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Single frontal semi-upright chest radiograph demonstrates stable prominent interstitial markings and known post-radiation paramediastinal fibrosis particularly evident in the left upper lung. Mediastinal and hilar contours are unchanged. There is stable cardiac enlargement which may represent cardiomegaly, although pericardial effusion should also be considered. No pleural effusion or pneumothorax identified.
dementia, status post multiple falls, assess for fracture.
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Pa and lateral views of the chest are compared to previous exam from <unk>. Right-sided picc is no longer seen. The lungs are clear of consolidation or effusion. Cardiomediastinal silhouette is within normal limits. Dual-lead pacing device is again noted. Osseous and soft tissue structures are unchanged.
<unk>-year-old male with malaise. question pneumonia.
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Frontal and lateral radiographs of the chest show elevation of the right hemidiaphragm with associated reticular opacities at the right lung base which likely represent atelectasis, but in the correct clinical context, pneumonia cannot be excluded. Mild blunting of the right costophrenic angle may represent a trace right pleural effusion, pleural scarring, or atelectasis. No pneumothorax is present. The left lung is clear. The cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits. The aortic knob is partially calcified with unfolding of the thoracic aorta.
<unk>-year-old female with recent cholangitis and urinary tract infection, now readmitted with fevers, here to evaluate for pneumonia.
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Pa and lateral views of the chest demonstrate the lungs are well expanded and clear. The cardiomediastinal silhouette is unremarkable. There is no evidence of focal consolidation concerning for pneumonia, pneumothorax, pulmonary edema or pleural effusion.
<unk>-year-old female with chest pain and fluctuating glucose level. evaluation for pneumonia.
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The lungs are moderately expanded. However, there is mild worsening of atelectasis in the right middle lobe compared to prior exam in <unk>. There is no evidence of focal consolidation, pulmonary edema, or pneumothorax. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal.
history: <unk>m with dyspnea // r/o acute 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>f with chest pain
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As compared to the previous radiograph, there is no relevant change. No monitoring and support devices are constant, no newly appeared focal parenchymal opacities. Unchanged size of the cardiac silhouette. Constant pacemaker monitoring and support devices. No pneumothorax, no pleural effusions.
hypoxia, evaluation for interval change.
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On the right, there has been interval placement of a chest tube projecting over the right hemithorax. There is a new small quantity of subcutaneous emphysema associated with tube placement and a small pneumothorax. Vague opacity in the left upper the right upper lung is more suggestive of atelectasis than a substantial effusion. The right-sided effusion is probably still fairly small at most and may have been evacuated. The left lung remains clear. The patient is status post coronary artery bypass graft surgery. The cardiac, mediastinal and hilar contours appear stable.
active extravasation and hemothorax on the right status post chest tube placement.
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As compared to the previous radiograph, the patient has been intubated. The tip of the endotracheal tube projects <num> cm above the carina. The right central venous access line projects over the inferior vena cava with its tip, there is no evidence of complications, notably no pneumothorax. The heart continues to be enlarged, with signs of mild fluid overload but without pleural effusions.
evaluation for endotracheal tube position.
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A single portable ap upright view of the chest was obtained. The right costophrenic angle is not fully included on the image. Given this, no large pleural effusion is seen. Right basilar opacity is not optimally assessed and could be due to atelectasis/scarring, although underlying consolidation or aspiration is not excluded. The left lung is clear. The patient is rotated slightly to the right. The cardiac silhouette is mildly enlarged. There is no overt pulmonary edema. No pneumothorax is seen.
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The lungs are clear, the cardiomediastinal shilhouette and hila are normal. No effusions, no pneumothorax.
<unk>-year-old woman with asthma. please assess for pneumonia.
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The lungs are clear without consolidation, effusion, or edema. Calcified granuloma noted in the left midlung. The cardiomediastinal silhouette is within normal limits. Hypertrophic changes are noted in the spine.
<unk>m with fatigue, hypertension, ekg changes // eval ? infiltrate, edema
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Ap upright and lateral views of the chest provided. Dual lead pacemaker as again noted unchanged in position with leads extending to the region of the right from in right ventricle. Core valve implant again noted. Stable elevation of the right hemidiaphragm. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is stable. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>m with chest pain, dull ache, radiating to back, recent avr
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The endotracheal tube terminates <num> cm above the carina. Enteric tube seen with tip past the ge junction although side port is likely in the distal esophagus. Known right lung mass occupying a majority of the right midlung is better assessed by recent chest ct performed earlier on the same date. There is new right basilar atelectasis medially. Mild interstitial pulmonary edema. There is a blunting of the right lateral costophrenic angle in part due to prominent extrapleural fat although underlying effusion is possible. No sizable pleural effusion on the left. No pneumothorax. Cardiomediastinal contours are unchanged. Heart size may be minimally enlarged. No acute osseous abnormalities identified.
<unk>-year-old male transferred and intubated
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Ap upright portable chest radiograph is provided. The lungs are clear, though lung volumes are low. No effusion or pneumothorax is seen. The cardiomediastinal silhouette is normal. Bony structures are intact.
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The cardiac silhouette size is normal. The aorta is mildly tortuous. Hilar contours are normal. Pulmonary vascularity is normal and the lungs are clear. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities. No free air is seen under the diaphragms.
abdominal pain.
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As compared to the previous radiograph, there is no relevant change. The loculated bilateral pleural effusions are unchanged in extent and severity. Adjacent areas of consolidation, likely reflecting atelectasis, are also constant. The only improvement is slightly increase in radiolucency in the right lung, likely reflecting improved ventilation. The appearance of the left lung is unchanged. Unchanged size of the cardiac silhouette. The left pectoral pacemaker and its leads show unchanged position.
pleural effusion
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Tip of nasogastric tube terminates in the right upper quadrant of the abdomen in the expected location of the gastroduodenal junction. A pre-existing right picc is unchanged in position, and cardiomediastinal contours are stable. Improved atelectasis at the lung bases with minimal residual linear atelectasis remaining.
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Compared the prior radiograph, the severe left pleural effusion has increased in size, causing opacification of the left hemithorax with rightward mediastinal shift. Right pleural effusion is also large, but unchanged. No substantial change in mild pulmonary vascular congestion. Interval placement of a right picc line, with its tip terminating in the lower svc. Heart size cannot be assessed. Again, a sclerotic lesion of the left humeral head is present and unchanged since <unk>.
<unk> year old woman with chf exacerbation, l pleural effusion, diuresing on lasix drip but continued o<num> requirement. pleural effusion, pulm edema, infiltrates.
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A single frontal view of the chest was obtained portably. Low lung volumes results in bronchovascular crowding. There is no focal consolidation, pleural effusion or pneumothorax. Moderate to severe cardiomegaly is unchanged, allowing for differences in lung volumes. Mild pulmonary vascular congestion without overt pulmonary edema is seen. The right hilum is slightly dense, which may be due to lung volumes. Median sternotomy wires are intact.
dyspnea and hypoxia.
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There is no focal airspace consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.
<unk> year old woman with fever, syncope. wbc <num>k // ? pna
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There are low lung volumes, which accentuate the bronchovascular markings. There is subtle left basilar retrocardiac opacity, which most likely relates to atelectasis. If patient able, dedicated pa and lateral views would be helpful further assessment. No large pleural effusion is seen, however, there is slight blunting of the left costophrenic angle and trace pleural effusion may be present. No evidence of pneumothorax is seen. The aorta is calcified and tortuous. The cardiac silhouette is top-normal, likely exaggerated by ap technique.
history: <unk>f with dyspnea // eval for pneumonia, pneumothorax
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The patient is status post right pneumonectomy, with the expected rightward mediastinal shift. The left lung is well expanded and clear there is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.
<unk> year old man with bronchitis // r/o pna
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There has been interval removal of the right-sided pigtail catheter when compared to the prior exam. There is possibly a trace pneumothorax, but not substantial. Surgical sutures are seen projecting over the right hemithorax. There are no pleural effusions. No focal consolidations are seen. Heart size is normal and osseous structures are unchanged.
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Left picc has been re-positioned, now terminating in the mid-to-lower superior vena cava. Cardiomediastinal contours are within normal limits. Assessment of the lungs is somewhat limited by low lung volumes and portable technique. Known subpleural parenchymal opacities on recent ct torso are not well demonstrated radiographically except for a subtle area of opacity at the right lung base.
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Chest, pa and lateral. The lungs are clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal.
postoperative fever.
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<num> mm tiny rounded opacity projecting over the anterior lateral left fifth rib is stable since at least <unk> and therefore benign. No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with ha, malaise progressive x <num> wks, lightheaded on orthostatics // eval ? occult infection
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The patient appears to be kyphotic in position. There are low lung volumes. Prominence of the central pulmonary vasculature, pulmonary pulmonary arteries may be due to pulmonary arterial hypertension. Left base streaky opacity is more likely due to atelectasis rather than consolidation. No large pleural effusion or pneumothorax is seen. Cardiac silhouette is not well assessed due to patient position, but appears mildly enlarged.
history: <unk>f with forniers, also with o<num> requirement // eval for consolidation, edema
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In comparison with the study of <unk>, the endotracheal and nasogastric tubes and right ij catheter have all been removed. Patient has taken a better inspiration. There is continued enlargement of the cardiac silhouette without definite vascular congestion or pleural effusion. Retrocardiac opacification is again consistent with atelectatic changes.
fluid overload and productive cough with elevated white count.
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There continue to be small to moderate bilateral pleural effusions with bilateral lower lobe volume loss/infiltrate
<unk> year old man with bibasilar infiltrates // eval with better <num> view
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The cardiomediastinal silhouette is stable. The hilar contours are within normal limits and stable. There is moderate bilateral pleural effusions and moderate bibasilar atelectasis, left worse than right, which are unchanged when compared to <unk> study. There is no evidence of pulmonary edema or atelectasis.
<unk> year old woman with strokes, o<num> desatting // pulmo process
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Cardiac size cannot be evaluated. Et tube is in standard position. Right picc tip is in the cavoatrial junction. Ng tube tip is out of view below the diaphragm. Large pleural effusions and adjacent atelectasis have increased
<unk> year old woman with necrotizing pancreatitis, intubated // monitor ett
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Pa and lateral views of the chest. No prior. The lungs are clear. Costophrenic angles are sharp. The cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.
<unk>-year-old female, pregnant with shortness of breath starting today.
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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. Minimal anterior osteophyte formation is again noted along the upper thoracic spine.
intermittent chest pain and shortness of breath.
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The lungs are clear without consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. Mid thoracic dextroscoliosis is noted. Degenerative changes seen at the shoulders.
<unk>f with metastatic melanoma who presents with <num>d of persistent n/v without diarrhea or abd pain. also had cough two days ago. last chemo <num>wks ago. //
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No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. The heart size is normal. Mediastinal contours are normal. No bony abnormality is detected.
cough x<num> weeks.
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Ap upright and lateral views of the chest. Evaluation on the frontal view is limited due to patient's leftward rotation and patient's chin obscuring the left apex. Allowing for this, there is plate basilar atelectasis and small bilateral pleural effusions. The aorta is calcified. The heart size cannot be assessed. No large pneumothorax is seen. The imaged bony structures appear grossly intact.
<unk>f with lll decreased breath sounds. ams // eval for pna
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The lungs are clear. There is no focal consolidation or edema. The cardiomediastinal silhouette is within normal limits. No visualized free intraperitoneal air.
<unk>f with <num> wk s/p ileocecectomy hx crohns, now hot to touch, concern for abscess vs anastamotic leak // eval ? perforation
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The cardiomediastinal and hilar contours are normal. Diffuse patchy airspace opacification noted in the right lung base, which is concerning for an acute infectious process versus aspiration. The left lung is well expanded and clear. No pleural effusion or pneumothorax is seen. No acute osseous abnormality is seen. Mild degenerative changes are seen in the thoracic spine.
<unk>-year-old man with history of prostate cancer and vomiting.
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Lung volumes are low, accounting for some bronchovascular crowding. No focal parenchymal opacities are identified. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
patient with fever and respiratory distress and wheezing. evaluate for pneumonia.
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Moderate pulmonary edema is new since <unk> in this patient with moderate cardiomegaly and an atrioventricular pacemaker. There is no pneumothorax. Pleural effusions are small if any.
woman with acute worsening of shortness of breath. evaluation for edema.
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Cardiac silhouette size is normal. The aorta remains tortuous. Mediastinal and hilar contours are otherwise unchanged. Pulmonary vasculature is not engorged. Patchy bibasilar opacities likely reflect areas of atelectasis without focal consolidation. No pleural effusion or pneumothorax is present. There are mild degenerative changes seen in the imaged thoracolumbar spine.
history: <unk>m with chest pain and tachycardia
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The heart size remains mildly enlarged. Mediastinal and hilar contours are unchanged. There is no pulmonary vascular congestion. Re- demonstrated are patchy opacities within both lung bases, slightly progressed in the interval. No pleural effusion or pneumothorax is seen. Mild degenerative changes in the thoracic spine.
cough.
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The cardiac, mediastinal and hilar contours appear unchanged. There is new vague, fairly streaky opacity projecting over the left upper lung which is difficult to visualize on the lateral view, but new. There is no pleural effusion or pneumothorax. No fracture is identified.
chest pain.
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Comparison is made to previous study from <unk>. Endotracheal tube has been removed. A feeding tube is again seen. Heart size is within normal limits. There has been interval development of increased pulmonary interstitial markings suggestive of pulmonary edema. There is no focal consolidation, although there are more confluent densities at the right base. There are no pneumothoraces identified.
<unk>-year-old woman with stroke. status post extubation.
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As compared to the previous radiograph, there is an increase in extent of the bilateral pleural effusions and the subsequent areas of atelectasis at the lung bases. Moreover, patient now shows signs of mild pulmonary edema. No other changes. The monitoring and support devices are constant.
aortic stenosis, evaluation for pulmonary edema.
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The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiac silhouette is at the upper limits of normal, and stable from the prior exam. The mediastinal contours are normal. Multiple stable wedge compression deformities are noted in the mid and thoracic spine. Old left rib fracture deformities are unchanged. No new fracture is identified.
mechanical fall.
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Frontal and lateral views of the chest were obtained. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. Cardiac and mediastinal silhouettes are unremarkable. No evidence of free air is seen beneath the diaphragms.
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A right -sided port-a-cath catheter terminates in the mid svc. The cardiomediastinal and hilar contours are within normal limits. Lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax.
history: <unk>f with staph aureus in sputum. // pneumonia change? pneumonia change?
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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.
<unk>m with chest pain // r/o infiltrate
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Dual lead left pacemaker device appears intact and unchanged in position. Opacity projecting over the right mid hemi thorax is new. Another opacity projects over the region of the left lower mid hemi thorax. Retrocardiac opacity obscures part of the left heart border. These findings could be seen with an infectious process such as multifocal pneumonia. No pleural effusion or pneumothorax. Heart size is normal. Anterior wedging of a lower thoracic vertebral body is unchanged. Large to moderate hiatal hernia is unchanged.
<unk> year old woman with recurrent pna and cp. // eval for acute cardio/pulmonary process.
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Ap single view of the chest has been obtained with patient in sitting semi-upright position. Comparison is made with the next preceding study obtained six hours earlier during the same day. During the interval, the position of the ett has been adjusted. Previously, the distance between the et tip and the carina measured <num> cm and this distance has been reduced to <num> cm. Central airways remain unchanged and apparently are free. The previously described bilateral mostly centrally located parenchymal infiltrates persist. No significant interval change can be identified. No pneumothorax has developed in the apical area. Previously described right internal jugular approach central venous line remains in unchanged position. Unchanged appearance of previously described multiple healed rib fractures and marked left-sided convex scoliosis in lower thoracic and upper lumbar spine as before. Review with the next preceding chest examination of <unk>, obtained at the emergency room, the development of the bilateral mostly central pulmonary parenchymal densities occurred very rapidly as the heart size has not changed significantly, consider the possibility of rather massive aspiration. During the interval, <unk>.
<unk>-year-old female patient with septic shock and ards, with ett just advanced, evaluate position.
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Persisting retrocardiac opacity however there has been interval decrease in the extent of the patchy opacities in the right lung base. No right pleural effusion or pneumothorax identified. The size the cardiac silhouette is enlarged but unchanged.
<unk> year old man with aspiration pna, acute respiratory distress // eval for volume overload
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Frontal and lateral radiographs of the chest demonstrate low lung volumes with resulting bronchovascular crowding. Cardiomediastinal and hilar contours are unchanged. No pneumothorax or consolidation.
<unk>-year-old man status post tracheobronchoplasty. evaluate for pneumothorax after chest tube removal.
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There is a right chest port-a-cath with distal tip projecting over the mid right mediastinum, likely in the low svc although this assessment is difficult given right lung field opacity. There are aortic arch calcifications. Heart size is difficult to assess. There is a large right pleural effusion with near complete collapse of the right lung. Portions of the right upper lobe appear well-aerated. There is a smaller, likely moderate left pleural effusion, with significant atelectasis of the left lung. The aerated left upper lung appears clear. There is no pneumothorax.
<unk>-year-old woman with shortness of breath, evaluate for effusion.
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In comparison with the study of <unk>, there again is moderate enlargement of the cardiac silhouette with prominence of the pulmonary arteries bilaterally. No definite vascular congestion is appreciated at this time. Basilar opacification, especially on the left, is consistent with atelectatic change. The compression fracture seen previously cannot be assessed on the absence of lateral view.
lower extremity hematoma.
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Pa and lateral views of the chest. There is no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal and hilar contours are normal.
chest pain.
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There are small bilateral effusions with mild adjacent compressive atelectasis. The lungs are otherwise clear without focal consolidation or pneumothorax. The cardiomediastinal silhouette is normal.
<unk>m with dyspnea. evaluate for focal consolidation or pleural effusion.
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Low lung volumes are present. The heart size is mildly enlarged with a left ventricular predominance but unchanged. The mediastinal and hilar contours are stable. Lungs are clear and the pulmonary vascularity is normal. No pleural effusion or pneumothorax is identified. No acute osseous abnormalities seen.
fall.
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The lungs are well-expanded and clear. The cardiomediastinal silhouette is unremarkable. There is no pleural effusion, pulmonary edema, focal airspace opacity, or pneumothorax.
history: <unk>f with syncope // ? ptx
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Ap upright portable chest radiograph obtained. Port-a-cath is unchanged residing in the right axilla with catheter tip extending to the low svc. The lung volumes are low, without definite signs of pneumonia or chf. No pleural effusion or pneumothorax is seen. The heart and mediastinal contours remain stable.
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As compared to the previous radiograph, there is unchanged evidence of a right lower lobe opacity. Based on one projection only it is not possible to determine whether this opacity is parenchymal, pleural or a combination of both. If possible, radiography in two projections should be obtained. The overall extent of the abnormality is not changed as compared to <unk>. Unchanged moderate cardiomegaly, enlarged hiatal hernia. Unchanged left pectoral pacemaker. No larger pleural effusions.
rule out pneumonia, rule out pulmonary edema.
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There has been interval removal of the left picc. Lungs are persistently hyperinflated without focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. Biapical scarring is redemonstrated, unchanged. Heart and mediastinal contours are within normal limits with aortic arch calcifications.
<unk>-year-old male with fever, chills, and malaise.
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As compared to the previous radiograph, the patient has been extubated. The nasogastric tube and the swan-ganz catheter have been removed. A pacemaker is in unchanged position. No pneumothorax. No pleural effusions. No pulmonary edema. Moderate cardiomegaly is unchanged.
pulmonary edema, line placement.
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Cardiomediastinal and hilar contours are within normal limits. There is very mild pulmonary vascular congestion without pulmonary edema. A subtle patchy opacity at the base of the left lung is demonstrated in the retrocardiac area. No pleural effusion or pneumothorax is seen.
<unk>f with hypotension. // ? pna
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The endotracheal tube is unchanged, ending <num> cm from the carina. The enteric tube passes below the diaphragm outside of the field of view within a decompressed stomach. The left-sided picc line ends in the low svc. Opacification of the left hemithorax is unchanged, likely a combination of effusion, consolidation, and collapse. Right-sided pulmonary edema is mild. The small to moderate right pleural effusion and associated compressive atelectasis has increased slightly. There is no pneumothorax.
<unk> year old man intubated // ett placement
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There are patchy ill-defined opacities in the right hemithorax, which were largely seen on the prior cxr. However, the right lung base opacity has worsened over the past <num> hours. These findings are compatible with multifocal pneumonia. Left layering pleural effusion appears to have improved, but this may partially be due to change in positioning. No pneumothorax. Mediastinum appears wide, but is stable. Heart size is top normal. No acute osseous abnormalities. The endotracheal tube, right picc line, enteric tube are unchanged in position. Surgical clips are noted in the right upper quadrant.
<unk>f w/ mesenteric ischemia now s/p aspiration event // ? interval change
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The lungs are clear without focal consolidation, pleural effusion or pneumothorax. There is no pulmonary edema. The heart is normal in size, and the mediastinal contours are normal.
<unk>-year-old male with chest pain. evaluate for acute cardiopulmonary process.
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There is marked enlargement of the cardiac silhouette, unchanged. A left chest wall dual lead aicd is present. No focal consolidation, pleural effusion or pneumothorax identified. Mild pulmonary vascular congestion without evidence of pulmonary edema.
<unk> year old man with shortness of breath and volume overload // evaluate for pulmonary edema vs consolidation
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Pa and lateral views of the chest provided. Cardiomegaly is again noted with hilar congestion and pulmonary edema which is mild to moderate in extent. There is trace pleural fluid noted bilaterally layering along the fissural surfaces. No pneumothorax. No convincing evidence for pneumonia. Bony structures are intact.
<unk>f with dvt? // pna?
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As compared to the previous radiograph, no relevant change is seen. Moderate cardiomegaly with minimal fluid overload but no overt pulmonary edema. Minimal elevation of the left hemidiaphragm without blunting of the costophrenic sinus. No evidence of larger pleural effusions. No pneumonia. Mild left lower lobe atelectasis. No pneumothorax.
status post cabg, evaluation for pneumothorax.
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The lungs are well expanded with emphysematous changes seen largely in the lower lobes with ring shadows suggestive of minimal bronchiectasis. There is bilateral flattening of the hemidiaphragms. No areas of focal consolidation, masses or lesions are seen. There is no pleural effusion or pneumothorax. There is a large hiatal hernia; otherwise, the cardiomediastinal silhouette is within normal limits. There is moderate kyphosis of the mid thoracic spine in which compression fractures of two of the mid thoracic vertebra is seen; chronicity of the fractures is indeterminate. Old left lateral rib fractures are seen. The pleural surfaces are unremarkable.
<unk>-year-old female with shortness of breath.
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Port-a-cath in place tip near cavoatrial junction, similar. Normal heart size, pulmonary vascularity. Bibasilar opacities have cleared. Minimal scarring right costophrenic angle. No pleural fluid. Stable t<num> moderate compression fracture compared with ct thoracic spine of <unk>. Worsened t<num> compression fracture, which is now moderate.
<unk> year old woman with metastatic gb cancer now w/ shortness of breath // r/o pneumonia, effusions, atelectasis
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Mild cardiac enlargement is unchanged. There is no pleural effusion or pneumothorax. Retrocardiac opacity seen on <unk> has improved. There are bilateral patchy opacities, overall also improved compared to prior. No new focal consolidations seen. A left chest wall port-a-cath terminates at the cavoatrial junction.
<unk>m with sickle cell disease, here w/ cough and fever, evaluate for acute chest, pneumonia.
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Portable frontal view of the chest demonstrates low lung volumes. Moderate pulmonary edema is new since prior exam. Mild-to-moderate cardiomegaly also appears progressed from prior study. The left costophrenic angle is obscured, suggestive of small pleural effusion. No large right pleural effusion is seen. Hilar and mediastinal silhouettes are unremarkable. There is no pneumothorax.
patient with chest pain and crackles on exam.
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Pa and lateral views of the chest are compared to previous exam from <unk>. When compared to prior, there has been no change. Again noted are nodular opacities in the lungs bilaterally, stable in configuration. There is no evidence of new consolidation or effusion. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.
<unk>-year-old female with productive cough.
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The lungs are clear. The mediastinal and cardiac contours are within normal limits. There is no pneumothorax or pleural effusion. Mild hyperinflation of the lungs, which could be compatible with chronic obstructive pulmonary disease.
patient with oligoarthritis, cough, rule out infiltrate or hilar lymphadenopathy.
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The lungs are hyperinflated, as before. The heart size is top normal but stable. No consolidation concerning for pneumonia.no pneumothorax or pleural effusion.
<unk> year old man with fever // ? pna
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Since the prior chest radiograph performed <num> days earlier, there has been no significant interval change. An ill-defined left perihilar opacity persists, and may represent pneumonia in the setting of infectious symptoms. However, underlying malignancy or metastases are also on the differential, particularly given slightly nodular appearance on the prior cxr. Remainder of the lungs are otherwise clear. No pleural effusion or pneumothorax. Cardiomediastinal silhouette is normal. There is mild dextrocurvature of the lower thoracic spine. Surgical clips project over the right breast.
<unk> year old woman with breast ca w/ persistent cough and fevers // evaluate for evolving pna
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New left ij central line terminates in the mid svc. Aortic stent and spinal hardware are unchanged from prior exam. There is no pneumothorax. Bilateral pleural effusions are unchanged from prior exam. Pulmonary vascular engorgement is noted, similar to prior exam. No definite focal consolidation is seen. The cardiomediastinal silhouette is unchanged from prior exam. Left-sided rib fractures are again seen, better characterized on recent prior ct.
history: <unk>f with new left ij central line. // central line placement
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The et tube terminates in the mid trachea. A nasogastric tube terminates in the stomach. Mild pulmonary edema with small bilateral pleural effusions are unchanged. Moderate cardiomegaly despite the projection is also unchanged. There is no pneumothorax.
<unk> year old man with copd - advanced tte // assess for line positioning
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The tip of the right internal jugular central venous catheter projects over the cavoatrial junction. The sternotomy wires are intact. Unchanged large left lateral and basal pleural effusion with subjacent atelectasis. Minimal atelectasis is noted at the right lung base. No pulmonary edema or pneumothorax identified. The size of the cardiac silhouette is unchanged.
<unk> year old man with cabg x <num> // recheck <unk>
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The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.
chest pain.
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The lung volumes are low. There is minimal left apical scarring. The lungs are otherwise clear. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. The thoracic aorta is tortuous. There is eventration of the right hemidiaphragm. Compression fracture of the thoracic spine is better appreciated on the ct from the same day.
<unk> year old woman with history of fall and confusion // r/o infection
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The lungs are clear. There is no consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with chest pain // chest pain
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No focal consolidation, pleural effusion or pneumothorax identified. The size the cardiomediastinal silhouette is within normal limits. Calcification of aortic arch is noted.
<unk> year old woman with new onset back pain, pleuritic // <unk> new onset back pain, pleuritic. nstemi planning for cabg
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Et tube terminates about <num> cm from the carina. Bilateral hazy pulmonary opacifications are again present, unchanged from prior radiograph. The patient is status post median sternotomy. Cardiomediastinal silhouette is difficult to evaluate given the pulmonary opacities.
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Ap view of the chest. Endotracheal tube ends <num> cm from the carina. The right lung base has a vague opacity. The mediastinum has shifted to the left and there is a left lower lobe consolidation. Heart is not well visualized. Enteric tube ends off the image.
endotracheal tube placement.
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Pa and lateral views of the chest provided. Severe cardiomegaly is noted with mild pulmonary edema. There may be a component of underlying interstitial pulmonary fibrosis. No large effusion is seen. There is a retrocardiac opacity containing gas most likely a large hiatal hernia. No pneumothorax or large effusion is seen. Bony structures are intact.
<unk>f with sob, hypoxia // infiltrate?
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Lungs are clear. Asymmetric elevation of the right hemidiaphragm is stable. Incidental note of azygos fissure. Heart size is top-normal. No pleural effusion or pneumothorax. Nodular opacity on the right at the level of the carina may reflect azygos vein although more prominent than expected. Suggest shallow oblique chest radiograph.
<unk> year old man with cough, malaise, wheezing // rule out pneumonia
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As compared to the previous radiograph, a pre-existing small right pleural effusion, combined with an area of parenchymal opacity, likely reflecting atelectasis, has slightly increased in extent. No other parenchymal changes are seen. Moderate cardiomegaly with mild tortuosity of the thoracic aorta persists. No evidence of pneumonia. No pulmonary edema.
newly diagnosed hcc, evaluation.
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Frontal and lateral chest radiograph demonstrates minimal streaky opacity projecting over the lower thoracic spine, likely corresponding to opacity seen in a retrocardiac distribution. The lungs are otherwise clear without pleural effusion or pneumothorax. The cardiac silhouette is normal in size, the mediastinal contours are normal.
<unk>-year-old male with hiv and non-productive cough, rule out pneumonia.
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Again seen are pleural plaques which limit evaluation of parenchyma within the lower lung fields. There is an area of consolidation in the right base medially which appears stable compared to the prior chest ct. There are low lung volumes. There are no pneumothoraces. Heart size is within normal limits. Hardware is seen within the lower lumbar spine, which is intact. Bowel gas pattern is within normal limits.
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As compared to the previous radiograph, there is unchanged evidence of very low lung volumes with a tracheostomy tube and the left picc line. Alignment of sternal wires is constant. There are substantial bilateral pleural effusions, potentially minimally increasing on the left. Signs of mild-to-moderate pulmonary edema continue to be present. The extent of the bilateral basal areas of atelectasis is constant. No new parenchymal opacities.
respiratory failure, evaluation for pneumonia.
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A tracheostomy tube is in unchanged position. Compared to the prior study there is improved aeration of the left lower lobe. No pleural effusion or pneumothorax. Persistent low lung volumes with normal heart size.
<unk> year old man with plueral effusion // cxr
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An endotracheal tube terminate about <num> cm above the carinal. An orogastric tube courses into the stomach. The cardiac, mediastinal and hilar contours appear stable. Vague retrocardiac opacity is not specific but most commonly would be explained by atelectasis. There is similar mild vascular engorgement but otherwise no definite change. There is no pneumothorax or pleural effusion.
status post endotracheal intubation.
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Single portable upright radiograph through the chest demonstrates an esophageal stent in the location of a gastric pull through. New since prior examination, the neoesophagus appears opacified, previously air filled on prior radiograph <unk>. Obscuration of bilateral costophrenic angles is consistent with bibasilar pleural effusions. Mild pulmonary edema is present which obscures known metastatic nodules. There is a right port-a-cath in unchanged position.
<unk>-year-old male with atrial flutter.
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Pa and lateral views of the chest. The lungs are clear. The cardiomediastinal silhouette is normal. No acute osseous abnormalities detected.
<unk>-year-old male pre syncope.
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In comparison with study of <unk>, there has been a cardiac surgical procedure performed with intact midline sternal wires. The endotracheal tube lies approximately <num> cm above the carina and could well be pulled back about <num> cm. The right ij swan-ganz catheter tip is in the right pulmonary artery. Nasogastric tube extends at least to the level of the diaphragm where it crosses the lower margin of the image. Mediastinal drains are in place. Continued low lung volumes with dense streak of atelectasis in the right mid zone as well as evidence of volume loss at the left base. There is a patchy area of increased opacification in the right upper zone, which could represent a focus of aspiration.
post-operative.
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Pa and lateral views of the chest. No prior. The lungs are clear. There is no effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.
<unk>-year-old female with shortness of breath after marathon. question pneumothorax.