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There has been placement of a left chest tube for a previously noted pneumothorax with no pneumothorax currently seen. Bibasilar atelectasis is seen, and low lung volumes accentuate the pulmonary vasculature. Median sternotomy wires are noted. The cardiac silhouette is unchanged in size.
right spontaneous pneumothorax, please evaluate for interval change.
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As compared to the previous radiograph, the extent of the known post-procedural right pneumothorax has substantially decreased. The pneumothorax is still clearly present and its maximum diameter is <num> cm, as opposed to at least <num>-<num> cm on the previous image. The right lung is better expanded. Unchanged air collection in the right lateral soft tissues. The position of the chest tubes is constant. No evidence of tension.
status post vats bullectomy, chest tubes placed on suction, evaluation for pneumothorax.
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A right subclavian venous catheter terminates in the mid svc. At the lateral aspect of the left lung, it is difficult to discriminate between overlying soft tissue and a definite opacity within the left mid lung. The lungs are otherwise clear. The heart, mediastinum, hilum and pleura are normal. Note is made of some heterogeneity along the ribs, however evaluation is limited in this single frontal radiograph. For a more thorough evaluation, conventional radiographs should be obtained.
<unk>-year-old man with iga mm, presenting for high-dose cytoxan in preparation to auto-sct, now with febrile neutropenia. study requested for evaluation of infection.
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Frontal and lateral radiographs the chest demonstrate bibasilar atelectasis. There is no pneumothorax, pleural effusion, or focal consolidation. The cardiomediastinal and hilar contours are unchanged.
fever. evaluate for pneumonia.
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Interval removal of the swan-ganz catheter with the sheath remaining in the right svc. Endotracheal tube has been removed. Mediastinal drains and left-sided chest tube remains in similar position. No enlarging pneumothorax. Improved aeration of the lungs with decreasing bibasal and retrocardiac opacity. Mild pulmonary vascular congestion and moderate cardiomegaly persist.
<unk> year old woman with s/p cabg // chest tube on water seal ? ptx - please do at <num> am
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In comparison with the earlier study of this date, the right subclavian picc line now extends well into the neck after power flush. Little change in the appearance of the heart and lungs.
picc placement.
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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>m with cough // evaluate for infiltrate
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Lung volumes are low, particularly on the right, this makes the bronchovascular markings more prominent. Compared to the prior study there has been slight improvement in the pulmonary vascular congestion. Mild cardiomegaly is unchanged. No focal consolidation, pleural effusion or pneumothorax seen.
<unk> year old woman with chf, cough // pulmonary edema? pneumonia?
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As compared to the previous radiograph, a right picc line is seen in axillary position. The pre-existing areas of plate-like atelectasis at both lung bases have completely resolved. No pathologic changes in the lung parenchyma. Normal appearance of the heart .the hilar structures are unremarkable. The minimally widened upper mediastinum signs no morphological correlation on the neck ct examination from <unk>.
assessment for pulmonary edema.
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Cardiomediastinal contours are stable in appearance. Enlargement of central pulmonary arteries is suggestive of pulmonaryhypertension in this patient with chronic interstitial fibrosis. Moderate right pleural effusion persists, with adjacent opacity (atelectasis, consolidation or contusion) in the right lower lobe, as well as multiple right-sided rib fractures. There is no visible pneumothorax.
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In comparison with study of earlier in this date, there has been placement of a right chest tube with essentially complete re-expansion of the lungs. The areas of increased opacification at the left base persist. There is extensive subcutaneous gas along the right lateral chest wall extending downward to the abdomen.
pneumothorax with chest tube.
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In comparison with study of <unk>, the opacification at the right base has substantially decreased. Continued low lung volumes. Mild indistinctness of pulmonary vessels could reflect some elevated pulmonary venous pressure. Atelectatic changes are seen at the bases, especially on the right.
pneumonia after transplant.
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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 confusion, increase in seizure activity // eval for underlying infiltrate
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There has been interval replacement of the left swan-ganz catheter for a central venous catheter, which terminates in the low svc. Otherwise, there is no significant change compared to <unk> with stable post-operative mediastinum, cardiomegaly, persistent low lung volume with atelectatic change, -with unchanged position of left chest tube and right dual-lumen dialysis catheter. There is no pneumothorax.
status post cabg, evaluate for pneumothorax.
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Frontal and lateral views of the chest are obtained. There is minimal left base atelectasis. No discrete focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are unremarkable.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear except for unchanged focal scarring in the right middle lobe. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
<unk> year old man with known aortic stenosis now with dypnea symptoms s/p caria cath today. he was found to have lad stenosis and is now being referred to cardiac surgery for an aortic valve replacement and revascularization. // r/o acute pulmoary processes. pt location <unk> <num>: x <unk>surg: <unk> (aortic valve replacement)
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The patient is status post recent right upper lobe wedge resection with persistent small right apical pneumothorax and small right pleural effusion. Opacities at the resection site have slightly improved, likely due to resolving atelectasis and/or contusion. Within the left hemithorax, a moderate pleural effusion has increased in size with adjacent worsening consolidation and/or atelectasis in the lingula and left lower lobe.
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Moderate to severe cardiomegaly is again seen with vascular congestion. Small right pleural effusion continues to be seen. The right ij central venous line is stable in the mid to lower svc, and the left ij venous line terminates at the confluence of the left internal jugular vein and the brachiocephalic vein. No consolidation or pneumothorax is seen.
<unk>-year-old male with end-stage renal disease and mssa pneumonia, question infection.
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Ap upright and lateral views of the chest provided. Retrocardiac opacity on the frontal view corresponds with a left pleural effusion. There is also likely compressive left lower lobe atelectasis. The right lung is clear. No pneumothorax though skin folds project over the lung apices simulating pneumothorax. Cardiomediastinal silhouette appears stable. Bony structures are intact.
<unk>f with altered mental status // eval ? infection
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Cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. <num> mm nodular opacity within the right upper lobe is similar compared to the prior ct chest allowing for differences in technique. Lungs are otherwise clear. No focal consolidation, pleural effusion or pneumothorax is seen. No acute osseous abnormality is visualized.
history: <unk>f with left arm swelling and pain
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The cardiomediastinal and hilar contours are within normal limits. Lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax. There is a stable calcified or metallic lesion in the left hilar region
history: <unk>m with new onset afib // evidence of pneumonia evidence of pneumonia
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Ap portable upright view of the chest. Right chest wall port-a-cath is again noted with catheter tip projecting over the region of the low svc. New from prior is a large right pleural effusion with only minimal residual aeration in the right upper lobe. No left effusion is seen. Heart size is grossly unchanged. Hardware is again noted stabilizing the thoracic spine. There is evidence of prior right seventh rib resection. A chronic left seventh rib deformity is noted.
<unk>f with shortness of breath // ?effusion
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The heart size and mediastinal contours appear within normal limits. There is new consolidation within the left lower lobe of the lung, silhouetted by the major fissure, with additional foci of consolidation in the left upper lobe and likely within the right lower lung. Small left pleural effusion. Osseous structures appear unchanged.
history: <unk>m with cough, fever // ? infiltrate
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The patient is rotated. Lung volumes remain low. Bilateral right greater left pleural effusions persist and may be slightly increased on the right from the prior exam. No significant change in small left pleural effusion if not minimally decreased. Mild cardiomegaly is overall unchanged. No pneumothorax. No frank pulmonary edema. Bilateral consolidations are overall unchanged.
<unk> year old woman s/p ex-lap, sbr, now w. increasing b/l pleural effusions. evaluate interval change.
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Single. Ap and lateral views of the chest. There are small bilateral effusions. There is new retrocardiac opacity silhouetting the medial hemidiaphragm and silhouetting of the left heart border. Linear opacity in the lateral views suggestive of atelectasis likely in the lingula. Superiorly lungs are grossly clear. The cardiomediastinal silhouette not definitely changed. Hypertrophic changes seen in the spine.
<unk>-year-old male with weakness.
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There is a right-sided ij which terminates in the right atrium. Moderate pulmonary edema has increased compared to the prior exam. The patient has been extubated in the interim. There is mild bibasilar atelectasis. There is no large pleural effusion. Moderate cardiomegaly persists. The visualized osseous structures are unremarkable.
history of gi bleed and question of aspiration with cough. please evaluate for infection.
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Patient is somewhat rotated in this examination. A tracheostomy tube is seen well positioned in the trachea. Left subclavian catheter extends to the mid portion of the svc. Enteric tube courses below the diaphragm, the tip is not included in this examination. Allowing for positional changes, cardiomediastinal and hilar contours appear normal. No definite pleural effusions or pneumothorax. Lower lung volumes exaggerate interstitial abnormalities present at lung bases, likely representative of fibrosis and alveolitis which is fully characterized on prior chest ct from <unk>.
<unk>-year-old man with neurologic toxoplasmosis and tracheostomy. study requested for evaluation of tracheostomy and for new infiltrates.
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As compared to the previous radiograph, the patient has made a bigger inspiratory effort. Two right-sided chest tubes are in unchanged position. There is currently no convincing evidence of pneumothorax. The extent of the pleural effusions, both on the right and the left are unchanged. Also unchanged are the known parenchymal opacities and multiple calcified lymph nodes.
pleural effusions, evaluation.
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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>m with exacerbation of seizure disorder
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Lungs are clear. No pleural effusion, pneumothorax or focal airspace consolidation. Heart is mildly enlarged but unchanged from at least <unk>. No pulmonary edema. Mediastinal and hilar contours are unremarkable. A severe compression deformity of the lower thoracic spine is unchanged from <unk>.
dyspnea. evaluate for an acute process.
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Pa and lateral chest radiographs were obtained. The lungs are well expanded and clear. Linear scarring at the left lung base is unchanged since <unk>. There is no focal consolidation, effusion, or pneumothorax. Cardiac and mediastinal contours are normal.
chest pain
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Obscuration of the right heart border with wedge opacity projecting over the right middle lobe is noted. Lungs are otherwise notable for increased interstitial markings, overall improved since priors. There is no effusion. Mild cardiomegaly is again seen. Left chest wall dual lead pacing device is again noted. Ivc filter visualized within the abdomen.
<unk>f with recent pe, hemoptysis, p/w recurrent small volume hemoptysis // eval ? pulmonary infarction, effusion
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Patient is status post cabg with median sternotomy wires in place. Moderate cardiomegaly is unchanged. Triangular opacity in the superior segment of the left lower lobe is new since prior chest radiograph. Small left pleural effusion. No pleural effusion on the right. There is no focal consolidation. No pneumothorax. No central vascular congestion or overt pulmonary edema.
<unk> year old woman with recurrent aspiration pneumonia // any infiltrate
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New opacification and volume loss in the right upper lobe is either atelectasis or pneumonia. Right lower has improved atelectasis, but with increasing consolidation. The left lung is well expanded and clear. A very small left apical pneumothorax is present. Endotracheal tube ends approximately <num> cm above the carina. Right central venous catheter terminates in the lower svc. An ng tube ends at the level of the gastroesophageal junction and needs to be advanced further for optimal positioning.
<unk>-year-old male status post mvc and polytrauma, now with worsening hypoxia.
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Portable semi upright radiograph of the chest demonstrates new placement of a left-sided chest tube. There has been interval decrease in size of the left pneumothorax. There is persistent but improved shift of the mediastinum to the right. There are increased interstitial markings in the bilateral lungs. There is a moderate left-sided pleural effusion. The cardiomediastinal and hilar contours are unchanged.
<unk> year old woman with fall and right rib fractures, clavicle fracture, and small left pneumothorax, increased left pneumothorax on cxr // please assess status of pneumothorax, now with left chest tube
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As compared to the previous radiograph, the lung volumes are unchanged. The pre-existing left pleural effusion has completely resolved, pleural effusions are seen neither on the frontal nor on the lateral radiograph. Decrease in extent of a plate-like atelectasis at the right lung bases. Normal size of the cardiac silhouette. The right picc line has been removed. No pneumonia, no pulmonary edema. No pleural effusions. Multiple air-fluid levels in the included parts of the abdomen.
pancreatitis, fever, evaluation for pneumonia.
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In comparison with the study of <unk>, there again are low lung volumes which accentuate the transverse diameter of the heart. Bibasilar opacifications are consistent with atelectasis and possible left effusion. In the appropriate clinical setting, supervening pneumonia would have to be considered. Central catheter remains in place.
to assess for effusion or consolidation.
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Low lung volumes. 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>m with chest pain // eval for pna
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There is a right port-a-cath with the tip in the cavoatrial junction. There is a pacemaker overlying the left chest with leads in the right atrium and right ventricle, which appears unchanged in comparison to the prior radiograph. The left pleural effusion has improved, however there is a residual small amount of pleural fluid. The left retrocardiac opacity has also improved. The right lung is clear. Heart size is stable. The mediastinal and hilar contours are stable. The pulmonary vasculature is normal. No pneumothorax is seen. There are no acute osseous abnormalities.
<unk> year old man with a history of primary effusion lymphoma. please evaluate for change in size of effusion, now after <num> cycles of mini-chop. // <unk> year old man with a history of primary effusion lymphoma. please evaluate for change in size of effusion, now after <num> cycles of mini-chop.
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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.
<unk>-year-old female with weakness. rule out pneumonia.
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As compared to the previous radiograph, the patient has undergone cardiac surgery. Normal alignment of the sternal wires. Normal position of the endotracheal tube. A pericardiac drain is in situ. Minimal pulmonary edema. No pneumothorax. No larger pleural effusions.
status post <unk> <unk>. status post cardiac surgery.
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The lungs are clear. Mediastinal and cardiac contours are unremarkable except for unchanged deviation of the trachea towards the left, which could be due to a thyroid nodule.
patient with chest pain, ekg shows changes suggestive of pericarditis, rule out constriction or pericardial effusion.
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Fibrotic changes as seen on prior ct are noted in the lungs, right greater than left with associated volume loss in the right hemithorax. There is no definite superimposed acute consolidation given differences in technique. There is no pleural effusion or pneumothorax. There is mild cardiomegaly. Chronic changes noted at the right shoulder and old proximal left humeral fracture is also noted.
<unk>f with fall, left periorbital ecchymosis, malaise // ?fx, ?infection
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Single portable view of the chest. There is elevation of the left hemidiaphragm, similar to prior. Left basilar opacity could represent atelectasis, although consolidation or effusion are also possible. The lungs are otherwise clear. Massive dilation of the pulmonary arteries is stable in configuration. Cardiac silhouette is enlarged but similar compared to prior. Orthopedic hardware partially visualized in the proximal right humerus.
<unk>-year-old female with dyspnea.
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As compared to the previous radiograph, there is minimally increasing atelectasis at the right lung bases. Minimal blunting of the right costophrenic sinus could reflect the presence of a small pleural effusion. Otherwise, there is no relevant change. The cardiac silhouette continues to be enlarged, with enlargement of the left atrium and tortuosity of the thoracic aorta. No evidence of pneumonia, areas of atelectasis persist.
hypoxemia, questionable pulmonary edema.
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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 stable with substantial widening of the mediastinum, presumed due to tortuous aorta. However, on this study, a dilated ascending aorta would not be excluded; however, findings are stable as compared to the prior study.
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Pa and lateral views of the chest were obtained. Midline sternotomy wires and mediastinal clips are again noted. There is a background of emphysema better appreciated on the prior radiographs. There has been interval development of pulmonary vascular congestion and mild pulmonary edema. Trace bilateral pleural effusions are present. No pneumothorax. Cardiomediastinal silhouette is stable. Bony structures are intact.
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Ap semi-upright portable chest radiograph provided. Dual-lead pacer is unchanged. The previously noted opacity in the right lower lung has cleared. There is no large consolidation, effusion or pneumothorax. Old left rib cage deformities are unchanged. The cardiomediastinal silhouette appears stable.
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Patient had recent splenectomy explaining the free air under the diaphragm. Right lower lung opacities are new, suggestive of pneumonia or aspiration. There is no pneumothorax or pleural effusion. Mediastinal and cardiac contours are normal. Ng tube has been removed.
patient with increasing o<num> requirement, tachycardia, pneumonia, pleural effusion, or atelectasis.
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Chronic scarring involving the bilateral upper lobes is not significantly changed in appearance, and is better characterized on prior ct. Interval increase in heterogeneous opacification of the left lung, with more consolidative retrocardiac opacity containing air bronchograms, is most consistent with left lower lobe pneumonia. Additionally, there has been interval development of the moderate-sized left pleural effusion. The heart remains enlarged. The aorta is tortuous. No pneumothorax.
<unk> year old woman with o<num> sat <unk>% ra, afebrile but breath sounds diminished per vna. chest xray prior to visit. // evaluate for pneumonia, effusion.
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Single ap upright view the chest. Midline sternotomy wires noted. Heart size is normal. The lungs are clear. There is no pneumothorax or pleural effusion. No signs of congestion or edema. Mediastinal contour is normal. Bony structures are intact. No free air below the right hemidiaphragm.
<unk>m with shortness of breath, history of cardiac transplant.
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Compared to chest radiographs from <unk>, patient has undergone left lower lobectomy with placement of a left chest tube, terminating in the left medial lung base, likely posteriorly. Volume loss in the left lung reflect left lower lobe resection. No pneumothorax, large effusion or focal consolidation. No central vascular congestion or overt pulmonary edema. Mediastinal and hilar contours are stable. Heart size is normal. Mild left greater than right biapical pleural thickening.
<unk> year old woman s/p lll lobectomy
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The cardiac, mediastinal and hilar contours appear unchanged. There is no pleural effusion or pneumothorax. The lungs appear clear.
hyperglycemia.
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The lungs are clear without focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with syncope and weakness and headache // infectious process/malignancy?
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The tip of the left subclavian picc line is angulated posteriorly consistent with placement in the azygos vein. No pneumothorax is detected. No focal consolidation or effusion is identified. Cardiac and hilar contours are unchanged from previous.
<unk> year old man with picc placed // picc placement
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The lungs are symmetrically well expanded and well aerated without focal consolidation concerning for pneumonia. No significant pleural effusion or pneumothorax is detected. The pulmonary vasculature is not engorged. The cardiac silhouette is top normal in size. The mediastinal and hilar contours are within normal limits. The trachea is midline. There is no free air beneath the right hemidiaphragm. A metallic density projecting over the upper abdomen on the lateral view is likely external to the patient compatible with a cardiac monitor lead.
asthma exacerbation, here to evaluate for pneumonia.
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Interval worsening of lower lobe predominant airspace opacities superimposed on a background of diffuse bilateral interstitial opacification. Observed findings likely primarily represent pulmonary edema, but coexisting infection is possible and followup radiographs after diuresis may be helpful in this regard. Bilateral pleural effusions have slightly increased in size in the interval, moderate on the right and small on the left.
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As compared to the previous radiograph, there is no relevant change. The monitoring and support devices are in constant position. Mild fluid overload, bilateral areas of atelectasis, moderate cardiomegaly and questionable small right pleural effusion. No newly appeared focal parenchymal opacities. No evidence of pneumothorax.
pneumonia, chest tube, evaluation for interval change.
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Portable frontal radiograph of the chest demonstrates the swan-ganz catheter in unchanged position in the right pulmonary outflow tract. The heart remains mildly enlarged. Mild coronary vascular congestion without overt edema. No focal consolidation, pleural effusion or pneumothorax.
chf secondary to viral cardiomyopathy. swan-ganz catheter in place.
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The heart is severely enlarged, worsened from prior, with increased bulging of the right border compared with prior exam. There is bilateral diffuse interstitial opacities and hilar engorgement with associated left-sided pleural effusion. There is no pneumothorax. A biventricular pacemaker is again noted with the leads in unchanged position.
<unk>-year-old male with chest pain post cardiac resynchronization procedure. evaluate for evidence of chf.
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In comparison with the study of <unk>, there is continued enlargement of the cardiac silhouette with pulmonary edema. Probable small bilateral pleural effusions, more prominent on the left, with associated compressive atelectasis.
copd and chf exacerbation.
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Lungs are clear overall, though slight obscuration of the left costophrenic sulcus is seen which may be due to atelectasis, though pneumonia cannot be fully excluded. There is no right-sided pleural effusion or pneumothorax. The heart is top normal in size with normal cardiomediastinal silhouette. No displaced rib fractures are seen.
right rib pain, assess for fracture.
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In comparison with the study of earlier in this date, there has been removal of substantial fluid from the left pleural space. No evidence of pneumothorax. Diffuse osseous metastases again seen.
thoracentesis, to assess for pneumothorax.
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In comparison with study of <unk>, the patient is somewhat obliqued. However, the cardiac silhouette remains within normal limits and there is no evidence of appreciable vascular congestion or acute focal pneumonia. Nasogastric tube tip lies in the lateral aspect of the fundus of the stomach.
preoperative for small bowel obstruction.
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The lung volumes are normal. Moderate cardiomegaly. No overt pulmonary edema. No atelectasis. No pleural effusion. No pneumothorax.
history of stroke.
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In comparison with study of <unk>, there is little change. Continued hyperexpansion of the lungs is consistent with chronic pulmonary disease. Again, there is a vague suggestion of some increased opacification at the left base which could reflect superimposed consolidation. Lateral view would be most helpful for further evaluation.
copd, to assess for change.
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Pa and lateral views of the chest provided. A linear density again seen in the left mid to lower lung is consistent with scarring. The lungs appear hyperinflated suggestive of underlying emphysema. No focal consolidation, effusion or pneumothorax is seen. The cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm is seen.
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Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are unremarkable. No pulmonary edema is seen.
<unk> year old woman with dyspnea and chest tightness // eval for pleural effusion or infection
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There are relatively low lung volumes. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.
history: <unk>f with feeling unwell // ?pna
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The lungs are clear. There is no focal consolidation, effusion, or pneumothorax based on this supine film. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with od, likely aspiration // eval for consolidationj
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Normal heart size, mediastinal and hilar contours. Minimal bibasilar atelectasis loops with no focal consolidation, pleural effusion or pneumothorax.
history: <unk>f with history of asthma, copd, ckd who presents cough sob // eval for pna
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Pa and lateral chest radiograph demonstrates symmetrically expanded lungs with no focal consolidation convincing for pneumonia. There is no pleural effusion or pneumothorax. Cardiomediastinal and hilar contours are within normal limits.
<unk>-year-old male with asthma.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top normal. The mediastinal and hilar contours are stable. No overt pulmonary edema is seen.
chest pain status post stent evaluate for infiltrate.
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Frontal and lateral chest radiographdemonstrates well expanded and clear lungs.no pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable. Intact median sternotomy wires and mediastinal clips are noted. Limited assessment of the upper abdomen is within normal limits.
chest pain, pressure. assess for focal infiltrate or cardiomegaly.
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Interval placement of endotracheal tube with the tip positioned <num> cm above the carina. Interval placement of nasogastric tube terminating in the fundus of the stomach. Cardiomediastinal and hilar contours are unremarkable. Lungs are clear. No pleural effusion or pneumothorax is evident. No osseous abnormality.
status post intubation.
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In comparison with the earlier study of this date, the monitoring and support devices remain in place. The cardiac silhouette remains enlarged and there is some elevation of pulmonary venous pressure. Retrocardiac opacification with blunting of the costophrenic angle is consistent with pleural effusion and volume loss in the left lower lobe.
reexploration for bleeding.
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Right picc tip terminates in the low svc. Right-sided port-a-cath tip terminates in the mid svc. Cardiac, mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vasculature is not engorged. No focal consolidation, pleural effusion or pneumothorax is seen. A percutaneous gastrostomy catheter balloon is noted in the left upper quadrant of the abdomen.
<unk> year old woman with esophageal cancer and recent perforation of gallbladder presents with right upper quadrant pain x <num> days. needs confirmation of picc placement. // confirm picc placement before use
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Ap view of the chest provided. As compared to prior study from <num> day ago, lung volumes are lower and there is increased bibasilar atelectasis. There is a small degree of volume overload. Post-operative related left upper mediastinal opacity is stable. There is no pneumothorax.
<unk> year old woman postop day <unk> s/p lul wedge resection.
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Stable top-normal heart size. Normal mediastinal and hilar contours. No focal consolidation, pleural effusion or pneumothorax.
history: <unk>f with syncope, recent pituitary surgery // evidence of bleed or pneumonia
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Large right pleural effusion has improved with better visualization of the right lower lung. Basilar consolidation representing pneumonia are unchanged. Cardiac contour is mildly enlarged, and mediastinal contours are unchanged. Et tube is in appropriate position, and the left picc line is in the mid svc.
<unk>-year-old man intubated for pneumonia. evaluate for progression of pneumonia.
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Heart size is normal. Mediastinal and hilar contours are unchanged and within normal limits. Pulmonary vasculature is normal. Linear opacities in the lingula are compatible with subsegmental atelectasis or scarring. Lungs are otherwise clear. No focal consolidation, pleural effusion or pneumothorax is present. Moderate multilevel degenerative changes are seen in the thoracic spine.
history: <unk>m with fever and cough
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The patient is status post median sternotomy. Heart size is normal. Mediastinal and hilar contours are unchanged. The right internal jugular central venous catheter has been removed. The pulmonary vasculature is normal. Lung volumes remain low. Linear opacities in the lung bases are compatible with areas of subsegmental atelectasis. No focal consolidation, large pleural effusion or pneumothorax is present. No acute osseous abnormalities visualized.
history: <unk>f with shortness of breath
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lung volumes are low. There is no pleural effusion or pneumothorax. The lungs appear clear.
fever and stroke.
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The patient is status post previous median sternotomy and coronary bypass surgery. Heart is normal in size. Pacing device remains in place with leads unchanged in position. A new poorly defined area of consolidation has developed in the left lower lobe posteriorly. No definite pleural effusion.
<unk> year old man with sob, rhonchi, history of chf and recent pneumonia // ? chf vs pneumonia
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Frontal and lateral views of the chest were obtained. There is minimal left base atelectasis/scarring. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. There is no overt pulmonary edema. Degenerative changes are seen along the spine.
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Mild linear left basilar atelectasis/scarring is seen. No focal consolidation, pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. No pulmonary edema. No significant change since the prior study.
history: <unk>m with hiv, crackles rll // acute process
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Pa and lateral views of the chest provided. The lungs are mildly hyperexpanded. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
history: <unk>m with cough // pna?
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The lung volumes are low. The cardiac, mediastinal, and hilar contours appear unchanged including borderline cardiomegaly and moderate unfolding of the descending thoracic aorta. There are persistent moderate pleural effusions with basilar opacities that can probably be attributed to atelectasis, although these are not specific. Exaggerated kyphosis is associated with lower thoracic wedge compression deformities associated with partial collapse of vertebral bodies associated with a recent episode of spinal infection.
anasarca.
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Mediastinal widening in the right paratracheal and aorticopulmonary window is accompanied by bilateral hilar enlargement with lobulated contours. There is no pleural effusion, pulmonary edema, or pneumothorax. The heart is not enlarged.
<unk>m with fever, cough, evaluate for acute process.
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Pa and lateral views of the chest provided. The lungs appear clear. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. A posterior bulge involving the right hemidiaphragm reflect a known eventration. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>m with hx liver transplant, with cough and presyncope.
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Frontal and lateral views of the chest were obtained. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. Evidence of dish is seen along the spine. There may be minimal lingular atelectasis/scarring. There has been no significant interval change since the prior study.
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There are linear bibasilar opacities with blunting of the costophrenic angles. Superiorly, the lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified.
<unk>m with sob // effusion
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Cardiomediastinal silhouette is unchanged. Eventration of the right hemidiaphragm is again noted. Apical lung thickening is unchanged. There is no definite focal consolidation. There is no pleural effusion or pneumothorax.
<unk> year old man with non-hodgkins lymphoma with cough sob, evaluate for pneumonia.
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In comparison with the study of <unk>, there are increasing bilateral pulmonary opacifications. Some of this represents underlying interstitial lung disease seen on ct. However, poor definition of pulmonary markings suggests some superimposed elevation of pulmonary venous pressure. In the appropriate clinical setting, however, supervening pneumonia would have to be considered.
lymphoma, now with fever, to assess for pneumonia.
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The lungs are clear. There is no focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. Degenerative changes are noted in the spine.
<unk>m with blurry vision, ha // eval for stroke
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Pa and lateral views of the chest were provided. Midline sternotomy wires as well as a prosthetic mitral valve noted. There is extensive scarring within the right lung with similar overall pattern compared with the prior imaging studies and a small loculated right pleural effusion is again seen. Otherwise, the lungs remain clear without evidence of pneumonia or chf. No left effusion. No pneumothorax. Overall, cardiomediastinal silhouette appears stable. Bony structures are intact.
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Single ap portable view of the chest was obtained. There is elevation of the right hemidiaphragm. There is a relatively focal patchy opacity projecting over the right upper lung. Additionally, there is a patchy opacity projecting over the right lung apex. The left lung is grossly clear. The cardiac silhouette is top normal with possible mitral annulus calcification. The aortic knob is calcified. Surgical clips in the right upper quadrant are presumed from prior cholecystectomy.
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Increased interstitial markings again seen throughout the lungs with increased lucency at the right lung base with flattening of the diaphragm, similar in configuration compared to prior exams. Surgical chain sutures seen at the right lung apex. There is no definite superimposed acute process are new consolidation. The cardiomediastinal silhouette is stable. No acute osseous abnormalities. Old left-sided rib fractures are again noted.
<unk>m with shortness of breath // role out pneumonia
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There is no evidence of lobar consolidation, pleural effusion, pneumothorax, or frank pulmonary edema. The cardiac size is top-normal. The cardiomediastinal silhouette is otherwise within normal limits. No acute osseous abnormalities are detected.
history: <unk>f with cp, cough, recent cardiac cath. please r/o pna // pna?
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As compared to the previous radiograph, no relevant change is seen in the extent of the known extensive bilateral pleural effusions, left more than right. Moreover, the subsequent areas of atelectasis are also unchanged. A new drainage device is visible at the lateral aspects of the left chest. No pneumothorax. Persistent massive cardiomegaly.
pleural effusion, rule out pneumothorax.