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pa and lateral views of the chest provided. low lung volumes. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is stably prominent with an unfolded thoracic aorta. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>f with chest pain
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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. there is a small calcified granuloma in the left lower lobe, as before; otherwise the lungs appear clear. a mixed lytic and sclerotic bone lesion along the left anterior lateral fourth rib appears unchanged allowing for differences in technique and accordingly suggests a benign finding.
ringing in ears in intermittent chest pain.
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ap and lateral views of the chest. focal opacity at the left costophrenic angle maybe due to atelectasis or adjacent fat pad. the lungs are otherwise clear and there is no pneumothorax. the cardiac silhouette is enlarged but stable in configuration and in part likely due to prominent mediastinal fat. median sternotomy wires and mediastinal clips are again noted as well as coronary artery stents. degenerative changes noted at the shoulders.
<unk>m with fall and l rib pain // ? rib fx, ? acute 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. no displaced fracture is identified.
chest pain
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minor basilar atelectasis is seen without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable.
history: <unk>m with chest pain, dyspnea // eval cardiomegaly, infiltrate
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pa and lateral views of the chest. there is a focal opacity at the left lung base obscuring the left heart border which is new from prior which is also seen on the lateral. elsewhere the lungs are clear. the cardiomediastinal silhouette is normal. no acute osseous abnormality detected.
<unk>-year-old female with lethargy, shortness of breath and cough. wheeze is on exam.
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frontal and lateral radiographs of the chest show no acute intrathoracic process. the cardiomediastinal, pleural and pulmonary structures are unremarkable. there is no pleural effusion or pneumothorax. the heart size is normal. a mediport is seen terminating in the distal svc. there are no suspicious osseous lesions. the patient is status post right arm amputation.
chest pain, evaluate for pneumothorax and pneumonia.
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single portable ap chest radiograph demonstrates an endotracheal tube. spinal hardware projects over the anticipated tip of the endotracheal tube. at best the endotracheal tube is <num> cm above the level of the carinal. patient appears to have her neck flexed in which case endotracheal tube placement is appropriate. an enteric tube descends the thorax in an uncomplicated course, its tip not visualized. relative to prior examination, the thorax appears unchanged with low lung volumes.
<unk>-year-old female with endotracheal tube placement.
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heart size and cardiomediastinal contours are normal. there is mild hyperinflation, consistent with emphysema. heterogeneous opacities in the lung apices are consistent with apical scarring. similar smaller opacities are seen in the right upper and bilateral lower lobes. no lobar consolidation, pleural effusion, or pneumothorax.
<unk>f with wheezing // infiltrate?
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no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. heart and mediastinal contours are within normal limits with aortic tortuosity. mild anterior wedging of a mid thoracic vertebral body appears unchanged.
<unk>-year-old female with transient slurred speech and tongue numbness.
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since prior, there has been removal of a right chest tube without evidence of pneumothorax. the cardiomediastinal silhouette is unchanged. linear atelectasis most pronounced in the right mid lung is stable. there is no pleural effusion.
<unk> year old woman status post right chest tube removal, evaluate for pneumothorax.
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two frontal images of the chest demonstrate a dobbhoff tube with the tip located beyond the first segment of the duodenum. there are no gross pulmonary changes since previous imaging, and large prominent cardiac silhouette is again seen. bilateral pleural effusions, left greater than right, remain unchanged. retrocardiac opacification consistent with left lower lobe volume loss again seen.
<unk>-year-old male, status post dobbhoff placement and readvancement.
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the lungs are well inflated and clear. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. there is no pleural effusion or pneumothorax. osseous structures are grossly intact.
<unk>-year-old woman with altered mental status, evaluate for acute cardiopulmonary process.
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compared to the study from <num> days prior there is new pulmonary edema and small bilateral pleural effusions. left lower lobe opacity likely reflects a combination of atelectasis and effusion though superimposed infection is possible. mild enlargement of the cardiac silhouette is stable. the chronic right shoulder fracture is unchanged.
history: <unk>f with cough // eval for pneumonia
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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 displaced fracture is seen.
history: <unk>m with mvc right sided chest pain // ?traumatic injury
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a right ij central line terminates in the lower svc. lung volumes are low. aside from subsegmental left mid and lower lung atelectasis, the rest of the lung parenchyma is clear. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. there is no pleural effusion or pneumothorax. the elevation of the right hemidiaphragm predates surgery.
patient with pancreatic head mass status post whipple, now with fever, rule out pneumonia versus atelectasis.
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lung volumes remain low, there is new hazy opacity at the right lung base, potentially reflecting a pleural effusion. no pneumothorax seen. no consolidation. no definite rib fractures. unchanged mild cardiomegaly. no frank pulmonary edema. atherosclerotic calcification aortic arch.
<unk> year old woman with pvd, cad s/p cabg, afib s/p <num>x dccv on coumadin, severe kyphosis presenting after a fall from standing onto her face and bilateral knees. diuretics held, now with subjective dyspnea. // please evaluate for pulmonary edema
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endotracheal tube terminates approximately <num> cm above the carina. normal cardiomediastinal contours. low lung volumes. increased focal density at the left lung base may reflect pneumonia in the appropriate clinical context.
<unk>-year-old man with an upper gi bleed, now intubated for egd. evaluate et tube placement.
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patient's condition required examination in sitting upright position using ap frontal and left lateral views. comparison can be made with the next preceding portable single view chest examination of <unk>. during the interval, the patient has been extubated. the previously described right-sided permanent pacer connected to dual intracavitary electrode system remains in unchanged position. there is cardiac enlargement with a configuration suggesting left ventricular prominence, a finding which in aorta shows calcium deposits in the wall, both at the conjunction with the generally widened and elongated thoracic aorta suggests systemic hypertension. the level of the arch as well as in the descending area. local contour abnormalities are not identified. the pulmonary vasculature is not congested and the lateral and posterior pleural sinuses remain free from any fluid accumulation. no acute parenchymal infiltrates are seen, and the on previous portable examination suspected left lower lobe atelectasis has resolved.
<unk>-year-old female patient with lung opacity on prior chest examination, evaluate for pneumonia.
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the patient is status post median sternotomy and aortic valve replacement. the heart size is normal. the mediastinal and hilar contours are unremarkable. the lungs are clear. no pleural effusion or pneumothorax is demonstrated. no acute osseous abnormalities seen.
cough and seizure.
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heart size is normal. mediastinal and hilar contours are unremarkable. the lungs are clear and the pulmonary vasculature is normal. no pleural effusion or pneumothorax is present. no acute osseous abnormalities are seen.
cough and fever.
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assessment is slightly limited due to rotation. heart size remains mildly enlarged. elevation of the left hemidiaphragm is unchanged. atelectasis within the left lung base is noted, but no focal consolidation, pleural effusion or pneumothorax is present. mediastinal and hilar contours are unchanged, and no pulmonary vascular congestion is identified. scarring within the apices is unchanged. mild to moderate multilevel degenerative changes are present in the thoracic spine.
history: <unk>f with fatigue, failure to thrive
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pa and lateral views of the chest provided. right chest wall port-a-cath is noted with its tip in the lower svc. patient is known to have multiple pulmonary nodules which are better assessed on prior ct chest. subtle nodularity is however noted in the right lung base. mild volume loss in the left lung base is noted which likely reflect interval development of atelectasis. difficult to exclude pneumonia. a small adjacent pleural effusion is difficult to exclude. no pneumothorax. no edema. cardiomediastinal silhouette is stable. bony structures are intact.
<unk>f with febrile neutropenia, gestational trophoblastic disease // eval for pna
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ap upright 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 dizziness, tachycardia // eval for pna
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lung volumes are low. heart size is accentuated as result appearing mildly enlarged. the mediastinal and hilar contours are normal. pulmonary vasculature is not engorged. patchy opacities in the lung bases likely reflect areas of atelectasis. no focal consolidation, pleural effusion or pneumothorax is identified. no acute osseous abnormality is visualized.
history: <unk>m with chf exacerbation // fluid?
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right lower lobe consolidation is worrisome for pneumonia. patchy left base retrocardiac opacity is also seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable.
history: <unk>m with seizures // evidence of pna
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ap view of the chest is compared to previous exam from <unk>. previously seen endotracheal and nasogastric tubes are no longer visualized. lungs are clear of consolidation or effusion. cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unremarkable. calcifications projecting over the neck are suggestive of atherosclerotic calcifications.
<unk>-year-old female with altered mental status.
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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.
history: <unk>f with preoperative // assess for occult disease assess for occult disease
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ap portable upright view of the chest. a right picc terminates at the mid svc. the heart is mildly enlarged. the hilar mediastinal contours remain within normal limits. mild central pulmonary vascular congestion appears new since the <unk> examination, with small bilateral pleural effusions. there is no pneumothorax or focal consolidation. an endotracheal tube terminates <num> cm above the carina.
<unk> year old man with intubation // interval change?
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left-sided port-a-cath tip terminates within the svc. cardiac, mediastinal and hilar contours are unchanged with evidence of prior esophagectomy and gastric pull-through. the pulmonary vascularity is not engorged. persistent small bilateral pleural effusions, right greater than left are again noted, with the amount of fluid loculated laterally on the right decreased compared to the prior study. previously noted right basilar atelectasis subjacent to the partially loculated pleural effusion appears improved. no new focal areas of consolidation are present. no pneumothorax is present in the osseous structures are unremarkable.
esophageal cancer, productive cough, shortness of breath.
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pa and lateral views of the chest show an ovoid calcific mass at the level of the aortic arch corresponding to partially calcified pseudoaneurysm. some blunting of the left costophrenic angle and elevation of the left hemidiaphragm and pleural thickening are unchanged compared to the patient's preoperative film and may be related to known prior surgery in the left hemithorax. new on today's study is obscuration of the right hemidiaphragm which appears related to both some pleural fluid and some consolidation in the right middle lobe.
<unk>-year-old man with productive cough and leukocytosis, postop day <num> status post vhr.
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cardiac, mediastinal and hilar contours are normal. pulmonary vasculature is not engorged. minimal patchy opacity is seen within the left mid lung field which could reflect an area of developing infection. the right lung is clear. no pleural effusion, focal consolidation or pneumothorax is present. no acute osseous abnormalities seen. clips are noted within the upper abdomen.
history: <unk>f with recurrent dry cough
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the lungs are clear without focal opacity, pulmonary edema, pleural effusion or pneumothorax. the cardiac and mediastinal contours are stable. no acute osseous abnormality.
<unk>f with cough and fever.
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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> year old man with malaise. occasional cough. no fever // f/u abnormal area r/o infiltrate
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lung volumes are low. the patient is status post median sternotomy and cabg. heart size is mildly enlarged but unchanged. mediastinal and hilar contours are stable. pulmonary vasculature is normal. apart from minimal atelectasis in the left lung base, the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is identified. there are no acute osseous abnormalities.
history: <unk>m with weakness
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increasing left hemithorax opacity with linear areas of lucency which may represent air bronchograms. this finding is consistent with edema or developing consolidation. there are persistent low lung volumes. aorta is diffusely tortuous and calcified. pacer device with leads terminating within the right atrium, right ventricle of an enlarged heart is unchanged in position. endotracheal tube is seen terminating <num> cm from the carina. ng tube is seen entering the stomach and out of view of the radiograph. internal jugular catheter is seen in appropriate position within the low svc.
<unk>-year-old female status post intubation.
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pa and lateral radiographs of the chest demonstrate interval worsening of the left upper lobe consolidation. the previously identified cavitation is unchanged in size but now features more indistinct borders. the apex is now completely opacified. the left lower lobe and the right lung are clear. the heart size and mediastinal contours are unchanged. there is no pneumothorax, pleural effusion, or pulmonary edema.
evaluate for interval change in patient with nsclc complicated by superimposed pneumonia since <unk>.
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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 cough, malaise // r/o pna, effusion, mass
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there are bilateral pneumothoraces, which are small to moderate in size. on the left, there are multiple rib fractures, some appearing displaced, with a large amount of gas in the adjacent soft tissues extending from the base of the left neck to the left upper abdomen. heterogeneous opacification of the left lung base is concerning for pulmonary contusion. a moderate-sized layering left pleural effusion, which on the concurrent outside hospital ct demonstrates intermediate density, likely representing blood. cardiomediastinal silhouette is normal. modestly calcified aortic knob is noted. the right lung is clear.
history: <unk>m with left-sided pneumothorax. evaluate for pneumothorax.
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left-sided picc terminates in the proximal to mid svc without evidence of pneumothorax. no focal consolidation is seen. there is no pleural effusion. cardiac and mediastinal silhouettes are stable.
history: <unk>f with picc, needs iv abx // eval for picc placement
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the heart is normal in size. the mediastinal and hilar contours appear unchanged including mild unfolding of the thoracic aorta. there is no pleural effusion or pneumothorax. the lungs appear clear. bony structures are unremarkable.
fever.
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lung volumes are low, causing crowding of bronchovascular structures. there is mild cardiomegaly, but mediastinal and hilar contours are normal. increased interstitial pulmonary lung markings are present, suggesting mild central pulmonary vascular congestion. no focal consolidation or pneumothorax.
<unk>f with altered mental status. ? acute cardiopulm process
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the lungs are clear. mild-to-moderate enlargement of the cardiac silhouette is not significantly changed. the mediastinal contours are unchanged. there are no pleural effusions. no pneumothorax is seen.
history of sickle cell disease with recent admission and continued chest pain. assess for pneumonia.
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single portable chest radiograph was provided. a right subclavian central line terminates at the cavoatrial junction. prominence of pulmonary vasculature may be due to low lung volumes and resultant bronchovascular crowding. there is no pneumothorax, pleural effusion or focal consolidation. cardiomediastinal silhouette appears enlarged, likely due to technique.
history of subclavian line placement. question pneumothorax.
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cardiac, mediastinal and hilar contours are normal. pulmonary vasculature is normal. no focal consolidation, pleural effusion or pneumothorax is present. there are no acute osseous abnormalities.
fever.
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moderate cardiomegaly and elevation of the left hemidiaphragm are chronic. the right pleural effusion is larger. no new focal consolidation concerning for pneumonia or pneumothorax. unchanged left pacer with leads terminating in the right atrium and right ventricle. unchanged ventriculoperitoneal shunt.
<unk> year old man with cough, recent new pleural effusion. is effusion bigger? any cause for cough?
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improved aeration seen on the current exam. there is some persistent left basilar opacity. elsewhere the lungs are clear. the cardiomediastinal silhouette is normal. no acute osseous abnormalities.
<unk>m hiv +, last cd<num> <num>, complaining of sob, fever, chills and cough. // sob, pneumonia
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the lung volumes are low on the lateral view. there is no pleural effusion or pneumothorax. atelectasis is seen at the bases. the hilar structures and mediastinum contours are unchanged. calcifications are again seen in the aortic knob. the heart size is stable. clips are seen overlying the neck. there is a mild s-shaped curvature to the thoracolumbar spine. degenerative changes of the right shoulder seen, including it being high ridingin position, which can be seen in rotator cuff disease. moderate degenerative changes of the thoracic spine are noted.
cough, congestion shortness of breath. evaluate for pneumonia.
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the heart is mildly enlarged. the mediastinal and hilar contours are remarkable. there is a patchy posterior basilar opacity, likely within the right lower lobe. it is difficult to exclude a trace pleural effusion on the left noting posterior blunting along the costophrenic sulcus. slight degenerative changes are noted along the thoracic spine.
fever, weakness and fatigue.
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heart is normal in size and cardiomediastinal contour is unremarkable. lungs are clear. there is no focal consolidation, pleural effusion, or pneumothorax. no displaced fracture is detected.
<unk>-year-old man presenting with pain status post fall.
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re-accumulation of large right pleural effusion with small aerated portion of right upper lung seen. right middle lobe and lower lobe collapse also seen. left lung is clear. right chest tube again noted.no pneumothorax. the cardiac and mediastinal silhouettes are unchanged. anterior ribs are not visualized in these plain radiographs. dedicated oblique views of the ribs may be obtained if high clinical suspicion for rib fractures.
<unk> year old man with metastatic lung ca with r pleural involvement; new focal point tenderness in the mid-anterior r chest at the mid-clavicular line // please evaluate for rib fracture/pathology
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there is no consolidation, pleural effusion, or pneumothorax. cardiomediastinal and hilar silhouettes are normal size. tortuous aortic contour is unchanged.
<unk>m with chest pain and abdominal pain ttp in the llq // please eval for llq pain, diverticulitis vs ischemia
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the cardiomediastinal silhouette has remained stable since prior examinations. the pulmonary vasculature is slightly more indistinct than on prior examination. since the prior examination, there has been development of a moderate right-sided pleural effusion. small fissure of fluid is also noted. there is no definite consolidation. median sternotomy wires are intact and well aligned. there is evidence of prior cabg.
history: <unk>m with fever // ? pneumonia
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the heart size is normal. the hilar mediastinal contours are normal. no focal consolidations concerning for pneumonia are identified. there is no pleural effusion, or pneumothorax. the visualized osseous structures are unremarkable.
<unk>f w/r cvat please evaluate for a r-sided stone. please evaluate.
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the cardiac silhouette is stably enlarged. again noted is bibasilar atelectasis without consolidation. right perihilar opacity is similar to the most recent examination given decreased lung volumes. there is retrocardiac opacity likely atelectasis. again noted is an endotracheal tube in stable position. a transesophageal tube and left subclavian line are also in unchanged position. there is no pneumothorax or pleural effusion.
<unk>m ivda s/p posterior decompression <unk> for multiple embolic infarcts (l <unk>, l sca, r aica, l pontine) with herniation. pod#<num> p/w stemi (vasospasm vs transient myocardial ischemia in setting of cocaine use), started dilt gtt, ekg normalized. febrile hd #<num>. // interval change
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frontal and lateral chest radiographs were obtained. both right and left lungs exhibit prominent interstitial markings consistent with pulmonary edema. a small right pleural effusion is present. the heart is mildly enlarged. there is no focal consolidation or pneumothorax. mediastinal contours and pleural surfaces are normal.
patient with shortness of breath and asthma, and lower extremity edema. rule out infection versus chf.
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a port-a-cath terminates at the cavoatrial junction. the heart is normal in size. the mediastinal and hilar contours appear within normal limits. the lungs appear clear. there is no pleural effusion or pneumothorax.
dyspnea on exertion.
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frontal and lateral views of the chest were performed. there is no pleural effusion, pneumothorax or focal airspace consolidation. the cardiac and mediastinal contours are unremarkable. the hilar structures are normal. cholecystectomy clips are noted. there are no osseous abnormalities appreciated.
pleuritic chest pain, evaluate for an acute cardiopulmonary process.
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endotracheal tube tip terminates approximately <num> cm from the carina. the heart size is mild to moderately enlarged. perihilar haziness with vascular indistinctness is compatible with moderate-to-severe pulmonary edema. small bilateral pleural effusions are noted. no pneumothorax is identified. right picc tip terminates in the junction of the svc and right atrium. no acute osseous abnormality is detected.
altered mental status, hypotension, respiratory failure.
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portable upright chest radiograph <unk> at <time> is submitted.
<unk> year old s/p chest tube placement and organizing pna. decreased chest tube to suction -<unk>. interval change? // interval improvement interval improvement
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pa, lateral, right lateral decubitus, and left lateral decubitus images of the chest demonstrate moderate right pleural effusion and small left pleural effusion which are seen layering in the decubitus images. atelectasis and pleural effusions have improved since prior imaging. cardiac silhouette is partially obscured by the pleural effusions, limiting evaluation of the cardiac size. mediastinum is unchanged. there is no evidence of focal consolidation.
<unk>-year-old male with acute pancreatitis, cough, and fever.
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the new right picc tip terminates in the lower svc. the <num> enteric tubes project past the diaphragm. layering pleural effusions are essentially unchanged, accounting for differences in patient positioning. heart size and mediastinal contours are stable. retrocardiac opacity is likely atelectasis. no pneumothorax.
<unk> year old man with picc. picc placement.
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indistinct pulmonary vascular markings are seen suggesting pulmonary edema, which is new since last month's exam. cardiomediastinal silhouette is somewhat accentuated by lower lung volumes on today's study and is slightly enlarged but given lower lung volumes and rotation to the left, there is no definite significant change. atherosclerotic calcifications noted at the aortic arch. old anterior right rib fractures are noted involving the sixth and seventh ribs. right shoulder arthroplasty changes are identified.
<unk>-year-old male with shortness of breath and chest pain.
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pa and lateral chest radiograph demonstrates clear lungs bilaterally. cardiomediastinal and hilar contours are within normal limits. there is no pleural effusion or pneumothorax. visualized osseous structures are without an acute abnormality.
<unk>-year-old male with cough.
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there is a left picc with the tip in the cavoatrial junction. the bilateral interstitial pulmonary edema has improved, although it persists. there are bibasilar opacities. there are bilateral pleural effusions, left greater right. increased ap diameter suggests hyperinflation. moderate enlargement of the cardiac silhouette. no pneumothorax is seen. there are no acute osseous abnormalities.
<unk> year old man copd, chf, recent multifocal hcap now with continued hemoptysis and o<num> requirement. // is the pt's pna resolving, and/or is there a new pulmonary process that could account for his symptoms?
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heart size is normal. mediastinal and hilar contours are unchanged. lungs are clear. pulmonary vasculature is normal. no pleural effusion or pneumothorax is seen. mild to moderate multilevel degenerative changes are noted in the thoracic spine as well as in the right glenohumeral joint.
history: <unk>f with shortness of breath
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the lungs are clear except for nonspecific, relatively symmetrical biapical pleural and parenchymal scarring. the cardiomediastinal silhouette, hila contours, and pleural surfaces are normal. there is no pleural effusion or pneumothorax.
<unk>m with ams // eval for pna
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patient is status post median sternotomy. median sternotomy wires are intact. the lungs are well expanded and clear. there are no focal air space opacity to suggest pneumonia. the heart is top normal. the mediastinal silhouette, hilar contours, and pleural surfaces are normal. there is no pleural effusion or pneumothorax present.
tracheal stenosis status post dilation on <unk>. evaluate for infiltrate, pneumothorax, change from previous.
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there are calcified parenchymal micronodules in both lower lobes, seen to better detail on prior abdomen/pelvic ct dated <unk>. superimposed on these findings are new patchy bibasilar lung opacities as well as a focal area of atelectasis in the right mid lung region. cardiomediastinal contours are stable compared to the previous exam. no pleural effusion.
<unk>m dmi c/b gastroparesis and retinopathy with esrd previously on pd on hd s/p kidney-pancreas transplant <num> weeks ago with takeback for bleeding with postop course c/b ileus/gastroparesis and now febrile with elevated creatinine and lipase // assess for pneumonia assess for pneumonia
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left picc tip terminates in the mid svc. the cardiac silhouette size is unchanged, with left ventricular predominance and mild cardiomegaly. the mediastinal and hilar contours are stable with calcification of the thoracic aorta again noted. the pulmonary vascularity is not engorged. streaky opacities in the lung bases likely reflect atelectasis. mild elevation of the right hemidiaphragm is unchanged. no large pleural effusion or pneumothorax is present. partially imaged is a percutaneous transhepatic biliary catheter in the right upper quadrant of the abdomen.
recent perforation and hypotension.
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large left upper lobe opacity worrisome for left upper lobe mass, with underlying atelectasis/collapse. there is a small left pleural effusion. no right pleural effusion is seen. there is no evidence of pneumothorax. the cardiac silhouette is top-normal in size. no pulmonary edema is seen.
history: <unk>m with arf, hypoxia // eval for pulm edema
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the lungs are well expanded and clear. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax.
<unk>-year-old female with chest pain.
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the lungs are clear. no focal consolidation, edema, effusion, or pneumothorax. the heart is normal in size. the mediastinum is not widened. biapical pleural thickening is mild and unchanged. no acute osseous abnormality.
history: <unk>m with fever and cough x<num> days // ?pna
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the cardiomediastinal silhouette and pulmonary vasculature are unchanged since the prior examination. the lungs are clear. there is no pleural effusion or pneumothorax. the aorta is tortuous.
<unk> year old woman with hx doe, sob,dry cough; few rales left base // r/o pna< chf
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the patient is status post sternotomy. the heart is moderately enlarged. layering pleural effusions are present. these are difficult to directly compare to the prior study, because of suspected differences in positioning, but the appearance is probably fairly similar. coinciding compressive atelectasis is likely. mild interstitial opacification suggests mild vascular congestion, new since the prior study. prior vertebroplasties have been performed.
dry cough and intermittent shortness of breath.
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cardiomediastinal contours are normal. the lungs are clear. there is no pneumothorax or pleural effusion. there is pectus excavatum
history: <unk>m with mvc, high speed // ich> fx
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lung volumes are low. the cardiac silhouette is mildly enlarged. the pulmonary vasculature is unremarkable. no large pleural effusion or pneumothorax is present. no definite consolidation is seen. there is bibasilar atelectasis.
<unk>f with hx of chf and now sob // eval for chf
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
history: <unk>m with ruq pain // eval pna, preoperative
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the lungs are clear of focal consolidation, pleural effusion or overt pulmonary edema. the cardiomediastinal contours are within normal limits. there has been interval removal of a right picc.
<unk>-year-old male with fever and altered mental status.
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the tip of an accessed right pectoral mediport projects over the low svc. there is no pneumothorax. prominent bilateral interstitial lung markings likely correspond in part to the patient's known severe emphysema. however, increased prominence of the interstitial markings bilaterally may be due to superimposed edema or infection.
<unk>-year-old female with small cell lung cancer presenting with dyspnea. evaluate for mass, pulmonary edema or pneumonia.
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the lungs are well inflated and clear. previous small consolidation in the medial basal segment of the right lower lobe is largely resolved with some residual scarring. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. there is no pleural effusion or pneumothorax.
<unk> year old woman with cough and h/o recurrent pneumonia. assess for pneumonia.
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in comparison to the most recent radiograph, there is interval repositioning of the right picc which now terminates in the upper svc. extensive heterogeneous bilateral lower lung consolidations persist. small bilateral pleural effusions are unchanged. no pneumothorax.
<unk> year old man with r picc malpositioned // r picc repo attempt, puleed back <num>cm and <unk> <unk> <unk>
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low lung volumes results in crowding of the bronchovascular structures. there is no focal consolidation, pleural effusion, or pulmonary edema. the cardiomediastinal silhouette is within normal limits. there is a mild indentation along the left lateral margin of the upper trachea at the level of the thoracic inlet.
<unk> year old man with chest pain // eval for cardiopulmonary process
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pa and lateral views of the chest were provided. there is no focal consolidation, effusion, or pneumothorax. the heart and mediastinal contours appear stable. no acute osseous abnormality.
<unk>f with fall.
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single chest portable radiograph demonstrates unremarkable mediastinal and hilar contours. stable enlarged cardiac silhouette present. interval reduction in right pleural effusion, now small in size, with stable adjacent right lower lung atelectasis. no pneumothorax evident. no focal opacification concerning for pneumonia identified.
right pleural effusion after thoracentesis, please evaluate post thoracentesis.
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pa and lateral chest radiographs demonstrate low lung volumes, but no focal consolidation, pleural effusion, or pneumothorax. the heart size is top normal. there is a moderate hiatal hernia. the cardiac, hilar, mediastinal contours are normal.
three weeks of cough, history of asthma. concern for pneumonia.
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again re- demonstrated is severe kyphosis with multiple compression deformities in the thoracic spine, which limits assessment. the cardiac, mediastinal and hilar contours appear relatively unchanged, with the heart size appearing mildly enlarged. previous pattern of mild pulmonary edema has improved. small bilateral pleural effusions persist, with interval decrease in size of the right pleural effusion. no pneumothorax is identified.
shortness of breath, back pain.
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frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion or pneumothorax. cardiac silhouettes are obscured, likely due to pericardial fat pad and overlying soft tissues. hilar and mediastinal silhouettes are unremarkable. heart size is normal. there is no pulmonary edema.
pain along left lateral rib cage.
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a port-a-cath is in place, with tip over distal svc. there is background hyperinflation, consistent with copd. the cardiomediastinal silhouette is not enlarged. mild aortic calcification noted. there is slight blunting of the right cardiophrenic angle, consistent with a small amount of pleural fluid or thickening. on the lateral view, there is suggestion of focal nodular density in the lower lobe posteriorly on <num> side. additional patchy density projects over the cardiac silhouette. indistinct opacities are seen laterally in both right and left lower zones. these small opacities likely correspond to opacities seen on the <unk> chest ct. no chf or large consolidation is identified. oral contrast is noted within the bowel.
<unk> year old man with sbo s/p whipple in <unk> and appy in <unk> // eval port-a-cath placement
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the patient is status post median sternotomy and aortic valve replacement. heart size is top normal, decreased in size compared to the previous study. the aorta is tortuous. pulmonary vasculature is not engorged. lungs are hyperinflated. minimal patchy atelectasis is noted in the lung bases without focal consolidation. small bilateral pleural effusions are likely present. no acute osseous abnormalities detected.
history: <unk>m with chest pain
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frontal and lateral views of the chest. the heart size and cardiomediastinal contours are normal. the lungs are clear without focal consolidation, pleural effusion, or pneumothorax. no displaced rib fracture.
<unk>-year-old male with iv drug abuse now with hearing loss.
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lung volumes are lower when compared to prior exam. the lungs are grossly clear without focal consolidation, effusion, or edema. linear left basilar opacity is most compatible with atelectasis. moderate cardiac enlargement is unchanged. hypertrophic changes are noted in the spine. there is fusion of the anterior right first and second ribs.
<unk>f with c/o sob // ? pna
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a right internal jugular tunnel dialysis catheter is unchanged in appearance when compared to the prior study. lung volumes are within normal limits. compared to the prior study there has been interval improvement of aeration of the bilateral lung bases. in addition, the left-sided picc has been removed. there is persistent mild cardiomegaly and prominence of the pulmonary vasculature consistent with mild pulmonary vascular congestion but no overt pulmonary edema seen. no lobar consolidation seen. no pneumothorax or pleural effusion seen. left lower lobe atelectasis.
<unk> year old man with right mca stroke s/p tpa // eval for pna
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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 cp // r/o infiltrate
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the lungs are clear, the cardiomediastinal silhouette and hila are normal. there is no pleural effusion and no pneumothorax.
<unk>-year-old with cva symptoms, cough.
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compared with the radiograph from earlier on the same date, there is no significant change in the appearance of the chest. the <num> right-sided pleural chest tubes and other monitoring and support devices are unchanged in position. there is a partially loculated right mid pleural effusion, without pneumothorax. aeration in the left retrocardiac region is slightly improved. unchanged old right rib fractures.
<unk> year old man with chest tubes please do early in am. evaluate for interval change.
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there is no evidence of focal consolidation, pleural effusion, pneumothorax, or frank pulmonary edema. the cardiomediastinal silhouette is within normal limits.
history: <unk>f with sob // ? pna
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pa and lateral chest radiographs were obtained. there is no change in bilateral small pleural effusions with adjacent atelectasis and scarring. right apical scarring and elevation of the right hilus is stable. right-sided picc line tip terminates in the mid svc. there is no new consolidation or pneumothorax. mediastinal clips and mid thoracic vertebroplasty cement are also unchanged.
<unk>-year-old woman with recurrent left-sided pleural effusion.
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the left-sided pacer lead terminates in the right ventricle. there is no pneumothorax. the lungs are clear without focal consolidation. mild cardiomegaly is stable. mediastinal widening is unchanged. there is no pleural effusion.
<unk> year old man s/p single chamber ppm. // assess lead placement and r/o ptx.
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the lungs are normally expanded. mild scarring at the lung apices is re- demonstrated. known small pulmonary nodules in the right lung are not well appreciated on this study and are better seen on prior chest ct. the cardiomediastinal silhouette is normal. there is no pleural effusion or pneumothorax.
history: <unk>m with acute onset dizziness this am //