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Pa and lateral chest radiographs demonstrate extreme, serpentine scoliosis, worst in the upper thoracic spine. However, the lungs are clear. There is no pleural effusion or pneumothorax. The heart size is normal.
left-sided rib pain after chiropractic treatment.
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A frontal and lateral view of the chest demonstrates transvenous pacer leads ending in the right atrium, right ventricle, with a third lead within the left ventricle. There are small bilateral pleural effusions. Tracheal deviation to the left likely relates to enlarged right thyroid seen on neck ct in <unk>. The cardiomediastinal silhouette is stable. There is no pneumothorax.
biventricular pacer, evaluate lead positioning.
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One portable upright ap view of the chest. Right picc line ends at the cavoatrial junction. Sternotomy wires and mitral valve hardware is seen. The right lung is clear. There is increased opacity at the left lung base, likely representing effusion with associated atelectasis. No pneumothorax.
increased white blood cell count, low-grade temperatures, tachypnea, evaluate for atelectasis, infectious process, or volume overload.
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As compared to the previous radiograph, the lung volumes have decreased and the size of the cardiac silhouette has increased. There might be mild fluid overload, but no overt pulmonary edema is present. Small newly appeared left pleural effusion with subsequent atelectasis in the retrocardiac lung regions.
tachycardia, evaluation for pulmonary edema.
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There is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. Subsegmental atelectasis is noted in the left midlung. The cardiomediastinal contour is normal. The osseous structures and upper abdomen are unremarkable.
<unk>m with seizure evaluate for pneumonia.
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As compared to the previous radiograph, there is substantial improvement with near total resolution of the pre-existing bilateral basal opacities. The size of the cardiac silhouette is still at the upper range of normal but there is no longer evidence of pathological lung changes. No pleural effusions.
sinus tachycardia, rule out acute process.
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Pa and lateral views of the chest provided. Port-a-cath resides over the left chest wall with catheter tip in the region of the lower svc. Lungs are clear. Clips are noted in the right axilla with absence of the right breast shadow. Lungs are clear. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with fever/immunosuppressed. // pneumonia?
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Ap and lateral views of the chest. When compared to prior, there has been no significant interval change. Mildly diffuse increased interstitial markings are seen throughout the lungs likely representing mild interstitial edema. There is no overt pulmonary edema. There is no large effusion. Cardiomegaly is stable in configuration. No acute osseous abnormality detected.
<unk>-year-old female with presyncope.
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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 ongoing
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The og tube tip is in the proximal stomach. The remainder the appearance of the chest is unchanged
<unk> year old woman with mrsa bacteremia and other medical problems with new og tube, pulled back from last cxr. // please eval og tube placement
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Lung volumes remain low, slightly improved when compared to the prior study. A right internal jugular catheter terminates in the mid svc. A dual lead pacemaker is unchanged in appearance. Median sternotomy sutures are also unchanged. There has been interval decrease in the size of the left pleural effusion with associated atelectasis. Infection cannot be excluded. There is a small right pleural effusion. The right lung is otherwise clear.
<unk> year old woman with pod<num> cabg // evaluate for effusion/atelectasis
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Frontal and lateral chest radiographs demonstrate no relative changes when compared to prior radiograph. Unchanged bilateral pleural effusions with subsequent areas of atelectasis. There is moderate cardiomegaly with stable appearing mediastinal contour. Sternal wires and mediastinal postoperative clips are noted in unchanged in position. There are no new parenchymal opacities. There is no pulmonary edema. No pneumothorax.
<unk>-year-old male with anterior mediastinal mass status post resection. evaluate for interval changes.
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Two frontal views were provided. Initial radiograph shows persistent large right pneumothorax with contralateral mediastinal shift. Second subsequent radiograph shows new right chest tube and resolution of tension and mediastinal shift. Small right apical pneumothorax remains. There is trace pneumothorax on the left. Tracheostomy tube is in appropriate position. Transesophageal tube travels below diaphragm and out of view. Left chest tube is in unchanged position. Right subclavian venous line terminates in mid svc. Multiple bullet fragments are again noted.
<unk> year old man with chest tube // chest tube
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Since the recent prior study, there is been slight interval increase increase in the basal component of the right hydropneumothorax. Adjacent right pleural thickening remains stable. There is no significant mediastinal shift. Small left pleural effusion remains stable. The lungs are well-expanded, there is no new focal consolidation concerning for pneumonia. The upper abdomen is unremarkable in appearance. A right chest port is present with tip terminating in the right atrium.
<unk> year old woman with hydropneumothorax, chest tube pulled this am // reaccumulation of hydropneumo, eval for interval change
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Right-sided port-a-cath terminates in the low svc without evidence of pneumothorax.the lungs are clear without focal consolidation. No pleural effusion is seen. The cardiac and mediastinal silhouettes are stable.
history: <unk>m with weakness // eval for pneumonia
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Pa and lateral views of the chest were reviewed. The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. The lungs are hyperinflated with large retrosternal air space, consistent with copd. There is no focal consolidation concerning for pneumonia. Scattered granulomas are again seen. Air is seen within the esophagus at multiple levels. There is the suggestion of a small hiatal hernia.
choking while eating, query aspiration.
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New bilateral pleural effusions, greater on the right as well as new pulmonary vascular congestion. Unchanged patchy opacities at the right lung apex and left lung base. No pneumothorax identified. The cardiac silhouette is enlarged but unchanged. Coronary vascular calcification. Prominence of the the mid to upper mediastinum may reflect widening of the vascular pedicle or may be technical secondary to patient positioning. Osseous structures suggest underlying renal osteodystrophy.
<unk> year old woman with st depressions, missed dialysis session // assess for pulmonary edema
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Patient is status post median sternotomy and cabg. Dual lead left-sided pacer device is stable in position. Bibasilar atelectasis is seen without definite focal consolidation. There may be minimal vascular congestion. There is no large pleural effusion or pneumothorax. The cardiac silhouette is top-normal to mildly enlarged. Mediastinal contours are stable. No displaced rib fracture seen.
history: <unk>m with r chest pain after cough // rib fx?
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Cardiac silhouette size is normal. The aorta is tortuous and diffusely calcified. The mediastinal and hilar contours are otherwise unchanged. Pulmonary vasculature is normal. Subsegmental atelectasis is noted within the left lung base. No focal consolidation, pleural effusion or pneumothorax is present. There is diffuse demineralization of the osseous structures. Several compression deformities are noted within the lower thoracic spine, which appear either new or worse compared to the previous mri from <unk> and chest radiograph from <unk>.
history: <unk>f with hypertension, hyperlipidemia, worsening weakness, new acute kidney injury and hyponatremia
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In comparison with the study of <unk>, there are lower lung volumes. The cardiac silhouette is within normal limits and there is some tortuosity of the aorta and the patient has undergone previous cabg procedure and has intact midline sternal wires. No vascular congestion or acute focal pneumonia. The hiatal hernia seen on the previous study is not appreciated at this time.
cabg, to assess for pneumonia.
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Portable ap upright chest radiograph demonstrates no focal opacity convincing for pneumonia. Streaky peribronchiolar opacities at the bases may reflect atelectasis or alternatively possibly atypical pneumonia. Cardiomediastinal and hilar contours are within normal limits. There is no pleural effusion or pneumothorax. No evidence of pulmonary edema. Left hemidiaphragm is mildly elevated.
history: <unk>m with sudden onset of chest pain // r/o pneumothorax or acute pulm process
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No pulmonary edema is seen.
history: <unk>f with chest pain x <num> days // ?acs
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Ap portable upright view of the chest. Endotracheal tube extends into the right mainstem bronchus. Nasogastric tube tip is seen just beyond the ge junction. Dialysis catheter with right ij insertion extends to the level of the cavoatrial junction. Bilateral pleural effusions are noted, small to moderate in overall size with airspace consolidation in the mid to lower lungs concerning for pneumonia. No large pneumothorax is seen. Bony structures appear grossly intact.
<unk>m with intubated patient presenting from osh // tube placement
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The lungs are clear without focal opacity, pulmonary edema, pleural effusion or pneumothorax. The cardiac ontours are normal. The aortic knob is calcified.
<unk> year old woman with cough/back pain // r/o pna
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Likely due to technique, the prior radiograph did not show the pneumothorax. However, there is a right-sided pneumothorax that has a its apex <num> cm from the pleura. Otherwise the cardiomediastinal silhouette is unchanged. There are no new parenchymal consolidations seen.
<unk> year old man with persistent o<num> requirement // pls eval for r ptx pls eval for r ptx
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A new pigtail catheter has been placed into the right pleural space with substantial decrease in a pleural effusion. The cardiac, mediastinal and hilar contours appear stable. There are probably trace pleural effusions bilaterally and persistent opacities at the lung bases, more extensive on the left than right, likely due to atelectasis. There is moderate pleural thickening at each lung apex and a few calcified nodules in the upper lungs, greater on the right than left, most consistent with small calcified granulomas. There are again non-displaced fractures involving the right posterior lateral third and fifth ribs. Subtle fractures of the fourth and sixth ribs are also possible.
follow-up of right pleural effusion status post pigtail placement.
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The cardiomediastinal and hilar contours are stable. The aorta is tortuous. The lungs are mildly hyperexpanded suggestive of underlying emphysema. There has been interval development of a right lower lobe opacity which would be concerning for pneumonia or aspiration, less likely atelectasis. No pneumothorax or pulmonary edema. Note is made of severe degenerative change involving the right glenohumeral joint.
history: <unk>f with <num> of worsening cough, no fevers // eval for pna
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As compared to the previous radiograph, there is no relevant change. Borderline diameter of the azygos vein indicating minimal systemic fluid overload. However, there is no other indicator for pulmonary fluid overload, in particular no widening of the mediastinum, no presence of pleural effusions and no interval enlargement of the cardiac silhouette. Unchanged extensive bilateral interstitial opacities, in the context of known pulmonary fibrosis. No interval appearance of new focal parenchymal opacities.
pulmonary fibrosis and hypoxia, evaluation for pulmonary edema.
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There are streaky bibasilar opacities, likely atelectasis. Additional linear opacity in the right mid lung sulcal atelectasis versus scarring. The lungs are otherwise clear. Cardiac silhouette is mildly enlarged as on prior. Median sternotomy wires and mediastinal clips are again noted. Tortuosity of the descending thoracic aorta is noted. There are hypertrophic changes in the spine.
<unk>m with atypical cp at pcp <unk> // evidence of pneumonia
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Again seen is a right-sided picc line. A nasogastric tube courses into the stomach. The heart is enlarged. There are small bilateral pleural effusions with associated atelectasis. The lung fields do not appear appreciably changed. There is soft tissue overlying the left hemithorax creating <unk> <unk> band.
increasing white blood cell count on hypoxia
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The heart is enlarged. Lung volumes are decreased. Engorgement of the pulmonary vessels suggests mild pulmonary edema. Blunting of the left costophrenic angle is likely secondary to a small pleural effusion. There is no focal consolidation or pneumothorax.
history: <unk>f with stg iv biliary adenoca w/ lue dvt, wbc <unk> // eval ? infiltrate, edema
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The patient is status post median sternotomy and cabg. Right-sided dual lumen central venous catheter tip terminates in the proximal right atrium. Moderate cardiomegaly is unchanged. The thoracic aorta is diffusely calcified. Mild pulmonary vascular congestion persists. Small bilateral pleural effusions which are partially loculated laterally, right greater than left, appear slightly increased in size compared to the prior study. There is no pneumothorax. Lungs are hyperinflated with flattening of the diaphragms suggestive of underlying copd. Clips are again demonstrated within the right upper quadrant likely reflecting prior cholecystectomy. No pneumothorax is identified. No acute osseous abnormalities are seen.
atrial flutter.
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Moderate chronic cardiomegaly remains unchanged. There is minimal pulmonary vascular congestion but no frank pulmonary edema. There are low lung volumes. There is heterogeneous opacity of the left lung base with worsening obliteration of the pleural surface. Pleural fluid at the left lung base remains unchanged. Note is made of multiple bilateral healed rib fractures.
<unk>-year-old woman with likely aspiration event. study requested for evaluation of interval change.
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Pa and lateral views of the chest provided. Port-a-cath resides over the right chest wall with catheter tip extending to low svc. Partially imaged hardware in the the upper lumbar spine is again noted. Heart is top-normal in size. Vague opacity in the lower lungs likely represent atelectasis. No convincing sign of pneumonia, chf, effusion or pneumothorax. The mediastinal contour is stable in on folded. No acute bony injuries. No free air below the right hemidiaphragm.
<unk>m hx ich s/p craniotomy p/w ams, reported +etoh. has gtube. diffuse abdominal ttp. // r/o ich, cspine fx, obstruction, abscess
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Marked cardiomegaly is accompanied by pulmonary vascular congestion and diffuse interstitial edema. More confluent areas of opacification overlie the lower spine on the lateral view and or also present to a lesser extent in the right upper lobe. Small pleural effusions are present, left greater than right. Hyper expansion of the lungs is in keeping with history of copd.
<unk> year old man with chf, copd, lung and laryngeal masses presenting with shortness of breath and cough. // please evaluate for aspiration pneumonia and pulmonary edema
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Frontal and lateral radiographs of the chest demonstrate small left pleural effusion, and left lower lobe collapse. The left hemidiaphragm is obscured. Cardiac silhouette is unchanged. There is no pneumothorax or pneumomediastinum.
history: <unk>f with nv pod<unk> s/p hiatal hernia repair // r/o ptx, pneumomediastinum, obstruction
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Cardiac size is top normal. Lung nodules, right upper lobe opacities, mediastinal lymphadenopathy are better evaluated on prior ct. There is no pneumothorax or pleural effusion.
<unk> year old man with metastatic melanoma // new leucocytosis to rule out pneumonia
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Comparison is made to prior study from <unk>. Heart size is enlarged. There is mild pulmonary edema and some atelectasis at the lung bases. Diaphragmatic calcification at the right base is again seen. There are no pneumothoraces.
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Since <unk>, mild to moderate pulmonary edema has improved. Left lower lung atelectasis reflected by increased retrocardiac density is still persisting. Presumed small left pleural effusion is unchanged. Enlarged heart size, mediastinal and hilar contours are stable. Monitoring and supporting devices are in standard positions.
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There may be some mild improvement in the areas of opacification at the bases. Continued prominence of the cardiac silhouette. No definite vascular congestion.
lymphoma with chest pain.
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As compared to the previous radiograph, there is no relevant change. The monitoring and support devices are in constant position. Constant size of the cardiac silhouette. Moderate pulmonary edema with bilateral areas of pleural effusions and subsequent areas of atelectasis. Interval appearance of focal parenchymal opacity suggesting pneumonia.
variceal bleeding, evaluation for interval change.
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The lungs appear hyperexpanded. A focal consolidation in the lingula is better seen on ct of the chest performed on <unk>. Cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax or pleural effusion.
history: <unk>f with left sided chest pain // eval for chf/pneumonia
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There is no consolidation, pleural effusion, vascular congestion, or pneumothorax. The cardiomediastinal silhouette is normal.
ulcerative colitis, prior to beginning anti-tnf therapy. assess for latent tuberculosis.
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Frontal and lateral views of the chest are obtained. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No evidence of free air is seen beneath the diaphragms. There are some degenerative changes along the spine.
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Lung volumes are low. No definite focal consolidation to suggest pneumonia is seen. No pneumothorax or significant pleural effusion is seen. Mild cardiomegaly is unchanged. There are calcifications of the aortic arch. Vascular stents in the region of the brachial and brachiocephalic veins are unchanged. A large bore central venous catheter via inferior approach is unchanged. There is a remote right humeral deformity.
<unk>-year-old female presenting with hypertension and cough.
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified.
<unk>m with rapid af // eval for pna, chf
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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 similar study of <unk>. During the interval, the left-sided picc line has been removed. No pneumothorax can be identified in the apical area. As on previous examination, there is moderate cardiomegaly and a pulmonary congestive pattern with upper zone redistribution, interstitial edema on the bases and bilateral pleural effusions, slightly more on the right than the left. These findings are unchanged. No new infiltrates are seen. No pneumothorax has developed.
<unk>-year-old female patient with diastolic chf, copd, more lethargy, assess for pulmonary edema, effusions, or infiltrates.
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Heart size is normal. Mediastinal silhouette and hilar contours are unremarkable. Lungs are clear, albeit slightly hyperinflated. Pleural surfaces are clear without effusion or pneumothorax.
shortness of breath for two weeks.
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Pa and lateral images of the chest demonstrate well expanded lungs. There is a retrocardiac opacity that is concerning for pneumonia. There is also left pleural effusion and a small amount of fluid located in the right minor fissure. Small granulomas are noted at the right lateral mid lung and left lateral mid lung. There is no pneumothorax. Calcification of the aortic knob is seen. The cardiomediastinal silhouette is partially obscured by the retrocardiac opacity and left pleural effusion, but otherwise is unremarkable. Visualized osseous structures are unremarkable.
<unk>-year-old male with shortness of breath, wheezing, rales and dullness to percussion on the left.
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The et tube is been removed, otherwise compared to the prior study there is no significant interval change
<unk> year old man with extreme agitation s/p right suboccipital hemorrhage, intubated/sedated, purulent sputum. // eval infiltrate
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>m with recent right-sided rib fractures <num> weeks ago diagnosed at osh, now presents after fall <num> days ago with worsening right rib pain.
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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. Rib deformities of right anterior seventh and left anterior sixth is noted, for which dedicated rib series is recommended
right-sided rib pain.
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The lungs are hyperinflated with flattening of the bilateral hemidiaphragms, compatible with copd. There is no focal airspace opacity to suggest pneumonia. No pleural effusion or pneumothorax is detected. The cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits. There is no free air beneath the right hemidiaphragm. The trachea is midline. No acute osseous abnormality is detected.
chest discomfort, here to evaluate for pneumonia.
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The heart is normal in size. The mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear. There has been no definite change.
chest pain.
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Heart size is within normal limits. Pacemaker is noted. Lungs are clear. No effusion noted
<unk>f pmhx htn, hld, paroxysmal attach with tachy-brady syndrome/sss (prior trx w/ sotalol), recent ich in setting of anticoagulation (on <unk>) and subsequent possible seizure disorder (on keppra) and dementia, admitted with recurrent attach with rate control limited by sss and junctional bradycardia (s/p ppm <unk>, on amiodarone), with her course c/b respiratory failure (s/p extubation <unk>) now with rising wbc // any acute intrathoracic pathology to explain rising wbc?
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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 left pleural effusion with retrocardiac atelectasis. The pre-existing opacities in the right lung are constant in severity and distribution. No new parenchymal opacities. No pneumothorax. Signs of minimal fluid overload persist.
bacterial meningitis, intubation, evaluation for interval change.
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The right chest tube is unchanged as compared to prior chest ct, with side-port within the right lower thoracic cage. Median sternotomy wires are intact. Tracheostomy tube is unchanged in position, terminating <num> cm above the carina. A small to moderate sized right pleural effusion is again noted. Peribronchial cuffing and diffuse airspace opacities are consistent with persistent pulmonary edema. A calcified right hilar lymph node is again noted. The mediastinal silhouette is stable.
<unk> year old man with hx of tb, treated for pneumonia, chronic pleural effusion and pulmonary edema with sob, evaluate for interval changes.
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A portable supine frontal chest radiograph demonstrates mild cardiomegaly and bronchovascular crowding, which is exaggerated by low lung volumes. The thoracic aorta is generally large and tortuous. Left base opacity is likely atelectasis. There is no edema, appreciable effusion, or pneumothorax.
<unk> year old woman with oxigen desaturation, resolved with o<num> // interval changes interval changes evaluate for interval change in a patient with oxygen desaturation.
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Lungs: low lung volumes with resultant crowding of lung vasculature. No definite consolidation present. Pleura: there is no pleural effusion or pneumothorax mediastinum: stable cardiomegaly. Aortic knuckle calcification is again identified. Bony thorax: visualized bones are unremarkable. Ekg leads overlie the anterior chest wall.
<unk> year old woman with esrd, found to have rising wbc, hypotension // ?evidence of pneumonia
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In comparison with the study <unk>, the dobhoff tube extends into the distal stomach. However, it is substantially coiled within the upper to mid esophagus and should be repositioned. No evidence of acute cardiopulmonary disease.
<unk> year old man with ftt, dobhoff out several inches // check post pyloric dobhoff placement check post pyloric dobhoff placement
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There is no evidence of aspiration. The lungs are clear. The endotracheal tube is at <num> cm above the carina. The nasogastric tube is also in the adequate position. There are no pneumothorax and no pleural effusion.
patient with sah from aneurysm, ng tube and aspiration?
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There is no visualized pneumothorax based on this supine film. There is an oblong <num>cm opacity projecting over the right mid lung. Some of the density may be attributed to overlying skin fold seen is vertical densities however underlying parenchymal nodule is suspected as it was present on examination from earlier the same day. Elsewhere, the lungs are clear. The cardiomediastinal silhouette is stable. Degenerative changes noted at the shoulders bilaterally.
<unk>f with difficult right ij cvl placement, please assess for pneumothorax // pneumothorax?
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Single ap upright portable view of the chest was obtained. Patient is status post median sternotomy and cabg. The cardiac and mediastinal silhouettes are grossly stable and enlarged. There is mild left base atelectasis. No large pleural effusion or pneumothorax. Subtle linear lucency below the diaphragm bilaterally concerning for pneumoperitoneum. This finding was paged to dr. <unk> on <unk> at the time of discovery as well as placed into the wet read dashboard with urgent finding at <time>pm.
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Frontal and lateral views of the chest are obtained. A left-sided aicd is seen with leads extending to the expected positions of the right atrium, right ventricle, and coronary sinus. The coronary sinus lead is possibly very minimally deeper in position when it is compared to the prior study. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. Cardiac and mediastinal silhouettes are stable. Partially imaged is the inferior aspect of metallic cervical spine hardware.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. Mild bronchial wall thickening and left perihilar region is a persistent finding. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
<unk> year old woman with cough, <unk> edema, follow up infiltrate // cough, <unk> edema r/o chf
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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 unremarkable. No displaced fracture is identified. There is no overt pulmonary edema.
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Multiple displaced rib fractures on the right related to recent trauma. No visible pneumothorax. No localized consolidation to suggest pneumonia. Minimal atelectasis at the lung bases. Retrocardiac opacities slightly asymmetric on the left may likely represent atelectasis, however underlying pneumonia cannot be excluded. Heart size is normal.
<unk> year old woman with r sided <unk>th rib fractures, <unk> with <num> point fractures c/w flail chest, rising wbc // eval for trauma sequelae
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The lungs are clear aside from minimal dependent atelectasis. There are no pleural effusions. No pneumothorax is seen. The heart size is within normal limits. The mediastinal contours are normal. Note is made of a large hiatal hernia, as before. There is air under both hemidiaphragms, consistent with pneumoperitoneum, not unexpected in a post-operative patient. Additionally, a small quantity of air seen within the mediastinum, also not unexpected post-operatively.
sharp left-sided chest pain with shortness of breath. evaluate for acute cardiac or pulmonary process. of note, the patient is status post attempted hiatal hernia repair/nissen fundoplication today.
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As compared to the previous radiograph, the pulmonary artery catheter has been pulled back. However, catheter is still coiled in the outflow tract of the right ventricle and requires undelayed reposition. The other monitoring and support devices are in constant position. Constant borderline size of the cardiac silhouette, the extent of the known right pleural effusion is unchanged.
status post liver transplant, pulling back of pulmonary artery catheter. evaluation for placement.
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No focal consolidation, pleural effusion, or pneumothorax is seen. Heart and mediastinal contours are within normal limits. No pneumomediastinum is detected. There is mild dextroconvex thoracic scoliosis.
<unk>-year-old female with chest pain after vomiting.
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The patient is status post median sternotomy and cabg. Left base atelectasis is changed. Opacities in the right middle lobe are also stable since the prior study, probably compatible with scarring and atelectasis. There are no new opacities which are concerning for pneumonia. There is no evidence of pneumothorax or pulmonary edema. There is no pleural effusion. Cardiomediastinal silhouettes are stable.
cough and fever, question infiltrate.
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Pa and lateral chest views were obtained with patient in upright position. Available for comparison is the next preceding portable chest examination of <unk>. The heart size is at the upper limit of normal variation. No typical configurational abnormality is seen. Thoracic aorta of ordinary dimension but some calcium deposits in the wall are noted at the level of the arch. Pulmonary vasculature is not congested. There exist bilateral centrally located infiltrates in the lower lobe areas known from previous ct torso examinations of <unk>. Direct comparison with the next preceding ap single view portable chest examination of <unk> indicates that these densities have regressed moderately in extension. No new local pulmonary abnormalities are seen. Remarkable is that the lateral and posterior pleural sinuses are now free from any fluid accumulation, which was not the case on the torso examination of <unk>. No new pulmonary abnormalities are seen and no cavitation can be identified.
<unk>-year-old female patient with bilateral lung infiltrates, evaluate.
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The lungs are clear. Severe chronic cardiomegaly is present. There is no pneumothorax. A small left pleural effusion has improved from when the ct was performed, <unk> at <time>, which was new from the radiograph taken <num> hours before that, at <time>.
<unk>-year-old woman with nausea and vomiting after breakfast this morning.
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Pa and lateral views of the chest provided. Lung volumes are low. Retrocardiac consolidation is unchanged. Otherwise, lungs are grossly clear. No pleural effusion or pneumothorax. Hilar contours are normal. Mild cardiomegaly is unchanged.
<unk> year old woman with worsening leukocytosis, persistent o<num> requirement // ?consolidation, pna
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Frontal and lateral views of the chest. There has been interval improvement in the appearance of the pulmonary edema seen on prior. There is residual bibasilar interstitial opacity which may be chronic in nature given its appearance on <unk>. Additional right apical opacity persists since most recent and could represent resolving edema although infection is not excluded. Cardiomediastinal silhouette is stable. Left chest wall dual lead pacing device is again seen. Vascular stent projects over the right subclavian region.
<unk>-year-old male with dyspnea, question volume overload.
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The lungs are hyperinflated without focal consolidation or pleural effusion. Chronic interstitial prominence is unchanged with biapical pleural scarring is unchanged. The heart and mediastinum are within normal limits. Spinal degenerative changes are stable.
<unk> year old woman with ovarian cancer // screening
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As compared to the previous radiograph, there is no relevant change. The monitoring and support devices are constant. Mild pulmonary edema is unchanged. No new parenchymal opacities. No pneumothorax. No evidence of free intra-abdominal air. The areas of bilateral atelectasis are unchanged in extent and appearance.
metastatic cancer, worsening nausea, evaluation for free air.
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Thoracic scoliosis is re- demonstrated. No focal consolidation is seen. No large pleural effusion is seen although a very trace pleural effusion be difficult to exclude. There is no pneumothorax. Biapical pleural thickening is re- demonstrated. The cardiac and mediastinal silhouettes are grossly stable.
history: <unk>f with recent femur surgery <num> weeks ago presenting from clinic with chest pain. // acute cardiopulmonary process
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Apart from subsegmental atelectasis in the lingula, the lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>f with chest tightness, dyspnea, cough
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Left chest wall vagal nerve stimulator is identified. Where seen, the lungs are clear. The cardiomediastinal silhouette is within normal limits. Compression deformities of an upper and a mid thoracic vertebral bodies are identified, age indeterminate.
<unk>m with hx lifelong seizures, decreased functional status mentation after <num> mo ago fall // ? infectious process in lungs or any grossly apparent cardiac abnormalities (distant hx chemo w ? etiology of sz vs syncopal events)
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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 appear normal.
pleuritic chest pain.
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The large left upper lobe rounded opacity with a diameter of approximately <num> cm that was documented on the ct examination from <unk>, measures <num> cm in diameter on the current radiograph. The lesion, thus, has increased in size. The appearance of the lesion on ct is strongly suggestive of a fungal inflammatory process. Unchanged bilateral pleural effusions, right more than left. Unchanged moderate cardiomegaly. No other or newly occurred parenchymal opacities. No pulmonary edema.
cll, new left upper lobe evaluation.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No pulmonary edema is seen.
cough, fever, and chills.
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Pa and lateral views of the chest were provided. The lungs are clear without focal consolidation, effusion, or pneumothorax. The heart and mediastinal contours appear stable. The bony structures are intact. No free air below the right hemidiaphragm.
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Portable semi-upright radiograph of the chest demonstrates a low lung volumes. The cardiac silhouette is enlarged. The pulmonary vasculature is centrally contrasted, without definite overt edema. A sizable right pleural effusion remains present, with associated compressive atelectasis. Consolidation is not excluded. An aicd is in stable position.
<unk> year old man with heart failure and pleural effusion // please eval pleural effusion
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Indwelling support and monitoring devices are in standard position, but tip of nasogastric tube courses cephalad in the proximal stomach. Widespread airspace opacities involving nearly the entirety of the right lung and primarily the perihilar portion of the left lung show interval worsening on the right. This may reflect asymmetrical pulmonary edema with or without superimposed process in the right lung such as a co-existing pneumonia, hemorrhage or aspiration. Small right pleural effusion is present, but there is no evidence of pneumothorax.
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Heart size is mildly enlarged. The aorta is tortuous and diffusely calcified. Mediastinal and hilar contours are otherwise unchanged. Lungs are hyperinflated. Aside from minimal atelectasis in the lung bases, there is no focal consolidation, pleural effusion or pneumothorax. No pulmonary vascular engorgement is present. Linear densities within the right upper quadrant of the abdomen are compatible with a fractured old inferior vena cava filter, as demonstrated on the prior ct.
renal failure.
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The cardiac, mediastinal and hilar contours are normal. Lungs are clear and pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are seen.
chest pain.
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The lungs remain clear except for minimal streaky density consistent with subsegmental atelectasis. The heart is normal in size. The aorta is mildly tortuous. An icd remains in place. There is interval worsening of multiple wide-spread, predominantly osteoblastic lesions. There is new mild compression deformity of the mid thoracic vertebral body. An icd remains in place. A mediport catheter is present on the right. Its tip is obscured but it can be followed to the superior vena cava.
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Pa and lateral images of the chest were obtained with the patient in the upright position. The lungs are well expanded and clear. Previously visualized pleural effusions have now resolved. There is no pneumothorax. The heart is of normal size and the cardiomediastinal silhouette is unremarkable. There is no evidence for acute thoracic process. Orthopedic hardware is noted in the cervical spine, unchanged from previous exam. Sternotomy wires appear unchanged from previous exam. The other visualized osseous structures are unremarkable.
<unk>-year-old male with shortness of breath and persistent chest wall pain.
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Lung volumes are low. There is no focal consolidation, pleural effusion or pneumothorax. There is bibasilar atelectasis. Heart size is mildly enlarged. No acute osseous abnormalities are identified.
history: <unk>m with bladder incontinence, headache // per neuro request prior to admit.
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Lung volumes are low. There are new small to moderate bilateral pleural effusions with adjacent atelectasis. Heart is obscured by pleural effusions and not well evaluated. There is no pneumothorax. The aorta is calcified. Multiple bilateral rib fractures are better seen on recent ct of the torso.
<unk>f with recent admission for trauma/assult here for decreased h h // hemothorax from rib fractures?
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There is no significant change since <unk>. Mildly enlarged heart size is accompanied by upper zone vascular redistribution but no evidence of pulmonary edema. Mediastinal and hilar contours are unchanged from prior. There is no evidence for pulmonary edema, pulmonary consolidation, pleural effusion, or pneumothorax.
<unk> year old man with history of mi now with progressive sob.
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Cardiac size is top normal. The aorta is tortuous, probably atelectatic. There is mild pulmonary edema. . There is no pneumothorax or pleural effusion.
patient with history dchf, now s/p volume repletion. // pulmonary edema?
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Frontal and lateral chest radiograph well expanded and clear right lung. Heterogeneous opacity obscuring the left heart border is seen within the lingula. No pleural effusion or pneumothorax. Partially visualized heart, mediastinal contour, and hila are unremarkable. Limited assessment of the upper abdomen is within normal limits.
<num> week of cough, left-sided chest pain. assess for pneumonia.
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Frontal and lateral views of the chest were obtained. Lungs are clear without focal size. No pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are unremarkable. No displaced fracture is seen.
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There is no free air beneath the right hemidiaphragm. There is a subtle opacity projecting over the right upper lung, partially overlapping with the right clavicle, measuring approximately <num>cm. Bibasilar opacities most likely represent atelectasis. There is no pleural effusion or pneumothorax. The cardiac and mediastinal contours are normal.
<unk>f with recent eus/fna of gb mass, now w severe abd pain // presence of free air
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Frontal and lateral views of the chest were performed. A left-sided pacemaker is noted with leads terminating in the right atrium and right ventricle. Left humeral orthopedic hardware is partially imaged. There is no pleural effusion, pneumothorax or focal airspace consolidation. The cardiac silhouette remains moderately enlarged, similar to <unk>. There is unchanged mild pulmonary edema from the most recent study. Aortic arch calcifications are re-demonstrated and the pulmonary arteries are enlarged. Multilevel degenerative changes of the thoracic spine are noted.
fever, evaluate for pneumonia.
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A frontal view of the chest was obtained portably. Low lung volumes result in bronchovascular crowding. There is no focal consolidation or pneumothorax. Blunting at the left costophrenic sulcus is unchanged and may be due to a small effusion or pleural thickening. Moderate cardiomegaly is unchanged. The mediastinal silhouette with an enlarged aorta is stable. A left humeral head fracture is unchanged.
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In comparison with study of <unk>, there are low lung volumes which may account for the prominence of the transverse diameter of the heart. Some indistinctness of pulmonary vessels could reflect some elevated pulmonary venous pressure and there are atelectatic changes at both bases. The opacification in the right costophrenic angle has decreased since the previous study.
postoperative.