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median sternotomy wires and multiple mediastinal clips are again seen. there is an unchanged overall appearance of opacity at the left lung base which has been previously characterized on ct as rounded atelectasis with loculated small left effusion. allowing for slight differences in technique, no significant change. there is no pneumothorax. there is no right pleural effusion. the cardiomediastinal silhouette is unchanged. there is stable calcification of the thoracic aorta. there is stable mild djd and kyphosis of the thoracic spine. again noted is a compression deformity of an upper lumbar vertebral body without interval change.
<unk> year old woman with h/o pleural effusion, worsening orthopnea/pnd and decreased breath sounds on left side. // r/o pleural effusion
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a left apical pneumothorax is not significantly changed though remains small. a left chest pacemaker with a single right ventricular lead is unchanged. the lung volumes remain somewhat low, though are improved compared with prior. there is a probable small right pleural effusion with bibasilar atelectasis. the pulmonary vasculature is normal. the cardiac silhouette and mediastinal contours are unchanged.
<unk>-year-old male with atrial fibrillation status post pacemaker placement with pneumothorax. evaluate for change.
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there is slightly increased prominence of the hila compared to prior, as well as moderate pulmonary vascular congestion and mild interstitial edema. there is mild to moderate right basilar airspace opacity and a trace right effusion. there is no pneumothorax. cardiomegaly is moderate, worse compared to prior. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk> year old woman with pill aspiration // r/o ptx
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single portable view of the chest. there are new, multifocal regions of consolidation identified in the retrocardiac region and the right mid-upper lung. the cardiomediastinal silhouette is stable. osseous and soft tissue structures are unchanged noting calcific densities projecting over the left chest wall as on prior.
<unk>-year-old male with cough.
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compared with the prior chest radiograph, severe cardiomegaly is unchanged, with slightly improved pulmonary edema. widening of the mediastinal contour is due to low lung volumes and mediastinal lipomatosis is seen on the prior chest ct. the right lung appears slightly better aerated. bibasilar airspace opacities could reflect atelectasis, infection, or aspiration.
<unk> year old woman with ohs, osa, copd, chf, here w/ respiratory distress s/p diuresis. please eval for interval change.
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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>f with chest pain // acute process?
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extensive opacity obscures the right heart border with ipsilateral deviation of the trachea. moderate layering right and small left pleural effusions are present. there is mild to moderate interstitial pulmonary edema. no pneumothorax.
<unk>f with chest pain, dyspnea // evaluate for acs
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lungs are clear of focal consolidation or effusion. the cardiac silhouette is enlarged, similar to prior. no acute osseous abnormalities identified.
<unk>m with cough sob hx copd // r/o infiltrate
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there is no consolidation, pleural effusion, or pneumothorax. cardiomediastinal and hilar silhouettes are normal size.
history: <unk>m with history of cad, sob, exertional chest pain on right radiating to back // widened mediastinum, edema
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et tube is seen terminating <num> cm above the carina. there is again seen an ng tube with distal tip projecting below lower limit of film. a right-sided ij central line is seen in essentially stable position projecting over the mid svc. there is a stable left-sided chest tube, however despite this the left pneumothorax has redeveloped a large apical component, which now measures <num> cm from the apex of lung to apical chest wall. despite differences in technique/patient positioning in comparison to prior radiographs, this is almost certainly significantly increased in size. the cardiomediastinal silhouettes are normal. the bilateral hila are normal. there is increased opacification of most of the left lung due to relaxation atelectasis in the setting of left pneumothorax. there may be a small left pleural effusion. the right lung appears well aerated without evidence of focal consolidation. there is no right pleural effusion or right pneumothorax. there is no evidence of pulmonary vascular congestion.
<unk> year old man s/p arrest and s/p chest tube placement for pneumo // eval for interval change
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the patient is status post median sternotomy and cabg. the cardiac silhouette size is normal. the aorta demonstrates diffuse atherosclerotic calcifications. mild pulmonary vascular congestion is demonstrated, as well as patchy opacities in the lung bases that could reflect atelectasis. infection however is not excluded. small bilateral pleural effusions are demonstrated. there is no pneumothorax. marked degenerative changes of the right glenohumeral joint are noted. moderate degenerative changes within the thoracic spine are also seen.
rales, dyspnea.
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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. lateral view suggests minor atelectasis or airway thickening in in <num> arm perhaps both posterior lower lobes but no convincing evidence for pneumonia.
rhonchi on pulmonary examination.
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there is a left internal jugular central venous line which terminates in the proximal right atrium. lung volumes are decreased, and bibasilar streaky opacities likely reflect atelectasis. there is no focal consolidation, pleural effusion or pneumothorax. there is no pulmonary edema. the heart size is normal.
<unk>-year-old female with hypotension and altered mental status. evaluate for pneumonia and confirm central venous line placement.
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the lungs are well-expanded. no focal consolidation, effusion, edema, or pneumothorax. linear bandlike opacities in the left lower and right middle lobe are consistent with atelectasis. a <num>-mm well-defined opacity projecting over the right apex is unchanged since at least <unk> and could be a calcified granuloma. the heart is normal in size. hilar contours are unchanged. mild increase deviation of the trachea left at the level of the thoracic inlet is more prominent since <unk> but may be positional without correlate on the lateral view. bilateral acromioclavicular joint degenerative changes are moderate. multilevel degenerative changes in the thoracic spine with prominent anterior osteophytes are moderate. dextroconvex scoliosis of the thoracic spine is mild.
<unk>-year-old man presenting with chest pain.
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the lungs are well expanded and clear. the heart size is normal. the mediastinal and hilar contours are normal. no pleural abnormalities are seen. nipple markers are seen.
<unk> year old man with new diagnosis of acute leukemia, planning to initiate chemotherapy // please eval for any cardiopulmonary abnormality pre-chemotherapy
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two views were obtained of the chest. the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. calcified pleural plaque is again seen in the left mid to lower lung. the heart is normal in size with normal cardiomediastinal contours.
cough and myalgias
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a single frontal upright view of the chest was obtained portably. since <unk>:<num> p.m., bilateral pleural effusions have increased, left more than right, with adjacent atelectasis. pulmonary vasculature is less distinct, compatible with new mild pulmonary edema. the heart size cannot be evaluated due to the large effusions. there is no pneumothorax. a left central venous catheter ends in the mid svc, unchanged.
hypoxia.
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the cardiac, mediastinal and hilar contours are unchanged. moderate pulmonary edema is not substantially changed compared to the prior exam. calcified pleural plaques, more pronounced within the right hemithorax, are re- demonstrated, with continued bibasilar airspace opacification, worse in the right lung base. overall, these findings appear similar compared to the prior exam. small bilateral pleural effusions are noted, and there is persistent chronic consolidation of the left upper lobe. no pneumothorax is demonstrated.
worsening shortness of breath and hypoxemia.
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pa and lateral views of the chest provided. intervally placed is a left chest wall port-a-cath with tip residing in the low svc. lungs are clear. there is no focal consolidation, effusion, or pneumothorax. no pulmonary edema. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>f with new ekg changes and htn, evaluate for pulmonary edema
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the et tube is not visualized on the current study and is apparently been removed. clinical correlation is requested. an ng type tube extends to a site overlying the left lung base, presumably <unk> within the stomach at the site of a large left hiatal hernia. again seen is extensive opacification of the left mid and lower zones. on today's study, there is additional hazy opacity extending into the lower portion of the left upper zone. the right lung is similar in appearance, with hazy opacity at right lung base which could reflect pleural fluid and underlying collapse and/or consolidation. background interstitial opacities in the right upper and mid could represent either interstitial edema or other interstitial infiltrates.
<unk> year old woman s/p tac, end ileostomy and rectus mucus fistula with b/l crackles // eval interval change
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lungs are low in volume but appear clear aside from basal atelectasis. the heart is normal in size. normal cardiomediastinal silhouette. no pneumothorax or pleural effusion is seen.
<unk>-year-old man with elevated white blood cell count, assess for pneumonia.
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the patient is rotated. the newly placed ett tip projects approximately <num> cm from the carina. enteric tube traverses the diaphragm into the left upper quadrant, tip not seen. the swans <unk> catheter tip projects over the left upper mediastinum within the mediastinal borders. lung volumes remain markedly decreased with bronchovascular crowding. no pleural effusion or pneumothorax.
<unk> year old man with interval intubation. evaluate ett placement.
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et tube is <num> cm above the level of the carina. ng tube with side port at level of left hemidiaphragm with tip in proximal stomach. no pneumothorax or pleural effusion. stable healed fractures of lateral left sixth and seventh ribs. no additional bony abnormality.
male with etoh abuse and seizures. now intubated with og tube. assess placement.
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there is increasing opacification of the right hemithorax, which could represent pneumonia or hemorrhage. there is bilateral low lung volume with persistent elevation of the left hemidiaphragm. slightly greater rightward deviation of the trachea at the level of left upper lobe is observed. the cardiomediastinal silhouette is difficult to discern secondary to bilateral opacification.
<unk>-year-old male with history of pulmonary embolism and pneumonia.
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the cardiac, mediastinal and hilar contours appear stable. there are probably trace pleural effusions. the interstitium is mildly prominent including thickening of fissures suggesting mild congestion. the chest is hyperinflated.
decreased po intake and congestive heart failure presenting with new cough.
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there is no focal consolidation, pleural effusion, or pneumothorax. cardiomediastinal silhouette is normal. the aorta is normal. the visualized osseous structures are unremarkable.
<unk>-year-old man with left chest pain, lower blood pressure on the left.
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the cardiac, mediastinal and hilar contours are within normal limits. the pulmonary vascularity is normal. the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is identified. there are no acute osseous abnormalities.
chest pain.
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the catheter of a right subclavian infusion port terminates in the mid svc. the lungs are clear. the hilar and cardiomediastinal contours are normal. there is no pneumothorax. there is no pleural effusion. pulmonary vascularity is normal.
<unk>-year-old man with inoperable pancreatic cancer, on chemotherapy, presenting with hypoglycemia.
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cardiomegaly and a calcified aorta are again seen. coarse interstitial markings at the right base and linear atelectasis or scarring at the left base appear chronic. no evidence for pulmonary consolidation, pulmonary edema, pleural effusion, or pneumothorax. degenerative changes and ossification of the anterior longitudinal ligament are again seen in the thoracic spine.
history: <unk>m with cough for <num> weeks. evaluate for pneumonia.
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new bilateral lower lobe airspace opacities are worrisome for infection. there is also a new small left pleural effusion. the right lung is clear. there is no pneumothorax. the heart and mediastinum are within normal limits.
<unk> year old woman with fevers, malaise, bacteremia // ?pna
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there are new surgical clips in the left neck. there is a new et tube which is in satisfactory position. the heart size is stable. the cardiac and mediastinal silhouettes are stable. there is no pleural effusion or pneumothorax. the lungs are clear.
<unk>-year-old man post-et tube placement.
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the heart is normal in size. the aorta demonstrates atherosclerotic calcification along the arch. in the lateral right upper lobe, there is a small calcified granuloma or perhaps a bone island along the course of the overlying right anterolateral fourth rib. a small band-like opacity in the lingula is consistent with minor atelectasis. the lung field appear otherwise clear. there is no pleural effusion or pneumothorax. moderate anterior osteophytes are noted along the mid-to-lower thoracic spine.
elevated blood sugar.
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pa and lateral views of the chest. bibasilar opacities are again seen, similar to prior. overall lung volumes are relatively low. superiorly the lungs are clear of new consolidation. cardiomediastinal silhouette is unchanged. no acute osseous abnormalities detected.
<unk>-year-old female with dyspnea.
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there is mild cardiomegaly. the mediastinal silhouette is normal. the hila and pleura are unremarkable. there are no focal consolidations, no pleural effusions, or pulmonary vascular congestion. there is mild thoracic scoliosis.
<unk> year old woman with af starting amiodarone // pre-amiodarone
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pulmonary edema has improved which is now moderate. moderate bilateral pleural effusions, left greater than right are stable. moderate cardiomegaly unchanged. no pneumothorax. venous pacing wires in the right ventricle are unchanged.
mr. <unk> is a <unk>m hx severe as (valve area <num>cm<num>, mean gradient across valve <unk>mmhg), schf (<unk>%), dm, esrd on hd (anuric), recently admitted twice for expedited tavr work up and chest pain (noncardiac) now s/p tavr. afterwards requiring pacing wire placement. // interval changes.
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the endotracheal tube terminates <num> cm from the carina. retrocardiac opacity is concerning for atelectasis or aspiration. there is no pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is within normal limits. there is partially evaluated gaseous distention of the stomach.
<unk>-year-old male transferred from outside hospital, evaluate for endotracheal tube placement.
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there is worsened interstitial opacification, consistent with worsening moderate pulmonary edema. bilateral small pleural effusions and multifocal basilar pneumonia are unchanged. new increased airspace opacification within the upper lobes. there is no pneumothorax. the cardiomediastinal contours are unchanged. a right jugular catheter terminates in the distal svc.
aaa repair with pulmonary edema.
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right ij central venous line ends in the low svc. sternotomy wires and mediastinal clips are stable. mild cardiomegaly is stable. the small right pleural effusion is unchanged or slightly smaller. bibasilar atelectasis. no pneumothorax. no focal consolidations identified.
evaluate effusions.
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the heart size is normal. the hilar and mediastinal contours are normal. no focal consolidations concerning for pneumonia are identified. there is no pleural effusion, pneumothorax. an old left distal clavicular fracture is identified.
history of chest pain. please evaluate.
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heart size is borderline enlarged. the mediastinal and hilar contours are unremarkable with mild calcification of the aortic knob noted. apart from linear atelectasis or scarring in the left upper lobe, the lungs are clear without focal consolidation. pulmonary vasculature is normal. no pleural effusion or pneumothorax is identified. there are no acute osseous abnormalities.
seizure.
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lung volumes are low. the left lower lung airspace opacity is less prominent. there are no new opacities or consolidations. lung volumes are low. there is no pneumothorax. the heart and mediastinum are magnified by the projection. a moderate hiatal hernia is again noted.
<unk> year old woman with trauma // full workup
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lungs are well expanded. mediastinal contours, hila, and moderate cardiomegaly are unchanged from <unk>. subtle opacity silhouetting the right hemidiaphragm seen better on lateral view is more apparent than on <unk>. no pulmonary edema, pleural effusion, or pneumothorax.
<unk> year old man with leukoctyosis // evaluate for pneumonia
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tracheostomy tube tip is in standard position. lung volumes remain low. heart size is normal. the mediastinal and hilar contours are unchanged. diffuse course interstitial opacities are re- demonstrated bilaterally compatible with a chronic interstitial lung disease. there may be mild superimposed pulmonary edema, though this is not as pronounced as on the previous examination. no new focal consolidation, pleural effusion or pneumothorax is identified. percutaneous gastrojejunostomy catheter is incompletely imaged.
history: <unk>m with fever, tachycardia with possible aspiration
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there are low lung volumes, which results in bronchovascular crowding. linear opacity at the right base is most consistent with atelectasis. atelectasis is also seen at the left base. there are small bilateral pleural effusions. there has been interval removal of the right-sided chest tube. no pneumothorax. suture material projects over the right mid lung, consistent with history of vats wedge resection.
<unk> year old woman s/p r vats wedge resection x <num>, s/p chest tube pull // please perform at <time> pm; s/p chest tube pull
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the patient is status post sternotomy and coronary artery bypass graft surgery. surgical clips also project over the right axilla. the heart appears borderline in size. there is a large hiatal hernia with an air-fluid level and some distension. streaky opacities in the left infrahilar region can probably be attributed to atelectasis in association with the hernia. there is no pleural effusion or pneumothorax.
epigastric pain.
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the lungs are clear with no evidence of consolidation, effusion, or pneumothorax. cardiac silhouette is moderate-to-severely enlarged. post-sternotomy wires are noted as well as a mitral valve prosthesis. no acute fractures are identified.
evaluation of patient with increased chest tightness.
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lung volumes are low. there is mild vascular congestion without frank pulmonary edema. mediastinal contour, hila, and cardiac silhouette are stable from <unk>. the aorta is tortuous. elevation of the left hemidiaphragm is chronic.
<unk>m with b/l <unk> edema, r>l, also systolic murmur // eval for pulm 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>m with chest pain*** warning *** multiple patients with same last name! // eval heart and lungs
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cardiac, mediastinal and hilar contours are normal. lungs are hyperinflated but clear without focal consolidation. no pleural effusion or pneumothorax is present. mild degenerative changes are noted within the thoracic spine.
history: <unk>m with cough, dyspnea
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the examination is markedly limited by a severe chest deformity including dextroscoliosis and extensive <unk> rod stabilization. left hemithorax remains markedly opacified, unchanged from <unk>. the visualized left upper lobe and right lower lobes are grossly clear. the cardiac silhouette is not well evaluated but appears moderate to severely enlarged. the mediastinum cannot be assessed that also appears prominent. it is unclear how much of this is due to increased vascularity. . the patient's tracheostomy tube terminates <num> cm above the carina.
history: <unk>f with fevers // pna?
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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 woman with cough // sob/doe
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frontal and lateral radiographs of the chest were acquired. the lungs are clear. the heart size is top normal. the mediastinal contours are normal. there are no pleural effusions. no pneumothorax is seen.
intermittent chest tightness, shortness of breath, and lightheadedness.
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the heart size is top normal with a left ventricular configuration. the aorta is mildly tortuous. mediastinal and hilar contours are otherwise unremarkable. streaky retrocardiac opacity likely reflects atelectasis. remainder of the lungs are clear. no pleural effusion or pneumothorax is identified. lungs are slightly hyperinflated with flattening of the diaphragms. pulmonary vascularity is normal. multiple remote left-sided rib fractures are demonstrated. no acute osseous abnormalities otherwise seen.
history: <unk>m with dizziness
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small right apical pneumothorax unchanged since the prior. worsening multifocal opacification of the left lung, superimposed on the known left upper lobe and left hilar masses. moderate left pleural effusion is also unchanged with loculated component in the apex. new possible air-fluid level in the left upper lobe, at the site of prior chest tube, can be small loculated hydropneumothorax. the reticular opacities opacities in the right lower lobe are unchanged.
<unk> year old woman with recurrent mpe s/p right thoracentesis with <num>ml out, l tpc also removed given no output // ? ptx
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the lungs are low in volume with right middle lobe opacification, similar to the subsequently obtained chest ct. this could be due to collapse, but superinfection or concomitant infection cannot be excluded. no pneumothorax is seen on these images. the heart is top normal in size with normal mediastinal contours.
<unk>-year-old male with chest pain status post bronch, assess for pneumothorax.
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right-sided port-a-cath tip terminates in the lower svc, unchanged. there is worsening volume loss in the right lung with increased rightward shift of mediastinal structures and evidence of right lower lobe collapse, worse since the previous radiograph. right hilar lymphadenopathy is re- demonstrated, and known right lower lobe mass is not well assessed on this current exam, though there is abrupt cut off of the right bronchus intermedius in the region of the mass compatible with obstruction. patchy opacity within the right mid lung field may also reflect postobstructive atelectasis or pneumonia. the left lung is hyperinflated without focal consolidation. moderate size right pleural effusion is increased from the previous study. there is no pneumothorax. pulmonary vasculature is not engorged. cardiac silhouette size is difficult to assess given the presence of right lower lobe collapse. no acute osseous abnormality is detected.
history: <unk>m with altered mental status, somnolent
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lung volumes are lower compared to the previous study. this accounts for the increased size of the cardiac silhouette which appears moderately enlarged. mediastinal and hilar contours are grossly unchanged. crowding of bronchovascular structures is present, without overt pulmonary edema. patchy opacities in the lung bases may reflect atelectasis. no large pleural effusion or pneumothorax is detected, however the extreme left costophrenic angle is excluded from the field of view. multiple clips are seen in the right upper quadrant of the abdomen.
history: <unk>f with question of atelectasis on osh cxr
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compared to the prior study there is no significant interval change.
<unk> year old man with respiratory failure, intubated, being diuresed // ?interval change
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frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation, or pneumothorax. hilar and mediastinal silhouettes are unremarkable. heart size is normal. there is no pulmonary edema. partially imaged upper abdomen is unremarkable.
chest pain.
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a single-lead pacemaker device appears unchanged with its lead again terminating in the right ventricle. the lung volumes are low. the cardiac, mediastinal and hilar contours appear stable including cardiomegaly. small pleural effusions are again suspected, but if anything, perhaps decreased. fissures remain mildly thickened, but less so. pulmonary vasculature is prominent and hazy again suggesting mild vascular congestion.
multiple medical comorbidities with presenting with auditory hallucinations.
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cardiac, mediastinal and hilar contours are normal. pulmonary vascularity is normal. lungs are clear without focal consolidation. scarring within the lung apices is unchanged. no pleural effusion or pneumothorax is identified. there are no acute osseous abnormalities. clips are seen projecting over both breasts.
confusion.
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an endotracheal tube terminates <num> cm above the carina. an enteric tube courses below the diaphragm and out of view on this image. the lungs appear slightly hyperinflated. there is hazy opacification of the left lung base with silhouetting of the left costophrenic angle suggesting a small left layering pleural effusion with overlying atelectasis. there maybe trace right pleural effusion. there is mild pulmonary vascular congestion. the cardiac silhouette is enlarged. there is mild tortuosity of the thoracic aorta with calcification of the aortic knob.
history: <unk>f with sepsis, intubated // eval tube position eval tube position
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there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal and hilar contours are normal.
<unk> year old woman with feeling of warmth in her chest and abdomen, tachycardia, difficulty ambulating // ? infection, chf
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the right pleural effusion is improved compared to prior imaging. the left pleural effusion is unchanged. a pleurx catheter is noted in the new position. an esophageal stent is noted in good position. the mediastinal silhouette is stable.
<unk>-year-old with left pleurx catheter with no drainage.
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bibasilar opacities are compatible with microcalcifications identified on remote prior ct and are chronic. elsewhere, the lungs are clear. there is no new consolidation effusion or edema. right sided central venous catheter seen with tip projecting over the lower svc. there is no pneumothorax. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified.
<unk>m here for n/v, got central line for access // central line placement
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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. spinal fusion hardware is noted in the thoracolumbar spine. no displaced fractures are present.
status post mvc with mid right chest wall tenderness. question fracture.
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ap portable upright view of the chest. a right chest wall port-a-cath is seen with catheter tip in the low svc. a metallic esophageal stent spans the mid and distal esophagus in this patient with known esophageal cancer. the lungs are clear though volumes are low. heart size is difficult to assess. mediastinal contour is stable. bony structures are intact.
<unk>m with s/p esophageal stent placement
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no definite focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac silhouette is top-normal to mildly enlarged. the aorta is tortuous.
history: <unk>f with azotemia and nash cirrhosis with concern for infection. // evaluate for infection.
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pa and lateral chest radiographs. there is no focal consolidation, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is normal.
<num> days of dyspnea, wheezing and cough.
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right picc seen with tip terminating in the upper svc. linear left lung base atelectasis is noted. the lungs are otherwise clear. cardiomediastinal silhouette is stable. postoperative changes seen at the left humerus and partially visualized lumbar fixation hardware is also seen. there is no free intraperitoneal air, stomach is moderately distended with air.
<unk>m with abd pain s/p recent surgery // free air under diaphragm?
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the cardiomediastinal and hilar contours are within normal limits. the lungs are clear without focal consolidation, pleural effusion or pneumothorax. there is no evidence of pulmonary edema.
<unk>f with chest pain // acute process
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the lungs are clear. the hilar and cardiomediastinal contours are normal. there is no pneumothorax. there is no pleural effusion. pulmonary vascularity is normal. cholecystectomy surgical clips are noted in the right upper quadrant of the abdomen.
<unk>-year-old woman with persistent left-sided chest pain and recent negative workup. evaluate for pneumothorax.
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the heart is normal in size. the mediastinal and hilar contours appear unchanged. there is no pleural effusion or pneumothorax. streaky opacity projecting over the left lower lung is unchanged and most consistent with minor atelectasis or scarring. otherwise, the lungs appear clear. suture anchors project over the right glenoid.
nausea, vomiting and abdominal pain.
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the lungs are hyperinflated, suggestive of emphysema. compared with prior exam there is mild interval increase of cardiac size, with worsening of vascular congestion, more prominent in both lower lobes. there is also coarse interstitial thickening, more prominent in the left lower lobe suggestive of interstitial pulmonary edema. there is chronic minimal blunting of the left costophrenic angle but no clear effusion. no right-sided effusion is seen. there is no pneumothorax. old healed left-sided rib fractures are re-demonstrated. severe degenerative changes of both shoulders are seen, right worse than left, with loss of the acromiohumeral interval in the right suggestive of rotator cuff pathology.
<unk>-year-old female with weakness, cough, crackles in the right lower lobe.
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single portable frontal view of the chest is performed. endotracheal tube is in satisfactory position, <num> cm above the carina. an enteric tube is present, coursing along the esophagus and terminating in the field of view, likely within the stomach. there is no pleural effusion, pneumothorax or focal airspace consolidation. consolidation is seen in the right upper lobe and is concerning for pneumonia. the mediastinal and cardiac contours are unremarkable. there are no acute osseous abnormality seen.
seizures with history of a subdural hemorrhage, evaluate et tube placement.
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the cardiac silhouette size is difficult to assess given the presence of a moderate to large left pleural effusion, increased from the prior ct. the aorta demonstrates diffuse calcification and mild tortuosity. there is no pulmonary vascular congestion. the right lung is clear. left basilar compressive atelectasis is noted. no pneumothorax is demonstrated. there are mild degenerative changes in the thoracic spine. partially imaged is cervical spine fusion hardware. no acute osseous abnormalities.
shortness of breath.
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there has been interval placement of left-sided pigtail catheter. there has been interval re-expansion of the left lung with some residual atelectasis and a small residual left apical pneumothorax. there is no longer mediastinal shift.
<unk>m with ptx // ptx s/p pig tail
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the cardiac silhouette is normal in size. slight prominence of the main pulmonary artery may be projectional. the mediastinal contours are otherwise unremarkable. the hila are unremarkable. there is no pleural effusion or pneumothorax. the lungs are well expanded and clear without focal consolidation. surgical clips are noted in the right upper quadrant. the remainder of the upper abdomen is unremarkable.
<unk> yo f with palpitations. please r/o pna.
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there has been no significant interval change in a small left apical pneumothorax. small left pleural effusion is persistent with adjacent mild atelectasis. the cardiomediastinal silhouette is unremarkable. no displaced rib fractures are identified. there is no focal airspace opacity.
history of fall with left pneumothorax. please evaluate for interval change.
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a portable frontal chest radiograph demonstrates a heart which is normal in size. the lungs are fairly well aerated, without focal consolidation, pleural effusion, or pneumothorax. a small amount of free air under the diaphragm is likely post-surgical.
persistent tachycardia and shortness of breath in a patient status post cesarean section.
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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 hyperglycemia, sob. ?infection
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frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. the cardiomediastinal and hilar contours are unremarkable. there is no pneumothorax, pleural effusion, or consolidation.
cough for <num> month. evaluate for pneumonia.
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ap chest compared to <unk>, pre-operatively, and <unk>, following transplant.
a <unk>-year-old man status post transplant.
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a left-sided port-a-cath tip terminates in the proximal right atrium. large hiatal hernia is re- demonstrated. the cardiac silhouette size remains mildly enlarged. the aorta is diffusely calcified and tortuous. there is no pulmonary vascular congestion. streaky left basilar opacity likely reflects atelectasis. there is no pleural effusion or pneumothorax. no displaced fractures are seen. there are moderate multilevel degenerative changes in the thoracic spine.
unwitnessed fall.
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tip of the nasogastric tube is in the stomach with the proximal side hole past the gastroesophageal junction. the epidural catheter appears to terminate in the midline at the mid thoracic spine. there has been interval decrease in lung volumes but no new parenchymal opacity. apparent increase in heart size and mediastinal caliber is likely due to portable technique and patient positioning.no pneumothorax.
<unk> year old man with s/p whipple. confirm nasogastric tube positioning.
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the visualized lung fields are clear of any focal opacities, pleural effusion or pneumothorax. the cardiac and mediastinal silhouette is stable.
cough, evaluate for pneumonia or infiltrate.
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cardiac silhouette size is. aortic knob is calcified. mediastinal and hilar contours are unremarkable. no focal consolidation, pleural effusion or pneumothorax is present. pulmonary vasculature is not engorged. there are mild degenerative changes within the thoracic spine.
history: <unk>m with coronary artery disease, syncope and crackles on exam.
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the heart is mildly enlarged. moderate unfolding and calcification along the aorta appear unchanged. the chest appears hyperinflated. there is a consolidation in the right lower lobe, most consistent with pneumonia. a patchy anterior opacity is difficult to place on the frontal view, but is probably in the right middle lobe. elsewhere, however, the lungs appear clear. the bones appear demineralized with similar moderate degenerative changes throughout the visualized thoracic spine.
increasing confusion and falls.
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the heart size is normal. the hila and mediastinal contours are normal. the lungs are clear without evidence of focal consolidations concerning for pneumonia. there is no pleural effusion or pneumothorax. the visualized osseous structures are unremarkable. the ng tube terminates in the proximal stomach with the side port in the distal esophagus, and must be advanced.
history: <unk>f with ngt // ? ngt placement
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subcentimeter lung nodules seen on prior chest ct on <unk> are below the resolution of the radiograph. there is blunting of the left costophrenic angle, likely from trace amount of pleural effusion. no pneumothorax is seen. the cardiac and mediastinal silhouettes are unchanged, compatible with dilated ascending aorta, which is better evaluated prior ct. right-sided infusion port terminates in mid to low svc.
<unk>m with fevers, s/p chemo. evaluate for acute process
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pa and lateral chest views were obtained with patient upright position. the heart size is within normal limits. no typical configurational abnormalities identified. thoracic aorta is generally widened and moderately elongated but no local contour abnormalities are identified. pulmonary vasculature is not congested. no evidence of acute or chronic parenchymal infiltrates is present. the diaphragms are slightly low positioned and bases are somewhat hyperinflated, raising the possibility of copd. again acute parenchymal infiltrates, however, cannot be identified. in the lateral view, the lower half of the thoracic spine demonstrates moderate degree of osteophytic reactions bridging the anterior contours of three to four vertebral bodies in the lower thoracic spine. there is, however, no conclusive evidence of any vertebral body compression fracture. observed that lumbar spine examination is performed independently from this chest examination. our records do not include a previous chest examination available for comparison.
<unk>-year-old male patient with history of trauma to back <unk> years ago. history atypical for chest pain; why does he have chest pain?
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the heart is borderline in size. the mediastinal and hilar contours are otherwise unremarkable without widening. there is no pleural effusion or pneumothorax. the lungs appear clear.
chest pain. question wide mediastinum.
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upright ap radiograph of the chest demonstrates interval placement of a pigtail pleural catheter in the left hemithorax, with associated reexpansion of the left lung. a small basilar pneumothorax remains, improved since the prior study. no other significant change is noted compared to the prior study from two hours ago.
<unk>-year-old female with left pneumothorax, status post pigtail catheter placement.
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the initial radiograph from <num> hr shows interval increase in the moderate to large right pneumothorax. left lower lobe atelectasis with leftward deviation of the heart and mediastinum increased. two biapical chest tubes remain in place. tracheostomy and nasogastric tubes are unchanged. the right lung is clear. metallic fragments from known gunshot wounds are re-demonstrated. a followup radiograph of <num> hr shows interval decrease in the right pneumothorax following placement of a third. the right pneumothorax is now small. there is new small right chest wall subcutaneous emphysema. the left lower lobe remains collapsed. the stomach is now moderately distended.
<unk> year old man with new r chest tube // lung re-expanded? contact name: <unk>, <unk>: <unk> ; <unk> year old man s/p gsws to chest with b/l chest tubes (r w air leak), resp failure, mucous plugging, now desatting after therapeutic bronch // interval change, lung up?
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compared to prior, there has been no significant interval change. there is right basilar pleural-based thickening similar when compared to prior ct scan. no definite effusion is identified. there is however left midlung and lower lobe consolidation. cardiomediastinal silhouette is enlarged but similar compared to prior. orthopedic hardware seen in the right humeral head.
<unk>m with chf, sob // ?pulm edema
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since <unk>, no new focal consolidations are noted. the lung volumes remain low with mild compressive atelectasis. the heart size is stable. mild pulmonary congestion is noted. no pneumothorax.
<unk> year old man with lt iph, mass now with cough // pneumonia, aspiration?
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heart size is mildly enlarged. a moderate size hiatal hernia is noted. remainder of the mediastinal and hilar contours are unremarkable. pulmonary vasculature is not engorged. lungs are hyperinflated. apart from mild atelectasis in the lung bases, remainder of the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is present. there are no acute osseous abnormalities.
history: <unk>f with cough, history of copd
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the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable. a right coracoclavicular screw is noted.
<unk> year old man with fevers, elevated crp, history of bladder cancer and bcg exposure // ? granulomatous disease, pneumonia
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the lung volumes are low. accordingly streaky basilar opacities are most likely due to atelectasis. there is no pleural effusion or pneumothorax. the cardiac, mediastinal and hilar contours appear unchanged. small osteophytes are noted along the thoracic spine.
chest pain.
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portable semi-erect chest film <unk> at <time> is submitted.
<unk> year old man with intubated s/p hematemesis, pls eval for aspir pna on <unk> am rounds // <unk> year old man with intubated s/p hematemesis, pls eval for aspir pna on <unk> am rounds <unk> year old man with intubated s/p hematemesis, pls eval for