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pa and lateral views the chest were viewed. the cardiomediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. the lungs are well expanded and clear. pulmonary vasculature is within normal limits.
status post mvc.
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the lung volumes are hyperinflated consistent with emphysema seen on prior ct. multiple right-sided pulmonary nodules are again seen, but better assessed on prior ct. subtle ground-glass opacities in the right lung identified on prior ct likely represent an element of fibrosis. vascular congestion is difficult to exclude however there is no overt edema. . mild cardiomegaly stable. stable calcification of the aortic arch. blunting of the right costophrenic angle appears chronic and likely represent scarring. surgical clips projecting inferior to the aortic bulb and along the left neck.
<unk> year old man with hx of low ef and chf now with sob // vascular congestions
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heart size is mildly enlarged. atherosclerotic calcifications are noted at the aortic knob. mediastinal and hilar contours are unremarkable. new consolidative opacification is seen involving the entire left upper lobe. right lung is clear. hyperinflation of the lungs with attenuation of pulmonary vascular markings towards the apices is compatible with underlying emphysema. streaky bibasilar airspace opacities likely reflect areas of atelectasis. no pleural effusion or pneumothorax is identified on this supine exam. cholecystectomy clips are demonstrated in the right upper quadrant of the abdomen.
history: <unk>f with hypotension // eval for infection
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there is a pacemaker overlying the left chest, with leads in the right atrium, and the right ventricle. 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 woman with recent lll pneumonia at<unk> <unk> ongoing sob and cough // eval lll pneumonia or effusion.
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pa and lateral views of the chest are compared to previous exam from <unk>. the lungs are clear of focal consolidation, effusion, or pulmonary vascular congestion. the cardiomediastinal silhouette is within normal limits. osseous structures demonstrate no acute abnormality.
<unk>-year-old male with fever and hiv.
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the heart is mildly enlarged. the aorta is moderately tortuous. otherwise, mediastinal and hilar contours are unremarkable. linear opacity in the lingula is most consistent with minor scarring. otherwise, the lungs appear clear. there are no pleural effusions or pneumothorax.
syncope and head injury.
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pa and lateral chest views were obtained with patient in upright position. the heart size is normal. no configurational abnormalities identified. thoracic aorta unremarkable. no mediastinal abnormalities are seen. the pulmonary vasculature is normal. no signs of acute or chronic parenchymal infiltrates are present and the lateral and posterior pleural sinuses are free. no pneumothorax in the apical area. mildly accentuated kyphotic curvature in the thoracic spine as seen on the lateral view is related to a mild anterior wedge-shaped deformity of a vertebral body in the mid portion of the thoracic spine, probably t<num>. no other skeletal abnormalities are identified. comparison is made with the next preceding available pa and lateral chest examination of <unk>. the findings are completely unchanged. thus, no evidence of reoccurring apical pneumothorax. also, the mild deformity of a mid thoracic spine vertebral body appears unchanged. review is extended to two preceding chest examination of <unk> and the diagnosis of a tiny apical pneumothorax made at that time is questionable.
<unk>-year-old male patient with chest pain, evaluate.
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stable appearance of moderate pulmonary edema since <unk>. innumerable known lung nodules are not as well defined due to overlying pulmonary edema, and are better assessed on recent ct chest from <unk>. superimposed pneumonia cannot be excluded in the appropriate clinical setting. the heart size is unchanged. no pneumothorax.
<unk> year old man with bilateral infiltrates, pulm edema, metastatic disease? // <unk> year old man with bilateral infiltrates, pulm edema, metastatic disease?
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frontal and lateral views of the chest demonstrate normal cardiomediastinal silhouette. the lungs are clear. there is no pneumothorax, vascular congestion, or pleural effusion. the patient is status post posterior fusion of the lumbar spine. multiple surgical clips project over the left hemiabdomen.
<unk>-year-old male with history of smoking and prior pneumonia on the right side, here for followup.
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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. the heart is normal in size with normal cardiomediastinal contours. old right rib fractures noted.
chest pain.
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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. no fracture is identified.
chest pain.
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pacemaker overlying left chest with leads that appear intact in the right atrium and right ventricle. sternotomy wires appear intact and appropriately aligned. small right pleural effusion, which was likely present on the prior chest radiograph. mild interstitial pulmonary edema has improved. stable moderate enlargement of the cardiac silhouette. no pneumothorax is seen.
<unk> year old woman s/p myomectomy // predischarge eval
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pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>m with shortness of breath // eval for pneumonia or pneumo
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there is a mildly displaced left lateral did rib fracture. no additional acute rib fractures are detected. there are multiple chronic appearing right-sided rib fractures, unchanged from prior studies. there is no focal consolidation,, pulmonary edema, or pneumothorax. a left pleural effusion is small. cardiomediastinal silhouette, including a mildly tortuous descending aorta is unchanged.
<unk>f with pain s/p fall, evaluate for evidence of left lower rib fractures.
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pa and lateral views of the chest provided. lungs are clear. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is stable with mildly enlarged heart size. coronary stents project over the heart. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>f with dyspnea // eval for acute process
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frontal and lateral chest radiograph demonstrates unremarkable cardiomediastinal and hilar contours. he lungs are clear. no pleural effusion or pneumothorax evident. no displaced rib fractures identified.
fall, evaluate for pneumonia.
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a right port-a-cath ends in the high right atrium, as before. an enteric catheter courses below the level of the diaphragm, ending in the upper stomach, although the side hole is in the region of the gastroesophageal junction, not significantly changed. lung volumes remain very low, slightly decreased compared to the prior study. in addition to the known bilateral chronic interstitial abnormality, there are increasing reticular opacities throughout both lungs, particularly when compared to the prior radiograph from <unk>, concerning for mild interstitial pulmonary edema versus an atypical infectious process. the heart size is normal. the mediastinal contours are normal. a small right pleural effusion is likely present, unchanged. there is no definite left pleural effusion. no pneumothorax.
increasing o<num> requirement and fever. evaluate fluid status and check for acute intrathoracic process.
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frontal and lateral views of the chest show no pleural effusion, pneumothorax or focal airspace consolidation. mediastinal and hilar structures are unremarkable. the cardiac size is normal.
altered mental status and chest discomfort. evaluate for pneumonia.
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pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>m with cough, cp
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. the lungs appear clear. there no pleural effusions or pneumothorax.
cough.
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low lung volumes and underpenetration somewhat limit evaluation. within limitation, the cardiomediastinal silhouette is mild-to-moderately enlarged. the hila are within normal limits. there is a retrocardiac opacity localizing to the left lower lobe, concerning for pneumonia or sequelae of aspiration in the appropriate clinical setting. elsewhere, the lungs are clear. there is no pulmonary vascular congestion or pulmonary edema. there is no pneumothorax or sizable pleural effusion
<unk>f with chf, cardiomyopathy, dm, several days of fever, dyspnea, cough, rule out pneumonia, pulmonary edema.
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there is no focal consolidation, pleural effusion or pneumothorax. cardiomediastinal silhouette is within normal limits. again noted are diffusely sclerotic appearing osseous structures, particularly in the vertebral bodies, consistent with known metastatic prostate cancer; please note that this appearance limits the evaluation for subtle parenchymal abnormalities. no acute fractures identified.
<unk>m with sob, metastatic prostate cancer // eval acute process
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pa and lateral views of the chest. the lungs are clear without focal consolidation, effusion, or pulmonary vascular congestion. the cardiomediastinal silhouette is within normal limits. atherosclerotic calcifications are seen at the aortic arch. degenerative changes are seen at the shoulders. no acute osseous abnormality is identified. somewhat rounded opacity projecting behind the heart on the lateral view and overlying the spine is compatible with a right bochdalek hernia identified on prior ct.
<unk>-year-old male with new atrial fibrillation with chest discomfort.
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ap portable upright view of the chest. aicd appears essentially unchanged in position. motion artifact limits evaluation. there is a large left pleural effusion with significant collapse of the left lung. there may be a small right pleural effusion. the heart size cannot be assessed. the mediastinal contour is grossly unremarkable. no acute bony injuries.
<unk>m with dyspnea.
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frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. the cardiomediastinal and hilar contours are unchanged. there is no pneumothorax, pleural effusion, or consolidation.
history: <unk>f with malaise, cough, chest pain // ?pna
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frontal and lateral radiographs of the chest demonstrate well-expanded and clear lungs. cardiomediastinal and hilar contours are unremarkable. a small left-sided apical pneumothorax remains. there is no pleural effusion or consolidation.
<unk>-year-old man with recent pneumothorax.
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a right dual lumen central venous catheter is unchanged in position with the tip projecting over the right atrium. moderate cardiomegaly is unchanged. vascular congestion is persistent without frank interstitial edema. lungs are otherwise clear. pleural surfaces are clear without large effusion or pneumothorax.
history of <unk> <unk> d and chf presenting with hypoxemia. concern for volume overload.
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pa and lateral views of the chest are compared to previous exam from <unk>. the lungs remain clear. the cardiomediastinal silhouette is normal. mild mid thoracic dextroscoliosis is noted.
<unk>-year-old male with fevers. question 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. unchanged appearance of t<num> vertebral body compression deformity.
<unk>f with seizure // eval for pna
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the lung volumes are low resulting in bronchovascular crowding. otherwise, there are no focal opacities bilaterally. cardiomediastinal and hilar contours are unremarkable. there is mild tortuosity of the aorta. there is no pleural effusion or pneumothorax. a port-a-cath line is noted with the receptacle in the right mid thorax and the tip ending at the level of the cavoatrial junction.
<unk>-year-old female with fever status post chemo. evaluate for evidence of pneumonia.
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the cardiomediastinal silhouette and pulmonary vasculature are normal. the lungs are hyperinflated with probable mild scarring in the apices. the lungs are clear. there is no pleural effusion or pneumothorax. no definite displaced rib fracture is identified.
history: <unk>m with lateral chest wall pain s/p fall // fall trauma
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heart size is normal. the mediastinal and hilar contours are normal. previously noted interstitial pulmonary edema has resolved. pulmonary vasculature is normal. lungs are clear. trace right pleural effusion is unchanged. no left-sided pleural effusion is demonstrated. there is no pneumothorax. there are no acute osseous abnormalities.
history: <unk>f with shortness of breath and cough
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portable semi supine chest film <unk> at <time> is submitted.
<unk> year old woman with multiple facial/spine fractures s/p mvc // ?pigtail chest tube placement on right ?pigtail chest tube placement on right
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ap portable upright view of the chest. no pleural effusion is seen. no focal consolidation. heart size is within normal limits. mediastinal prominence reflect 's an unfolded thoracic aorta in this patient with known type b aortic dissection. imaged bony structures are intact.
<unk>f with type b dissection // eval effusions
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cardiac silhouette is normal in size. diffuse calcification of the aorta is noted. there is an opacity in the right lung base which may reflect atelectasis. a small right pleural effusion is present. the left lung is clear. no pulmonary edema is present. there is no pneumothorax. clips are seen in the right upper quadrant of the abdomen.
<unk>-year-old female with anterior chest pain, question pneumothorax.
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indistinct pulmonary vascular markings are seen throughout. bibasilar opacities may be due to atelectasis. the cardiomediastinal silhouette is within normal limits. old healed left-sided rib and left clavicle fractures are again noted as well as incompletely imaged proximal left humerus fracture.
<unk>m with hypoxia // eval pma
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a endotracheal tube terminates in appropriate position. a nasogastric tube terminates within the stomach. there is a right upper lobe opacity, and there are no pleural effusions or pneumothorax. an enlarged aorta is noted.
<unk>-year-old female status post intubation
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comparison is made to the chest radiograph from <unk>. there has been interval placement of a swan-ganz catheter, with its tip in a relatively distal branch of the left pulmonary arterial system. an intra-aortic balloon pump a is noted, with its tip projecting over the inferior aspect of the aortic arch. there is a left-sided pacemaker with associated right atrial and right ventricular leads. moderate bilateral pleural effusions are now layering given the patient's supine position, complicating comparison to the prior study from <unk>. there is at least mild to moderate interstitial pulmonary edema. mild to moderate cardiomegaly is unchanged. there is no definite pneumothorax.
hypoxia and cardiogenic shock. evaluate for interval change.
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stable uniform opacification of the complete right hemithorax is consistent with a moderate to large pleural effusion. this is unchanged from prior exams. moderate pleural effusion on the left, also stable. the left upper lobe is well aerated. evaluation for pulmonary edema or consolidations is somewhat limited due to the amount of pleural fluid, but no definite edema or opacity is identified. severe cardiomegaly is unchanged. the mediastinum is enlarged by fat deposition. there is no pneumothorax.
increasing shortness of breath.
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lung volumes are slightly low. the cardiomediastinal silhouette is stable. there has been interval improvement in pulmonary edema, likely with mild residual pulmonary vascular congestion. retrocardiac opacity is unchanged, probably representing relaxation atelectasis. left pleural effusion is small, possibly minimally larger. new since the prior exam is a new small right pleural effusion. there is no pneumothorax.
<unk>-year-old man with a history of cirrhosis, fever, recent bacteremia, evaluate for pneumonia.
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lungs are clear without focal consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>m with weakness, hyponatremia // mass vs. other acute cardiopulm disease
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lung volumes are low. there is no focal consolidation. no pleural effusion. cardiomediastinal silhouette is within normal limits. no pneumothorax.
history: <unk>f with chest pain // ? infectious process, ptx
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the lungs are well inflated and clear. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax.
<unk>-year-old male with cough. evaluate for acute cardiopulmonary process.
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portable semi-erect chest radiograph <unk> at <time> is submitted.
<unk> year old man with desaturation o/n // ?acute process ?acute process
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen.
<unk> year old woman with chest pain, sbo // ? atelectasis, pna?
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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.
one month of cough.
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the lungs are grossly clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>f with asthma exacerabation // ?cpd
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ap upright and lateral chest radiograph demonstrates low lung volumes. no focal consolidation convincing for pneumonia is identified. a dilated and tortuous descending aorta as demonstrated on a cta dated <unk> is noted. there is no large pleural effusion or pneumothorax. visualized osseous structures demonstrates no acute abnormality.
<unk>-year-old male with weakness.
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streaky opacities at the left lung base most likely represents atelectasis. there is otherwise no focal consolidation, pleural effusion or pneumothorax. no pulmonary edema. cardiomediastinal silhouette is normal. no acute osseous abnormalities. no subdiaphragmatic free air.
<unk>-year-old woman with multiple abdominal surgeries, now presenting with increasing shortness of breath and postpartum cardiomyopathy
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right internal jugular venous catheter terminates in mid svc. there is no pneumothorax. moderate left pleural effusion appears larger compared to <unk>, hazy opacity in the left lung is likely due to layering of this fluid. cardiac silhouette is within normal size. cervical spine fusion hardware is in unchanged position. left lung base opacity is likely secondary to atelectasis. previously seen in right upper lobe opacity is resolved.
history: <unk>f with right ij // confirm line placement
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pa and lateral chest radiographs were obtained. flattening of the diaphragms and increased ap diameter are consistent with history of copd. no focal consolidation, effusion, or pneumothorax is present. cardiac and mediastinal contours are normal.
<unk>-year-old woman with copd and increasing shortness of breath.
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the cardiomediastinal and hilar contours are within normal limits. the lung fields are clear. there is no pneumothorax, fracture or dislocation. limited assessment of the abdomen is unremarkable.
history: <unk>m with shortness of breath // eval for chest pressure
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a single portable semiupright view of the chest is provided. lung volumes are extremely low resulting in accentuation of pulmonary vasculature. linear opacities at the left base likely reflect atelectasis. heart is normal in size and cardiomediastinal contour is unchanged. there is no large effusion. a right-sided internal jugular venous catheter terminates in the right atrium.
<unk>-year-old woman status post central line.
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top normal heart size, increased from <unk>. normal mediastinal and hilar contours. no focal consolidation, pleural effusion or pneumothorax.
history: <unk>m with chest pain, dizziness // eval for structural process
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pa and lateral views of the chest. no prior. the lungs are clear. cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are grossly unremarkable. metallic density projects over the left glenohumeral region for which clinical correlation suggested as this could be external to the patient. no free air seen below the diaphragm.
<unk>-year-old male with malaise and chest pain similar to previous pneumonia. on remicade for crohn's with left upper quadrant tenderness.
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cardiac silhouette size is normal. mediastinal and hilar contours are unchanged. pulmonary vasculature is normal. lungs remain hyperinflated suggestive of underlying copd. no focal consolidation, pleural effusion or pneumothorax is demonstrated. severe multilevel degenerative changes are re- demonstrated in the thoracic spine with large osteophytes.
history: <unk>m with chest pain, arm numbness // ?pna?stroke
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the heart is at the upper limits of normal size with a left ventricular configuration. the mediastinal and hilar contours appear within normal limits. the lung volumes are low. there is mild relative elevation of the right hemidiaphragm compared to the left side. there is no pleural effusion or pneumothorax. the lungs appear clear. cholecystectomy clips project over the right upper quadrant of the abdomen. bony structures appear within normal range.
chest pain. question pneumonia.
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pa and lateral views of the chest provided. partially visualized stent in the right upper arm again seen. 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 cough and fever // r/o infectious process
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there is a right upper lobe opacity, similar to the pet ct from <unk>, consistent with radiation changes or metastatic tumor spread. this is significantly progressed since <unk>. the cardiomediastinal silhouette and hila are normal. no pleural effusion or pneumothorax.
<unk>-year-old with dyspnea.
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single portable view of the chest. there is left lower lobe consolidation. elsewhere, the lungs are clear. the cardiomediastinal silhouette is normal. no acute osseous abnormality detected.
<unk>-year-old male with seizure.
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previously reported right upper lobe nodule is less conspicuous than on the prior study, but possibly still present. chest ct remains recommended, as also on the prior study. the left lung is clear. there is no pleural effusion. no pneumothorax is seen. the patient is status post median sternotomy. right central venous stent is again seen, similar in appearance. cardiac and mediastinal silhouettes are stable.
history: <unk>f with progressive doe // eval for acute process
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right-sided double lumen internal jugular central venous catheter terminates in the low svc. the lungs are normally expanded and clear. the cardiomediastinal silhouette, hilar contours and pleural surfaces are normal. there is no pleural effusion or pneumothorax.
history: <unk>m with bacteremia // eval for pneumonia
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ap and lateral views of the chest were provided. there is a moderate left pleural effusion, increased since the prior exam. there is a stable small right pleural effusion. the pulmonary vasculature is prominent consistent with pulmonary edema. opacity in the left lung most likely represents atelectasis. the heart size is top normal and there are aortic knob calcifications. there is no pneumothorax.
<unk>-year-old woman with question sepsis, please eval to rule out acute process.
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the lungs are clear. there is no effusion or pneumothorax. the cardiomediastinal silhouette is normal. no acute osseous abnormalities identified.
<unk>m with cough // acute process?
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lungs are hyperexpanded. there is central vascular congestion without frank pulmonary edema. no pleural effusion, pneumothorax or focal airspace consolidation worrisome for pneumonia. heart is mildly enlarged, which accounting for technique, is unchanged. mediastinal and hilar contours are unremarkable.
cough with recent pneumonia. evaluate for pneumonia.
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mild cardiomegaly is stable. right lower lobe consolidation/pneumonia has worsened. vascular congestion has resolved. there is no pneumothorax or large effusions.
<unk> year old man with ams, ? pneumonia vs meningitis // interval change
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pa inspiratory, expiratory and lateral chest radiographs were obtained. a large right-sided pneumothorax is present. there is no mediastinal shift. no focal consolidation or effusion is noted. the cardiac and mediastinal contours are normal. no displaced rib fracture is identified.
<unk>-year-old woman with sudden onset right shoulder pain.
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pa and lateral chest radiograph demonstrates hyperinflated lungs. no focal consolidation is identified convincing for pneumonia. there is no pleural effusion or pneumothorax. cardiomediastinal and hilar contours are within normal limits. calcifications through the aortic arch as well as a dilated or tortuous descending aorta noted. right <num> and <num> rib deformities are noted. no acute osseous abnormality is detected.
<unk>-year-old female with altered mental status and cough.
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interval placement of nasogastric tube with the tip projecting at the level just below the carina. otherwise, unchanged exam with stable morgagni and hiatal hernias. visualized lungs demonstrate minimal atelectasis. ap window fullness evident related to known enlarged lymph node incompletely visualized on the <unk> ct abdomen/pelvis.
ng tube placement.
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the lungs are moderately well inflated. retrocardiac opacity likely represents atelectasis. mild vascular congestion is unchanged. interval increase in small right pleural effusion. no pneumothorax. there is persistent severe cardiomegaly. mediastinal contour and hila are unchanged. .
<unk>m with sob. assess for pleural effusion
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the left subclavian central venous catheter is appropriately positioned.lungs are clear, cardiac and mediastinal contours are stable, and there is no pleural abnormality.
<unk> year old woman with respiratory failure/open aneurysm clipping. evaluate interval change.
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lung volumes are decreased, mdct and there are linear bibasilar opacities which likely represent atelectasis. no large pleural effusion or pneumothorax. cardiomediastinal contours are normal.
history: <unk>m with chest pain, dyspnea cough // acute cardiopulm disease
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compared with the prior radiograph, cardiomediastinal and hilar silhouettes are unchanged. interstitial lung markings are slightly increased bilaterally, suggesting mild pulmonary vascular congestion, however there is no new focal consolidation, pleural effusion, or pneumothorax. there may be a small hiatal hernia. mild right apical lung scarring is unchanged since the prior radiograph.
<unk>f with chills, cough. acute process?
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heart size is normal. the aortic knob is calcified. mediastinal and hilar contours are unremarkable. previous pattern of pulmonary vascular congestion has improved. there are minimal linear streaky opacities in both lung bases likely reflective of atelectasis. no pleural effusion, focal consolidation or pneumothorax is identified. there are degenerative changes in the right glenohumeral and acromioclavicular joints. no acute osseous abnormality is identified.
fever.
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the tip of the right internal jugular central venous catheter extends to the lower svc. there is persisting moderate to severe pulmonary edema. a right pleural effusion is present. no pneumothorax identified. the size of the cardiac silhouette is enlarged but unchanged.
<unk> year old man with note i and vf arrest // evaluate for flash pulmonary edema vs pna
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the right picc is in stable position terminating in the mid svc. again seen is an esophageal stent. the lungs are clear. there is left pleural thickening vs less likely small pleural fluid, unchanged from <unk>. there is no pneumothorax. the cardiomediastinal silhouette is normal.
fever and sepsis. evaluation for pneumonia.
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portable ap upright chest radiograph demonstrates patchy increased opacity throughout the right hemi thorax an additionally within the left lower lobe more conspicuous relative to prior examination. opacity is largely perihilar. findings are associated with bilateral pleural effusions. heart border is obscured. there is no pneumothorax.
<unk> year old woman with hypoxic respiratory failure, pneumonia, volume overload // interval change? consolidation? pulm edema?
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appliances in good position. enteric tube tip is in the proximal stomach. better lung aeration compared with prior exam. stable left lower lobe consolidation, right basilar opacity, likely atelectasis. small pleural effusions, stable. normal heart size, pulmonary vascularity.
<unk> year old man with svc syndrome // confirm ogt placement
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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 // acute pulm process
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pa and lateral views of the chest <unk> at <time> are submitted.
<unk>m w linea <unk> + periumbilical hernia s/p cst (<unk>) // ?pneumonia ?pneumonia
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left picc line tip in the low svc. additional catheter projected over left chest, presumed vp shunt. shallow inspiration. left basilar opacities, new since prior, may represent atelectasis, consider pneumonitis in the appropriate clinical setting. right lung is clear. normal heart size, pulmonary vascularity. no pneumothorax.
<unk> year old man with hx of tbi, seen to have szs // evaluate cardiopulmonary status in setting of sinus tachycardia
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rotated positioning. the carina is not well delineated, but the tip of the et tube probably lies approximately <num> cm above the carina. an ng tube is present, tip overlying the gastric fundus. a side-port, if present is not well visualized. there are bilateral chest tubes. note is made of acute angulation of the left chest tube similar to the prior study. no obvious pneumothorax is identified, though a small pneumothorax, particularly on the right side, would be difficult to exclude. again seen is dense consolidation in the right upper lobe, with air bronchograms. there is also increased retrocardiac density, with air bronchograms, consistent with left lower lobe collapse and/or consolidation. lateral to the cardiac silhouette, the left lung base is grossly clear. there is atelectasis at the right lung base, with elevated right hemidiaphragm. the remainder of left lung is grossly clear. multiple rib fractures are present bilaterally, more completely delineated on yesterday's chest ct scan. no gross pleural effusion is identified. note is made of sigmoid scoliosis of the thoracolumbar spine, convex right in the midthoracic and convex left in the lumbar spine. the patient's known midthoracic spine the fracture corresponds to poor visualization of the cortical contours of the t<num> vertebral body, but is much better delineated on yesterday's chest ct scan.
<unk>f s/p mvc with t<num> transection // eval for interval change
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the endotracheal tube is in satisfactory position, <num> cm from the carina. an enteric tube courses below the diaphragm with the tip in the stomach. a feeding dobhoff tube courses below the diaphragm with the tip out of the field of view in the postpyloric position within the jejunum. a right-sided internal jugular central venous catheter is in unchanged position with the tip in the upper-to-mid svc. the borderline pulmonary edema has cleared from the right upper lung. bibasilar atelectasis is slightly worse, particularly in the retrocardiac region. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal.
subarachnoid hemorrhage and cardiac arrest, status post a right-sided craniotomy. evaluate for interval change.
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a right ij catheter is seen terminating within the low svc, unchanged from prior. the lungs are well expanded and clear. the cardiomediastinal silhouette is stable. the pulmonary vasculature is normal. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
<unk> year old man with neutropenic fever // ?pna
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the previously seen mediastinal widening is substantially improved. there are moderate left and right pleural effusions. the lungs are grossly clear. the cardiomediastinal silhouette and hilar contours are within normal limits. there is no pneumothorax identified.
evaluation of pleural effusion.
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right base atelectasis is seen without definite focal consolidation. there may be minimal pulmonary vascular congestion, improved since the prior study. the patient is status post median sternotomy and cabg. the cardiac and mediastinal silhouettes are stable. no pneumothorax is seen.
history: <unk>m with chest pain, recent cabg // ?ptx
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evaluation is limited due to patient positioning. the lungs appear clear. cardiac and mediastinal silhouettes are unremarkable. there is levoscoliosis of the mid thoracic spine. no acute fractures are identified. the stomach appears significantly distended.
abdominal pain.
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portable frontal chest radiographs demonstrate placement of an enteric tube which terminates in the stomach. there is a small loculated right pneumothorax at the right costophrenic angle. a small amount of subcutaneous emphysema is noted along the tract of the right chest tube. the remainder the exam is similar compared to <num> hours prior, with increased interstitial markings compatible with mild pulmonary edema superimposed on known emphysema. there is no pleural effusion.
confirm dobhoff tube positioning in a patient status post dobhoff tube placement.
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there is no focal consolidation, pleural effusion or pneumothorax. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified. right midclavicular deformity could represent prior trauma.
history: <unk>m ckd pt on dialysis presents with flapping tremor and productive cough // ?pna
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the lungs are clear without focal consolidation, pleural effusion or pneumothorax. there is no pulmonary edema. the heart is normal in size, and the mediastinal contours are normal.
<unk> year old man with recent liver transplant on immunosuppression with pancytopenia. evaluate for signs of infection.
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lines and tubes: status post extubation and removal of mediastinal drains, chest tubes and swan-ganz catheter. ekg leads overlie the anterior chest wall. lungs: lung volumes remain low. linear left lower lobe opacities and an unchanged dense right lower lobe opacity likely represent atelectasis. pleura: unchanged right pleural effusion. there is no pneumothorax. mediastinum: stable mild cardiomegaly. prominent hilar vasculature also noted as before. bony thorax: no significant interval change. sternotomy sutures are noted in the midline.
<unk> year old man with s/p cabg // eval ptx
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cardiomegaly is stable. the mediastinal and hilar contours are normal. the pulmonary vasculature congestion and right-sided pleural effusion appear similar. no focal consolidation or pneumothorax. lines and tubes: the et tube tip is approximately <num> cm above the carina. ng tube extends inferiorly towards the stomach and passes out of view. imaged cardiac leads appear in similar position to yesterday.
<unk> year old man with volume overload s/p diuresis // interval change in fluid status
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the patient is status post coronary artery bypass graft surgery. the heart is mild to moderately enlarged. the mediastinal and hilar contours appear unchanged. superimposed on a large known mass in the right lower lobe are new multifocal opacities in both the right upper and lower lobes most suggestive of multifocal pneumonia. the left lung remains clear. there is no definite pleural effusion or pneumothorax. mild rightward convex curvature is similar with osteophyte formation along the visualized thoracic spine.
hypoxia.
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the patient has been extubated. a right internal jugular venous catheter terminates in the mid superior vena cava. there are two mediastinal drains as well as a left-sided chest tube in unchanged positions. a percutaneous pacing wire is also noted.streaky opacities suggest minimally atelectasis at the lung bases, but the lungs are mostly clear. the appearance of a possible air-fluid level over the mid right chest does not persist on follow-up radiography.
status post cardiac surgery.
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since prior, there remains a large right pleural effusion with an air-fluid level suggesting a component of hydropneumothorax. right perihilar mass is again seen. a retrocardiac nodule is redemonstrated. there is no left pleural effusion. cardiomediastinal silhouette is unchanged.
<unk> year old woman with metastatic lung cancer, followup pleural effusion.
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this radiograph limit substantial portions of each lung and captures a remarkable amount of the abdomen. specifically neither lung apex nor the lateral left lung are visualized. the distal end of a dobhoff tube coils the gastric fundus. there is unchanged elevation of the left hemidiaphragm with gas-filled colon and small bowel inferiorly. there is mild left basilar atelectasis. the lungs are otherwise clear. heart size and cardiomediastinal silhouettes are unchanged. a central venous catheter terminates in the mid svc.
<unk> y/o m s/p dobhoff placement // confirm dobhoff placement in stomach
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the lungs are clear. there is no evidence of pneumonia, pneumothorax, or pleural effusion. cardiac silhouette is mildly enlarged.
history: <unk>f with cp and cough // eval cause for cp
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heart size is mild to moderately enlarged. the aorta is diffusely calcified. the mediastinal and hilar contours are normal. pulmonary vasculature is normal. lungs are hyperinflated without focal consolidation. there may be a trace left pleural effusion and posteriorly on the lateral view. small amount of fluid is also seen along the fissures. there is no pneumothorax.
history: <unk>f with confusion, cough, copd
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the lungs are clear of focal consolidation, pleural effusion or pneumothorax. the heart size is normal. the mediastinal contours are normal.
<unk>-year-old male with chest pain.
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portable semi-upright radiograph of the chest again demonstrates right lower lobe consolidation. an endotracheal tube is noted, terminating approximately <num> cm above the carina. a transesophageal tube is partially visualized. no definite pneumothorax or pleural effusion is noted. no definite subcutaneous air is identified.
history: <unk>m with crepitance s/p subclav attempt*** warning *** multiple patients with same last name! // pcxr: eval for ptxct head: eval for ich