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there is no focal consolidation or pneumothorax. there are small bilateral pleural effusions and streaky opacities seen on the lateral projection, consistent with bibasilar atelectasis, worse on the left. there is a right chest wall port catheter terminating in the right atrium. the cardiomediastinal silhouette is normal. osseous structures are unremarkable.
<unk>-year-old man with rectal cancer, here with parapharyngeal abscess, right-sided chest pain, evaluate for pneumonia, question infiltrate, evidence of rib fracture.
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again, a left internal jugular catheter terminates deep within the right atrium and could be pulled back approximately <num> cm to reposition in the low svc. an endotracheal tube terminates <num> cm above the carina and is in appropriate position. the heart size is normal. the mediastinal contour is stable. a previously seen right upper lobe opacity is smaller. vascular congestion is improved. there is no evidence of pulmonary edema. no evidence of pneumothorax.
<unk> year old woman with copd, suspected lymphangitic carcinomatosis, concern for volume overload // interval change
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the heart size is top normal but unchanged. mediastinal and hilar contours are similar with aortic knob calcifications again demonstrated. there is no pulmonary vascular congestion. bibasilar streaky airspace opacities are worse in the interval, and could reflect atelectasis or infection. no pleural effusion or pneumothorax is seen. kyphosis of the mid thoracic spine with evidence of prior kyphoplasty of <num> adjacent compression fractures in the mid thoracic spine is re- demonstrated. clips are noted in the left upper quadrant of the abdomen.
hypoxia, copd and, abdominal pain and copious diarrhea.
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a right-sided picc terminates in the lower svc. a left-sided dual lead pacemaker is in appropriate, stable position. there is persistent pulmonary edema of the right lung and opacity in the right lower lobe consistent with infection. additionally, there is moderate right pleural effusion. there is increased opacity at the left lung related to a large multilocular pleural effusion and equivalent atelectasis. there is no evidence of pneumothorax.
<unk> year old man with effusion // effusion f/u
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pa and lateral views of the chest provided. left chest wall pacer device again seen with lead extending to the region the right ventricle. the heart remains mildly enlarged. the aorta is calcified and slightly unfolded. the lungs are clear without focal consolidation, large effusion or pneumothorax. the hila appear slightly congested. no overt edema. bony structures are intact.
<unk>m with dyspnea // r/o chf
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right port-a-cath terminates in the proximal to mid svc. interval increase in well left hemi thorax opacity worrisome for progression of known metastatic disease and increase in left hydrothorax, with more fluid at the left apex, and with small pneumothorax remaining. there are innumerable nodular opacities bilaterally consistent with extensive metastatic disease and lymphangitic carcinomatosis. spiculated opacity in the left juxta hilar region likely corresponds to patient's mass, concern for increase size since the prior study.
history: <unk>f with weakness, known lung ca
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the cardiac, mediastinal and hilar contours stable. lung volumes are low. there is no pleural effusion or pneumothorax. the lungs appear clear. the bones are probably demineralized with mild loss in height among several mid thoracic vertebral bodies and exaggerated kyphosis, but not significantly changed.
blurry vision.
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the cardiac silhouette size is normal. bilateral brachiocephalic vascular stents terminate in the low svc and are unchanged in position. ascending dual-lumen dialysis catheter terminates within the proximal right atrium. there is no pulmonary edema. streaky bibasilar airspace opacities are seen with small bilateral pleural effusions. no pneumothorax is present. no acute osseous abnormalities present.
end-stage renal disease on hemodialysis with poorly functioning hemodialysis catheter and fluid overload.
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since <unk>, there is little interval change. the lungs are essentially clear. mild bibasilar atelectasis is noted. the heart size is stable. no pneumothorax, pulmonary edema, or pleural effusions.
<unk> year old woman with stroke s/p tpa // infiltrate
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interval removal of right-sided picc. stable, mild cardiomegaly. normal mediastinal and hilar contours. interval resolution of mild pulmonary vascular congestion. stable postsurgical defect in the right posterior third rib. interval decrease in size of right apical radiodensity suggests a decreasing postsurgical fluid collection. no pneumothorax or pleural effusion. no convincing radiographic evidence of pneumonia.
<unk>-year-old woman status post tracheobronchoplasty with readmission for pneumonia.
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the heart size is normal. the mediastinal and hilar contours are normal. there are small bilateral pleural effusions. the lungs are clear. there is no pneumothorax.
<unk>-year-old with history of radical cystectomy, postop followup.
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cardiomediastinal and hilar contours are normal. minimal linear scar in the lingula with otherwise clear lungs. . no pulmonary vascular congestion. no pneumothorax or pleural effusion. old, healed fractures of the third through sixth posterior left ribs are again seen. there is no evidence of acute fracture.
<unk>-year-old man with shortness of breath and dyspnea on exertion.
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pa and lateral views of the chest provided. a severe dextroscoliosis of the thoracic spine is again seen. there is a stable appearance of blunting at the left costophrenic angle which could represent a pleural effusion versus pleural thickening. the lungs appear otherwise clear though hyperinflated. overall cardiomediastinal silhouette is stable. no pneumothorax. bony structures appear grossly intact.
<unk>f with sob // r/o worsening chf
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the lower left chest wall and left costophrenic angle are excluded from the film. the left base is somewhat obscured by overlying breast tissue. again seen is a right ij swan-ganz catheter. the tip is in similar position, overlying the distal right pulmonary artery, possibly an inferior lobe range. better appreciated on the current exam, but unchanged, there is a loop of catheter overlying the right heart which appears represent a loop within the swan-ganz catheter. again noted is a left-sided pacemaker with lead tips over the right atrium and right ventricle and additional leads overlying the upper left heart border. no pneumothorax detected. as before, there is marked cardiomegaly, with extreme left cardiac apex excluded from this film. again seen is prominent upper zone redistribution and vascular plethora, which appears slightly improved compared with the prior film. there is retrocardiac density, similar to the prior study, possibly very slightly improved. no gross right effusion. left costophrenic angle excluded from film. incidental note is made of clips in the right upper quadrant of the abdomen.
<unk> year old woman with cardiogenic shock // interval changes
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pa and lateral views of the chest are reviewed and compared to the prior study. normal heart, lungs, pleural and mediastinal surfaces.
evaluation for all-trans retinoic acid syndrome in a patient with aml with shortness of breath while walking.
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pa and lateral chest radiographs demonstrate clear lungs. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. the left hemidiaphragm is elevated and associated with gastric distention.
fever and chest congestion.
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a portable ap radiograph of the chest excludes a large portion of the left lung. the endotracheal tube terminates no less than <num> cm above the carina. an orogastric tube courses into the stomach and inferiorly beyond the field of view. there is persistent mild cardiomegaly, central venous and pulmonary vascular congestion and mild pulmonary edema. there is no pneumothorax or right-sided pleural effusion.
evaluate endotracheal tube position in a patient with hypoxia, ventilator-associated pneumonia, tracheobronchoplasty, who recently failed extubation.
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portable supine ap view of the chest: the endotracheal tube is no less than <num> cm above the carina. a right internal jugular central venous catheter terminates at the approximate location of the cavoatrial junction. there is an orogastric tube coursing through the esophagus, and below the inferior edge of the radiograph toward the location of the stomach. there is diffuse reticular opacification of the bilateral lung fields. lungs are otherwise clear. there is minimal cardiomegaly. widening of the superior mediastinum is consistent with venous engorgement. there is no pneumothorax or large pleural effusion. there are surgical clips in the right upper quadrant, likely from cholecystectomy. the aorta is tortuous and contains atherosclerotic calcification.
status post cardiac arrest, evaluate endotracheal tube placement.
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compared with <unk>, there is increased opacity of the right lung base. otherwise, bilateral diffuse interstitial opacities are not significantly changed. a prominent right hilus is also similar in appearance to prior exam as well as to exam from <unk>. a left-sided pleural effusion is also stable. dense retrocardiac opacity is unachanged and compatible with left lower lobe atelectasis. otherwise, the mediastinal contour is unchanged. dense atherosclerotic calcifications of the aortic knob are redemonstrated. sternotomy wires are intact, and mediastinal clips are unchanged.
<unk>-year-old female with fever and cough. evaluate for pneumonia.
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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 chest tightness with anxiety
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the lungs are clear. the cardiomediastinal silhouette is normal. no acute osseous abnormalities identified.
<unk>m with fever, cough // evidence of pneumonia
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frontal and lateral views of the chest. there is new faint somewhat linear opacity in the right upper lung new since prior. elsewhere, the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities detected.
<unk>-year-old male with asthma and shortness of breath. cough and wheeze.
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heart size is normal. the aorta is diffusely calcified and mildly tortuous, unchanged. the mediastinal and hilar contours are within normal limits. the lungs are hyperinflated without focal consolidation. linear opacity in the right lung base likely reflects subsegmental atelectasis. no pleural effusion or pneumothorax is demonstrated. pulmonary vasculature is not engorged. the osseous structures are diffusely demineralized. no acute fracture is seen.
history: <unk>f with right arm pain
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there has been interval removal of the right picc which was previously coursing into the right internal jugular region. moderate interstitial opacity persists since <unk>. heart size is persistently enlarged. there is increased blunting of the costophrenic angles bilaterally, suggestive of increased small pleural effusions. no pneumothorax is detected. persistent retrocardiac atelectasis is seen. the aorta is calcified.
<unk>-year-old female with shortness of breath and hypoxia.
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pa and lateral views of the chest show an irregular, patchy retrocardiac opacity in the mid and lower left lung zones. in comparison to the prior exam, this consolidation predominantly involves the left lower lobe as opposed to the lingula. no consolidation is identified in the right lung. there is mild increased prominence of the interstitial markings and <unk> b lines at the right base, suggestive of mild pulmonary edema. there is no pleural effusion. there is no pneumothorax. the cardiomediastinal silhouette is normal.
shortness of breath. history of cll.
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ap portable upright view of the chest. there is no focal consolidation, effusion, or pneumothorax. no radiopaque foreign body is seen. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. single lateral view of the neck provided demonstrates normal cervical spinal alignment and no prevertebral soft tissue edema. no radiopaque foreign body is seen within the soft tissues of the neck. the outline of the epiglottis appears normal.
<unk>f with sob, stridor, please evaluate for epiglottitis or pneumonia.
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lung volumes have decreased compared with the prior study causing bronchovascular crowding. chronic interstitial disease is similar. patient has known emphysema. there is no new focal area of consolidation to suggest superimposed pneumonia. there is no pleural effusion, superimposed pulmonary edema, or pneumothorax. a right pectoral port-a-cath tip terminates at the cavoatrial junction.
<unk>m with shortness of breath, evaluate for acute process.
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there has been significant interval improvement of the large right pleural effusion with residual right basilar atelectasis. there is mild stable left basilar atelectasis. there is no evidence of a pneumothorax. the cardiomediastinal contours are otherwise unremarkable.
history of aortic and mitral valve debridement status post tap of right pleural effusion. please evaluate for interval change.
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single ap view of the chest provided. interval placement of a left-sided picc line terminating <num> cm below the carina is noted. the line may be pulled back <num> cm for more standard positioning. moderate pulmonary edema and a left basilar consolidation are moderately worse and. the dobbhoff tube is seen terminating in the distal stomach. imaged osseous structures are intact.
<unk> year old man with picc. // pt had a l picc,<num>cm <unk> <unk>
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the cardiac, mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. the lungs appear clear.
chest discomfort.
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tracheostomy tube is re- demonstrated.there are relatively low lung volumes. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. there is mild prominence of the central pulmonary vasculature which may be due to pulmonary vascular engorgement. no definite new focal consolidation is seen. chronic deformity of right-sided ribs is re- demonstrated.
history: <unk>f with tracheal stenosis, copd presents with mild tachypnea, rhonchi on exam. // infection
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right subpulmonic effusion has slightly decreased in the interim. areas of atelectasis and scarring in the right mid and lower lung zones are stable. the left lung is clear. there is no pneumothorax. cardiac silhouette is normal.
<unk> year old woman with history of lung cancer undergoing treatment complaining of shortness of breath with exertion. evaluate for effusion or pneumonia.
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please note, low lung volumes limit evaluation. there is subtle opacity at the left lung base which could represent atelectasis or bronchovascular crowding. please note however in the correct clinical setting and early pneumonia cannot be excluded. no large effusion or pneumothorax. bony structures are intact. no free air below the right hemidiaphragm.
<unk>-year-old female with chest pain.
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the cardiac silhouette is top normal, overall stable compared to the prior exams. again seen are two right pleural catheters seen ending in the medial right thoracic region, overall minimally changed in position compared to the ct from <unk>. again seen is the left lingular and lower lobe consolidation, overall slightly worse compared to the chest radiograph from <unk>; however, better evaluated on the prior ct. there is an overall slightly worse appearance of the aeration of the parenchyma with multiple relatively diffuse multifocal parenchymal opacities and ongoing lung volumes that are low. bilateral small pleural effusions are overall stable in size. there is no evidence of pneumothorax. the et tube terminates approximately <num> cm from the carina. there is a right ij which terminates in the low svc. there is an enteric tube, which extends below the diaphragm and terminates within the body of the stomach. the visualized osseous structures are unremarkable.
history of endocarditis and prevertebral abscess with a right loculated pleural effusion status post two chest tube placements. please evaluate for endotracheal tube placement.
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lung volumes remain extremely low. previously seen atelectasis and pleural effusion at the left base has improved. mild pulmonary edema persists. there is no focal consolidation, pulmonary edema, or pneumothorax.
<unk> year old man with unresponsiveness; suspected toxidrome // please evaluate for acute intrathoracic process, widened mediastinum?
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a single-lead pacemaker terminates in the right ventricle. the heart is mildly enlarged. the mediastinal and hilar contours appear unchanged. there are substantial probably moderate and possibly large bilateral pleural effusions with associated basilar opacification, probably due to atelectasis and more dense and confluent on the left than right. aerated lung parenchyma shows interstitial changes suggesting mild-to-moderate pulmonary edema. there is no pneumothorax.
hypotension.
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the heart is mildly enlarged and there is mild interstitial edema. fluid is noted within a fissure on the lateral projection. there is a nonspecific patchy infrahilar opacity in the right lung. there is no pneumothorax. the imaged upper abdomen is unremarkable tear.
history: <unk>m with dyspnea // infiltrate?
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exam is limited by respiratory motion and low lung volumes. the heart size appears mildly enlarged with a left ventricular predominance. mild atherosclerotic calcifications are noted at the aortic knob. there is crowding of the bronchovascular structures. focal opacity projecting over the medial aspect of the right lung base is noted. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. marked degenerative changes of both glenohumeral joints are noted.
altered mental status.
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calcific densities projecting over the bilateral lungs suggest calcified pleural plaques. there is likely mild superimposed pulmonary vascular congestion. there is no large effusion. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>m with chf // eval for fluid overload
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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. the lungs appear clear. bony structures appear within normal limits.
fatigue and chills.
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single frontal view of the chest demonstrates interval intubation with et tube terminating <num> cm above the carina. an enteric tube extends inferiorly out of view into the stomach. there is persistent perihilar vascular congestion with more confluent bilateral lower lobe opacities, which could represent congestive heart failure with pulmonary edema, although supervening infection or aspiration cannot be excluded. small pleural effusions may be present. incidental note is made of bilateral glenohumeral degenerative disease.
<unk>-year-old male with new et tube placement.
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the lungs are clear without consolidation, effusion, or edema. there is mild cardiomegaly. tortuosity of the descending thoracic aorta is again noted. there are hypertrophic changes in the spine and a compression deformity of a lower thoracic vertebral body which is unchanged.
<unk>f with lightheadedness, recent a fib. // pulm edema? pna?
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large area of consolidation is seen involving the left mid to lower lung and possibly portion of the inferior left upper lobe. given patient history, findings are concerning for mass of aspiration. alternatively, patient could have underlying infection. the right lung is clear. no pleural effusion or pneumothorax is seen. cardiac silhouette is top-normal. the aorta is calcified. mediastinal contours are unremarkable. multiple old left-sided rib fractures are seen. anchor screws are noted over the right humeral head.
history: <unk>m with concerns for aspirating this am during endoscopy // aspiration pna?
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the large right-sided pleural effusion is somewhat smaller when compared to previous exam from <unk>. there is no pneumothorax. the left lung remains clear. the cardiomediastinal silhouette is unchanged. no acute osseous abnormalities identified.
<unk>m with hepatic hydrothorax s/p thoracentesis on <unk> p/w dyspnea // assess for effusion, infiltrate
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cardiomediastinal silhouette is mildly enlarged. chronic height middle lobe and bibasilar atelectasis or scarring. no focal consolidation to suggest pneumonia. mediastinal contour is unchanged. no overt pulmonary edema seen. there is a subtle area of cortical irregularity involving the lateral right fourth rib anteriorly, age indeterminate.
<unk>-year-old woman with fever, evaluate for pneumonia.
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there is no pleural effusion, pneumothorax or focal airspace consolidation. the cardiac, mediastinal hilar structures unremarkable. unchanged appearance of the left <unk> and <num>th ribs.
seizure disorder with the seizure today. question pneumonia.
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right-sided picc terminates at the junction of the svc and right atrium. heart size is normal. mediastinal and hilar contours are unremarkable. pulmonary vasculature is normal. linear opacities within the left lung base likely reflect subsegmental atelectasis. scarring within the lung apices is noted. no focal consolidation, pleural effusion or pneumothorax is present. no acute osseous abnormalities demonstrated.
history: <unk>f with chronic immunosuppression with extreme fatigue and elevated wbc
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portable ap upright chest film <unk> at <num> <num> is submitted.
<unk> year old man with new picc, rij removal and ct removal // pneumo and picc placement pneumo and picc placement
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lung volumes are low but improved compared to prior. note is made of an accessory fissure; elevated right hemidiaphragm persists. no focal consolidation or pneumothorax is detected on this view. right pleural effusion has improved. heart size is enlarged and unchanged. the aorta is calcified and tortuous. there has been interval removal of right picc and left hemodialysis catheter. no pulmonary edema is detected. right humeral replacement hardware is partially imaged.
<unk>-year-old female with shortness of breath and wheezing.
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heart size is normal. cardiomediastinal silhouette and hilar contours are unremarkable. lungs are clear. there is no pleural effusion or pneumothorax.
shortness of breath and tachycardia.
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patient is status post median sternotomy and cabg. there is moderate enlargement of the cardiac silhouette. mediastinum is stable. there is increase in bibasilar and right mid lung opacities ; the setting of trauma could be due to aspiration, pulmonary contusion, or infection. there is mild central pulmonary vascular congestion. no large pleural effusion is seen. there is no evidence of pneumothorax. no displaced fracture is identified.
history: <unk>m with a fib on coumadin, <num> recent unwitnessed falls, decline in mental status // ?bleed
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right picc is seen with tip at the cavoatrial junction. in the lungs are clear without consolidation, effusion, or edema. cardiomediastinal silhouette is stable. no acute osseous abnormalities. surgical material noted in the right upper quadrant as well as a tips. there is no free intraperitoneal air.
<unk>f with fever, abdominal pain // assess for pna
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pa and lateral views of the chest. there is a moderate hiatal hernia which is unchanged. there are mediastinal clips and evidence of aortic valve replacement. mild cardiomegaly is unchanged. no focal consolidation, pleural effusion or pneumothorax. the mediastinal and hilar contours are normal.
cough and chills.
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frontal and lateral views of the chest demonstrate a right upper extremity picc terminating in the superior vena cava, unchanged. there is no pleural effusion, pneumothorax or focal airspace consolidation. the cardiac and mediastinal contours are normal. clips are seen within the left upper quadrant from a prior splenectomy. the bones are unremarkable.
evaluate picc placement.
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ap portable semi upright view of the chest. lung volumes are markedly low which limits assessment. there is subtle increase in left basal opacity which could represent pneumonia. mild bibasilar atelectasis also likely present. no overt edema. no large effusion or pneumothorax. heart size remains prominent. mediastinal contour is unchanged. a vascular stent projects over the left axilla. bony structures are intact.
<unk>m with fever, cough, sob // eval for pna
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as compared with the prior examination dated <unk>, there has been minimal interval change. there is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema identified. the heart size is normal. mediastinal and hilar contours are stable.
history of cholangiocarcinoma, now with progressive shortness of breath.
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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. levoscoliosis of the thoracic spine is noted. no displaced fractures are visualized.
history: <unk>f with status post motor vehicle collision with left-sided 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 stable and unremarkable. chronic pulmonary vascular engorgement is again seen. no displaced fracture is seen.
seizure disorder, unwitnessed seizure, chest strike.
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pa and lateral views of the chest demonstrate slight elevation of the right hemidiaphragm, unchanged since <unk>, with a subtle opacity of the right lung base likley representing pneumonia, less likely atelectasis. there has been interval removal of tracheal y-stent. there is no pleural effusion. the cardiomediastinal silhouette is unremarkable. the hilar structures are normal in appearance. there is no pneumothorax. cholecystectomy clips are noted in the right upper quadrant pain, best seen on the lateral view.
<unk>-year-old female with hemoptysis. evaluation for infiltrate or effusions.
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as compared to the previous radiograph, the endotracheal tube and the nasogastric tube are in unchanged position. unchanged evidence of extensive parenchymal opacity in the right lung, with extensive air bronchograms. the pre-existing also extensive parenchymal opacity in the left upper lobe has now spread to the remaining left lung and is seen in all parts of the left lung. in addition, there is a moderate retrocardiac atelectasis. the size of the cardiac silhouette is overall unchanged.
right pneumonia, intubation, evaluation for interval change.
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heart size is normal. the mediastinal and hilar contours are unchanged with atherosclerotic calcifications noted diffusely along the thoracic aorta. fiducial marker is noted within a right lower lobe lesion, better assessed on the previous chest ct, and unchanged in position. lungs are hyperinflated without focal consolidation. scarring within the lung apices appears unchanged. no pleural effusion or pneumothorax is seen. the pulmonary vasculature is not engorged. there are no acute osseous abnormalities.
history: <unk>f with shortness of breath, hypoxia, right elbow pain
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increased opacity in the right lung is identified in the right lung. cardiac silhouette is mildly enlarged. there is no pleural effusion or pneumothorax.
history: <unk>f with acute onset sob + b/l ankle swelling // pna vs pulm edema
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ap and lateral views of the chest. the lungs are clear without focal consolidation or effusion. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormality is identified.
<unk>-year-old female with reported fever at home and altered mental status.
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cardiac silhouette size is mildly enlarged. the aorta is tortuous. mediastinal and hilar contours are otherwise unremarkable. lungs are clear. pulmonary vasculature is normal. no pleural effusion or pneumothorax is present. no acute osseous abnormalities are visualized.
history: <unk>f with cough and fever
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there has been interval placement of a right pigtail chest tube along the right lateral lung apex. there is a residual trace right apical pneumothorax. the lungs are clear without focal consolidation, pleural effusion or pulmonary edema. the heart is normal in size. a spinal stimulator device is again noted.
<unk> year old woman with pneumothorax following right pigtail placement. evaluate for pneumothorax.
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lung volumes are low accentuating the cardiac silhouette and pulmonary vasculature. heart size is normal with mild unfolding of the thoracic aorta. hilar contours are unremarkable. mild bibasilar atelectasis. lungs are otherwise clear. no pleural effusion or pneumothorax. internal external ptbd projects over the right upper quadrant.
low-grade fevers on steroids with right upper quadrant pain. evaluate for pneumonia.
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heart size is top normal. cardiomediastinal silhouette and hilar contours are unremarkable. lungs are clear. a punctate sclerotic focus projecting over the intersection of the left fifth posterior and third anterior rib is unchanged from prior study and likely represents a calcified bone island or granuloma. lungs are otherwise clear. there is no pleural effusion or pneumothorax.
syncope.
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et tube is <num> cm above the carina, and the left subclavian central venous line is in the mid to upper svc. the gastric tube curls in the stomach appropriately. an increased heterogeneous opacity is in the right mid to lower lung. the heart, mediastinal and hilar contours are normal.
<unk>-year-old male with large subarachnoid hemorrhage and aneurysm of the acom, status post coiling. lots of secretions. evaluate.
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there has been interval placement of a right internal jugular central venous catheter which terminates <num> cm caudal to the carina at the expected location of the cavoatrial junction. cardiomediastinal silhouette and hilar contours are unremarkable. lungs are clear. there is no pleural effusion or pneumothorax.
all; placement of central line.
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the lungs are clear. the cardiac and mediastinal contours are normal. in the neck, new indentation on the left side of the trachea is due to mass in or around the left thyroid lobe. there are no pleural abnormalities. mild multilevel degenerative changes of the thoracolumbar spine are seen.
palpitations, evaluate for acute process.
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aside from right lower lobe atelectasis, 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 coronary artery disease, now with left chest pain and left arm paresthesias. evaluate for pneumonia, effusion, pneumothorax.
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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 episode of epistaxis, mild hemoptysis //
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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 chest pain
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the lungs are clear. there is no focal consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>f esrd on pd with persistent cough // effusion or pna?
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pa and lateral chest radiograph demonstrate bilateral streaky opacities at the bases, thought to reflect atelectasis, though of uncertain significance. no focal opacity convincing for pneumonia is detected. heart size is within normal limits. a dilated or tortuous aorta is similar appearance to prior examinations dated <unk>. no hilar abnormality is detected. no evidence of pulmonary edema, pleural effusion, or pneumothorax. osseous structures are without acute abnormality.
<unk>-year-old female with fever.
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the right pleural effusion has decreased in size since the prior exam and is now small. there is no left pleural effusion. the lungs are clear. there is no pneumothorax. bones and soft tissues are normal. contrast from a recently performed ct scan opacifies the partially imaged colon.
<unk> year old man with recurrent effusion s/p thoracentesis; evaluate for ptx
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the cardiomediastinal and hilar contours are within normal limits. as compared to prior chest examinations, there is a new consolidation involving the right upper and middle lobes. there are also new ill-defined nodular opacities with bronchial wall thickening in the left upper and mid lung fields. there is no pneumothorax or pleural effusion.
cough and fever.
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there has been no significant interval change. left chest wall pacing device is again seen. the lungs are well expanded and clear without effusion or vascular congestion. the cardiomediastinal silhouette is stable and atherosclerotic calcifications are again noted at the aortic arch. no acute osseous abnormality is identified.
<unk>f with sob and cp // r/o acute process
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moderate cardiomegaly is re- demonstrated. mediastinal contours are stable, with the calcified and tortuous thoracic aorta again noted. there is mild pulmonary vascular congestion, with no pleural effusion, focal consolidation or pneumothorax demonstrated. minimal atelectatic changes are also likely seen at the lung bases. fusion hardware within the cervical spine and right shoulder arthroplasty are partially imaged. there are no acute osseous abnormalities demonstrated.
fever.
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heart size is normal. the aorta is mildly unfolded. the hilar contours are normal. the pulmonary vasculature is normal. on the lateral view, a well- delineated triangular opacity is noted posteriorly along the right medial lung base, partially obscuring the right posterior hemidiaphragm. lungs are otherwise clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
history: <unk>f with chest pain
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there has been interval placement of intra-aortic balloon pump, with radiopaque tip projecting over the descending aorta at the level of the left mainstem bronchus; this could be advanced forward approximately <num> cm for ideal positioning. the patient is now intubated, with distal tip of et tube projecting below the level of the clavicles, approximately <num> cm above the carina. a right ij central catheter is again seen with distal tip in stable position in the mid svc. the cardio mediastinal silhouettes are stable in appearance, with re-demonstrated cardiomegaly. there is improvement in the appearance of pulmonary vascular congestion. there is evidence of persistent probably small bilateral pleural effusions, posteriorly layering on the current film. there is relaxation atelectasis of bilateral lower lobes as seen previously. there is no pneumothorax.
<unk> year old man s/p arrest and now s/p aortic balloon pump // is balloon pump in place?
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the lungs are clear. there is no effusion or consolidation. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>f with chills and presyncope in context of lue cat bite, c/f occult infection // eval ? infection
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pa and lateral chest radiograph demonstrates clear lungs bilaterally. cardiomediastinal and hilar contours are within normal limits. there is no pleural effusion, pulmonary edema, or pneumothorax. imaged osseous structures and upper abdomen are without an acute abnormality.
<unk>-year-old male with chest pain.
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pa and lateral images of the chest demonstrate a right medial basilar opacity and a left basilar retrocardiac opacity which have increased since previous imaging. these findings would be consistent with the clinical diagnosis of pneumonia. there is a small right pleural effusion but no left pleural effusion. no pneumothorax is seen. cardiac size is top normal. mediastinal silhouette is unremarkable.
<unk>-year-old male with productive cough.
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pa and lateral views of the chest. the patient is post right middle and right lower lobectomy. moderate right pleural effusion with fluid tracking in a fissure is unchanged. in the right apex, radiation fibrosis and fluid is stable. the left upper lobe opacity has decreased. the left pleural effusion has increased and is now moderate in size. slightly increased left lower lobe atelectasis. there is evidence of prior kyphoplasty and wedge fracture in the mid-to-lower thoracic vertebrae that are unchanged.
metastatic non-small cell lung cancer and progressive shortness of breath over the past several months. evaluate for effusion.
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pa and lateral views of the chest demonstrate well-expanded clear lungs. the heart is normal in size and cardiomediastinal contour is unremarkable. there is no pleural effusion or pneumothorax.
<unk>-year-old female with left-sided chest pain, rule out pneumonia, evaluate for pneumothorax, or cardiomegaly.
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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.
history: <unk>f with sob, dyspnea, cough // eval ? edema, infiltrate
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endotracheal tube tip is in standard position, terminating approximately <num> cm from the carina. left picc tip terminates in the upper svc. no other central venous catheter is identified. there is complete opacification of the left hemithorax with leftward mediastinal shift, compatible with bronchial obstruction and collapse of the left lung. emphysematous changes are noted in the right lung, without focal consolidation. no pneumothorax. marked gaseous distention of the stomach is seen, with a biliary stent partially visualized in the right upper quadrant.
status post right ij placement.
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there has been interval placement of a dobbhoff catheter that is coiled in the stomach with the tip terminating within the gastric body. cardiomediastinal silhouette and hilar contours are normal. there is minimal atelectasis at the right lung base. the left lung is clear. there is no pleural effusion or pneumothorax.
status post kidney and pancreas transplant with newly placed dobbhoff.
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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 hepatic encephalopathy
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minimal non-acute interstitial abnormalities are grossly unchanged since prior exam <unk>. the lungs are clear. no effusion, pneumothorax, or consolidation is identified. heart and mediastinal contours are normal.
<unk>-year-old man with question hypoxia, fever, cardiopulmonary process.
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since <unk>, no appreciable change in the bilateral heterogeneous juxta-mediastinal and peripheral pulmonary parenchymal opacities. stable appearance of the cardiomediastinal silhouette and hila. stable bilateral lower lung volumes and slight elevation of the right hemidiaphragm. stable slightly tortuous or new dilated descending aorta.
<unk>-year-old man with stage iiib nsclc, status-post chemoradiation in <unk>, with radiation pneumonitis. evaluate for interval change.
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there is new asymmetrical elevation of the right hemidiaphragm, which suggests a component of volume loss in the right lower lobe, likely accounting for the opacity at the right base. a small right pleural effusion is present. left lung appears hyperinflated. heart does not appear enlarged. no pneumothorax.
history: <unk>f with <num>% o<num> on nrb // eval for pna
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the heart size is enlarged, but similar to prior study. mediastinal and hilar contours are within normal limits. the lungs are clear. there is no pleural effusion or pneumothorax. incidental note is made of calcified atherosclerotic disease along the coronary arteries. sclerotic endplate changes are compatible with a history of renal osteodystrophy. wedge deformity of the mid thoracic again seen.
<unk>-year-old female with shortness of breath and productive cough.
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. the lungs are hyperinflated but the lungs are clear. no pleural effusion or pneumothorax is seen.
<unk>f with sob, cough // pna
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frontal and lateral views of the chest. heart size and cardiomediastinal contours are normal. <num> cm right lower lung nodular opacity is best seen on the frontal view. no substantial interstitial abnormality. no focal lobar consolidation, pleural effusion, or pneumothorax.
dermatomyositis presenting with syncope, chest pain, and shortness of breath.
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the cardiomediastinal and hilar contours are within normal limits. a subtle opacity in the right midlung on prior is no longer visualized. there is no effusion or pneumothorax. no acute osseous abnormalities.
<unk>f with productive cough, recent pna // r/o pna
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a right-sided mediport terminates in the low svc. there is no pneumothorax or pleural effusion. the lungs are clear. the heart and mediastinum are within normal limits.
<unk>-year-old male with pleural effusion referred for followup.
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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 dyspnea on exertion
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frontal and lateral views of the chest. no prior. lungs are clear. there is no effusion or pneumothorax. cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unremarkable without evidence of displaced fracture.
<unk>-year-old male with etoh withdrawal. trauma.