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MIMIC-CXR-JPG/2.0.0/files/p19732617/s56187854/a610b30d-66661c3d-5a45d8b1-ad871de2-641bdd3d.jpg
portable semi-erect chest film <unk> at <time> is submitted.
<unk> year old man s/p right pigtail pull // eval for ptx eval for ptx
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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 vague left lower lobe opacity although visible in both views. elsewhere the lungs appear clear.
shortness of breath.
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lung volumes are relatively low. small right pleural effusion has decreased in size since the prior study, as has overlying right middle and lower lobe atelectasis. relative lucency projecting over the lateral right lower hemi thorax may be artifactual versus less likely loculated pneumothorax. no left pleural effusion is seen. the left lung is grossly clear. patient is status post median sternotomy and cabg. cardiac and mediastinal silhouette are stable.
history: <unk>m with chest pain // eval for acute process
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an enteric tube is new in the interval, with tip in the stomach, though side port is just superior to the gastroesophageal junction, and recommend advancement of the enteric tube for optimal placement. the endotracheal tube terminates approximately <num> cm from the carina at and can be slightly advanced. streaky atelectasis is seen in the left lung base. remainder of the examination is unchanged.
history: <unk>m with intracranial hemorrhage. assess for for og tube placement
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the heart is top-normal in size. cardiomediastinal and hilar contours are within normal limits. lung volumes are slightly low which accentuates bronchovascular markings. given that, there are increasing patchy bibasilar opacities, left greater than right, which could reflect atelectasis; however, infection should be considered in the appropriate clinical setting. no pneumothorax or pleural effusion.
history: <unk>f with fever bilateral crackles s/p gastric revision two weeks // cxr eval for pnact- eval for anatomosis leak abscess
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the heart is not enlarged. there is no chf, focal infiltrate, effusion or pneumothorax. within the limits of plain film radiography, no hilar mediastinal lymphadenopathy is detected .
history: <unk>m with fever, cough // eval for pneumonia
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pa and lateral views of the chest provided. retrocardiac opacities compatible with known hiatal hernia. no convincing evidence for pneumonia or edema. no large effusion or pneumothorax. cardiomediastinal silhouette is unchanged. bony structures appear intact.
history: <unk>f with dyspnea, hx of breast ca // eval for infiltrate
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lung volumes are low. again seen is moderate pulmonary edema, similar to the prior exam. bibasilar opacities may represent atelectasis. the cardiomediastinal silhouette is unchanged. a right picc line terminating in the cavoatrial junction is unchanged.
history: <unk>m with recent stemi and ptca here with increased dyspnea // eval for acute process
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heart size is unchanged, with a left ventricular predominance, and borderline enlarged. a moderate size hiatal hernia is again noted. the aorta remains mildly tortuous with atherosclerotic calcifications noted at the aortic arch. pulmonary vasculature is not engorged. elevation of the right hemidiaphragm is unchanged. linear opacities in the lung bases are compatible with areas of atelectasis. no focal consolidation, pleural effusion or pneumothorax is present. the osseous structures are diffusely demineralized with multilevel degenerative changes again noted in the thoracic spine. fixation hardware and surgical skin <unk> are noted within the left upper arm.
history: <unk>f with found down, unclear etiology on lovenox. left lower lobe crackles, confused.
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there appears to be a retrocardiac opacity, new since the prior study, best seen on the lateral view. the heart is moderately enlarged. there is moderate pulmonary vascular congestion. tortuosity of the thoracic aorta is again noted. there no pleural effusion or pneumothorax. median sternotomy wires are present.
<unk>-year-old woman with cough, leukocytosis, evaluate for pneumonia.
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interval increase in cardiac size with cephalization of pulmonary blood vessels and mild vascular indistinctness suggesting early interstitial edema. no alveolar edema. no pleural effusions. no focal airspace consolidation to suggest pneumonia. spondylotic changes of the thoracic spine.
<unk> year old man with chf, asthma, increasing shortness of breath // any infiltrate or edema
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a nasogastric tube is seen extending below the diaphragm positioned appropriately within the stomach. the stomach demonstrates significant distention, consistent with patient's known small bowel obstruction. heterogeneous opacities at the right lung base and more confluent left basilar opacification is likely secondary to atelectasis, and overall similar to the prior exam. there is no large pleural effusion. there is no evidence of pneumothorax. cardiomediastinal contours are stable compared to exams dated back to at least <unk>.
history of ng tube placement. please evaluate ng tube position.
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an endotracheal tube terminates <num> cm above the carina. a left subclavian catheter courses to the level of the caval atrial junction. an enteric tube is seen coursing into the stomach and out of the field of view. the lungs are well expanded. there has been no change in the widespread pneumonia from yesterday evening. no pneumothorax or definite pleural effusion. cardiac silhouette is mildly enlarged and slightly bigger from yesterday evening, probably related to volume status. mild pulmonary edema is unchanged. small bilateral effusion are presumed. the mediastinal and hilar contours are unchanged.
endotracheal tube. evaluate for interval change.
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the patient is status post left upper lobe and left lower lobe segmentectomy. there is volume loss on the left and deviation of the trachea to the left. increased opacity is seen in the left peritracheal region and left lung base. a left sided chest tube is noted but its distal tip is obscured by a left-sided icd. the icd leads are unchanged and in appropriate position. there is possible tiny pneumothorax at the left apex.
<unk> year old woman with lung nodules s/p lul and lll segmentectomy. // evaluate chest tube position
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the patient is status post coronary artery bypass graft surgery. the heart is mildly enlarged. the aortic arch is calcified. the mediastinal and hilar contours appear unchanged. opacities in the right upper lobe have improved substantially and are mostly resolved. patchy right infrahilar and left basilar opacities appear more chronic and are similar to earlier radiographs from <unk>. a calcified granuloma in the left lower lobe is likewise unchanged. there is no definite pleural effusion or pneumothorax. minimal anterior wedging of a lower thoracic vertebral body and mild degenerative changes are similar.
recent pneumonia with symptoms that of fail to improve.
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the lungs are well expanded and clear. no effusion, pneumothorax, or consolidation is present. the cardiac and mediastinal contours are normal. mild flattening of the diaphragms is unchanged. biapical parenchymal scarring is similar. ivc filter is partially imaged.
<unk>-year-old woman with two weeks of cough and shortness of breath.
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heart size remains mildly enlarged. the mediastinal and hilar contours are unchanged. the pulmonary vasculature is not engorged. patchy opacities in the left lung base likely reflect areas of atelectasis. no focal consolidation, pleural effusion or pneumothorax is identified. there are no acute osseous abnormalities.
history: <unk>m with metastatic prostate cancer, altered mental status, hypoxia
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frontal and lateral views of the chest were obtained. the heart is of normal size with normal cardiomediastinal contours. a left lung base focal opacity is more conspicuous than on prior exams. the pulmonary vasculature is unremarkable. no pleural effusion or pneumothorax. osseous structures are unremarkable. no radiopaque foreign bodies.
<unk>-year-old male with chest pain and shortness of breath. rule out acute intrathoracic process.
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the lungs are normally expanded and clear. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. there is no pleural effusion or pneumothorax.
<unk> year old woman with cough with blood tinged sputum // eval for infil
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the patient is intubated, an endotracheal tube is unchanged in appearance compared to the prior study. there are increased bilateral hazy opacities of the lung bases most consistent with pleural effusions. these appear to have increased when compared to the prior study. there is associated increased opacity of the bilateral lung bases, likely reflecting pulmonary edema however infection cannot be excluded. prominence of the bilateral hila is less marked than on the prior study.
<unk> year old woman with angioedema secondary to lisinopril with new white blood cell count and increased thick sputum from endotracheal tube. // assess for infection vs edema
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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 shortness of breath // eval for pna
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there is mild cardiomegaly. there is mild pulmonary edema. atelectasis is noted at the lung bases. there is no pleural effusion.
history: <unk>m with ams // ? infectious 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 stable.
history: <unk>m with seizure prodrome // r/o pneumonia
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pa and lateral views of the chest were obtained. the heart is normal in size and cardiomediastinal contour is unremarkable. lungs are clear. a linear opacity projecting over the right lower lung probably represents atelectasis. there is no pleural effusion or pneumothorax. bones are grossly unremarkable.
<unk>-year-old man with dyspnea on exertion.
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heart size remains mildly enlarged. the mediastinal and hilar contours are unremarkable. the pulmonary vasculature is not engorged. <num> mm nodular density projecting over the left lung base remains unchanged, and no focal consolidation is demonstrated. streaky atelectasis is seen in the left lung base. lungs are hyperinflated. no pleural effusion or pneumothorax is identified. the bones are diffusely demineralized. surgical clip is noted in the right upper quadrant of the abdomen.
history: <unk>f with dyspnea // eval for pneumonia
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lungs are moderately well-expanded. no chf, pleural effusion, pneumothorax, or focal airspace consolidation is detected. there is minimal atelectasis at the left lung base. heart is not enlarged. . mediastinal and hilar contours are within normal limits. there is a minimally displaced fracture of the left ninth rib. subtle thickening of the right fifth rib laterally may reflect an old healed rib fracture.
alcohol abuse with frequent falls presenting with altered mental status. evaluate for rib fracture.
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ap chest radiograph. there is no focal consolidation, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is normal.
fever.
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there are low lung volumes and elevation the right hemidiaphragm.no definite focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. prominence of the right hilum may relate to lower lung volume on the right with possible mild prominence of the right pulmonary artery ; this is less evident on the scout image for the cervical spine ct performed <num> minutes earlier, which includes the full chest, and most likely relates to patient position and low lung volumes on the current study. .
history: <unk>f with fall // eval for acute process
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right middle lobe and perihilar opacity has increased since <unk>. no pleural effusion or pneumothorax. the cardiac and mediastinal contours are stable.
<unk>-year-old man with fever and cough. pneumonia <num> weeks ago. evaluate for pneumonia.
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lungs are well expanded and clear. there no pleural abnormality. the hilar and mediastinal silhouette are normal and unchanged..
history: <unk>f with chest pain x several hours // mediastinal widening?
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heart size is normal. mediastinal and hilar contours are unremarkable. pulmonary vasculature is not engorged. linear opacities in both lung bases appear unchanged, likely subsegmental atelectasis or scarring. blunting of the right costophrenic angle appears unchanged. left basilar density is compatible with prior pleurodesis, better seen on the prior ct. no large pleural effusion or pneumothorax is demonstrated. no acute osseous abnormality is detected.
history: <unk>m with dyspnea, known effusion
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ap upright and lateral views of the chest provided. lungs are clear and hyperinflated compatible with known emphysema. there is no superimposed pneumonia, edema, effusion or pneumothorax. cardiomediastinal silhouette appears within normal limits. no acute osseous abnormality.
<unk>f with c/o increased confusion // ? pna
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tip of the endotracheal tube is not well visualized, but likely in the mid thoracic trachea. esophageal temperature probe is seen in the low esophagus. enteric tube, right central venous catheter, and left subclavian line appear unchanged. lung volumes are low. mild pulmonary edema is not significantly changed. bibasilar opacities, likely atelectasis. no other consolidation. small layering left pleural effusion, unchanged. no sizable pleural effusion on the right. no pneumothorax. cardiomediastinal contours are normal.
<unk> year old man with septic shock, intubated, s/p massive fluid resuscitation. // interval line check, pulmonary edema/congestion
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single ap portable radiograph of the chest demonstrates the opaque portion of a dobbhoff tube straddling the gastroesophageal junction. the tip of the tube is overlying the stomach. a right-sided picc line is unchanged compared to the prior radiograph. no other relevant changes noted compared to the prior radiograph.
assess for dobbhoff placement in stomach.
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pa and lateral views of the chest. relatively low lung volumes are seen. there is no evidence of consolidation or effusion. the cardiomediastinal silhouette is normal. no acute osseous abnormalities.
<unk>-year-old female with cough and nausea.
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right internal jugular venous catheter terminates in low svc. et tube terminates <num> mm above the carina. a pigtail catheter is in unchanged position projecting over the cardiac apex and left lower chest. moderate bilateral pleural effusion and moderate left lower lobe atelectasis are similar as before. there is mild right lower lobe atelectasis. there is no pneumothorax or pulmonary edema. no new consolidation is identified. enlarged cardiac silhouette is stable and consistent with known pericardial effusion.there is no distention of mediastinal veins to suggest presence of hemodynamically significant pericardial effusion.
<unk> year old man with history of bilateral pleural effusions, pericardial effusion, here with hypoxemic respiratory failure and intubated // assess interval change
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ap portable upright images of the chest demonstrate an enlarged heart. there is no large pleural effusion but small amount of pleural fluid is most likely present bilaterally. no overt pulmonary edema is present. lungs are clear bilaterally with no focal consolidation convincing for pneumonia. there is no pneumothorax. visualized osseous structures demonstrates no acute abnormality.
<unk>-year-old male with hypotension and hypoxia.
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there are bilateral pleural effusions and associated compressive atelectasis, moderate on the right, small on the left, which appear to have slightly increased compared to the prior examination, however this may be positional. the lungs are otherwise clear. the cardiomediastinal silhouette is stable. the pulmonary vasculature is normal. no pneumothorax is seen.
<unk> year old man with cirrhosis and pleural effusion with gnrs, eval for interval change. // <unk> year old man with cirrhosis and pleural effusion with gnrs, eval for interval change.
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the lungs are well-expanded. pulmonary vascular engorgement, prominent interstitial markings, and peribronchial cuffing have progressed since the prior study. a small amount of pleural fluid extending into the minor fissure on the right is new, as is mild blunting of the right costophrenic sulcus. there is no focal consolidation or pneumothorax. the heart is top-normal in size, and stable compared to prior studies. densely calcified aortic arch and descending thoracic aorta are unchanged.
<unk> year old woman with shortness of breath, wheezing // eval pneumonia, effusions, pulm edema
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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. vertebroplasty cement is noted within a lower thoracic vertebral body, unchanged. no free air below the right hemidiaphragm is seen.
<unk> year old woman with cough, fever // please evaluate for pneumonia
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there is a dual-lead pacemaker/icd device, which is in an unchanged position. the heart is mild-to-moderately enlarged but not well visualized. the mediastinal and hilar contours appear unchanged. there has been partial clearing of left basilar opacity that may have represented atelectasis but with persistent pleural effusions that are similar to perhaps minimally increased with suggestion of loculated components. elsewhere, the lungs appear clear. the bony structures are unremarkable.
shortness of breath with low ejection fraction.
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portable semi-upright frontal chest radiograph demonstrates a small apical pneumothorax. a right chest tube is unchanged in position. a superior vena cava stent remains in place. a left ij catheter tip is positioned at the cavoatrial junction, a right subclavian central venous catheter tip is positioned in the lower svc, just beyond the svc stent. lung volumes are low, bibasilar atelectasis is resolving. the pulmonary vasculature is normal, and there is interval improvement in azygous distention. the cardiac silhouette and mediastinal contours are unchanged.
<unk>-year-old female status post minimally invasive patent foramen ovale closure. rule out pneumothorax.
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right-sided port-a-cath tip terminates in the proximal right atrium. heart size is mildly enlarged. the aorta remains tortuous and diffusely calcified. hilar contours are similar. previously noted pulmonary edema has substantially improved with only minimal pulmonary vascular congestion remaining. calcified granulomas are re- demonstrated within the right upper lobe. linear opacities in the lung bases likely reflect chronic interstitial abnormality. no pleural effusion, focal consolidation or pneumothorax is present. there are moderate multilevel degenerative changes seen in the thoracic spine. no acute osseous abnormality is identified.
history: <unk>m with falls, confusion, platelet count of <num>
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portable semi-upright radiograph of the chest demonstrates low lung volumes with resulting bronchovascular crowding. there are patchy opacifications in the right lung field, which may represent asymmetrical pulmonary edema, but superimposed infection cannot be excluded. there is cephalization of vessels, suggestive of pulmonary edema. small bilateral pleural effusions. the heart is top normal in size. there is no pneumothorax.
hypoxia. evaluate for pneumonia.
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lower lung volumes. heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. small to moderate right pleural effusion has increased. worsening atelectasis at the bases and in the right middle lobe. no pneumothorax. multiple drains in the abdomen with one additional drain since prior.
<unk> yo m w/ pmhx of hepc and alcoholic cirrhosis c/b hepatocellular carcinoma s/p tace <unk> with recent month long admission for management of hepatic abscess now presents from rehab with fevers and gram negative rod bacteremia continuing to spike fevers // new pulmonary consolidation or evidence of infection
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the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>m with chest tightness // ?pneumonia
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the right hemidiaphragm is mildly elevated. heart size is mildly enlarged. no fracture is identified. there is no pneumothorax.
status post fall, question pneumothorax.
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ap and lateral views of the chest. the lungs are clear without focal consolidation, effusion or pulmonary vascular congestion. there is mild cardiomegaly. no acute osseous abnormality is identified.
<unk>-year-old male with seizure. question pneumonia.
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the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal.
cough for one week. status post splenectomy. evaluate for pneumonia.
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given for differences in technique, now pa and lateral compared to portable view from the moderate to large multiloculated left pleural collection has not substantially changed. at least <num> air-fluid levels are again demonstrated. the pleural catheter is in similar position. the right lung remains clear.
<unk> year old man with pleural effusion // eval
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the patient status post median sternotomy wires intact. the patient is status post aortic valve replacement. vascular calcifications of the coronary arteries are noted. a surgical clip is in stable position projecting over the upper abdomen. the lung fields are clear.
history: <unk>m with left leg weakness // eval for pna
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heart size is mildly enlarged. the mediastinal and hilar contours are unremarkable. pulmonary vasculature is not engorged. chain sutures are noted along the peripheral aspect of the left mid lung field. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is present. moderate multilevel degenerative changes are seen in the thoracic spine. multiple left-sided rib deformities are present, likely from prior thoracotomy. degenerative changes are also noted within both acromioclavicular and glenohumeral joints.
history: <unk>f with fever/chills
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there is a large right and small left pleural effusion with associated atelectasis. extension of the right pleural abnormality over the apex of the lung could be due to pleural thickening, in addition to the effusion. left basilar interstitial markings may reflect edema. the lungs are hyperinflated, and there is no focal consolidation. the heart size is normal.
<unk>-year-old male with hypoxia.
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the lungs are hyperinflated. no focal consolidation, pleural effusion or pneumothorax. nodular opacities in the right lung apex is consistent with scarring, better evaluated on the prior chest ct dated <unk>. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified. no subdiaphragmatic free air.
history: <unk>f with <num> days of sscp // eval ? acute process
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since the prior exam, small bilateral pleural effusions have increased in size. there is mild associated dependent atelectasis. there is no pulmonary edema, focal consolidation, or pneumothorax. the cardiomediastinal silhouette is normal in size. calcifications are noted along the aortic arch. there is a moderate-to-severe scoliosis with an associated asymmetry of the rib cage. increased density at the right apex is likely due to a summation of overlapping shadows related to the patient's scoliosis and rotation.
volume overload and acute kidney injury after pvi. evaluate for congestive heart failure.
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pa and lateral chest radiographs. there is no focal consolidation, pleural effusion, or pneumothorax. there may be a focus of atelectasis in the left lung base. mild cardiomegaly is unchanged. there is no evidence of pulmonary edema.
history: <unk>m with cough and dyspnea // r/o pna
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pa and lateral views of the chest provided. port-a-cath resides over the right chest wall with catheter tip in the region of the low svc. lung volumes are low limiting assessment with right basilar atelectasis noted. subtle retrocardiac density is noted which could represent an early pneumonia. no large effusion or pneumothorax. cardiomediastinal silhouette appears stable. bony structures are intact.
<unk>m with fever* // eval for pneumonia
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a left-sided picc terminates in the upper svc. 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. note is made of surgical clips seen in the right axilla.
<unk>f with picc and black tarry stools // confirm picc placement.
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the lungs are well inflated and clear. the cardiomediastinal silhouette and hilar contours are stable. there is no pleural effusion or pneumothorax. anterior bridging osteophytes are noted in the thoracic spine. included upper abdomen is unremarkable.
<unk> year old man with cough and fever, rule out pneumonia.
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there is hazy opacification of the medial right base which is likely atelectasis, but an early consolidation is difficult to exclude. there is no pulmonary edema, pleural effusions or pneumothorax. the cardiac silhouette is mildly enlarged, and stable from the prior exam. there is a stable small calcified pulmonary nodule consistent with a granuloma in the right mid lung.
cough. evaluate for pneumonia.
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pa and lateral views of the chest provided. mild cardiomegaly is noted with an aortic valve replacement noted. lungs are clear without focal consolidation, large effusion or pneumothorax. no signs of congestion or edema. there is a pectus excavatum deformity of the sternum. the mediastinal contour is stable. bony structures are intact. no free air below the right hemidiaphragm.
<unk>f with cirrhosis referred from mrcp after found to be lethargic, undergoing infectious w/u
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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. surgical clips project over the right axilla. a nipple shadow is visualized on the right side. in addition to the nipple shadow, there is a small nodular density projecting along the lateral right mid chest, for which aritfact versus true pulmonary nodule (but not apparent before) is questioned. patchy vascular calcifications are noted along the upper abdominal aorta. bony structures appear unchanged including slight loss among lower thoracic vertebral body heights, which appears chronic.
chest pain.
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in comparison with chest radiograph from <unk>, there is no significant change. lungs are clear. there is no pneumothorax. mediastinal and hilar contours are normal. heart size is normal. above described abdominal tube is not visualized on this study.
<unk> year old man with abdominal tube entering through <num>th rib; placed to water seal. please eval position // please eval for ptx
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tracheostomy tube and left subclavian line are unchanged. lung volumes are low. there is mild pulmonary vascular redistribution but this is improved compared to the study from <num> days prior. there is patchy areas of volume loss most marked at the bases in the right midlung. an infiltrate could be missed in the retrocardiac region due to low lung volumes
<unk> year old man with trache after stroke now with rhonchi and fever // intrapulmonary process?
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frontal and lateral views chest performed. the lungs are clear. there is no pleural effusion, pneumothorax or focal airspace consolidation. the cardiac silhouette is mildly enlarged. there is a tortuous aorta. the hilar structures are unremarkable. there are no acute osseous abnormalities. the imaged upper abdomen is normal.
chest pain, rule out cardiopulmonary process.
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ap upright and lateral views of the chest were reviewed and compared to the prior studies. increased opacity in the left lower lobe and mid lungs is consistent with aspiration pneumonia. minimal opacity in the right lower lung is consistent with atelectasis. there are calcifications within the aorta; otherwise; the cardiac and mediastinal contours are normal. there is no pleural effusion or pneumothorax. degenerative changes in the thoracic spine are unchanged.
evaluation for aspiration pneumonia in a patient with a history of a seizure now with cough and hypoxia.
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pa and lateral chest views were obtained with patient in upright position. analysis is performed in direct comparison with the next preceding similar study of <unk>. comparison suggests mild regression of heart size and thymus, simultaneously lesser marked perivascular haze in the pulmonary circulation compatible with dehydration in patient previously suffering from fluid overload. the previously identified local suspicious hazy densities in the right mid lung field and lower lobe area as well as left upper lobe area have all regressed and suggest improvement of the previously identified multifocal densities suspicious to constitute exacerbation of the patient's chronic copd status. no new parenchymal abnormalities are seen. the lateral and posterior pleural sinuses remain free as they were before.
<unk>-year-old male patient admitted with copd exacerbation and volume overload.
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as compared to chest radiograph from <num> day prior, status post left thoracentesis with interval substantial decrease in the effusion which is now small. tiny left apical pneumothorax. given for differences in position, right pleural effusion and adjacent atelectasis may have marginally increased. mild pulmonary vascular congestion. moderate cardiomegaly. innumerable sclerotic metastases related to known prostate cancer.
<unk> year old man with pleural effusions s/p thoracentesis // evaluate for pneumothorax
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since prior exam, new right-sided chest tube is present with the tip in the medial mid lung zone. some subcutaneous air is noted in the right chest wall. the lung volumes are lower with patchy interstitial opacities, likely from mild edema. a more focal opacity in the left mid lung zone is present. there is no definite pleural effusion or pneumothorax. the mediastinal contours are normal. the heart size is mildly enlarged and unchanged.
status post vats wedge resection. evaluate postoperatively.
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portable upright chest radiograph <unk> at <time> is submitted.
<unk> year old man with cirrhosis, now with worsening tbili concern for infection // evidence of consolidation to suggest pneumonia or other infection. evidence of consolidation to suggest pneumonia or other infection.
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frontal portable radiographs of the chest demonstrate normal heart size. the right hilus is enlarged. the lungs are clear. no pleural effusion or pneumothorax.
cough and fevers, rule activity on
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frontal and lateral radiographs of the chest demonstrate stable top normal heart size with mild tortuosity of the thoracic aorta. no focal consolidation, pleural effusion or pneumothorax is present.
fever and altered mental status. evaluate for pneumonia.
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portable chest radiograph demonstrates unremarkable mediastinal and hilar contours. heart size is mildly enlarged. bilateral low lung volumes with hazy pulmonary vascualture suggesting mild pulmonary edema. no large pleural effusion or pneumothorax evident. endotracheal tube is in a standard position. nasogastric tube with tip below the diaphragm and crossing midline.
intubated status post seizure. please evaluate for tube placement.
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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 chest pain // r/o infiltrate
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nasogastric tube terminates in the body of the stomach with side-port near the estimated location of the gastroesophageal junction. post pyloric dobhoff tube is seen coursing into the jejunum with distal tip out of view. other support lines, left pleural effusion, and left lower lobe opacification are unchanged.
<unk> year old man with ngt placement. // please evaluate for ngt location.
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lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac silhouette is top-normal. no pulmonary edema is seen.
history: <unk>m with chest pain // chest pain
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the lungs are poorly expanded, accounting for bronchovascular crowding. some bibasilar atelectasis is present, but there is no definite focal consolidation. cardiomediastinal contour is unremarkable. there is no pleural effusion or pneumothorax. severe degenerative changes of the right shoulder are re-demonstrated. this study is underpenetrated and suboptiaml for assessment of bony structures. spinal fixation rods and screws are present, without evidence of hardware-related complication. a left-sided picc line has been removed in the interval. there are likely degenerative changes at the right shoulder, not well assessed.
<unk>-year-old male with left scapular pain and recent fall and altered mental status.
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the cardiac, mediastinal and hilar contours appear unchanged. the lungs appear clear. there is probably a very small pleural effusion along the left, noting new blunting of the left frontal sulcus on the pa view. there is exaggerated kyphosis associated with a moderate anterior wedge compression deformity along the mid thoracic vertebral body, not significantly changed. the bones also appear demineralized, with multilevel compression deformities along the mid-to-lower thoracic spine, again not significantly changed.
shortness of breath.
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prominence of the interstitial markings is once again present and likely due to pulmonary edema superimposed on emphysema. cardiac silhouette is again top normal in size. no pleural effusion or pneumothorax. no convincing evidence of pneumonia. coarse calcifications in the left axilla could be due to calcified lymph node and is unchanged from multiple prior studies.
<unk>-year-old woman with three days of confusion. question pneumonia.
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ap of the chest demonstrates normal lung volumes without pleural effusion, focal consolidation or pneumothorax. the hilar and mediastinal silhouettes are unchanged. heart size is top normal. no pulmonary edema.
patient with history of hiv, now presenting with fatigue and night sweats.
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clear lungs bilaterally without pleural effusion or pneumothorax. heart size, mediastinal contour and hila are normal with a mildly dilated and tortuous aorta. no intra-abdominal air on this upright view. no bony abnormality.
<unk>-year-old female with leukocytosis, elevated lactate and abdominal pain. assess for pneumonia.
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the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable.
<unk>f with cough, on methotrexate
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ap and lateral chest radiographs. the lungs are clear. there is no pleural effusion or pneumothorax. the heart size is borderline.
shortness of breath.
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as compared to the prior examination dated <unk>, there has been no relevant interval change. again, there is no lobar consolidation, pleural effusion, pneumothorax, or pulmonary edema. mild bibasilar atelectasis is unchanged. the heart remains mildly enlarged.
<unk>f with chest pain // ?pneumonia
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an et tube is present. the tip lies at the level of mid clavicular heads are of the carina. an ng tube is present. the tip extends beneath the diaphragm, off the film. an apparent intra-aortic balloon pump is present. the radiopaque tip overlies the upper edge of the aortic arch -- clinical correlation regarding retraction by approximately <num> cm to lie in the proximal descending aorta is requested. faint cylindrical density overlying the thoracic spine at the level of the aortic arch likely represents material outside the patient. heart size is at the upper limits of normal or minimally enlarged. vascular plethora and diffusely increased interstitial markings is present. this could represent chf with interstitial edema, though a diffuse interstitial process could have a similar appearance. there is subsegmental atelectasis at both lung bases. no gross effusion.
<unk> year old woman s/p intubation // pls eval et tube placement
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no definite focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. the pulmonary hilar vessels may be slightly prominent without overt pulmonary edema.
<unk>f chest pain for the past two days // <unk>f chest pain for the past two days
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there is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema identified. the heart size is normal. mediastinal and hilar contours are normal. incidentally noted are three, rounded, tiny radiodensities noted in the soft tissues of the upper thorax, likely representing foreign bodies.
cirrhosis, smoker, shortness of breath. evaluate for pulmonary process.
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the cardiac, mediastinal and hilar contours are normal. pulmonary vasculature is normal. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is identified. degenerative changes are noted within the thoracic spine with a large anterior osteophyte seen in the lower thoracic spine.
churg-<unk> disease, worsening fatigue.
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. patchy calcification is similar along the aortic arch. lungs appear clear. there is no pleural effusion or pneumothorax. small anterior osteophytes are noted along the mid-to-lower thoracic spine. the bones are probably demineralized to some degree.
question stroke.
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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 chest pain, dyspnea // acute cardiopulm disease
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the lungs are clear. there is no pleural effusion, pneumothorax or focal airspace consolidation. the cardiac and mediastinal contours are normal. the hilar structures and pleural surfaces are unremarkable.
persistent cough and abnormal physical exam. evaluate for lesion or an effusion.
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there is a new consolidation of the left lower lung with air bronchograms. there is also a linear density in the right lower lung that may represent an area of atelectasis, though a developing consolidation is possible. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is within normal limits. the patient has been extubated and the ng tube removed.
patient found down, presumably overdose on ghb, just extubated but now febrile and hypoxic. concern for aspiration or pneumonitis.
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normal heart, lungs, pleura and mediastinal surfaces. no fractures identified.
history: <unk>m with chest pain. hit in left side of chest while playing soccer yesterday. ttp left chest/flank // pls eval for rib fx, chf, pneumonia
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the heart size is normal. the cardiomediastinal silhouette and hilar contour is unremarkable. the lungs are clear without consolidation, effusion or pneumothorax. no acute bony abnormality is identified.
intermittent chest pain with cocaine use
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the cardiac, mediastinal and hilar contours appear unchanged. a diffuse mild interstitial abnormality suggests pulmonary vascular congestion. a more focal left upper lobe opacity has resolved and streaky left basilar opacities have also mostly resolved leaving what probably represents minor residual atelectasis. fissures are thickened with suspected small pleural effusions and patchy right basilar opacity again likely reflects atelectasis. the left acromiohumeral interval is effaced suggesting rotator cuff pathology.
shortness of breath and intermittent left-sided chest pain.
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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.
<unk> year old man with brochictasis // ? rll pneumonia
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there has been interval removal of a left central venous line. as compared to prior examination dated <unk>, there has otherwise been minimal interval change. redemonstrated is blunting of the left cpa and flattening of the lateral aspect of the left hemidiaphragm, likely secondary to small pleural or parenchymal scar. there is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema identified. the heart size is normal. mediastinal and hilar contours are normal.
persistent asthma, rule out pneumonia.
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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 s/p assault. confusion, ams, acute memory loss. vomiting // eval for fx
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portable semi-erect chest radiograph <unk> at <time> is submitted.
<unk>f s/p <unk> procedure for perforated diverticulitis c/b septic shock, sb necrosis s/p sb rsxn and multiple abd washoutis; acute respiratory failure s/p trach <unk> // interval assessment // interval assessment interval assessment
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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 cough, weakness // please eval for any pna