chest are provided. The lungs are hyperinflated, though clear. Patient is rotated to her left. No effusion or pneumothorax. No focal consolidation or signs of pulmonary edema. Cardiomediastinal silhouette is normal. Bony structures are intact.
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Multiple left sided posterior rib fractures are again seen. There is a tiny left apical pneumothorax. The lungs are clear of focal consolidation or pleural effusion. The heart and mediastinal silhouette is normal.
<unk>-year-old female with history <unk> <unk>'s disease status post fall from <unk> steps. negative head trach or loss of consciousness. outside hospital images show multiple right-sided rib fractures, question of flail chest.
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The heart is top-normal in size but unchanged from the prior exam in <unk>. Bibasilar opacities are demonstrated that likely reflect atelectasis. There is no large effusion or pneumothorax. The left fourth and fifth ribs anteriorly are slightly irregular. Clips project over the right upper quadrant.
<unk> year old woman with l lat chest pain, tenderness // ? pulmonary, chest wall abnormalities
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The cardiac, mediastinal and hilar contours appear stable. There is unchanged mild pleural thickening at each lung apex. Streaky left mid lung opacity is also unchanged and consistent with minor scarring. Bilateral nipple shadows are visualized. The lung fields appear otherwise clear. There is no pleural effusion or pneumothorax. Bony structures are unremarkable. There has been no definite change.
altered mental status.
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Compared with prior radiographs on <unk>, there is no significant change in bibasilar atelectasis and small bilateral pleural effusions, right greater than left. There is no new focal consolidation or pneumothorax. The right pleural drain is stable in position. Cardiomediastinal silhouette is unchanged.
<unk> year old man s/p <unk> esophagectomy // check interval change
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In comparison with study of <unk>, there is no interval change or evidence of acute cardiopulmonary disease. Specifically, no evidence of skeletal or pulmonary metastases.
melanoma, to assess disease status.
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No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. Degenerative changes are seen at the bilateral acromioclavicular joints. No acute displaced fracture is seen.
history: <unk>f with fall with pain // acute process
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Frontal and lateral views of the chest demonstrate low lung volumes, which accentuate bronchovascular markings. Mild basilar atelectasis is noted. No pleural effusion. No focal consolidation or pneumothorax. Cardiomediastinal and hilar silhouette appear stable and within normal limits. Bones appear intact.
chest pain. assess for widened mediastinum.
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Pa and lateral views of the chest provided. There is a large left pleural effusion with significant collapse of the left upper and lower lobe. There is no significant shift of midline structures. The right lung is clear. Heart size cannot be assessed. Bony structures appear intact.
<unk>f with left sided decreased lung sounds, cough
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The lungs are well expanded and clear. There is a trace left pleural effusion seen best on the lateral view. There is no right pleural effusion. There is no pneumothorax. The cardiomediastinal silhouette is unremarkable.
elevated white blood count.
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As compared to the previous image, the pneumonia, that is multifocal but left predominant, has increased in severity. The lung volumes have decreased. The right-sided component of the pneumonia is unchanged. Unchanged appearance of the cardiac silhouette. Unchanged position of the central venous access line.
allograph transplant, graft-versus-host reaction, pneumonia, evaluation.
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There is a left-sided chest wall pacemaker with leads projecting over the right atrium and right ventricle. The heart is moderately enlarged. There is moderate pulmonary edema. Blunting of the right costophrenic angle could reflect a small amount of pleural fluid. There is no pneumothorax.
history: <unk>f with dyspnea // evidence of effusion
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Frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is no pulmonary edema.
the patient with fevers and tachycardia. assess for pneumonia.
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Lines and tubes: partially visualized is a left-sided percutaneous nephrostomy catheter projecting over the left flank. Lungs: low lung volumes with new bibasilar linear opacities, likely linear atelectasis. No lobar consolidation present. Pleura: no large pleural effusion or pneumothorax. Mediastinum: the patient is rotated giving rise to apparent cardiomegaly. Bony thorax: unremarkable
<unk> year old female s/p perc nephrouterral stents and tubes with new leukocytosis of <num> // eval for pna of e/o aspiration
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Again, there is a large right hydropneumothorax. Overall, the size appears slightly decreased from prior exam with an associated mild increase in expansion of the right lung. The right-sided chest tube is unchanged. The left lung is clear. The cardiomediastinal silhouette is normal.
evaluate pneumothorax.
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Pa and lateral chest radiographs demonstrate a subtle right infrahilar opacity with associated bronchial wall thickening. The lungs are otherwise clear and there is no pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal.
dyspnea and cough.
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The lungs are clear. Again the dobbhoff tube tip is at the distal esophagus, possibly a little higher than on the prior film. The patient is status post median sternotomy. No pleural effusion or pneumothorax is identified.
<unk>-year-old man with increasing o<num> requirement. please evaluate for any acute intrathoracic process.
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The lungs are well expanded and clear. Cardiomediastinal silhouette is unremarkable. There is no pneumothorax or pleural effusion. Visualized osseous structures are unremarkable.
dyspnea, chest pain.
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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 etoh cirrhosis, recent d/c for pna / effusion now w/ recurrent weakness
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Endotracheal tube tip, <num>cm in the right main bronchus should be withdrawn <num>cm. Left lower lobe collapse is indicated by opacified left lung base and leftward mediastinal shift. There may be a small left pleural effusion. Fullness in the ap window/upper mediastinum/subcarinal stations should be reevaluated when the left main bronchus has cleared of secretions and the the lower lobe is aerated .
endotracheal tube positioning.
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In comparison with prior study, there has been placement of a nasogastric tube that coils within the fundus of the stomach with the tip close to the esophagogastric junction. Right subclavian catheter again extends to the lower svc. There are several streaks of atelectasis at both bases without acute focal pneumonia or vascular congestion.
small-bowel obstruction, for ng tube placement.
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Progression of bibasilar atelectasis with possibly mild pleural effusion. Moderate cardiomegaly is unchanged in this patient with prior sternotomy for cabg. Mild volume overload is unchanged. There is no pneumothorax.
patient with hypoxia and pleural effusion.
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Moderate cardiomegaly is somewhat increased compared to the prior exam. The mediastinal contour is unchanged with tortuosity of the thoracic aorta again demonstrated. There is mild pulmonary edema, new from the prior study. No pleural effusion or focal consolidation is seen. There is no pneumothorax. No acute osseous abnormalities detected.
hypoxia.
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Frontal and lateral views of the chest were obtained. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No displaced fracture is identified.
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Pa and lateral views of the chest compared to previous exam from <unk>. The lungs are clear, there is no effusion or pneumothorax or evidence of pulmonary vascular congestion. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.
<unk>-year-old male with significant past medical history of hyperlipidemia, complaining of chest pain.
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The lungs are clear. There is no focal airspace opacity, pulmonary edema, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal.
cough, sputum production, and wheezing.
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Portable ap upright chest radiograph obtained. There is chronic scarring at the left lung base. There is no definite sign of pneumonia or chf. The overall cardiomediastinal silhouette appears stable, though the heart size is not well visualized. There is no pneumothorax. Bony structures appear intact. Midline sternotomy wires are noted.
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Interval improvement in bilateral opacities involving the right upper lobe and left lower lobe with stable small right pleural effusion. Interval removal of picc. No pneumothorax or pulmonary edema. Heart size and mediastinal contour are normal. No bony abnormality.
neutropenic male with known fungal pneumonia and end-stage aml, presents with altered mental status. please assess for pneumonia progression.
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The heart size is normal. The hilar and mediastinal contours are unremarkable. The lung volumes are low. No focal consolidations concerning for infection are identified. Note is made of mild bibasilar atelectasis. There is no pneumothorax or pleural effusion.
history of poorly controlled diabetes, neuropathy. please evaluate.
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The cardiac, mediastinal and hilar contours appear stable. Hazy appearance of the left lung base is probably due to a large epicardial fat pad. Scarring in the left upper lobe appears unchanged. Although this area is difficult to assess, the lungs are probably otherwise clear. There are no pleural effusions or pneumothorax.
chills.
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The lung volumes are noted to be mildly decreased, and the right hemidiaphragm is somewhat asymmetrically elevated as compared to the left. There is no evidence of focal consolidation, pleural effusion, pneumothorax, or frank pulmonary edema. The cardiomediastinal silhouette is within normal limits. Levoscoliosis is again noted centered within the lower thoracic spine.
<unk>m with l back pain // eval for pneumonia, pneumo
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There is dense opacification of the right upper hemithorax with elevation of the right minor fissure and shift of the mediastinum to the right. Findings are consistent with right upper lobe collapse and possibly aspiration pneumonia. No pneumothorax is seen. A trace right pleural effusion may be present. The heart size is top normal. An esophageal catheter courses inferior to the diaphragm with the tip and sideport within the stomach. An endotracheal tube is in standard position. Note is made of surgical clips in the right upper quadrant.
witnessed aspiration. altered mental status.
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Ap view of the chest provided. Right-sided chest tube is seen in unchanged position. There is no pneumothorax. Cardiomediastinal and hilar contours are normal. There are no pleural effusions. Nasogastric tube has been removed.
<unk> year old man distended with multiple stab wounds, now with ct to water seal // evidence of pneumothorax. please perform at <unk>
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As compared to the previous radiograph, there is no evidence of pneumonia on the current image. However, the lung volumes are low with reticular changes bilaterally with peripheral predominance. Overall, the chest radiographic findings would be consistent with lung fibrosis. Sternal wires in situ. Normal size of the cardiac silhouette.
recent pneumonia, evaluation for resolution.
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The lungs are well expanded. Heart size is top normal. Mediastinal and hilar contours are unremarkable. Pulmonary vascularity is normal. There is no focal consolidation, pleural effusion or pneumothorax. Scarring within the lung apices is unchanged. There are no acute osseous abnormalities.
asthma, worsening shortness of breath.
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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.
history: <unk>m with fevers, increasing weight loss // r/o pna, mass
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The ng tube is coiled in the mid esophagus with tip pointing upward in the neck. Compared to the prior exam the et tube is been removed. The lungs are clear without infiltrate or effusion.
<unk> year old man with new ngt placement // eval ngt placement
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Frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is no pulmonary edema. Partially imaged upper abdomen is unremarkable.
palpitations.
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There is a large right pleural effusion which appears to be partially loculated, with residual aeration of right upper lobe. There is a drain in place in the right lung base. The left lung is clear aside from mild atelectasis at the lung base. There is no pneumothorax. Cardiomediastinal silhouette is partially obscured by the right pleural effusion, but is unremarkable. Orthopedic fixation hardware seen in the right humeral head.
fever, concerning for pneumonia, reported h/o lung cancer.
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Large area of opacity persists over the right hemi thorax with increase in aeration over the right lung apex as compared to the prior, and there has been interval decrease in leftward mediastinal shift. The left lung is clear. No definite pneumothorax is seen. The left aspect of the cardiac and mediastinal silhouettes unremarkable. The right aspect is not well assessed due to the large right sided opacity.
history: <unk>f with effusion // ? improved effusion s/p thoracentesis
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There is moderate new bilateral central opacification suggesting new onset of pulmonary edema over the short interval. Pleural effusions are not well demonstrated on this study but are likely to persist as subpulmonic effusions. Developing pneumonia, particularly at the medial right lung base, is not excluded, although findings can likely be explain by pulmonary edema.
tachypnea and increased oxygen requirement.
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Portable ap upright chest radiograph obtained. The lungs are clear, though low lung volume slightly limits evaluation. Plate-like left mid lung atelectasis is noted. No signs of pulmonary edema. No pleural effusion or pneumothorax. Cardiomediastinal silhouette appears normal.
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The endotracheal tube ends <num> cm above the level of the carina, not significantly changed. An enteric catheter courses below the level of the diaphragm and out of the field of view inferiorly. There is minimal bilateral lower lung atelectasis, not significantly changed. There is no focal consolidation. The heart size is normal. Enlargement of the hila, right greater than left, is not significantly changed. There are no pleural effusions. No pneumothorax is seen.
altered mental status, intubated. assess for interval change.
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Ap upright and lateral views of the chest are provided. Lung volumes are low though allowing for this, there is no focal consolidation or convincing signs of mass lesion. No effusion or pneumothorax is seen. The heart and mediastinal contours appear normal. Bony structures are intact. No free air below the right hemidiaphragm is seen.
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Right-sided picc terminates in the right atrium. Lower lung volumes, clear lungs. No pleural effusion or pneumothorax. Stable mild cardiomegaly. No interval change in bony thorax. There is a large amount of air within the stomach, if the patient is symptomatic this may be decompressed via an ng tube.
<unk> year old woman with stronglyodies // acute process
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Low lung volumes results in crowding of the bronchovascular structures. A mild, nonspecific interstitial abnormality may have increased since <unk>. There is no lobar consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiac size is stable. The descending thoracic aorta is mildly tortuous.
history: <unk>m with ams pls eval for pna // history: <unk>m with ams pls eval for pna
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Comparison is made to previous study from <unk>. There is improved aeration of the left lower lobe collapse since the previous study. There is again seen an endotracheal tube, enteric tube, and left ij central line. The central venous catheter is again within the brachiocephalic vein. Heart size is enlarged but stable. There is some mild prominence of pulmonary interstitial markings without overt pulmonary edema.
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The heart size is mildly enlarged. Mediastinal and hilar contours are unremarkable. Lungs are clear. Pulmonary vascularity is normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities identified.
chest pain.
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The lungs are normally expanded and clear. The cardiomediastinal silhouette, hilar contours and pleural surfaces are normal. There is no pleural effusion or pneumothorax.
leukocytosis and altered mental status. evaluate for acute process.