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newly placed left jugular central catheter ends in the mid svc. there is no pneumothorax. the lung volumes are normal. top normal size of the cardiac silhouette. normal hilar and mediastinal structures. no pneumonia, no pulmonary edema. no pleural effusions.
<unk> year old woman with pleuritic chest pain // ? confirm line placement thanks
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no rightsided pleural effusion identified. tiny if any leftsided pleural effusion present. no pneumothorax or pneumoperitoneum present. bibasilar linear opacities likely reflect atelectasis. no other pulmonary opacification present. cardiomediastinal and hilar contours are unremarkable.
shortness of breath after chemoembolization of the liver. assess for effusion.
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frontal and lateral radiographs of the chest show a dobbhoff feeding tube coiled within the stomach with the tip terminating in the inferior distal stomach. small bilateral pleural effusions on the right greater than the left with associated compressive atelectasis are unchanged in appearance. the right hemidiaphragm remains obscured and focal consolidation at the right lung base with parapneumonic effusion cannot be excluded in the appropriate clinical setting. no pneumothorax is present. the pulmonary vasculature is not engorged. the cardiac silhouette is normal in size. the mediastinal and hilar contours are within normal limits.
<unk>-year-old female with alcoholic hepatitis, status post antibiotic therapy for pneumonia and new dobbhoff placement, here to evaluate position of dobbhoff tube and interval changes in right lower lobe opacity.
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frontal and lateral views of the chest demonstrate fully expanded and clear lungs. the cardiomediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. pleural surfaces are unremarkable.
cough and fever, assess for pneumonia.
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the patient is status post median sternotomy and cabg. heart size is normal. the aorta is mildly unfolded. atherosclerotic calcifications are noted within the aortic arch and descending thoracic aorta. pulmonary vasculature is not engorged. minimal atelectasis is noted in the lung bases without focal consolidation, pleural effusion or pneumothorax. no acute osseous abnormality is detected. please note that the extreme costophrenic angles posteriorly are excluded on the lateral view.
history: <unk>m with toe ischemia
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support devices remain in good position. increasing asymmetric opacities, in the left upper lobe can be infection or asymmetric edema. slight improved aeration of the left lower lobe. mild right-sided basilar opacities are likely atelectasis. cardiomediastinal silhouette is stable. no substantial pneumothorax or pleural effusion.
<unk> year old man with cad, as s/p avr, cva and ards // interval change
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median sternotomy wires intact and aligned. left pectoral pacemaker with leads terminating in the right atrium, right ventricle, and left coronary sinus. stable cardiomegaly with pulmonary vascular congestion. no evidence of acute, focal pneumonia.
<unk>-year-old man presenting with cough. clinical concern for pneumonia.
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as compared to the prior examination, there has been minimal interval change. the lungs are essentially clear without focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the heart size is normal. mediastinal and hilar contours are normal.
positive ppd, now with cough.
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frontal and lateral chest radiographs were obtained. there is a slight increase in radiodensity in the right lower lobe with increased thickness of peribronchial tissue that is better appreciated on lateral view. the heart is moderately enlarged but stable. mediastinal and hilar contours are stable. there is no pleural effusion or pneumothorax. multiple healed rib fractures are again seen on the left.
patient with dysarthria and weakness, rule out intrathoracic process.
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the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal.
history of asthma exacerbation. sick grandchildren at home.
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there are subtle bilateral peribronchial opacities, which are new since the cxr dated <unk>. lateral view also demonstrates a linear opacity projecting over the heart, suggesting a middle lobe process. lung bases on ct abdomen <unk> are clear. no pleural effusions or pneumothorax. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. the right port is unchanged in position and terminates at the cavoatrial junction.
<unk> year old woman with leukemia s/p chemo with sob // pna or pleural effusion
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free peritoneal air, likely related to recent gastrostomy tube placement. minimal left basilar atelectasis stable. increased heart size. tortuous ascending aorta stable. normal pulmonary vascularity. no effusion. no edema. no pneumothorax.
<unk> year old woman with fever, post op from gastrostomy tube // eval for pneumonia
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compared to prior, the degree of pulmonary edema appears worse although this may be accounted for by differences in technique. there is persistent small bilateral pleural effusions. and moderate cardiomegaly.
<unk>m with dyspnea, pedal edema // eval heart and lungs
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portable semi-upright radiograph of the chest demonstrates interval development of moderate pulmonary edema superimposed to chronic changes described in concurrent ct. there is a probable small right pleural effusion. no pneumothorax. cardiac silhouette is unchanged.
history: <unk>m with chest pain ekg crackles // r/o pulmonary edema
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bilateral pigtail catheters are present at the lung bases. moderate right apical pneumothorax has minimally decreased since yesterday. the maximum width at the apex measures <num> cm as compared to yesterday measuring <num> cm. opacity at the right lung base which appeared on the yesterdays radiograph is more denser and is likely from an aspiration or atelectasis. small right pleural effusion is unchanged.
worsening pneumothorax. bilateral pigtail catheters.
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cardiomediastinal silhouette is normal. there is no pleural effusion or pneumothorax. there is no focal lung consolidation.
<unk>-year-old man with pancreatitis, evaluate for pleural effusions
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pa and lateral views of the chest demonstrates the lungs are well-expanded and clear. the cardiomediastinal silhouette is unchanged since the prior study with stable mild cardiomegaly. there is no evidence of pneumonia, pleural effusion, pulmonary edema or pneumothorax.
<unk>-year-old female with chest pain. evaluation for infiltrate.
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frontal and lateral radiographs of the chest demonstrate a midline trachea with resolution of the bibasilar opacities. lung volumes remain low, accentuating the cardiac contour. small bilateral pleural effusions are seen. no pneumothorax is seen.
pneumonia. assess pneumonia.
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the cardiac, mediastinal and hilar contours appear stable. there is a large bulging opacity in the posterior lower right hemithorax which suggests a large loculated pleural effusion. a more free flowing portion of the effusion has also increased more anteriorly with possible patchy coinciding atelectasis. a suspicious nodule persists in the right upper lung. possibly a right upper lung nodule has increased, but change could be better appreciated by comparing with ct if needed. the left lung remains clear with no effusion. the bones are probably demineralized to some extent.
shortness of breath. question pneumonia.
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heart size is normal. mediastinal and hilar contours are unremarkable. lungs are clear. pulmonary vasculature is normal. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
right-sided chest pain with recent clot.
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cardiac silhouette size is normal. mediastinal and hilar contours are unremarkable. the pulmonary vasculature is not engorged. no focal consolidation, pleural effusion or pneumothorax is present. there are mild degenerative changes seen in the thoracic spine. clips are noted in the right upper quadrant of the abdomen compatible prior cholecystectomy.
history: <unk>f with dyspnea, syncope
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pa and lateral views of the chest. there is no focal consolidation, pleural effusion, or pneumothorax. moderate cardiomegaly has slightly progressed. the mediastinal and hilar contours are stable.
gout and bilateral leg pain.
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mild cardiomegaly is stable. mediastinal lymphadenopathy is better seen in prior ct. diffuse alveolar opacities have increased more so in the left lower lobe. there is no pneumothorax or pleural effusion. patient is status post cabg. sternal wires are aligned.
<unk> year old man with pulmonary fibrosis and hypoxia. // interval change
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frontal and lateral views of the chest were obtained. the heart size and cardiomediastinal contours are normal. numerous widely distributed nodules are better evaluated on the same date chest cta. no focal consolidation, pleural effusion, or pneumothorax.
<unk>-year-old female with shortness of breath and tachycardia.
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pa and lateral view of the chest demonstrates clear lungs. the cardio mediastinal silhouette and hilar contours are unremarkable. there is no pleural effusion, edema or pneumothorax. no rib fractures are identified.
motor vehicle accident.
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pa and lateral views of the chest. the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormality is identified.
<unk>-year-old female with chest pain and shortness of breath.
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the lungs are well expanded and clear. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax.
patient with past medical history of coronary artery disease now with chest pain.
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mild enlargement of the cardiac silhouette is relatively unchanged. the mediastinal and hilar contours are unremarkable. there is no focal consolidation, pleural effusion or pneumothorax. linear opacity within the anterior aspect of the upper lobe, possibly in the left upper lobe, is best seen on lateral view, and is compatible with subsegmental atelectasis. while there may be mild pulmonary vascular congestion, no overt pulmonary edema is seen. mild degenerative changes of the thoracic spine are visualized. clips are seen within the upper abdomen on the lateral view.
dyspnea, cough for <num> days, syncope.
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pa and lateral views of the chest provided. midline sternotomy wires and mediastinal clips are again seen. a left pleural effusion is slightly increased from prior, now moderate in size with associated compressive atelectasis in the left lower lung. the previously noted right pleural effusion has resolved. the heart size cannot be assessed. mediastinal contour is normal. the bony structures are intact.
<unk>f with cp/sob. weeks after cabg // r/o cardiopulm abnormality
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no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. no pulmonary edema is seen.
appendicitis, preop chest radiograph.
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lung volume is low. right lung base opacity is similar to before consistent with right lower lobe collapse and pleural effusion. enlarged right hilum is unchanged.cardiomediastinal silhouette is normal size. gastric air is noted under the left hemidiaphragm. no evidence of pneumoperitoneum is identified.
<unk> year old man with acute onset nausea and vomitus of feculent material // assess for free air
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pa and lateral chest radiographs are provided. there is no focal consolidation, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is normal. the imaged upper abdomen is unremarkable.
gerd and chronic cough. evaluate for cardiopulmonary process.
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blunting of the left costophrenic angle and subtle retrocardiac opacity are noted, potentially atelectasis. the lungs are otherwise clear. the cardiomediastinal silhouette is stable. no focal osseous abnormalities identified pain.
<unk>m with ventricular tachycardia // eval for pneumonia
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lung volumes are slightly low. no focal consolidation, effusion, edema, or pneumothorax. the heart is normal in size. the hila are unremarkable. a <num>-mm well-circumscribed opacity projecting over the anterior first and fifth posterior rib may reflect a nodule.
<unk> year old man with cough, fatigue, dizziness // r/o infiltrate
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
history: <unk>f with generalized weakness and shortness of breath for <num> week.
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a dialysis catheter has been removed. the patient is status post sternotomy and coronary artery bypass graft surgery. dishiscences among upper sternal wires appear unchanged. the heart is mildly enlarged with a globular configuration. fissures appear thickened, particularly in the right lung, although there is no evidence for pleural effusion. there is no pneumothorax. there is a widespread new interstitial abnormality, although more extensive on the right than left, concerning for interstitial pulmonary edema. mild degenerative changes are noted along the thoracic spine.
shortness of breath and cough.
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the lungs are clear. the cardiomediastinal silhouette is stable. there is tortuosity of the thoracic aorta with atherosclerotic calcifications seen at the aortic arch. surgical clips in the anterior mediastinum and median sternotomy wires are again noted. no acute osseous abnormalities.
<unk>f with fevers, fatigue // ? pneumonia
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heart size is mildly enlarged. mediastinal and hilar contours are within normal limits. the pulmonary vasculature is not engorged. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is identified. there are mild degenerative changes noted in the thoracic spine.
history: <unk>m with chest pain, shortness of breath
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when compared to prior, there is new dense retrocardiac and left mid lung regions of consolidation. the right lung is grossly clear. the cardiomediastinal silhouette is stable. atherosclerotic calcifications again noted at the aortic arch. degenerative changes seen at the shoulders.
<unk>-year-old female with cough and fever.
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pa and lateral images of the chest. the lungs well expanded. bilateral upper lobe opacities consistent with chronic fibrosis are again seen, unchanged from prior exam. the lungs are otherwise clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable.
cough and sternal pain.
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the lungs are hyperexpanded. diffuse interstitial thickening is re- demonstrated, likely reflecting chronic interstitial lung disease. there is increased opacification at the right lung base, which likely represents a developing pneumonia. heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
history: <unk>m with fever // eval for pna, acute process
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pa and lateral views of the chest provided. scarring at the lung bases, bilaterally is unchanged. no focal consolidations. no pleural effusion or pneumothorax. hilar contours are normal. a large left thyroid nodule is unchanged. moderate hiatal hernia is unchanged. flattening of the diaphragms and increase of the ap diameter is unchanged from <unk>. moderate kyphosis is unchanged. there is increase atelectasis in the left lower lobe adjacent to the hiatal hernia.
<unk> year old woman with ra w/ rales over right lung field, left base. pls page me w/ wet <unk> <unk> // r/o infiltrate
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streaky bibasilar opacities are again noted likely due to scarring given persistence. the lungs are otherwise clear without consolidation or effusion. there is no pneumothorax. cardiac silhouette is within normal limits. atherosclerotic calcifications noted at the aortic arch. no acute osseous abnormalities identified.
<unk>f with chest pain // ? pna, ptx
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compared to the study from the prior day, there has been some interval mild improvement in the patchy alveolar infiltrate on the right; however, there is persistent alveolar edema. the heart size continues to be mildly enlarged. there is a mildly tortuous aorta.
severe aortic stenosis and fluid overload, question change.
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there is persistent, severe pneumomediastinum and diffuse subcutaneous emphysema, minimally changed from the prior examination. mild-moderate cardiomegaly is unchanged. possible, small, bilateral pleural effusions are noted. a right pigtail drainage catheter is unchanged in location. minimal, interval progression of a diffuse, mixed airspace and interstitial and airspace abnormality.
<unk> year old man with aml s/p allo intubated for resp failure // assess for ptx and worsening sc air
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frontal and lateral chest radiograph demonstrates well expanded lungs with bibasilar atelectasis. no focal opacity. mild prominence of the left hilum is stable from previous examinations. no pleural effusion or pneumothorax. stable mild cardiomegaly. mediastinal contour and hila are otherwise unremarkable. left mid lung laterally pleural based density is unchanged since <unk>. tortuous aorta again noted. limited assessment of the osseous structures demonstrate right-sided dextroscoliosis as well as kyphosis of the thoracic spine. visualized upper abdomen is within normal limits.
<unk>f with shortness of breath, chest pain. assess for pneumonia and pulmonary edema.
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patient is status post median sternotomy and cardiac valve replacement.mild basilar atelectasis is seen without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac silhouette is top-normal to mildly enlarged. there may be prominence of the main pulmonary artery which can be seen in the setting of pulmonary arterial hypertension.
history: <unk>f with palpitations and right hand swelling/pain // 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. there are no acute osseous abnormalities.
history: <unk>m with <unk> year history of cough, now productive of small amounts of blood, travel from <unk>, no known tb history
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the heart size is mildly enlarged, unchanged compared to the prior exam. the hilar and mediastinal contours are unremarkable. the lungs are well expanded and clear. there is no evidence of pleural effusion or pneumothorax. the visualized osseous structures are unremarkable.
<unk>-year-old female who presents for evaluation of sudden onset pleuritic chest pain.
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the heart is not enlarged. no chf, focal consolidation, effusion, or pneumothorax is detected. minimal patchy opacity at the right lung base most likely represents minimal atelectasis. an ovoid area of lucency is seen abutting the left side of the trachea, immediately above the aortic arch, measuring <unk>.<num> x <unk>.<num> mm. this is not fully characterized, but may represent a bulla or bleb in the medial portion of the left lung. a <num> mm focal density overlying the anterior left third and posterior left fifth ribs may represent artifact due to overlying rib shadows. no free air seen beneath the diaphragm.
history: <unk>m with amphetamine use, dyspnea // eval for cause of dyspnea
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no significant change from the prior radiograph performed yesterday. mildly hyperinflated lungs, clear lungs.
<unk> year old woman with hip fracture, pre-op // pre-op surg: <unk> (hip hemiarthroplasty)
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no significant interval change is seen from previous chest radiograph. moderate right pleural effusion continues to be seen with compressive atelectasis of the right lung. the cardiac and mediastinal contours are unchanged with mildly enlarged heart.
<unk>-year-old man with atrial fibrillation, pleural effusion. follow up.
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compared with prior radiographs on <unk>, there has been interval slight improvement in vascular congestion and mild edema. lung lung volumes are low. linear atelectasis at the left lung base is unchanged. there is no pneumothorax. no new focal consolidation. cardiomediastinal silhouette is unchanged.
<unk> year old man with chronic respiratory disease and pna with increasing o<num> requirement // please assess for interval change/pulm edema
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the endotracheal tube is removed. the right lower lobe collapse has resolved. moderate cardiomegaly is unchanged. no pneumothorax, pleural effusion, or pulmonary edema.
<unk> year old man with ett // ett placement
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the heart size, mediastinal, and hilar contours are normal. the lungs are clear without pleural effusion, focal consolidation, or pneumothorax.left-sided port-a-cath tip terminates at the cavoatrial junction.
<unk>-year-old woman with fever and history of breast cancer, on chemotherapy. evaluate for consolidation.
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pa and lateral views of the chest provided. there is collapse of the right lower lobe. the left lung is clear. clips in the left axilla noted. no pneumothorax. heart size is not enlarged. no acute osseous abnormality.
<unk>f with possible mass on osh xray // please eval for mass in the right hilar region
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the cardiac, mediastinal and hilar contours are normal. the pulmonary vasculature is normal. streaky linear opacities in the lung bases are compatible with subsegmental atelectasis. no focal consolidation, pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
motor vehicle collision <num> weeks ago with continued chest wall pain which is worse with inspiration.
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ap and lateral views of the chest. previously seen bulging left lower lateral mediastinal contour is consistent with a moderate hiatal hernia. there is no focal consolidation, pleural effusion or pneumothorax. the heart size is normal. the mediastinal and hilar contours are unchanged.
tibial fracture, possibility of aneurysm versus hiatal hernia on portable chest radiograph.
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lower lung volumes seen on the current exam. the lungs are clear without focal consolidation, effusion, or edema. cardiomediastinal silhouette is within normal limits. median sternotomy wires and mediastinal clips are noted. no acute osseous abnormalities, no displaced fractures identified.
<unk>m with s/p fall on warfarin large periechymosis swelling // eval for trauma
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pa and lateral views of the chest are compared to previous exam from <unk>. the lungs are clear of consolidation or pneumothorax. there is mild blunting of one of the posterior costophrenic angles, potentially due to trace effusion, likely on the right. cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unremarkable.
<unk>-year-old female with history of right pleuritic 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.
history: <unk>m with chest pain // chest pain
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heart size is normal. mediastinal and hilar contours are within normal limits. lungs are clear. pulmonary vascularity is normal. no pleural effusion or pneumothorax is present. no acute osseous abnormalities are present.
chest pain.
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there is limited assessment of the medial lung apices due to patient positioning. bibasilar opacities likely represent atelectasis. the previously noted pulmonary vascular congestion has resolved. there is a small right pleural effusion, similar to <unk>. no pleural effusion on the left. moderate cardiomegaly.
history: <unk>m with hfpef, p/e dyspnea and pedal edema // please eval pulmonary edema
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left pectoral pacer leads terminate in the right atrium and right ventricle. a linear opacity along the lingula is likely atelectasis, improved compared to the prior study. bibasilar atelectasis, more prominent at the left lung base, is improved. small bilateral pleural effusions are likely present. prominence of the right and left pulmonary arterial branches consistent with pulmonary arterial enlargement better evaluated on chest ct from <unk>. no pneumothorax is seen. cardiac silhouette stable.
history: <unk>f with cough and body/aches pains // ? pna
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the cardiomediastinal and hilar contours are stable with calcification of the aortic knob. there is no pleural effusion or pneumothorax. increased interstitial markings diffusely is consistent with interstitial edema. apparent new consolidation at the right lung base maybe exaggerated by increased interstitial markings. again seen are multiple wedge deformities of the thoracic spine, the more inferior one of which is stable; however, the more superior compression deformity in the mid thoracic spine appears progressed compared to the prior study.
cough, rule out pneumonia.
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ap and lateral chest radiographs again demonstrate hyperinflation with coarse interstitial markings throughout the lungs some due to bronchiectasis. right lower lobe bronchiectasis is less inflamed but an irregular mass-like lesion in the lingula that appeared between<unk> <unk> and <unk> is still present and should be evaluated with another ct. mild cardiomegaly is stable and there are no findings of acute heart failure, or pneumonia. there is no large pleural effusion or pneumothorax. there is bilateral pleural thickening.
shortness of breath and hypoxemia.
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ap upright and lateral views of the chest provided. lungs appear hyperinflated. 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 near syncope, fatigue // ? pneumonia
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the lungs are clear of airspace or interstitial opacity. the cardiomediastinal silhouette is unremarkable. no pleural effusions or pneumothorax. no acute or aggressive osseus changes.
<unk> year old woman with esrd for pre kidney transplant eval // r/o cardiopulmonary abnormalities
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a right chest wall pulse generator is in place, with unchanged position of <num> pacer/defibrillator leads. mediastinal clips and median sternotomy wires are present, with fracture of the superior most <num> wires. the heart is mildly enlarged. moderate bilateral pleural effusions are noted, with peribronchial cuffing, and pulmonary vasculature bilaterally, compatible with mild pulmonary edema. there is no pneumothorax or focal consolidation. there are most likely post-radiation changes see along the mediastinum bilaterally
history: <unk>m with dyspnea // eval pulm edema
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the cardiac, mediastinal and hilar contours appear unchanged including mild cardiomegaly. there is no pleural effusion or pneumothorax. the lungs appear clear.
altered mental status.
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an indwelling catheter is present, with tip over proximal/mid svc. there are low inspiratory volumes. there are diffuse increased interstitial markings in both lungs. there are some more patchy confluent areas at the right and left bases medially. probable air bronchograms at the left base. there is possible trace pleural fluid at the right costophrenic angle and a small left costophrenic effusion. the cardiac silhouette is obscured by the surrounding opacities, but is likely not enlarged. possible prominence of the left hilum.
short of breath, question pneumonia. chest, single ap portable view.
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pa and lateral chest radiographs were provided. there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. there is no evidence of chf.
<unk>-year-old man with chest pain, question pulmonary process.
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ap portable upright view of the chest. overlying ekg leads are noted. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact.
<unk>m with sob, asthma
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ap portable upright view of the chest. endotracheal tube resides approximately <num> cm above the carinal. upper lung lucency suggests pneumonia. there is opacity in the lower lungs, right greater than left concerning for pneumonia. heart size appears normal. mediastinal contour is unremarkable. prominence of the pulmonary hilar vasculature may reflect pulmonary hypertension. bony structures appear intact.
<unk>m with sob, // eval for pna
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there is a spinal stimulator projecting over the mid thoracic spine. lungs are well inflated and clear. heart size and mediastinal contours are normal. there is no pleural effusion or pneumothorax. osseous structures are intact.
<unk>f with copd with cough and sob // eval pneumonia
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the cardiomediastinal and hilar contours are within normal limits. the lung fields are clear. there is no pneumothorax, fracture or dislocation. limited assessment of the abdomen is unremarkable.
history: <unk>m with dyspnea // infiltrate?
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compared to prior, there is obscuration of the right hemidiaphragm, concerning for pneumonia. no appreciable pleural effusion is seen. left lung is mostly clear. the heart size is unchanged. the mediastinal and hilar contours are unremarkable.
<unk> year old man with cough and dyspnea. evaluate for pneumonia.
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ap upright and lateral views of the chest provided. cardiomegaly is noted with mild pulmonary vascular congestion. no large effusion or pneumothorax. a right suprahilar linear density is unchanged likely representing a focus of scarring. no definite signs of pneumonia. right ac joint arthropathy noted.
<unk>m with tachypnea, ams // ?pna
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patient is status post median sternotomy and cabg. severe enlargement of the cardiac silhouette process. the aorta remains unfolded. mild pulmonary vascular congestion is similar to that seen on the prior study. no pleural effusion or pneumothorax is identified. patchy atelectasis is noted in the lung bases. no pneumothorax is present. moderate degenerative changes are noted in the thoracic spine.
<unk> year old woman with fall shoulder pain
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right chest wall power injectable port-a-cath tip and left picc line tip project over the right atrium. a right pleural drainage tube is present. unchanged atelectasis at the right lung base as well as patchy airspace opacities predominantly involving the right lung. a small right pleural effusion is present. trace right pneumothorax which is better evaluated on today's ct scan of the chest. the size the cardiomediastinal silhouette is within normal limits.
<unk> year old woman with metastatic appendiceal carcinoma // concern for aspiration pneumonia
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heart size is normal. the aorta remains tortuous. the mediastinal and hilar contours are otherwise within normal limits. pulmonary vasculature is normal. lungs are clear. no focal consolidation, pleural effusion or pneumothorax is present. mild degenerative changes are seen in the thoracic spine. a fiducial marker again projects over the midline t<num>-t<num> intervertebral disc space.
history: <unk>m with seizure activity, hiv with cd<num> <num>
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interval development of left hemi-thorax near complete opacification and leftward shift of mediastinal structures is consistent with near complete left lung collapse. the endotracheal tube remains <num> cm above the carina. enteric tube appears in similar position. the left chest tube appears well-positioned with its side port in the thoracic cavity. a right layering pleural effusion again noted.
<unk> year old man with mvc, rib fractures, ecmo // eval effusion/lines.
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single portable view of the chest. no prior. the lungs are hyperinflated. there is apparent increased opacity in the retrocardiac region. this is likely partially attributed to mitral annular calcifications; however, underlying consolidation is also possible. elsewhere, the lungs are clear. cardiomediastinal silhouette is within normal limits. hypertrophic change is seen in the spine.
<unk>-year-old female with cough and fever.
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pa and lateral views of the chest are compared to previous exam from <unk>. the lungs are clear. cardiomediastinal silhouette is within normal limits. dual-lead pacing device is seen with lead tips in the right atrium and right ventricle. osseous and soft tissue structures are unremarkable.
<unk>-year-old male with 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.
history: <unk>m with productive cough, generalized weakness // eval for acute process
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the lungs are clear. the heart size is normal. the mediastinal contours are normal. there are no pleural effusions. no pneumothorax is seen.
left-sided pleuritic chest pain. assess for pneumonia or pneumothorax.
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shallow inspiration accentuates heart size. normal pulmonary vascularity. minimal basilar atelectasis. no pneumothorax. no definite consolidations.
<unk> year old man with gbm on temodor and avastin generalized fatigue and malaise. // focal consolidation?
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left-sided chest tube is in unchanged position. there is redemonstration of atelectasis and probable small pleural effusions bilaterally. subcutaneous gas along the left neck and left lateral soft tissues appears slightly more increased. no new focal consolidation or pneumothorax identified.
<unk> year old man with chest tube // ptx, new onset irregular ptx, new onset irregular
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note is again made of a <num> mm calcified nodular density in the left lower lobe most likely representing a calcified granuloma. the lungs are otherwise clear without focal consolidation concerning for pneumonia, pleural effusion or pneumothorax. the pulmonary vasculature is not engorged. the cardiomediastinal and hilar contours are within normal limits. there is no free air beneath the right hemidiaphragm. no acute osseous abnormality is detected.
dizziness and chest pain, here to evaluate for pneumonia.
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the lungs are clear, the cardiomediastinal silhouette and hila are normal. there is no pleural effusion or pneumothorax.
<unk>-year-old with fever.
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pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>f with chest pain // r/o acute process
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frontal and lateral views of the chest demonstrate low lung volumes without pleural effusion, focal consolidation or pneumothorax. the hilar and mediastinal silhouettes are unremarkable. heart size is normal. there is no pulmonary edema. partially imaged upper abdomen is unremarkable.
patient with seizure. assess for pneumonia.
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the cardiomediastinal silhouette and pulmonary vasculature are normal. the lungs are clear. there is no pleural effusion or pneumothorax. there is no free air below the right hemidiaphragm.
<unk>m with epigastric pain // r/o infiltrate
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the inspiratory lung volumes are decreased and there is elevation of the left hemidiaphragm. streaky bibasilar opacities most likely represent atelectasis in the setting of low lung volumes. no significant pleural effusion or pneumothorax is detected. an <num>-mm calcification projecting over the right upper-to-mid lung zone may represent a granuloma. the pulmonary vasculature is not engorged. prominence of the right mediastinum is likely related to pronounced dextroconvex scoliosis of the thoracic spine. the mediastinal and hilar contours are otherwise within normal limits. the thoracic aorta is tortuous. the cardiac silhouette is incompletely evaluated in the setting of low lung volumes. multilevel degenerative changes in the thoracic spine are noted.
history of tia with lightheadedness, here to evaluate for acute cardiopulmonary process.
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still moderate to large right pleural effusion has decreased from prior ct, has markedly increased from <unk>. right perihilar masslike consolidation has worsened. there is no pneumothorax. cardiomediastinal contours cannot be assessed. the left lung is grossly clear
<unk> year old woman with new effusion s/p <unk> // ? ptx
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small left pleural effusion and/or pleural scarring is noted. there appears to be pleural calcification. there is biapical pleural thickening. there is no consolidation or pneumothorax. cardiomediastinal silhouette is normal size.
history: <unk>m with h/o remote tb presenting with <unk> weeks of shortness of breath and subjective fevers // eval for infiltrate, evidence of tb, acute process
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a frontal chest radiograph demonstrate low lung volumes with increased prominence of the cardiac silhouette and bronchovascular crowding. there is bibasilar atelectasis, left greater than right. mild scarring in the left mid-lung is unchanged. no definite focal consolidation, pleural effusion, or pneumothorax is identified. the visualized upper abdomen is unremarkable.
inability to wean oxygen supplementation, in a patient status post ercp and laparoscopic cholecystectomy.
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cardiac silhouette size is normal. mediastinal and hilar contours are within normal limits. pulmonary vasculature is normal. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is demonstrated. no acute osseous abnormalities detected.
history: <unk>f with fall, head strike, elbow pain,
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mild prominence of interstitial markings is again noted and stable in comparison to prior studies, likely chronic. there is increased opacity overlying the right lower lobe which may be representative of a developing pneumonia. otherwise, the remainder of the lungs are clear. cardiomediastinal silhouette remains stable. the aorta appears mildly tortuous.
cough with a relative with pneumonia.
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ap upright and lateral views of the chest provided. mild bibasilar atelectasis is noted. otherwise, the lungs appear clear. suture material is seen overlying the right mid lung. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>f with increasing peripheral edema // eval for evidence of chf