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pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>f with positional l chest pain reproducible by palpation, left arm numbness
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the cardiomediastinal and hilar contours are within normal limits. the heart appears smaller in size compared to the prior examination on <unk>. right midlung and right lower lobe opacities are similar in appearance to multiple prior examinations. the left lung is clear. there is no pneumothorax or pleural effusion. sternal wires are aligned. there is no evidence of pulmonary edema.
<unk> year old man s/p heart transplant, sob this am // any evidence of pulmonary edema, pneumonia?
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lung volumes are low and there is bibasilar atelectasis. no pleural effusion, focal consolidation or pneumothorax. heart is normal size. the mediastinal and hilar structures are unremarkable.
seizures. evaluate for evidence of infection.
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there relatively low lung volumes. the cardiac silhouette remains markedly enlarged. the patient is status post median sternotomy and cardiac valve replacement. there is prominence of the central pulmonary vasculature suggesting mild pulmonary edema, somewhat is slightly increased as compared to the prior study. subtle confluent opacity at the right lung base could relate to vascular congestion although an underlying consolidation is difficult to exclude. no pneumothorax is seen. there are scattered areas of linear atelectasis/scarring.
history: <unk>f with sob // acute process
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ap portable upright view of the chest. lung volumes are low with mild bibasal atelectasis noted. no convincing evidence for pneumonia. no free air below the right hemidiaphragm. cardiomediastinal silhouette is normal. bony structures are intact.
<unk>m with distended abdomen, recent turp // eval for free air
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there is a linear right basilar opacity most likely due to atelectasis versus scarring. the lungs are otherwise clear. cardiac silhouette is top normal. no acute osseous abnormalities identified.
<unk>f with cough // r/o pna
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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. mild degenerative changes are noted in the lower thoracic spine. oral contrast material from recent ct examination is noted within the left upper quadrant bowel loops.
history: <unk>m with <num> months abdominal pain, <unk> lbs weight loss, wbc <num>k
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pa and lateral radiographs of the chest demonstrate clear lungs and normal hilar and cardiomediastinal contours. there are chain sutures in the right upper and middle lobes from prior wedge resection. there are other linear scars in the right lower lobe, which are unchanged. median sternotomy cerclage wires are intact and surgical clips are seen in the mediastinum from prior cabg. there is no pneumothorax or pleural effusion. pulmonary vascularity is normal. no displaced rib fracture is seen.
acute-on-chronic worsening bilateral chest pain at midclavicular line, both above and below breast.
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ap and lateral views of the chest demonstrate consolidations in the right upper and bilateral lower lobes, compatible with multifocal pneumonia. there is no pneumothorax or large pleural effusion. the cardiomediastinal silhouette is stable in appearance, with persistent mild cardiomegaly.
<unk>-year-old female with cough for one month, with shortness of breath and chest pain.
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the cardiac, mediastinal and hilar contours appear stable. opacity along the left cardiac apex is consistent with waxing and waning minor atelectasis associated with a small epicardial fat pad. otherwise, the lungs appear clear. there is no pleural effusion or pneumothorax.
chest pain.
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heart size is normal with tortuosity of the thoracic aorta. hilar contours are unremarkable. lungs are clear. pleural surfaces are clear without effusion or pneumothorax. there is no evidence of fluid overload.
hypertension and chf.
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the patient is status post median sternotomy and cabg. as before, the <unk> most superior sternotomy wire is fractured. heart size is mildly enlarged but slightly increased compared to the previous exam. the aorta remains tortuous and calcified. calcified right hilar lymph node as well as scattered calcified granulomas in the lungs are compatible with prior granulomatous disease. there is mild interstitial pulmonary edema, new compared to the prior exam. small bilateral pleural effusions are re- demonstrated, with slight interval increase in the amount of pleural fluid on the right. additionally there is increased amount of fluid loculated within the right major fissure. mild bibasilar atelectasis is seen. no pneumothorax is identified. there are no acute osseous abnormalities.
hypoxia and recent pneumonia.
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single frontal view of the chest demonstrates a large right apical bulla, compatible with findings on recent prior ct of the cervical spine. relative left apical lucency is consistent with known paraseptal emphysema. the heart is not enlarged. mild prominence of interstital markings could be secondary to crowding by bulla or could reflect an element of intertitial parenchymal change. relative opacity in left mid- and lower zones may reflect atelectasis and accentuation by oblique positioning.
<unk>-year-old male with question of pneumothorax.
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pa and lateral views of the chest provided. the lungs are clear without focal consolidation, effusion or pneumothorax. the heart is top-normal in size. the mediastinal contour appears normal. on the lateral view, there is a contour abnormality involving the sternum which raises potential concern for a fracture. no evidence of pneumomediastinum. no free air below the right hemidiaphragm. no displaced rib fractures are seen.
<unk>f with chest pain r/o rib fracture, ruptre esophogus s/p heimlich maneuver
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the lungs are clear. the cardiac and mediastinal contours are normal. there are no pleural abnormalities.
left mid back pain radiating to the front chest. evaluate for acute process.
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lungs: the lungs are well inflated. right basilar infiltrate seen previously has cleared. pleura: no pleural effusion is seen. heart: the heart is not enlarged. mediastinum and hila: there is no mediastinal mass. osseous structures: the osseous structures are normal for age. other findings: none
<unk> year old man with shortness of breath x several months, weight loss; h/o <unk> pack years of smoking // ?chf, copd
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tracheostomy tube, ng tube, and picc line are unchanged. there are large bilateral effusions that have increased compared to the study from the prior day. there is increased pulmonary vascular redistribution. there is alveolar edema bilaterally.
worsening respiratory status.
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subtle bibasilar opacities likely reflect atelectasis. lungs are otherwise well expanded. a masslike opacity seen on the same day lumbar spine ct is not appreciated on this examination. there is probably a trace left pleural effusion. no pneumothorax. there is mild cardiomegaly and mild pulmonary vascular congestion. cardiomediastinal hilar silhouettes are unremarkable. spinal fusion hardware is grossly unremarkable. a right-sided port-a-cath terminates in the low svc.
<unk>f with fevers, weakness // evaluate for pneumonia
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as compared to chest radiograph from the same day the swan-ganz catheter tip has been advanced and now projects in the region of the right pulmonary artery remains in good position. the iabp is approximately <num> cm from the superior aortic arch. moderate cardiomegaly and associated small to moderate left pleural effusion is unchanged.
<unk> year old woman now s/p pa line exchange // eval for position of pa line
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normal heart size, mediastinal and hilar contours. no focal consolidation, pleural effusion or pneumothorax. wedging of multiple thoracic vertebral bodies are noted.
history: <unk>f with no psych hx p/w psychosis // r/o pneumonia
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since prior exam. there has been an interval increase in the patchy opacification at the left base, which on the lateral view, localizes to the left lower lobe. the lungs are otherwise clear. there is no pulmonary edema, pleural effusion or pneumothorax. the mediastinal contours are normal. the heart is moderately enlarged, and unchanged from prior exams. a single-lead left pectoral pacemaker is unchanged.
cough and shortness of breath. evaluate for pneumonia.
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interval advancement of the ng tube by a few cm. the side port is still located above the ge junction. otherwise, no significant changes. lung volumes remain low. substantial left basilar atelectasis. no new focal airspace opacity. probably normal heart size is accentuated by low lung volumes. no pulmonary vascular congestion or pulmonary edema. a right picc terminates in the mid svc. extensive embolization material projects over the mid abdomen.
<unk> year old man with cirrhosis with ngt malpositioned // ngt repositioning
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normal heart, lungs, hila, mediastinum and pleural surfaces.
<unk>-year-old male patient with new onset seizures. study requested to rule out infection and/or malignancy.
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three chest tubes project over the right hemithorax. the right pneumothorax is tiny, decreased from the prior. no hemothorax/effusion. interval improvement in subcutaneous emphysema in the right lateral chest wall. the lungs are clear and well-expanded. suture in the left apex is unchanged. the heart is normal in size. the mediastinum is not widened. the hila and normal limits. no pulmonary edema or focal consolidation.
<unk> year old man s/p r vats blebectomy, pleurodesis // please do at <num>pm with ct's on waterseal, r/o ptx
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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 female with vomiting. evaluate for pneumonia.
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pa and lateral views of the chest provided. right pic line with tip in the right atrium. mild interstitial disease, best visualized in the left lung base on the frontal and lateral views. 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> year old man with port without blood return // eval for port position/malfunction
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small right and moderate left pleural effusions, minimally fissural, have increased since <unk>. left pic catheter has been removed. lungs are clear except for bibasilar atelectasis, moderately severe on the left. aorta is tortuous. heart size is difficult to assess due to adjacent opacities, which may be mildly enlarged. there is no pneumothorax. previous free subdiaphragmatic gas has resolved; <unk> chest ct shows gas in the gallbladder and biliary drains.
the patient with chest and abdominal pain.
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slight interval improvement in the interstitial opacities, asymmetrically more pronounced in the right lung. background lower lobe interstitial opacities are unchanged. the cardiomediastinal contours are stable in appearance. small left-sided pleural effusion. the right-sided picc terminates at the cavoatrial junction.
<unk> year old man former smoker with aml on decitabine, with persistent cough, concerning for infection // evaluate for infiltrate
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small, right greater than left pleural effusions are noted. there is a moderate cardiomegaly, even allowing for ap technique. there is mild pulmonary vascular congestion and mild pulmonary edema. there is no focal consolidation or pneumothorax.
<unk>f with asthma, no h/o chf, here w/ dyspnea, evaluate for pneumonia or pulmonary edema.
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frontal and lateral views of the chest. heart size and mediastinal contours are stable. interstitial edema has slightly improved since the prior exam. there is mild persistent bibasilar atelectasis. no pneumothorax or pleural effusion.
history of copd with new continued oxygen demand.
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et tube is <num> cm above the level of the carina and is in appropriate position. end of ng tube is in proximal stomach. left ij tip is in the upper svc. mild interval increase in moderate-sized bilateral pleural effusions, left greater than right, and may be partly related to patient positioning. interval increase in severe pulmonary edema. mediastinal vein dilatation, mild heart enlargement and engorged pulmonary hila noted. no pneumothorax.
<unk>-year-old male with hcv cirrhosis in icu with septic shock, increasing ventilation requirements. assess for interval change in et tube placement.
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the lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen.
history: <unk>m with fever and cough // r/o pna
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the visualized lung fields are clear of any focal consolidation, pleural effusion or pneumothorax. the chest is hyperinflated. the cardiac and mediastinal contours are within normal limits. the visualized osseous structures are unremarkable.
weight loss, evaluate for mass.
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a skin fold is noted on the left. cardiomegaly is mild. mild degenerative changes are noted at the glenohumeral joints, bilaterally.
history: <unk>f with ams // infiltrate
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the lungs are essentially clear besides mild bibasilar atelectasis. there is no effusion or edema. cardiomediastinal silhouette is within normal limits. there is tortuosity of the descending thoracic aorta and atherosclerotic calcifications at the arch. compression deformities in the visualized upper lumbar spine are unchanged.
<unk>f with recurrent utis, p/w presyncope. // eval for infection.
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ap semiupright and lateral chest radiographs were obtained. the lungs are low in volume with linear left basilar atelectasis. there is no focal consolidation, pleural effusion or pneumothorax. the heart is at most top normal in size allowing for ap technique and low lung volumes. mediastinal and hilar contours are unremarkable.
lethargy.
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frontal view of the chest was obtained. the heart is mildly enlarged. instinct pulmonary vasculature is compatible with mild edema. small bilateral pleural effusions are present with adjacent atelectasis. no focal consolidation or pneumothorax. median sternotomy wires appear intact.
<unk>-year-old male with chest pain. evaluate for chf.
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the lungs are clear without focal consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities
<unk>m with dizziness // eval for acute process
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the right internal jugular venous catheter tip ends in the low svc, unchanged. a chest tube projects over in the right lower hemithorax, also unchanged. another chest tube projecting over the right mediastinum is also unchanged. the left mediastinal drain since been removed. the patient is now extubated. no pneumothorax. lung volumes remain low. small left pleural effusion and atelectasis are minimally changed, and have not progressed. slight interval increase in mild edema, may be within normal limits post-extubation. mild cardiomegaly in is overall unchanged. the mediastinum is unchanged. median sternotomy wires are also unchanged.
<unk> year old man s/p pericardectomy // eval for hemothorax
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small heterogeneous right lung base opacities, concerning for developing pneumonia. stable biapical scarring. no substantial pleural effusion or pneumothorax. lung hyperinflation with flattening of the diaphragms and saber sheath trachea is similar to prior and consistent with copd. mild cardiomegaly and cardiomediastinal contours are stable.
history: <unk>m with productive cough and dyspnea // pneumonia
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heart size is normal. cardiomediastinal silhouette and hilar contours are unremarkable. bilateral lower lobe bronchiectasis with associated bilateral lower lobe hazy opacities likely correspond to chronic fibrotic changes as on prior ct.
history of connective tissue disease presenting with elevated troponins.
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compared to the prior study there is no significant interval change.
<unk> year old woman with metastastic nsclc and decreased breath sounds on the left. // interval change
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ap portable upright view of the chest. midline sternotomy wires and mediastinal clips are again noted. there is a left ij swan-ganz catheter with its tip again noted to enter the left pulmonary artery. the endotracheal tube is poorly visualized. a nasogastric tube extends inferiorly along the thoracic midline though the tip is excluded from view. overlying ekg leads somewhat limit the assessment. there are bilateral pleural effusions which are similar to the prior exam. no large pneumothorax. cardiomediastinal silhouette stable. bony structures intact.
<unk> year old man s/p cabg with cuff leak, attempted dht placement // eval for ptx
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pa and lateral images of the chest demonstrate well expanded lungs which are clear. there is no pneumothorax or pleural effusion. cardiomediastinal silhouette is unremarkable. visualized osseous structures are unremarkable.
<unk>-year-old female requiring followup assessment after pneumonia.
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the lungs are clear without focal consolidation. no pleural effusion and evidence of pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. no displaced fracture is seen.
injury status post mvc.
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ap view of the chest provided. compared to prior study from a day ago, there is no significant change with respect to the multi-focal consolidation. right central line terminates int the low svc.
<unk> year old man with hypoxic resp failure, multifocal pna, unable to wean o<num>, followup on infiltrates, edema
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the lungs are clear. there is no pleural effusion, pneumothorax or focal airspace consolidation to suggest pneumonia. the cardiac, mediastinal and hilar structures are unremarkable. there is a mild scoliosis of the thoracic spine.
fever and hypotension. evaluation for pneumonia.
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compared to chest radiograph from <unk>, large right paramediastinal mass with unchanged appearance. no definite pneumothorax identified. left-sided port-a-cath tip terminates at the cavoatrial junction. no focal consolidation or effusion. cardiomediastinal silhouette is stable. mild right convex scoliosis of the thoracic spine and left convex scoliosis of the lumbar spine.
<unk> year old woman with vats and mediastinal lymph node biopsy // eval for pneumothorax and post-op changes
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there has been an interval decrease of the left-sided pleural effusion without evidence of pneumothorax. there is associated atelectasis. a small amount of pleural effusion still remains. there is continued opacification of the right hemithorax as described before.
<unk>-year-old male with pleural fluid removed.
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low lung volumes accentuates the size of the cardiomediastinal silhouette. the heart size appears at least mildly enlarged. there is crowding of the bronchovascular structures but no overt pulmonary edema is demonstrated. assessment of the lung bases, particularly the left lung base, is limited due to the presence of low lung volumes and exclusion of the left costophrenic angle. patchy bibasilar opacities likely reflect atelectasis. no right-sided pleural effusion is visualized. there is no pneumothorax.
history of smoking with persistent cough and wheezing on exam.
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a right internal jugular central venous catheter is seen with the tip terminating in the upper svc. no pneumothorax is detected. in comparison to the most recent prior study, there is slightly increased opacification at the left lung base with blunting at the left costophrenic angle likely reflecting a combination of pleural fluid and atelectasis. streaky opacification at the right lung base medially most likely reflects atelectasis. the cardiac silhouette is enlarged but stable. the mediastinal contours are within normal limits with calcification of the aortic knob and tortuosity of the thoracic aorta. mild pulmonary vascular congestion is present without overt pulmonary edema. degenerative changes are noted in the spine. two orthopedic screws are imaged in the right humeral head.
hypotension and new right ij catheter, here to evaluate catheter placement.
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there is bilateral diffuse interstitial edema, more pronounced in the lung bases, with associated kerley b lines, vascular cephalization, bilateral hilar prominence and bilateral small pleural effusions. there is moderate-to-severe cardiomegaly, with a predominance of right chamber enlargement. no pneumothorax.
<unk>-year-old female with a history of chf and dyspnea. evaluate for acute cardiopulmonary process.
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pa and lateral views of the chest provided demonstrate no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. bony structures are intact. no free air below the right hemidiaphragm.
<unk>-year-old male with chest pain.
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there has been interval removal of a picc. no focal consolidation, pleural effusion, or pneumothorax is detected. lung volumes are low, exaggerating cardiomediastinal contours and pulmonary vascularity. the aorta is tortuous.
<unk>-year-old female with history of renal transplant, diabetes mellitus, hypertension, and hyperlipidemia, now with <num> weeks of nausea, vomiting, and diarrhea.
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patient is status post median sternotomy and cabg. heart size is top normal. mediastinal and hilar contours are unchanged. pulmonary vasculature is not engorged. minimal atelectasis is noted in the left lung base. remainder of the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is present. there are mild degenerative changes seen in the thoracic spine. spinal stimulator device leads are noted overlying the lower thoracic spine.
history: <unk>m with chest pain / syncope
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heart size is mildly enlarged. the mediastinal and hilar contours are unchanged. mild upper zone vascular redistribution suggests mild pulmonary vascular congestion. there are small bilateral pleural effusions, new from the previous study. no focal consolidation or pneumothorax is present. there are moderate multilevel degenerative changes in the thoracic spine.
history: <unk>m with dyspnea on exertion, paroxysmal nocturnal dyspnea, no chf history
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the patient is status post median sternotomy and cabg. the heart size remains moderately enlarged but unchanged. the aorta is tortuous and diffusely calcified. there is mild chronic interstitial abnormality, similar compared to the prior exam. emphysematous changes are most pronounced within the right lung apex. minimal blunting of the costophrenic sulci posteriorly on the lateral view likely reflects chronic pleural thickening. no overt pulmonary edema is present. streaky bibasilar opacities likely reflect atelectasis. there is scarring within the lung apices. no focal consolidation or pneumothorax is identified. there are no acute osseous abnormalities. multilevel degenerative changes are seen within the thoracic spine.
hypoglycemia.
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moderate cardiomegaly, unchanged. the patient status post aortic valve replacement. small bilateral pleural effusions. mild pulmonary edema. no focal consolidation.
history: <unk>f with bradycardia and dyspnea, baseline chf, mvr, bovine avr // eval ? edema, effusion
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the patient is status post median sternotomy with multiple mediastinal surgical clips suggesting prior cabg surgery. an ovoid opacity measuring <num> x <num> cm in the right paravertebral or posterior right lower lobe is best appreciated on the frontal view. there is no definite correlate on the lateral view. however, the density persists on a repeat frontal view. there is no focal consolidation concerning for pneumonia, pleural effusion or pneumothorax. the pulmonary vasculature is not engorged, and there is no pulmonary edema. the cardiac silhouette is top normal in size. the mediastinal and hilar contours are within normal limits.
history of smoking, now with chronic cough.
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patient is status post median sternotomy and cabg. prosthetic aortic valve is also re- demonstrated. heart size is normal. mediastinal and hilar contours are unchanged with diffuse atherosclerotic calcification of the thoracic aorta again noted. the pulmonary vasculature is normal. lungs are hyperinflated but clear without focal consolidation. no pleural effusion or pneumothorax is demonstrated. patient is status post vertebroplasty of two vertebral bodies at the thoracolumbar junction. multilevel degenerative changes are again demonstrated in the thoracic spine along with diffuse demineralization.
history: <unk>f with hx gi bleeds not anticoagulated, with melena and cough/weakness x <num> weeks // any acute pulm process
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the patient is status post cabg with sternal wires and mediastinal clips. the heart is mildly enlarged. there is a small left-sided effusion. there is dense retrocardiac opacity consistent with volume loss/infiltrate/effusion. there is pulmonary vascular redistribution.
pre-op for amputation of right hand <unk> digit.
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the heart size is mildly enlarged. there is mild pulmonary vascular redistribution. there is volume loss at both bases.
status post mi with pulmonary.
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there is a large right-sided pneumothorax. no definite signs to suggest tension. subcutaneous gas projects over the right chest wall. no displaced rib fractures identified. there is subtle angulation of the right lateral fifth rib. there is right lower lobe atelectasis. cardiomediastinal silhouette is within normal limits. left lung is clear.
<unk>m with chest pain, possible rib fracture // eval for rib fracture, pneumothorax
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ap portable upright view of the chest. again seen is a right ij central venous catheter with its tip projecting over the lower svc. heart size is unchanged in top-normal. no convincing signs of pneumonia or edema. no pneumothorax or large effusion seen.
<unk>f with sepsis? // confirm placement of central line
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there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. the imaged upper abdomen is unremarkable. the bones are intact.
history: <unk>m with chest pain s/p fall with head strike on coumadin // eval for trauma
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right picc line tip in the mid svc, <num> cm from cavoatrial junction. partially loculated right pleural effusion has improved. small left pleural effusion has improved. nodular pulmonary opacities bilaterally have mildly improved. bibasilar opacities are improved. shallow inspiration accentuates heart size. normal pulmonary vascularity. no pneumothorax. linear metallic radiopaque density projected over right axilla, represent surgical clip or radiopaque foreign body, stable.
<unk> year old woman with endocarditis with ongoing shortness of breath despite diuresis // pulmonary edema, pleural effusion
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cardiac size is mildly enlarged. the hilar and mediastinal contours are normal. an area of atelectasis is seen in the left lower lung base. there are lower lung volumes. there are no pleural effusions or pneumothorax. the right picc line tip is at the level of the mid svc. visualized osseous structures are grossly unremarkable.
<unk>-year-old male patient with cough and chf. study requested for confirmation of picc line placement.
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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 chest pain // pna
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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 weeks of right ankle pain, days of right flank pain and hematuria, hours of chest pain
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pa and lateral chest radiograph demonstrate clear lungs bilaterally, well inflated symmetrically. cardiomediastinal and hilar contours are within normal limits. there is no pneumothorax or pleural effusion. there is no air under the right hemidiaphragm. pulmonary vasculature is within normal limits. there is no displaced fracture identified.
<unk>f with sob, rib pain // rib fx
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the cardiac, mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. extensive pulmonary abnormalities appear unchanged. these are not fully characterized, but suggest extensive scarring or interstitial disease that may also coincide with underlying emphysema and probably bronchiectasis; chronic infection is a differential diagnosis. there is no evidence of superimposed acute disease.
chest pain.
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single ap view of the chest was provided. there is no focal consolidation, pneumothorax or pleural effusions. the lungs are hyperinflated. the cardiomediastinal silhouette is within normal limits. there are surgical clips seen in the right axilla and overlying the right chest wall. there are no acute osseous abnormalities.
<unk>-year-old woman with chest pain, lightheadedness, known v-tach episodes, question cardiomegaly or pleural effusions.
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the cardiac, mediastinal and hilar contours appear stable. surgical clips are present along the mediastinum and base the left neck. there is no pleural effusion or pneumothorax. medial right basilar opacity has partly resolved. a known large medial right basilar lung nodule is partly obscured. patchy scarring and right lower lateral pleural thickening appear unchanged to somewhat decreased. right suprahilar nodule persists but is difficult to assess for small changes with respect to the prior images. pulmonary nodules were better delineated on recent ct imaging.
recent lung lesions and history of lymphoma.
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the lungs are well expanded bilaterally with no areas of focal consolidation, mass lesions, pleural effusion. there is no pneumothorax. cardiomediastinal silhouette is within normal limits. the pleural surfaces are unremarkable.
<unk>-year-old female with upper respiratory symptoms.
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the lungs are clear without focal opacity, pulmonary edema, pleural effusion or pneumothorax. the cardiac and mediastinal contours are normal. there is no free air beneath the right hemidiaphragm.
history: <unk>m with bilateral lower extremity swelling // pulm edema?
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low lung volumes are present. this accentuates the size of the cardiac silhouette which appears mildly enlarged. mediastinal contour appears relatively unchanged. calcified right hilar lymph node seen on previous ct is not well assessed on the current radiograph. crowding of the bronchovascular structures is present as result of low lung volumes without overt pulmonary edema. patchy opacities are present within the lung bases which may reflect atelectasis. previously seen <num> mm right upper lobe nodular opacity is unchanged, and likely reflective of prior granulomatous disease. no focal consolidation, pleural effusion, or pneumothorax is present. mild degenerative changes are noted within the thoracic spine.
history: <unk>f with fevers, cough
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patient's chin obscures the lung apices. there is perihilar opacity with indistinct pulmonary vascular markings. blunting of the costophrenic angles could represent small effusions. lucency projecting over the cardiac silhouette is compatible with large hiatal hernia. no acute osseous abnormalities.
<unk>f with flash pulm edema // eval for acute process
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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.
chest pain. cough and low-grade fever as well.
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there are similar areas of opacification suggesting atelectasis of long chronicity at the lung bases. there is no definite pleural effusion or pneumothorax. the cardiac, mediastinal and hilar contours are unchanged.
cough.
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the endotracheal tube, enteric tube and left pectoral pacemaker with dual leads in the right atrium and right ventricle are unchanged in position. the lungs remain hyperinflated. a small right pleural effusion and possible small left pleural effusion are not significantly changed. mild pulmonary interstitial edema is slightly increased from <unk>, particularly in the left lung. no pneumothorax is seen. the cardiomediastinal silhouette is top normal in size but stable.
respiratory failure.
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large-bore right-sided central venous catheter, is dual lumen with lumens terminating in the distal svc and svc/cavoatrial junction. there are trace pleural effusions. previously seen right base opacity has decreased in the interval with some residua remaining. no pneumothorax is seen. the cardiac and mediastinal silhouettes are stable.
history: <unk>m with recent hd line placement now acute onset r shoulder and l knee pain*** warning *** multiple patients with same last name! // eval ? edema, effusion, hd placement
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interval resolution of the pneumonia in the right lung. increased residual right basilar atelectasis. no new focal consolidation. no pulmonary edema, pleural effusion, or pneumothorax. stable bilateral low lung volumes. stable cardiomegaly and mediastinal contours. the cardiac pacemaker device appears intact and unchanged in position. the patient has a hiatal hernia.
<unk> year old man with cough, shortness of breath, recent pneumonia // please eval for interval change
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low lung volumes are noted. right ij central venous catheter tip projects over the mid to lower svc. low lung volumes are seen with secondary crowding of the bronchovascular markings. bilateral parenchymal opacities are noted, left greater than right. no visualized pneumothorax on this supine film. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified.
<unk>f with line placement // ?line placement
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pa and lateral views of the chest provided. there is mild prominence of the bronchovascular markings which is unchanged over multiple prior radiographs. there is no focal consolidation, large effusion or pneumothorax. no signs of congestion or edema. cardiomediastinal silhouette is normal. bony structures are intact.
<unk>f with confusion, hepatorenal syndrome // evaluate for pneumonia
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ap upright and lateral views of the chest provided. speckled calcific densities projecting over the upper lungs reflect the presence of numerous calcified granuloma seen on prior exam. there is also calcified pleural plaque seen on prior ct which likely accounts for subtle increased density projecting over the right lung apex. the remainder of both lungs appear clear. there is a ovoid density abutting the right heart border which reflects costochondral calcification. the heart is top-normal in size. the mediastinal contour is unremarkable aside from a mildly unfolded thoracic aorta. no pleural effusion or pneumothorax. bony structures are intact. no free air below the right hemidiaphragm.
<unk>f with dizziness, l hand and leg weakness. h/o stroke in past
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the lungs are clear without focal opacity, pleural effusion or pneumothorax. the aorta is unfolded. the heart size is top normal. there is no free air.
<unk>-year-old woman with melanotic gi bleeding and hemoglobin of <num>. evaluate for perforation and pneumoperitoneum.
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the cardiomediastinal and hilar contours are normal. the lungs are clear. there is no pleural effusion or pneumothorax. no subdiaphragmatic free air is seen.
<unk>-year-old female with right upper quadrant mid epigastric pain.
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there is mild pulmonary vascular congestion. there is mild-to-moderate streaky bibasilar opacity. there is no effusion or pneumothorax. biapical bullae, left worse than right, were better evaluated on prior ct. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk> year old man with decubitus ulcer // ? pulmonary infection
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ap portable upright view of the chest. left chest wall aicd is positioned similar to prior with leads extending into the right atrium, right ventricle and coronary sinus region. the previously noted swan-ganz catheter has been removed as has the right upper extremity picc line. midline sternotomy wires persist. the heart remains mildly enlarged and there is mild pulmonary edema. no large effusions or pneumothorax is seen. the mediastinal contour is normal. mild hilar engorgement is noted. bony structures are intact.
<unk>m with chf // eval for pulm edema
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ap and lateral views of the chest. lower lung volumes seen on the current exam. streaky predominantly right-sided mid and lower lung opacities are seen, most likely due to atelectasis. the lungs are otherwise clear. please note the patient's arms are partly obscuring the visualization of the lungs on the lateral view. the cardiomediastinal silhouette is stable. median sternotomy wires again noted. degenerative changes at the right shoulder are identified.
<unk>-year-old male with weakness.
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an orogastric tube is present with the port terminating at the gastroesophageal junction. left-sided picc terminates in the distal superior vena cava. cholecystectomy clips are again noted. a catheter projects over the soft tissues of the right neck, perhaps within the external jugular vein. there is improved aeration of the left lung base. there is no pleural effusion or pneumothorax. cardiac and mediastinal contours are stable.
altered mental status, somnolence and leukocytosis despite therapy. evaluate for any interval change.
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in comparison to prior examination there is interval removal of right sided chest tube. the lungs are persistently hypoinflated with crowding of vasculature and bibasilar atelectasis. small left and trace right pleural effusions are stable. no left pneumothorax. tiny right apical pneumothorax has near completely resolved. heart size, mediastinal contour, and hila are unremarkable. left port tip is in the mid svc. again seen are clips along the right chest wall consistent with right thoracotomy. small amount of residual contrast within the left upper abdomen and at the level of the diaphragmatic crus is unchanged since prior examination.
<unk> year old woman s/p r thoracotomy with revision of esophagogastric anastomosis s/p chest tube removal. assess for interval change.
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the lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen.
history: <unk>f with left sided numbness. evaluate for infection.
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lung volumes are low. there is superimposed mild pulmonary edema. there bibasilar opacities which are most likely atelectasis, left greater than right. infection cannot be entirely excluded. cardiomediastinal silhouette is grossly unchanged.
<unk>m with facial swelling // eval for pna
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portable upright chest radiograph <unk> at <time> is submitted.
<unk> year old man with pneumothorax s/p pleurodesis // please take at <unk>: chest tube interval monitoring please take at <unk>: chest tube interval monitoring
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given lower lung volumes, the exam is largely stable from three days prior. heart size is normal. mediastinal, hilar contours are unremarkable. scarring within the lung apices is unchanged. subsegmental atelectasis is noted in the lung bases. the lungs are clear of focal consolidations. pulmonary vascularity is normal. no pleural effusion or pneumothorax.
<unk>-year-old female, fevers. evaluate for pneumonia.
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the heart size is normal. the mediastinal and hilar contours are unremarkable. there is mild calcification of the aortic knob. lungs are clear and the pulmonary vascularity is normal. no pleural effusion or pneumothorax is present. no acute osseous abnormalities are detected. cholecystectomy clips are seen in the right upper quadrant of the abdomen.
chest pain.
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low lung volumes. there is subtle opacification at the right lung base which may represent atelectasis, however an early developing pneumonia is a consideration. otherwise, the lungs are clear. heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
history: <unk>m with wbc <unk> // eval for pna, acute process
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there is increase in bilateral right greater than left airspace opacity in the lung bases, and lung volumes are decreased compared with prior. there is no large pleural effusion or pneumothorax. the cardiac silhouette is unchanged and is top normal in size, the mediastinal contours are normal.
<unk>-year-old female with cough and shortness of breath, question pneumonia or bronchitis.
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ap upright and lateral chest radiographs were obtained. the lungs are somewhat low in volume with poor visualization of the left costophrenic angle, though this is likely due to the epicarrdial fat pad as no pleural effusion is seen on the lateral view. the heart is top normal in size with dual lead pacemaker again demonstrated. lumbar fusion hardware and degenerative shoulder disease is incompletely assessed. no displaced rib fractures or pneumothorax is identified.
falls.