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again seen is a right pleural effusion with relaxation atelectasis of the adjacent right lower and right middle lobes. there may be a minimal trace residual left pleural effusion. the cardiomediastinal silhouettes are stable. the bilateral hila are unremarkable. aside from right basal atelectasis, the lungs are clear without focal consolidation. there is no pulmonary vascular congestion. there is no pneumothorax.
<unk>-year-old man with epigastric pain, evaluate for pneumonia.
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the heart size is normal. the hilar and mediastinal contours are normal. the lungs are mildly hyperinflated, otherwise, no focal consolidations concerning for pneumonia are identified. there is no pleural effusion or pneumothorax. the visualized osseous structures are unremarkable. there is no subdiaphragmatic free air.
history of abdominal pain status post ercp. please evaluate for free air.
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frontal and lateral views of the chest demonstrate no evidence of focal consolidation, or pneumothorax. the lateral aspect of the left hemithorax is partially imaged. there is no pulmonary edema. the hilar and mediastinal silhouettes are unchanged. heart size is normal. partially imaged upper abdomen is unremarkable. visualized osseous structures are intact.
patient with productive cough.
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the lungs are clear. cardiomediastinal silhouette and hila are normal. there is no pleural effusion and no pneumothorax.
<unk>-year-old man with cough and fever, please assess for pneumonia.
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frontal and lateral views of the chest. there is a vague opacity projecting over the anterior right <num>rd rib on the frontal view which is seen overlying the spine on the lateral view. elsewhere, the lungs are clear. blunting of the posterior costophrenic angles may represent trace effusions. cardiac silhouette is mildly enlarged. no acute osseous abnormalities identified.
<unk>-year-old female with shortness of breath and right thoracic pain with cough.
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the patient is status post mitral valve replacement. a dual-lead pacemaker/icd device appears unchanged, with leads terminating in the right atrium and ventricle, respectively. the heart is again enlarged. the main pulmonary artery contour is likewise enlarged, as seen previously. there is dense new opacification of the left mid to lower lung, probably including the left lower lobe and lingula, with a pleural effusion of substantial size, moderate and possibly large. in addition, there is a moderate predominantly central interstitial abnormality with hazy perihilar opacification, consistent with moderate pulmonary edema. there is no pneumothorax or clear evidence for pleural effusion on the right.
hypoxia.
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the tip of the right-sided picc line is at the cavoatrial junction. the endotracheal tube is <num> cm from the carina and the nasogastric tube is in similar position. the right lower lobe atelectasis has improved. the left lower lobe atelectasis is stable. a trace left-sided effusion seen. the pulmonary vascular congestion persists.
<unk> year old female with a history of etoh cirrhosis, iph in <unk> resulting in seizure disorder, dysarthria, left hemiparesis and <unk> nerve palsy, afib, and c-diff, who presented to the ed with two generalized seizures and required intubation for airway protection. // et tube placement, interval change
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normal heart size, pulmonary vascularity. trace bilateral pleural effusions, more apparent. thoracic curve convex to the right. no pneumothorax. minimal left basilar opacity, likely atelectasis. right lung is clear.
<unk> year old woman with fever and dka. // please evaluate for pneumonia.
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an endotracheal tube terminates approximately <num> cm above the carina, in grossly appropriate location. an enteric tube courses inferiorly below the lower aspect of the film. the cardiomediastinal contours are within normal limits. aside from heterogeneous opacification at the left lung base, probably atelectasis, alternatively aspiration, the lungs are clear without focal consolidation. the bilateral hila are unremarkable. there is no pneumothorax or pleural effusion. there is no pulmonary vascular congestion.
history: <unk>f with ams and known sah // ams with known sah and worsening exam
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mild cardiomegaly is stable. the hilar and mediastinal contours are within normal limits. a vague opacity projecting over the left first costo sternal junction could be sclerosis of those structures but to exclude a small lung nodule lordotic view of the chest is recommended. the lungs are otherwise clear. there is no focal consolidation, pleural effusion or pneumothorax.
history: <unk>f with history of worsening shoulder pain x <num> weeks // please eval for fx, dislocation
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a port-a-cath terminates at the cavoatrial junction. the heart is normal in size. the aorta shows mild unfolding. there is no pleural or pericardial effusion. the lungs appear clear. bilateral nephrostomy tubes are partly visualized.
ovarian cancer and prior history of medically treated appendicitis, presenting with severe abdominal pain and distension.
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an et tube terminates in the lower trachea. a nasogastric tube terminates in the stomach. a small layering right pleural effusion is unchanged. bilateral rounded airspace opacities corresponding to septic emboli are unchanged. bilateral hilar lymphadenopathy is also unchanged. the heart and mediastinum are within normal limits despite the projection.
<unk> year old woman with mrsa bacteremia/pna // progression of pna?
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an endotracheal tube tip terminates <num> cm above the carina. a dobbhoff tube loops in the stomach. a right-sided picc line remains in the upper svc. a right pleural catheter is stable. a moderate left pneumothorax has significantly increased in size since yesterday's exam. a left-sided chest tube remains in expected position at the left chest apex. right-sided pulmonary vascular congestion and and peripheral hematoma is unchanged. cardiac and mediastinal contours are similar. median sternotomy wires and upper mediastinal surgical clips and skin <unk> are stable.
<unk>-year-old man with polytrauma.
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cardiac, mediastinal and hilar contours are normal. the pulmonary vasculature is normal. left lower lobe patchy opacity is concerning for pneumonia. right lung is clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
spitting up blood.
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semi upright portable ap chest radiograph demonstrates no air under the right hemidiaphragm. lung volumes are low. no focal consolidation convincing for pneumonia is identified. linear densities projecting over the right lower lung field is most compatible with linear atelectasis. there is no pleural effusion or pneumothorax. visualized osseous structures demonstrate no acute abnormality.
<unk>-year-old male with metastatic colon cancer with exam concerning for pneumoperitoneum.
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the lungs are well-expanded and clear. no pleural effusion or pneumothorax. heart size, mediastinal contour, and hila are unremarkable. limited assessment of the upper abdomen is within normal limits.
<unk>m with cough/wheeze, h/o babesiosis. assess for pneumonia
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airspace opacity in the right infrahilar lesion is concerning for pneumonia. this is similar to the opacity seen in <unk>.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen.
history: <unk>m with productive cough // r/o acute process
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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 cryptogenic cirrhosis and worsening ascites. // pna r/o
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the right seventh rib is fractured laterally with approximately <num> mm of displacement. heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. no focal consolidation, pleural effusion, or pneumothorax.right apical pleural thickening is likely due to fat.
<unk> year old woman with cough x months, now sharp pain left side // eval for rib fracture or pneumothorax
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there has been interval development of mild edema and bilateral small pleural effusions. there is also new opacities in the right midlung concerning for pneumonia. the right central venous line terminates in the atrium.
<unk> year old woman history of bone marrow transplant fever to <num>. // evaluate for pneumonia
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no focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with diffsue pain, bruises over r axilla and r medial knee // eval for acute trauma
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the previously noted linear opacities in the bases bilaterally have improved. there are no other new opacities. heart size is stable. the mediastinal and hilar contours are stable. the pulmonary vasculature is normal. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
<unk> year old man with possible pcp <unk> // interval change?
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low lung volumes are present, which accentuates the size of the cardiac silhouette which appears moderately enlarged, not substantially changed from the prior study. the aorta is mildly unfolded with atherosclerotic calcifications noted diffusely. hilar contours are similar with no evidence for pulmonary vascular congestion. patchy opacities in the lung bases may reflect atelectasis. no pleural effusion, focal consolidation or pneumothorax is detected. there are no acute osseous abnormalities.
history: <unk>m with dyspnea
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the cardiomediastinal silhouette is normal. hila and pleura are unremarkable. no focal consolidations, pleural effusions, or pneumothorax are seen.
<unk> year old woman with joint pain and fatigue for <unk> years , any lymphadenopathy // abnormality, ? lymphadenopathy
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the lungs are clear. no consolidation, effusion, or pneumothorax is present. the heart and mediastinal contours are normal.
<unk>-year-old man with cough, congestion and infection.
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compared to chest radiographs on <unk>, multifocal opacities at the bilateral lung bases persist, which could reflect developing pneumonia or aspiration. lung volumes remain somewhat low. no new focal airspace consolidation. there is mild central vascular congestion without overt pulmonary edema. no appreciable pleural effusions. no pneumothorax. cardiomediastinal silhouette is stable.
<unk> year old man with worsening hypoxia. // please evaluate for pneumonia.
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the lungs are clear. the heart size is normal. the mediastinal contours are normal. there is a small left pleural effusion. there is no pneumothorax.
dyspnea and chest pain as well as fever. evaluate for acute intrathoracic process.
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compared to prior, there has been no significant interval change given differences in positioning and technique. there is no focal consolidation, effusion, or pneumothorax. cardiomediastinal silhouette is stable. tortuosity of the descending thoracic aorta is again noted as well as dense atherosclerotic calcifications at the arch. compression deformity of a lower thoracic vertebral body is unchanged.
<unk>f with weakness, altered mental status // eval for acute process, attn to pna
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pa and lateral views of the chest provided. hyperinflated lungs noted with left basal linear density likely representing atelectasis. cardiomediastinal silhouette is normal. bony structures are intact. no picc line is seen.
<unk>f with right arm pain in the setting of a picc line.
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portable single frontal chest radiograph was obtained. the previous right upper lobe parenchymal opacities are not well seen and are replaced by an area of linear atelectasis. no pleural effusion or pneumothorax is seen. the cardiomediastinal silhouette is normal. there is persistent right hilus enlargement, consistent with known hilar mass and adenopathy.
patient with right lung mass status post bronchoscopy, rule out right pneumothorax.
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a central venous catheter has been removed. the cardiac, mediastinal and hilar contours appear stable. streaky opacities at the lung bases, greater on the left than right, with mild relative elevation of the right hemidiaphragm, appear unchanged and suggest atelectasis. lungs appear otherwise clear. fissures are again minimally thickened. a small pleural effusion has probably resolved on the left side at least for the most part.
dyspnea. question pneumonia.
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frontal and lateral chest radiographs demonstrate clear lungs, without focal consolidation, pleural effusion, or pneumothorax. the cardiac silhouette and mediastinal contours are normal. the pulmonary vasculature is normal. there is mild wedge deformity of a lower thoracic vertebral body, unchanged from prior.
<unk>-year-old female with chest pain. rule out infiltrate.
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right subclavian infusion port tip is in mid svc. mild vascular engorgement with peribronchial cuffing in the absence of cardiomegaly. no pleural effusion, pneumothorax, or focal density. mediastinal contour is normal and no bony abnormality.
male with fever and recently intubated, assess for pneumonia.
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in comparison to the prior radiograph, the right-sided chest tube is been removed. small, possible loculus of air remain at the lung bases. however, there is no evidence of recurrent pneumothorax. atelectatic changes at both bases along with a right-sided pleural effusion remains. cardiac size remains stable. sternotomy wires are intact.multiple rib fractures are noted.
<unk> year old man with bike accident, ptx requiring chest tube // eval for interval change, chest tube out at <unk>, please image at <unk> today //<unk> year old man with bike accident, ptx requiring chest tube
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an endotracheal tube terminates <num> cm above the carina. an enteric tube descends below the field of view. the cardiomediastinal and hilar contours are within normal limits. lung volumes are low which accentuates bronchovascular markings. bibasilar opacities (left > right) suggests atelectasis however infection should be considered. there is mild prominence of the bilateral pulmonary vessels. there is no large pleural effusion or pneumothorax. the osseous structures are within normal limits.
<unk>m with eval ett // ett
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the lungs are hyperinflated, consistent with known emphysema. there is a linear area of opacity in the lung and left lung base, which likely represents scarring given that it was present in <unk>. a component of atelectasis in the left lung base may also be present. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable. the aorta is noted to be tortuous.
history: <unk>m with sickle cell crisis // eval for infiltrate
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cardiac silhouette size appears top normal. mediastinal and hilar contours are unremarkable. the pulmonary vasculature is normal and the lungs are clear. no pleural effusion or pneumothorax is seen. no acute osseous abnormalities are visualized.
chest pain.
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the lungs are well-expanded and clear. no focal consolidation, edema, effusion, or pneumothorax. the heart is normal in size. the mediastinum is not widened. the descending aorta is slightly tortuous. no acute osseous abnormality.
<unk>-year-old woman with positive d-dimer test, <num> weeks of non productive cough and doe // acute cardiopulmonary process.
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heart size is normal. mediastinal and hilar contours are unremarkable. pulmonary vasculature is not engorged. no definite focal consolidation, pleural effusion or pneumothorax is seen. there appears to be mild right mid lateral pleural thickening. electronic device projects over the left anterior mid chest wall with single lead projecting cephalad into the neck. mild degenerative changes are seen within the thoracic spine.
history: <unk>m with cough
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infusion port is in place with the tip of the port ending in the mid svc. the small left apical pneumothorax is seen and unchanged in size from prior study. there is a moderate left hydropneumothorax in the lower left lung fields, which is more pronounced in the posterior lung fields. the amount of fluid in the hydropneumothorax is smaller than comparison study, and the amount of air in the hydropneumothorax is unchanged from comparison study. there is atelectasis at the left lung bases. there is a moderate right effusion. cardiomediastinal borders and hilar structures are normal. cardiac size is normal.
<unk> year old woman s/p port placement c/b pneumothorax // please take cxr @ <time>pm. f/u status of pneumothorax s/p chest tube removal.
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the lungs are well expanded. there are bibasilar opacities, which likely represent atelectasis, but aspiration or infection cannot be completely excluded. the lungs are otherwise clear. there is stable cardiomegaly. there is no pleural effusion or pneumothorax. severe degenerative changes are noted at the shoulders. there is a compression deformity in the midthoracic spine vertebrae, unchanged from prior exam
shortness of breath.
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<num> views were obtained of the chest. the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. the heart is normal in size with normal mediastinal and hilar contours.
weakness, assess for pneumonia.
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there is little change compared to earlier same day radiograph with persistent small to moderate right-sided pleural effusion, bibasilar atelectasis, dependent interstitial edema particularly in the left lung base, emphysema and unchanged position of a right subclavian central venous catheter. right internal jugular catheter appears slightly caudal compared to prior exam with the tip projecting over the cavoatrial junction.
low o<num> saturation.
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the lungs are clear without focal consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>m with new brain mets likely c/w glioblastoma multiforme with new word finding difficulties, concern for cough + sputum production // ?pna
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there is diffuse increase in interstitial markings bilaterally, increased compared to the prior study, consistent with patient's known diffuse interstitial fibrotic lung disease raising concern for worsening of the interstitial lung disease with possible superimposed vascular congestion. no large pleural effusion is seen although trace pleural effusion would be difficult to exclude. there is no pneumothorax. the cardiac and mediastinal silhouettes are grossly stable. aortic knob calcification is re- demonstrated.
history: <unk>f with sob // eval for ptx
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single portable view of the chest. no prior. the lungs are clear. the cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unremarkable.
<unk>-year-old female with palpitations.
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the lungs are clear of focal consolidation, pleural effusion or pneumothorax. the heart size is normal. the mediastinal contours are normal.
<unk>-year-old female with weakness.
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evaluation is limited by moderate-to-severe s-shaped scoliosis. the spine is otherwise not adequately assessed on this study. left chest wall pacemaker leads terminate in the right atrium and right ventricle. there is a prosthetic aortic valve. the heart is moderately enlarged. the aorta is tortuous. there is again elevation of the right hemidiaphragm. there is no focal airspace opacity to suggest pneumonia. there is no large pleural effusion or pneumothorax.
shortness of breath with cough. evaluate for "cpd", infiltrate.
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frontal and lateral radiographs of the chest were obtained. the heart size and mediastinal contours are normal. the lungs are well expanded and clear with no focal consolidation. no pleural effusion or pneumothorax is present. no evidence of pulmonary edema.
shortness of breath and cough. rule out 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.
history: <unk>f with <num> days of worsening paranoia, forgetfullness //
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ap upright and lateral views the chest were provided. lung volumes are low limiting assessment. elevation of the right hemidiaphragm is again noted. there is bibasilar atelectasis. hilar congestion and mild pulmonary edema is noted. no large effusions are seen. heart size cannot be assessed. mediastinal contour appears grossly unchanged with atherosclerotic calcifications of the aortic knob. bony structures are grossly intact.
<unk>f with dyspnea
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cardiac silhouette size is mildly enlarged. the mediastinal and hilar contours are unremarkable. elevation of the right hemidiaphragm is noted with clips seen along the medial aspect of the right base. atelectasis is seen in the right lung base, but no focal consolidation, pleural effusion or pneumothorax is present. pulmonary vasculature is normal. there are no acute osseous abnormalities.
history: <unk>m with chest pain
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the cardiac, mediastinal and hilar contours appear unchanged. aside from streaky opacification of the right costophrenic sulcus suggesting minor atelectasis or scarring, the lungs appear clear. there is no definite pleural effusion. there is an eventration of the right hemidiaphragm with associated left basilar opacity which is probably attributable to associated atelectasis. scoliosis appears unchanged.
nonspecific complaints.
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a portable supine frontal chest radiograph demonstrates interval intubation, with the endotracheal tube terminating in the mid thoracic trachea. there has also been interval placement of a right picc, which terminates at the cavoatrial junction. the remainder of the exam is largely unchanged, except for improved aeration of the left lower lung.
evaluate endotracheal tube placement.
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there is a right-sided ij which appears to terminate at the right cavoatrial junction. again, the ng tube appears to be coiled in the oropharynx and proximal esophagus. there appears to be interval worsening of bilateral parenchymal opacities as well as bibasilar atelectasis compared to the prior exam, concerning for worsening pneumonia. no large pleural effusion is identified. there is no pneumothorax.
history of ng tube placement with respiratory failure. please evaluate for ng tube placement.
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right internal jugular central venous catheter terminates in the low svc. the lungs are normally expanded and clear. the heart is not enlarged. the mediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax.
cough. evaluate for pneumonia. history of apml.
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one portable upright view of the chest. again seen are bibasilar opacities, some of which likely represent atelectasis and scarring given patient's history of chronic aspiration. however, underlying pneumonia in lower lobes cannot be ruled out, particularly on the right where the opacity has progressed. cardiac, mediastinal, and hilar contours are unremarkable. the upper lung zones appear clear. no pneumothorax and no pleural effusion.
<unk>-year-old male with shortness of breath and hypoxic and chest pain.
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no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. heart size is top normal. mediastinal contours are stable with stable positioning of pacemaker hardware.
<unk>-year-old female with weakness and malaise.
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the lungs are clear. there is no consolidation or pneumothorax. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>f with palpitations, chest pain // ?cardiomegaly
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there is no focal consolidation, pleural effusion, or pneumothorax. minimal opacities at the bases likely represent atelectasis. cardiomediastinal silhouette is unchanged. lungs appear hyperinflated. osseous structures are intact.
cough, hypoxia, evaluate for pneumonia.
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pa and lateral views of the chest. the lungs are clear. cardiomediastinal silhouette is normal. no acute osseous abnormality detected.
<unk>-year-old male with fever and nonproductive cough.
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the heart size is normal. the mediastinal contour is unremarkable. pulmonary vascularity is not engorged. calcified granuloma within the left mid lung field is again noted. the lungs are clear. no focal consolidation, pleural effusion or pneumothorax is present. dextroscoliosis of the thoracic spine is re- demonstrated.
asthma with low-grade fever and increased shortness of breath. on immunosuppressive medications.
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the lungs are well-expanded and clear. the cardiomediastinal silhouette is unremarkable. the hilar pleural surfaces are normal. a tunneled dialysis catheter is unchanged in position, terminating in the upper right atrium.
history: <unk>m with dialysis catheter suture break // eval catheter placement
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a portable frontal semi-erect chest radiograph demonstrates well-defined opacity overlying the right lower lobe is compatible with a bochdalek hernia is seen on ct from earlier the same day. opacities in the left mid lung and left base likely represent left lower lobe masses seen on the same ct. there is no appreciable pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. no displaced rib fracture is identified.
evaluate for chf or contusion in a patient with shortness of breath after fall.
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mild cardiomegaly and a calcified aorta are again seen. the lungs remain hyperinflated, and central pulmonary arteries remain prominent. thin linear opacities at the lateral left base on the pa view are similar to prior, compatible with atelectasis or scarring. there is no evidence for pulmonary consolidation, pulmonary edema, pleural effusion, or pneumothorax. there are degenerative changes and dextroconvex scoliosis in the thoracic spine.
cough and congestion. evaluate for pneumonia.
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compared with the prior radiograph, lung volumes are still low with increased interstitial perihilar markings, suggesting continued mild pulmonary edema. left basilar atelectasis and effusion are unchanged. no right pleural effusion. no evidence of pneumothorax. cardiomediastinal silhouette is stable. intact median sternotomy wires and mediastinal clips. no focal consolidation concerning for pneumonia.
<unk> year old woman with chf, cad s/p cabg influenza and worsening respiratory status. chf, ?ards
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a single portable chest radiograph is obtained. mild pulmonary edema and bibasilar atelectasis are unchanged since <unk>. no new focal consolidation, effusion, or pneumothorax is present. cardiac and mediastinal contours are unremarkable.
<unk>-year-old woman with history of lupus, presenting with chest pain, respiratory distress.
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single ap radiograph of the chest demonstrates mild cardiomegaly, possibly related to technique. pulmonary vascular congestion is similar to the prior study from <unk> and a small left pleural effusion is again noted. increasing consolidation at the left lung base is seen and pneumonia cannot be excluded.
shortness of breath. evaluate for pneumonia and pleural effusion.
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single frontal view of the chest demonstrates an et tube extending <num> cm above the carina. an enteric tube traverses inferiorly out of view. the cardiac silhouette is prominent, accentuated by ap technique and low lung volume. there is a perihilar fullness likely representing mild congestion related to resuscitation. there is no pneumothorax or large effusion.
<unk>-year-old male with clonidine overdose. question et tube placement.
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the lung volumes are low. in the left lower lung zone, there is an ill-defined retrocardiac opacifity which is likely atelectasis, but early or developing pneumonia cannot be excluded. there is no pulmonary edema, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is normal.
cough x <num> weeks.
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lateral and ap radiograph demonstrate no focal opacity convincing for pneumonia. lungs are clear bilaterally. cardiomediastinal and hilar contours are stable in appearance and within normal limits. there is no large pleural effusion or pneumothorax. visualized osseous structures are without an acute abnormality. no air under the right hemidiaphragm is seen.
<unk>-year-old male with weakness.
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upright portable view of <unk> chest demonstrates left pic catheter tip projecting over confluence of brachiocephalic veins. lungs are clear without focal consolidation, pleural effusion or pneumothorax. hilar and mediastinal silhouettes are unchanged. aortic arch calcifications are again noted. heart size is top normal. no pulmonary edema.
assess for picc line placement.
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compared to the prior study there is no significant interval change with the exception of a slight decrease in the amount of pneumopericardium. .
<unk> year old man s/p avr/cabg // eval for pneumo
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lung volumes are low. the cardiomediastinal silhouette and pulmonary vasculature are normal. the lungs are clear. there is no pleural effusion or pneumothorax.
<unk>f with syncopal episode w/ sob, cp prior to event // eval ? effusion, mediastinal abnormalities
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endotracheal tube terminates approximately <num> cm above the level of the carina. enteric tube courses below the level the diaphragm, inferior aspect not included on the image, but side port likely at the level of the proximal stomach. the cardiac silhouette is enlarged. the aorta is unfolded. streaky left base retrocardiac opacity may be due to atelectasis but consolidation due to infection or aspiration is not excluded. no large pleural effusion is seen. no evidence of pneumothorax.
history: <unk>f with ams, stroke, intubated // eval for tube placement
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the heart size is normal. the mediastinal and hilar contours are unremarkable. the pulmonary vascularity is normal. the lungs are hyperinflated with flattening of the diaphragms compatible with underlying copd. no focal consolidation, pleural effusion or pneumothorax is present. there is mild biapical scarring. diffuse demineralization of the osseous structures is noted. no acute osseous abnormality seen.
increased shortness of breath.
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the lung volumes are low. there is no focal airspace consolidation, pulmonary edema, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is normal. a compression fracture of a mid thoracic vertebral body is unchanged from <unk>. no new fracture is identified. surgical clips are unchanged in the left upper quadrant.
progressive dyspnea for <num> hours.
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cardiac silhouette size is normal. mediastinal and hilar contours are normal. atherosclerotic calcifications are noted at the aortic knob. pulmonary vasculature is normal. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is present. mild scarring is noted in the lung apices. no displaced fractures are evident.
<unk> year old woman with shortness of breath, splenic laceration// eval for pneumothorax
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pa and lateral chest radiographs were obtained. the lungs are well expanded and clear. there is no focal consolidation, effusion, pneumothorax. cardiac and mediastinal contours are normal.
cough.
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ap single view of the chest has been obtained with patient in semi-upright position. analysis is performed in direct comparison with the next preceding similar study of <unk>. marked cardiomegaly as before. position of permanent pacer in left anterior axillary position connected to total of three electrodes terminating in right atrium, right ventricle and venous coronary sinus system in unchanged position. the pulmonary vasculature remains unchanged and shows moderate degree of perivascular haze, consistent with chronic congestion. obliteration of left-sided diaphragmatic contour is suggestive of atelectasis in left lower lobe. the right-sided lateral pleural sinus is free from any fluid accumulation and there is no pneumothorax in the apical area. no evidence of new discrete pulmonary parenchymal infiltrates.
<unk>-year-old female patient with icd device, history of pocket hematoma, check icd lead placement.
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et tube tip is <num> cm above the carina. the cardiac and mediastinal silhouettes are unchanged. there is mild pulmonary vascular redistribution but no focal infiltrate.
new et tube, possible atypical pneumonia.
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ap frontal portable chest radiograph demonstrate no focal consolidation. there is increased bibasilar atelectasis with lower lung volumes. there is no large pleural effusion. aorta is tortuous and stable in appearance when compared to images in <unk>. heart size is normal. no pulmonary edema. there is no pneumothorax.
<unk>-year-old female with hypoxia and new cough. evaluate for pneumonia.
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lung volumes are slightly low but the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>f with altered mental status // r/o pna
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portable upright frontal view of the chest. there is bibasilar atelectasis. right, greater than left, air space opacities represent mild to moderate pulmonary edema. the patient is rotated which makes evaluation of the mediastinum difficult; however, it appears widened. the heart is mildly enlarged. there is no large pleural effusion or pneumothorax. no acute osseous abnormality is seen.
<unk> year old male with history of chf now with sob.
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the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified.
<unk>m with wheezing and cough // r/o pneumonia
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portable ap upright chest radiographs demonstrate diffuse bilateral pulmonary airspace opacity concerning for pulmonary edema. please note, underlying infection cannot be excluded. heart size is in the enlarged. no large effusion or pneumothorax. visualized osseous structures are unremarkable.
<unk>-year-old male with chf and copd now with dyspnea.
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pa and lateral views of the chest were obtained. the lungs are clear bilaterally with no evidence of focal consolidation or congestive heart failure. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. no bony abnormality. no free air below the right hemidiaphragm.
cough and chest pressure.
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the tip of the endotracheal tube terminates <num> cm above the carina. there has also been interval placement of a right ij central venous catheter terminating in the mid svc. lung volumes remain low without focal consolidation. the cardiomediastinal silhouette, hilar contours are stable. there is no pleural effusion or pneumothorax.
<unk> year old woman with cirrhosis, now with large gi bleed s/p intubation, evaluate for endotracheal tube placement.
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pa and lateral views the chest provided demonstrate no focal consolidation, large effusion or pneumothorax. the heart is mildly enlarged. the mediastinal contour is unremarkable. bony structures are intact. no free air below the right hemidiaphragm.
<unk>f with intermittent chest pain/dizziness.
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frontal and lateral radiographs were reviewed. heart size is top normal. mediastinal and hilar contours are stable. there is no pleural effusion or pneumothorax. lungs are clear. pulmonary vasculature is within normal limits.
left-sided chest pain.
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cardiac, mediastinal and hilar contours are within normal limits. the pulmonary vascularity is normal. lungs are hyperinflated but clear without focal consolidation. no pleural effusion or pneumothorax is visualized. no acute osseous abnormalities are seen.
fever, cough, and shortness of breath.
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the lungs are clear and well expanded bilaterally with no mass lesions or areas of focal consolidation concerning for pneumonia. there is no pleural effusion or pneumothorax. cardiomediastinal silhouette is stable and within normal limits. the pleural surfaces and osseous structures are unremarkable.
<unk>-year-old man with hairy cell leukemia, now presenting with persistent upper respiratory infection.
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the lungs are clear of focal consolidation, pleural effusion or pneumothorax. the heart size is normal. the mediastinal contours are normal.
<unk>m with l leg pain, recent plane flight, tachycardia, palpitations // r/o dvt
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pa and lateral views of the chest. the lungs are clear. the cardiac, mediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. the previously seen reticulonudar opacities are not well seen on today's study.
<unk>-year-old male with chest pain.
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ap and lateral chest radiographs were obtained. lung volumes are low. the lungs are clear. there is no nodule, consolidation, effusion, pneumothorax. moderate to severe cardiomegaly is unchanged. the trachea remains deviated rightward.
altered mental status.
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heart size remains mildly enlarged with a left ventricular predominance. the mediastinal and hilar contours are unchanged. pulmonary vascularity is normal without evidence of pulmonary edema. linear opacities in the lung bases likely reflect areas of atelectasis and/or scarring. no pleural effusion, focal consolidation or pneumothorax is present. there are multilevel degenerative changes in the thoracic spine. no subdiaphragmatic free air is demonstrated.
history: <unk>f with abdominal pain and bloating
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the left pleural effusion has increased in size since <unk>, now moderate. bibasilar opacities likely reflect atelectasis. no focal consolidations. mild interstitial pulmonary edema. stable enlargement of the cardiomediastinal silhouette. no pneumothorax.
history: <unk>f with known l pleural effusion s/p thoracentesis // assess for improvement of pleural effusion
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frontal view of the chest was obtained. the heart is of top normal size, exaggerated by low lung volumes. mediastinal contours are unremarkable. no focal consolidation, substantial pleural effusion, or pneumothorax. no radiopaque foreign body.
<unk>-year-old female with chest pain for one month.
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severe cardiomegaly is again seen. the lungs are clear without consolidation, effusion, or edema. mild left basilar atelectasis is noted. no acute osseous abnormalities.
<unk>f with fall from standing // eval for traumatic injury
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the heart remains mild to moderately enlarged. the mediastinal contours are unremarkable. no overt pulmonary edema is present, though there may be mild pulmonary vascular congestion. patchy opacities in lung bases likely reflect atelectasis. no focal consolidation, pleural effusion or pneumothorax is present. no acute osseous abnormalities detected.
vsd, down syndrome, chest pain.