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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. there is consolidation in the right lower lung, concerning for atelectasis or infection. there is left basilar atelectasis. there are small right and trace left pleural effusions. no pneumothorax is seen. there are no acute osseous abnormalities.
history: <unk>f with shortness of breath and rales. evaluate for pulmonary edema, infiltrate, effusion
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compared to the prior study, there has been some interval partial clearing of the alveolar infiltrate; however, there continues to be moderate cardiomegaly, pulmonary vascular redistribution, perihilar haze, and dense retrocardiac opacity. the et tube, pacemaker, right ij line, and ng tube are unchanged.
heart failure, arrhythmias, hypoxia.
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a right chest wall port-a-cath ends in the mid svc in unchanged position. stable heart size, mediastinal and hilar contours. no focal consolidation, pleural effusion or pneumothorax. new mild pulmonary vascular congestion.
<unk> year old man with port-a-cath - unable to flush // postion of central line
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cardiomediastinal and hilar contours are within normal limits. no focal consolidation concerning for pneumonia is seen. there is no pneumothorax. visualized osseous structures demonstrates no acute abnormality.
<unk>-year-old male status post seizure and fall.
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the lungs are hypoinflated but appear grossly clear without evidence of focal consolidation. there is no pulmonary edema, pneumothorax, or pleural effusion. the cardiomediastinal silhouette hilar contours are normal appear
history: <unk>f with sob // eval for ptx
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the cardiac, mediastinal and hilar contours appear stable. the heart is normal in size. there is no pleural effusion or pneumothorax. most striking in the anterior right upper lobe, there is a region of vague opacity with peribronchial cuffing and interstitial prominence with less striking but similar types of changes seen throughout each lung, new since the prior examination. a predominantly peripheral distribution is not typical for pulmonary edema, however.
epigastric pain and dyspnea.
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the cardiac, mediastinal and hilar contours appear unchanged including mild cardiomegaly. there is similar elevation of the left hemidiaphragm with persistent unchanged vague left mid to lower lung opacity which may indicate some degree of chronic atelectasis and, particularly given lack of change, isnot suspicious for an acute superimposed process. the lungs appear otherwise clear. old left-sided rib fractures are also unchanged. there has been no significant change.
fever. question consolidation.
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lung volumes are low with secondary bronchovascular crowding and bibasilar opacities which are likely secondary to atelectasis. the lung fields are otherwise grossly clear without focal consolidation. there is no pneumothorax or pleural effusion. the cardiac silhouette is enlarged but likely accentuated by low lung volumes. right shoulder arthroplasty changes are noted. a lap band is seen in the left upper abdomen.
<unk>f with c/o sob. evaluate for pneumonia.
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lung volumes are low. cardiomegaly and mild central vascular pulmonary congestion is again noted. persistent left retrocardiac opacity has slightly improved and no longer silhouettes the left hemidiaphragm. there is no large pleural effusion or pneumothorax identified. median sternotomy wires are well aligned. the cardiomediastinal silhouette is within normal limits. possible fibrous dysplasia is noted within the proximal left humerus, unchanged from prior examination.
history: <unk>f with hypoxia // ?chf
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significantly increased right lower lung opacities superimposed on chronic interstitial disease. excepting chronic interstitial findings, the left lung is grossly clear. no pleural effusion. no pneumothorax. heart size is top-normal. chronic posterior right third and fifth rib fractures are again noted.
<unk> year old man with cough, sob, hx chf, rales rt base // r/o pna
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since the chest radiograph obtained approximately <num> weeks prior, there has been interval placement of a left-sided port central venous catheter, which terminates at the expected location of the superior cavoatrial junction. no pneumothorax. lungs are fully expanded and clear without consolidations or effusions. heart size is normal. cardiomediastinal and hilar silhouettes are normal. pleural surfaces are normal.
<unk> yo female s/p port placement. // rule out pneumo
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there are slightly low lung volumes. no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. there is no pulmonary edema. the cardiac and mediastinal silhouettes are unremarkable.
cough.
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ap upright and lateral views of the chest provided. cardiomegaly again noted. mediastinal contour remains stably prominent. lung volumes are low without convincing evidence for pneumonia or edema. no large effusion or pneumothorax is seen. cardiomediastinal silhouette appears normal. no acute bony abnormalities.
<unk>m with ams // acute process
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low bilateral lung volumes. atelectasis is present in the left lower lung zone. no pleural effusion or pneumothorax identified. the size the cardiomediastinal silhouette is within normal limits.
<unk> year old man with pulmonary vein stenosis, now s/p pv dilation/stenting, c/o mild pleuritic cp. // please eval for consolidation/effusion/ptx.
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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.
<unk> year old man with hx of melanoma // please evaluate disease status
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single portable view of the chest is compared to previous exam from <unk>. linear opacity again seen at the left lung base suggestive of atelectasis. lateral costophrenic angles, however, are now sharp. cardiomediastinal silhouette is within normal limits. degenerative changes are noted at the glenohumeral joint on the left. old posterior right <num>th rib fracture is again seen.
<unk>-year-old female with epigastric and chest pain. question chf or pneumonia.
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inspiratory volumes are low. this likely accounts for slight prominence of the cardiomediastinal silhouette and pulmonary vasculature. there is upper zone redistribution, without overt chf. there is some patchy opacity at both lung bases, more pronounced on an outside scanned-in film from <unk> dated <unk>. the differential includes atelectasis versus early pneumonic infiltrate. no gross effusion. no pneumothorax detected.
<unk> year old man with mca stroke // eval pneumonia
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. partially imaged left humeral hardware is not well assessed.
history: <unk>m with cough, sob // eval for infiltrate, chf, cm
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the cardiomediastinal and hilar contours are normal. there is mild blunting of the left costophrenic angle, which may represent scarring or small pleural effusion. there is rightward shift of the anterior junction line suggestive of bullae in the left upper lobe. otherwise, lungs are clear.
<unk>-year-old with persistent fevers.
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cardiomegaly and tortuous aorta are unchanged. small right pneumothorax is unchanged. bibasilar atelectasis have increased on the right and decreased on the left. bilateral effusions are small. right chest tube remains in place. right chest wall subcutaneous emphysema has decreased.
<unk> year old woman s/p r vats wedge with chest tube // perform at <num>am. r/o ptx
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the patient is status post median sternotomy and cabg. severe cardiomegaly is re- demonstrated. an abandoned right -sided pacing lead is again noted. left-sided aicd/pacemaker device is noted with leads terminating in the right ventricle and coronary sinus. there is no pulmonary vascular congestion. no focal consolidation, pleural effusion or pneumothorax is identified. no acute osseous abnormalities are present. right lateral pleural thickening is unchanged.
shortness of breath and rales.
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the patient is status post median sternotomy and cabg. left base atelectasis is changed. opacities in the right middle lobe are also stable since the prior study, probably compatible with scarring and atelectasis. there are no new opacities which are concerning for pneumonia. there is no evidence of pneumothorax or pulmonary edema. there is no pleural effusion. cardiomediastinal silhouettes are stable.
cough and fever, question infiltrate.
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the heart and mediastinal contours appear stable and within normal limits. a large hiatal hernia is again noted. the lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. no free air is noted in the hemidiaphragms. no acute fractures are identified.
numbness and tingling in the hand.
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the lungs are clear. the heart size is normal. the mediastinal contours are normal. there are probable small bilateral pleural effusions. no pneumothorax is seen.
likely ovarian hyperstimulation syndrome, presenting with abdominal pain and dyspnea. assess for an acute intrathoracic process.
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compared with prior radiographs on <unk>, there has been interval reaccumulation of a large right-sided pleural effusion. the right hilum and minor fissure are elevated secondary to a effusion. there is no new focal consolidation consolidation. no pneumothorax. mild cardiomegaly is stable.
<unk> year old woman with multiiple myeloma and chf. eval pleural effusion. shortness of breath // pleural effusion
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lung volumes are low with increased density at the left lung base, likely representing a combination of known mass, effusion, and atelectasis; consolidation cannot be excluded. no pneumothorax is seen. the right lung does not demonstrate focal consolidation or pleural effusion.
<unk>-year-old male with severe abdominal pain and tachypnea.
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there is evidence of postsurgical changes with suture material noted in the left mid lung. there is tenting of the left hemidiaphragm and the heart is deviated towards the left secondary to volume loss. there is no focal consolidation, effusion, or pneumothorax. heart size is normal. imaged osseous structures are intact. no evidence of free air below the diaphragm.
<unk>m with history of sob and cough presenting to the ed for suicidal ideations. evaluate for pneumonia.
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single portable view of the chest is compared to previous exam from <unk>. when compared to prior, there has been partial resolution of the bilateral parenchymal opacities seen on prior. there is however persistent left basilar opacity. both could be due to atelectasis, aspiration or infection is also possible. blunting of the right lateral costophrenic angle is suggestive of an effusion. cardiac silhouette is difficult to assess given differences in positioning and technique, but likely has not changed.
<unk>-year-old female with shortness of breath.
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no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. the cardiac silhouette is top-normal. rounded retrocardiac opacity with focus of air within likely relates to a hiatal hernia. no pulmonary edema.
history: <unk>f with confusion // infiltrate?
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heart size is mildly enlarged and there is mild tortuosity of the thoracic aorta. 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.
<unk> year old man s/p vats lul division bisegmentectomy <unk> for stage <num>a mucinous carcinoma in situ // eval for interval change
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frontal and lateral views of the chest demonstrate no acute cardiopulmonary process. there is no pleural effusion, pneumothorax or focal airspace consolidation. the cardiac and mediastinal contours are normal. the imaged upper abdomen is unremarkable.
palpitations evaluate for infiltrate.
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the lungs are hyperinflated, consistent with the patient's history of copd. the lungs are clear. the hilar and mediastinal contours are normal. there is no pneumothorax or pleural effusion. pulmonary vascularity is normal.
cough, recent copd exacerbation.
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portable ap upright view of the chest provided. the lungs are clear and well expanded. prominent costochondral calcification projects over the chest. no pleural effusion or pneumothorax is seen. cardiomediastinal silhouette is normal. bony structures are intact. no free air below the right hemidiaphragm is seen.
<unk>f with tachycardia
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heart size is top 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 pains
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the lungs are clear of consolidation. there is no effusion or pneumothorax. the cardiac silhouette is enlarged, unchanged. aortic valve replacement is noted. atherosclerotic calcifications noted at the aortic arch. rightward deviation of the trachea at the thoracic inlet is compatible with a left thyroid enlargement. there is no free air below the diaphragm. compression deformity in the upper lumbar spine the similar compared to prior.
<unk>f with nausea vomiting // air under diaphragm.
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a single semi-erect portable chest radiograph demonstrates decreased lung volumes from <unk>. the lungs are clear without evidence of focal consolidation, pleural effusion, or pneumothorax. increased opacification at the lung bases without obscuration of the diaphragm or heart borders is consistent with atelectasis in the setting of low lung volumes. the cardiac silhouette is within normal limits. the mediastinal and hilar contours are stable from the preceding study allowing for differences in technique. the thoracic aorta is mildly unfolded with calcification at the aortic knob.
<unk>-year-old male with recent pneumonia, here to evaluate for pneumonia.
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the ng tube terminates slightly beyond ge junction. the pacemaker leads are in the correct position. focal opacity within the left apex is again seen and appears slightly better compared to previous exams. no new consolidation. no pulmonary edema. no pleural effusion. no pneumothorax. the heart is enlarged but unchanged. the mediastinum is normal. no fractures.
<unk> year old man with dysphagia, ng tube placement // eval ng tube placement
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the heart is enlarged with increased engorgement of the vessels compared to prior. bilateral lower lobe predominant confluent airspace opacities are again demonstrated, involving the right lower lobe to a greater degree than the left. this is similar on the right and minimally improved on the left. additionally, numerous septal lines are present at the lung bases. . there is no pleural effusion or pneumothorax. there is no acute osseous abnormality. of note, although these lung findings have been present since <unk>, there are new compared to <unk> chest radiograph
<unk>m with cough, evaluate for pneumonia.
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there is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. an opacity in the medial left lung base may be atelectasis. cardiomegaly is mild and the cardiomediastinal silhouette is within normal limits.
<unk>-year-old female with fever, evaluate for pneumonia.
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the patient is rotated to the left. there are relatively low lung volumes. no definite focal consolidation is seen. there is no pleural effusion or evidence of pneumothorax. the cardiac silhouette is top-normal to mildly enlarged. the aorta is slightly tortuous. there is persistent prominence of the right hilum over multiple prior radiogra radiographs. there is minimal prominence of the pulmonary vasculature which may be due to minimal interstitial edema.
weakness.
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pa and lateral views of the chest are compared to previous exam from <unk>. there is a calcified structure projecting over the right lung apex, potentially in association with the posterior right third rib medially, unchanged from previous exam. the lungs themselves are clear. previously identified consolidation at the lung base from prior is no longer seen. the cardiomediastinal silhouette and hilar contours are normal. osseous and soft tissue structures are unremarkable.
<unk>-year-old male with question positive ppd. question cavitary lesion.
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frontal and lateral chest radiographs were obtained. no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. the heart size is normal. mediastinal contours are normal. no bony abnormality is detected.
patient with chest pain yesterday, eval for pneumonia.
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pa and lateral views of the chest provided. right chest wall port-a-cath is noted with catheter tip in the region of the cavoatrial junction, unchanged. lungs are clear. 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 hx of breast cancer finished ac therapy currently on taxol comes in for chest pain.
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heart size is mildly enlarged. mediastinal and hilar contours are unremarkable. the pulmonary vasculature is not engorged. the lungs are clear. no pleural effusion or pneumothorax is seen though the extreme left costophrenic angle is excluded from the field of view. multiple remote right-sided rib fractures are present.
chest wall pain after altercation and fall, on coumadin.
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ap portable upright view of the chest. endotracheal tube is in unchanged position. the ng tube is coiled in the hypopharynx and the tip remains in place in the region of the distal esophagus. a right ij central venous catheter extends to the low svc cavoatrial junction, unchanged in position. there is subtle opacity in the right lung base as on prior concerning for atelectasis versus pneumonia. no pneumothorax.
<unk>f with cvl placement
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examination is limited by body habitus. heart size is mildly enlarged. mediastinal silhouette and hilar contours are unremarkable. diffuse increased opacity of the lung fields may represent some component of edema, although this is difficult to evaluate given body habitus. lungs are otherwise grossly clear. no large effusion or pneumothorax.
more would obesity status post assault with pain.
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the patient is status post median sternotomy and cabg. heart size remains moderately enlarged. mediastinal and hilar contours are relatively unchanged. a moderate to large left pleural effusion appears minimally increased in size compared to the prior study. compressive atelectasis is noted in the left lung base. trace right pleural effusion is also demonstrated, unchanged. no pulmonary edema or pneumothorax is present. there are moderate multilevel degenerative changes seen in the thoracic spine.
history: <unk>f with shortness of breath, recent cabg
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cardiomediastinal silhouette is unremarkable. opacities at the right lung base in the retrocardiac region are new. severe degenerative change at the right glenohumeral joint is unchanged. there is no pneumothorax.
history: <unk>f with fever // eval for infiltrate
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interval removal of the ett, ngt, and temporary pacemaker. interval placement of a left-sided two-lead intracardiac device, with one lead terminating in the right atrium and the other in the right ventricle. the aortic valve prosthesis appears unchanged. bilateral low lung volumes and moderate bibasilar atelectasis. no pneumothorax, focal consolidation, pulmonary edema, or pleural effusion. stable post-operative appearance of the cardiomediastinal silhouette. stable scoliosis. unchanged position of the right catheter sheath with the tip in the approximate upper svc.
<unk> year old woman with new pacemaker; evalaute for pneumothorax and lead placement.
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right-sided port-a-cath tip terminates in the low svc. left-sided pacemaker device is noted with leads terminating in the right atrium, right ventricle, and region of the coronary sinus, unchanged. additionally, day spinal stimulator device is noted with tip terminating at the mid/lower thoracic spine, as seen previously. heart size is normal. mediastinal and hilar contours are unremarkable. pulmonary vasculature is normal. lungs are clear. no focal consolidation, pleural effusion or pneumothorax is present. cervical spinal fusion hardware is incompletely assessed. there are extensive degenerative changes noted in the thoracic spine. multiple surgical anchors are project over the right humeral head.
history: <unk>m with tremor, unclear etiology
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the lungs are fully expanded and clear. cardiomediastinal and hilar silhouettes are normal. pleural surfaces are normal.
<unk> year old woman with + anca and history of severe asthma (now controlled) and no active signs concerning for pulmonary hemorrohage or ild // signs of vasculitis? (essentially getting a baseline)
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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 hx migraines presenting with bilateral latissimus dorsi pain, sob. neuro exam intact. // evidence of rib fracture? focal infiltrate/consolidation?
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the lungs are clear without focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is unchanged in appearance.
history: <unk>m with lbbb, presenting with dizziness, n/v // eval for presyncope
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the lungs are clear of airspace or interstitial opacity. the cardiomediastinal silhouette is unremarkable. no pleural effusions or pneumothorax. no acute or aggressive osseus changes.
<unk> year old woman with persistent cough x <unk> weeks, with sputum and malaise refractory to time and supportive care. // ? pneumonia
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the cardiomediastinal and hilar contours are within normal limits. increased opacity at the left lower lobe is concerning for pneumonia or aspiration. the right lung is clear. there is no pleural effusion or pneumothorax.
hiccups, shortness of breath.
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pa and lateral views of the chest were obtained. lung volumes are low. heart is normal in size and cardiomediastinal contour is unremarkable. bibasilar linear opacities likely represent atelectasis; however, developing consolidation at the right base is not excluded. a small right pleural effusion is noted on the lateral view. there is no pneumothorax.
<unk>-year-old man with copd and ascites, presenting with worsening shortness of breath, evaluate for pulmonary edema.
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there is been interval resolution of the right middle and upper lobe pneumonia. a trace right pleural effusion persists. the lungs are clear. the cardiomediastinal silhouette is normal. no pneumothorax is present. there is no evidence of pulmonary vascular congestion.
right middle and upper lobe pneumonia, <num> week followup.
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the neck is in flexion in this examination, the tip of the et tube is <num> cm from the carina. the remaining support devices are unchanged and in good position. no pneumothorax. the lung volumes remain low, with worsening bibasal subsegmental atelectasis. no acute focal consolidation or pulmonary edema. the cardiac silhouette is stable.
<unk> year old woman with intubated // new lung pathology
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ap portable upright view of the chest provided. overlying ekg leads are noted. the lungs are clear bilaterally. no convincing evidence for pneumonia or edema. no large effusion or pneumothorax is seen. cardiomediastinal silhouette is stable. atherosclerotic calcifications at the aortic arch noted. clips in the right upper quadrant noted. there is a levoscoliosis centered at the upper lumbar spine. bony structures otherwise unremarkable.
<unk>f with hypoxia // eval for pna
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the lungs are well inflated and clear. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. there is no pleural effusion or pneumothorax.
<unk>-year-old woman with trauma to right side. evaluate for acute cardiopulmonary process preop.
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the lungs are clear with no evidence of consolidation, effusion, or pneumothorax. lung volumes are low. cardiomediastinal silhouette is normal. no acute fractures are identified.
evaluation of patient with diabetes with new atrial fibrillation.
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heart size is normal. mediastinal and hilar contours are unchanged. right picc has been removed. lungs remain hyperinflated with emphysematous changes again noted. small left pleural effusion is similar compared to the prior study. there is no focal consolidation or pneumothorax. minimal left basilar atelectasis is present. there are mild degenerative changes in the thoracic spine.
fever, on chemotherapy.
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within the limitations of exam, the lungs are clear without consolidation or edema. there is no large pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. no fracture is identified.
status post bicycle accident. evaluate for traumatic injury.
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since the next most recent study, there is no significant change in bilateral interstitial abnormalities. there is no focal consolidation. there is no large pleural effusion or pneumothorax. the cardiomediastinal silhouette and hilar contours are normal.
tachypnea. evaluate for pneumonia. the patient was admitted to plastic surgery service on <unk> for treatment of right forearm necrotizing soft tissue infection. the patient has history of hiv.
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lung volumes are low. linear opacities in the bilateral lung bases likely represent subsegmental atelectasis. the mediastinal contour, hila, and cardiac silhouette are normal. no pleural effusion or pneumothorax. a bb is noted over the right lateral ninth rib without underlying fracture. no osseous abnormality within the limits of plain radiography.
<unk>m with l mid-axillary rib pain intermittently since tues/wed up to <unk> no other sxs. // evaluation of ribs for fracture or pna on l side
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the cardiac, mediastinal and hilar contours are normal. lungs are clear and the pulmonary vasculature is normal. no pleural effusion or pneumothorax is visualized. there are no acute osseous abnormalities.
left-sided chest pain.
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lung volumes remain low and a severe, global infiltrative pulmonary abnormality persists. as compared to the most recent prior examination dated <unk>, there are multiple new bilateral opacities, most notably in the right upper and left lower lobes, although other regions have improved. there is no evidence of pleural effusion or large pneumothorax. the cardiomediastinal silhouette is unchanged.
history: <unk> year old woman with hiv, afib, esrd, with recent pneumonia. evaluate for recurrent pneumonia in the setting of cough.
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in comparison with the study of <unk>, there are lower lung volumes. continued enlargement of the cardiac silhouette with pulmonary vascular congestion. opacification at the left base is consistent with atelectasis and effusion, though in the appropriate clinical setting, supervening pneumonia would have to be considered. continued volume loss in the right middle lobe. monitoring and support devices remain in place.
rml collapse status post bronch, now with fever.
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heart size is normal. a large hiatal hernia is again noted with multiple clips seen in the gastroesophageal region. mediastinal and hilar contours are otherwise unchanged. pulmonary vasculature is normal. minimal atelectasis is seen in the left lower lobe. no focal consolidation, pleural effusion or pneumothorax is visualized. no acute osseous abnormalities are present.
history: <unk>m with chest pain, dyspnea
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median sternotomy wires are intact. heart size is normal. postoperative cardiomediastinal silhouette and hilar contours are unremarkable. no evidence of pulmonary edema. no dense consolidation to suggest pneumonia. small left-sided pleural effusion. lungs appear hyperinflated, unchanged.
dyspnea and dementia. evaluate for pneumonia or pulmonary edema.
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the lungs are somewhat low in volume with marked fullness of the pulmonary vasculature and increased interstitial and to a lesser degree alveolar opacities concerning for at least moderate pulmonary edema. no pleural effusion is seen. the heart is moderately enlarged with single lead pacemaker again noted.
altered mental status and fever.
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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. no pulmonary edema is seen.
history: history of chest pain. please evaluate for pneumonia.
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et tube is in good position. ng tube appears in good position. mild pulmonary edema not significantly changed from the prior study poor inspiration effort.
<unk> year old man with secretions // interval change?
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. a short linear opacity projecting over the left upper lobe is consistent with minor atelectasis or scarring. otherwise, the lungs appear clear. bony structures appear within normal limits.
cough.
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there is a right chest wall port with catheter tip in the mid to lower svc. soft tissue fullness in the right lower paratracheal region is again seen although perhaps slightly improved since previous exam. pleural-based thickening seen adjacent to prior left lateral rib fractures. there is no new consolidation or effusion. increased sclerosis seen of a posterior left lower and left lateral ribs.
<unk>m with copd on home o<num>, stage <num> lung ca, presenting with sob and increased o<num> requirement.
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there is no focal consolidation, pleural effusion or pneumothorax. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified.
history: <unk>f with abdominal pain and nausea, to have <num>sets, no stress for low risk chest pain. // pna?
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the heart size is normal. there is elevation of the hila likely secondary to scarring from prior radiation. both apical pleural margins are severely thickened, right greater than left. there is a subtle increase in opacity in the retrocardiac region. there is no large pleural effusion or pneumothorax. the tracheostomy tube projects appropriately over the midline on the frontal view, however evaluation is limited on the lateral view.
history of dyspnea, chronic tracheostomy. please evaluate for trach placement.
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patient is status post median sternotomy, aortic valve replacement, and cabg. mild to moderate enlargement of the cardiac silhouette is unchanged. the mediastinal and hilar contours are similar. there is persistent moderate pulmonary edema with small bilateral pleural effusions, larger on the left. patchy opacities in the lung bases likely reflect compressive atelectasis. no pneumothorax is present. no acute osseous abnormality is detected.
history: <unk>m status post cabg <num> weeks ago with shortness of breath and malaise. // any evidence of pulmonary congestion, pleural effusion of other cardiopulmonary pathology.
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ap view of the chest provided. since <unk>, following removal of the left pleural catheter, mediastinal drain, endotracheal tube, nasogastric tube, swan-ganz catheter, and right jugular introducer sheath, small bilateral apical pneumothoraces have developed. previous mild interstitial edema has resolved. there is a small amount of right pleural effusion. moderate amount of bibasilar atelectasis is again seen. otherwise, the cardiomediastinal silhouette has normal postoperative appearance.
<unk> year old man with status post mitral valve replacement, now s/p chest tube removal
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are hyperinflated but clear. no pleural effusion or pneumothorax is seen. old posterior left rib fractures are identified.
<unk>m with infected knee joint, preop cxr // evidence of infection
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small bilateral pleural effusions are noted. there is minimal left basilar scaring identified. there is no focal consolidation, pneumothorax, or pulmonary edema identified. the heart size is normal. mediastinal contours are normal. air is noted within the esophagus, suggestive of possible gerd or dysmotility.
nonerosive ra, evaluate for hilar lymphadenopathy or infiltrate.
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the lungs are well-expanded and clear. the cardiomediastinal silhouette is unremarkable. there is no pleural effusion, pulmonary edema, pneumothorax, or focal consolidation. bony structures are intact.
<unk> m w/sob
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pa and lateral chest views were obtained with patient in upright position. comparison is made with the next preceding portable chest examination of <unk>. the previously observed marked cardiac enlargement appears rather unchanged. detailed evaluation is impossible because of overlying pleural densities obscuring the cardiac contours. thoracic aorta unaltered. the pulmonary vasculature is presently distended, but does not show evidence of acute interstitial or alveolar edema. there exists bilateral pleural effusion, more marked on the left side where also the diaphragm is elevated. no evidence of new acute pulmonary infiltrates can be established. the amount of pleural effusion appears to be mild-to-moderate as judged from the appearance of the mildly blunted posterior pleural sinuses as seen on the lateral view.
<unk>-year-old male patient with chf (ejection fraction <unk>%). no cough or fevers, but worsening leukocytosis. evaluate for pneumonia.
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a hazy opacification is present in the right middle lobe obscuring the right heart border consistent with a pneumonia. there is no pulmonary edema, pleural effusion, or pneumothorax. the size of the cardiac silhouette is at the upper limits of normal. sternal wires are intact.
cough for three weeks. evaluate for pneumonia.
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. apart from subsegmental atelectasis in the lung bases, the lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
cva symptoms
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low lung volumes cause bronchovascular crowding and subsegmental atelectasis. allowing for that, an ill-defined airspace opacity in the right lung base may represent an early consolidation in the proper clinical setting. there is no pneumothorax or pleural effusion. cardiac size is normal. ill-defined right hilum and right heart border most likely represents a dilated esophagus,
<unk>f with coughing up dark phlegm, evaluate for consolidation.
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the lungs are clear without focal consolidation worrisome for pneumonia, effusion, or pneumothorax. mild cardiomegaly is noted. there is tortuosity of the descending thoracic aorta. chronic deformity of the proximal right humerus suggests prior fracture. exuberant calcifications in the region of the coracoclavicular ligament and widening of the left ac joint suggests prior injury.
<unk>m with gradual onset severe epigastric pain, associated with n/v, general weakness; no improved //
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there is no focal consolidation, pleural effusion or pneumothorax. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities are identified.
<unk>f with chest pain with inspiration, s/p trauma
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frontal and lateral radiographs of the chest demonstrate stable moderate enlargement of the cardiac silhouette. no pleural effusion or pneumothorax. unchanged mild pulmonary vascular congestion. no focal consolidation.
chest pain. question pneumonia.
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frontal and lateral radiographs of the chest were acquired. the lungs are clear. the heart size is normal. the mediastinal contours are normal. there are no pleural effusions. no pneumothorax is seen.
productive cough with green/clear sputum for the past two weeks. mild fever. evaluate for pneumonia.
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pa and lateral views of the chest were provided. there is a stable position of a metallic foreign body which is lodged in the left anterior chest wall. there is a small left pleural effusion with faint left basilar opacity which could represent atelectasis or pneumonia. the right lung is clear. the heart and mediastinal contours are normal. there is no pneumothorax. no acute osseous abnormalities.
<unk>-year-old female with chest pain, evaluate for pneumothorax.
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increased interstitial markings seen throughout the lungs bilaterally. there is no effusion. cardiac silhouette is enlarged but similar compared to prior. no acute osseous abnormalities.
<unk>m with hypoxia, rhonchi // presence of infiltrate, effusion
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frontal views of the chest. single lead of a right chest wall pacer terminates in stable position. top normal heart size and mediastinal contours are stable. there is asymmetric right greater than left pulmonary edema with slight blunting of the right costophrenic angle. no focal consolidation or pneumothorax.
history of chf with shortness of breath.
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study is technically limited by motion-related artifacts obscuring the lower lung fields. there are extensive bilateral upper zone opacities with air bronchograms suggestive of pneumonia, previously diagnosed at an outside hospital. outside hospital imaging was not available for direct comparison. left hemidiaphragm is not visualized and suggests left lower field atelectasis and/or pleural effusion.
<unk>-year-old female with multifocal pneumonia and colon cancer metastasis to the lungs.
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there are median sternotomy wires which appear intact. there are surgical clips projecting over the mediastinum. lung volumes are somewhat low, and there is prominence of the pulmonary vasculature without frank pulmonary edema. there is no focal airspace opacity. there is no pleural effusion or pneumothorax. given ap technique, the heart size is likely normal. there are significant degenerative changes at the ac and glenohumeral joints bilaterally.
chest pain and nausea. evaluate for pneumonia.
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lateral left base/lingular relative linear opacities seen, which may be due to atelectasis and is without clear correlate on the lateral view, however, an infectious process is not excluded in the appropriate clinical setting. no pleural effusion or evidence of pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
rash, elbow
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the cardiomediastinal silhouette is unchanged. the lungs are clear bilaterally. no pleural effusion or pneumothorax is seen.
<unk> year old woman with left lower chest pain // etiology lt mid-level/posterior chest pain w/inspiration and movement no injury no cough per pt hx lupus,seizures,ddd
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portable ap chest radiograph. mild interstitial edema is unchanged, but small bilateral pleural effusions have slightly increased in the interim. median sternotomy wires are intact. there is no pneumothorax. heart size remains normal.
respiratory distress, mild interstitial edema noted on last radiograph.
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the lungs are well expanded and clear. cardiomediastinal silhouette is unremarkable. there is no pneumothorax or pleural effusion. visualized osseous structures are unremarkable.
<unk>-year-old female with shortness of breath.
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since the chest radiographs obtained <unk>, there are new, small, left greater than right pleural effusions. on lateral view, there is opacification of the retrosternal airspace. lungs are otherwise well expanded and clear without focal consolidations. mild cardiomegaly is unchanged. cardiomediastinal hilar silhouettes are normal. there is lumbar scoliosis with significant associated degenerative changes. a single button projects over the midline abdomen.
<unk> year old woman with dypsnea // fatigue, dyspnea, r/o abnormality