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moderate cardiomegaly is stable. widening mediastinum due to mediastinal frontal is stable. bibasilar opacities larger on the right side could represent atelectasis or pneumonia in the appropriate clinical setting. et tube is in standard position. left picc tip is in the lower svc. ng tube tip is out of view below the diaphragm. there is no pneumothorax or pleural effusion
<unk> year old man just intubated // ett position
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the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal.
cough and shortness of breath. evaluate for pneumonia.
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frontal and lateral views of the chest were obtained. the lungs are clear without focal consolidation, pleural effusion, or pneumothorax. heart size is normal. mediastinal silhouette and hilar contours are normal. the nodular opacity seen on the prior shoulder radiograph is likely due to hypertrophy and sclerosis at the left <num>st rib costochondral junction. gynecomastia is again noted.
left apical abnormality on left shoulder radiographs. dedicated chest radiographs are being performed for further evaluation.
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the bibasilar atelectasis has increased, now associated with small bilateral pleural effusions. there is no focal consolidation, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is within normal limits. an epidural catheter is in unchanged position. the small amount of pneumoperitoneum is stable.
<unk> year old man with oxygen requirement of <num>lnc to maintain over <unk>%. chest tube removed <unk>. s/p right adrenalectomy. // asses for interval change
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right internal jugular central venous catheter tip terminates at the junction of the svc and right atrium. heart size remains mildly enlarged. aortic knob is calcified. mediastinal and hilar contours are similar. pulmonary vasculature is normal. there is no pneumothorax or pleural effusion. there is improved aeration of the lung bases with minimal atelectasis noted in the left lung base. no acute osseous abnormalities present.
history: <unk>f with status post right internal jugular central line placement
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ap and lateral views of chest. a subtle opacity overlying the left hemi thorax appears to be asymmetric breast tissue. lungs appear clear. cardiac silhouette is normal in size. no pleural effusion, pneumothorax or pulmonary edema.
fever.
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there is slight prominence of the interstitial markings and mild hyperinflation of the lungs, suggesting mild copd. the cardiomediastinal silhouette and hila are normal. there is slight elevation of the left hemidiaphragm, nonspecific.
woman with failure to thrive.
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the heart size is normal. the aortic knob is calcified. calcified ap window lymph node is again seen. mediastinal and hilar contours are otherwise within normal limits. lungs are clear. no pleural effusion or pneumothorax is identified. there are mild osteophytes within the thoracic spine. mild loss of height of several mid thoracic vertebral bodies is unchanged.
weakness, near syncope.
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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.cholecystectomy clips are seen in the right upper quadrant of the abdomen.
history: <unk>f with syncope, chest pain
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again seen is hazy opacification of the bilateral lungs, most likely representing pulmonary edema, although may be infection, ards, or pulmonary hemorrhage. the cardiac silhouette is moderately enlarged and stable. small bilateral effusions are unchanged. an opacification at the right base most likely represents atelectasis, although a developing infection cannot be excluded. there is no pneumothorax. pacemaker electrodes are in standard position.
history of liver and kidney transplant with acute dyspnea and hypoxia.
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endotracheal tube, enteric tube, and left picc line are unchanged location. heart size and mediastinal contours are stable. lungs appear better aerated since the prior study with no appreciable pleural effusion. no pneumothorax.
<unk>f s/p fall w/ + loc. injuries include sah/sdh, <unk> fracture, c<num>/t<num> tp fractures, right clavicular fracture, maxillary fracture. // interval change
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pa and lateral views of the chest are compared to previous exam from <unk> and ct chest from <unk>. again seen are multifocal regions of bronchiectasis and patchy consolidation as well as cavitary lesions predominantly in the right lung. there may be new areas of consolidation in the right upper lung when compared to prior chest x-ray increased a possibility of superimposed active disease. there is no pleural effusion. cardiomediastinal silhouette is stable as are the osseous and soft tissue structures.
<unk>-year-old female with hemoptysis. history of tb.
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since prior, there has been slight worsening of vascular engorgement. cardiac silhouette is stably enlarged. blunting of the left costophrenic angle likely represents a small effusion. there is no pneumothorax. there is an abnormal bulging contour of the ap window new from <unk>. left picc ends in the low svc.
<unk> year old woman with shortness of breath, evaluate for pulmonary edema appear
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the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal.
chest pain.
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a left picc is likely terminates at the confluence of the brachiocephalic vein and svc. increased retrocardiac opacity and apparent leftward mediastinal shift suggests increasing left lower lobe atelectasis. otherwise, no significant change compared to <num> hours prior.
<unk> year old woman with left picc // repeat cxr to confirm l picc placement
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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. the thoracolumbar spine curves slightly to the left at the thoracolumbar junction.
chest pain, dyspnea, and hypoxia.
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there is a diffuse reticular interstitial pattern, not significantly changed compared to the prior study and possibly related to chronic interstitial lung disease. upper lung fibrosis with superior retraction of the hila is unchanged. there are no focal consolidations concerning for pneumonia. the heart is borderline enlarged, unchanged in size. there are no pleural abnormalities. kyphosis of the thoracic spine is again noted. surgical clips are seen in the left upper quadrant of the abdomen.
fevers, evaluate for pneumonia.
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the heart size is normal. the hilar and mediastinal contours are within normal limits. there is no pneumothorax, focal consolidation, or pleural effusion. moderate degenerate changes are again seen throughout the thoracic spine.
shortness of breath and wheezes.
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semi-upright ap views of the chest were obtained. a right tunneled dialysis catheter is seen with the tip in the right atrium. the small left and moderate right pleural effusions are stable compared to <unk>. there is hazy opacity at the right lung base, which could represent atelectasis; however, consolidation is not excluded. there is atelectasis of the left mid lung. minimal pulmonary vascular edema is again seen. the cardiomediastinal silhouette is unchanged.
dyspnea, rule out infiltrate.
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frontal and lateral chest radiograph demonstrate clear lungs with no focal consolidation. there is a soft tissue density along the right mediastinal paratracheal contour secondary to known adenopathy identified on chest ct dated <unk>. heart size is normal. there is no pleural effusion or pneumothorax.
<unk>-year-old male with cough. history of metastatic renal cell carcinoma.
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there is bibasilar atelectasis without focal consolidation. asymmetric elevation of the left hemidiaphragm is unchanged dating back to <unk>. the cardiomediastinal silhouette and hilar contours are stable. there is no pleural effusion or pneumothorax.
<unk>m with prolonged cough, evaluate for pneumonia.
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the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>f with cp // eval for ptx
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ap upright view of the chest was obtained. a <num> mm calcified nodule overlies the left clavicle and likely represents a granuloma. otherwise, the lungs are clear without focal consolidation, pulmonary edema, pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are unremarkable. there is no free air below the right hemidiaphragm.
<unk>-year-old with confusion. evaluation for pneumonia.
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diffusely increased interstitial markings are similar or slightly increased compared to <unk>. bibasilar consolidations are persistent. mildly enlarged cardiac silhouette is similar to before. there is no pneumothorax or large pleural effusion.
<unk> year old man with h/o severe influenza and presumed aspergillus pneumonia currently on voriconazole treatment // please evaluate for ongoing improvement in opacities.
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a right ij central venous catheter projects over the svc. there is no pneumothorax. despite low lung volumes, there is no consolidation or pleural effusion. lungs are grossly clear. heart and mediastinum are within normal limits. regional bones and soft tissues are unremarkable.
<unk>-year-old male with history of iv drug use, hepatitis c, cirrhosis, copd, and seizure presenting with postoperative fevers. evaluate for source.
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the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. the mediastinal contours are normal. the heart size is at the upper limits of normal.
sudden tearing chest pain. evaluate for acute process, such as a widened mediastinum.
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single portable view of the chest is compared to previous outside exam performed earlier the same day at <time> a.m. there is new right internal jugular venous catheter whose tip projects over the upper svc. there is no visualized pneumothorax on this film noting significant rotation. right lower lung consolidation is again seen but better characterized on previous exam suspicious for pneumonia. left lung is grossly clear.
<unk>-year-old male with sepsis with new right internal jugular line.
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there is no consolidation concerning for pneumonia. no pulmonary edema, effusion or pneumothorax. cardiomediastinal contours are normal. aortic arch calcifications, an incidental finding. previous vascular congestion has resolved.
history: <unk>m with fever, cough // please evaluate for acute cp process
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the lungs are clear of focal consolidation, effusion, or vascular congestion. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>f with hyperglycemia, needs infectious workup // please eval for pneumonia.
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frontal and lateral views of the chest were obtained. the lungs are well expanded and clear without focal consolidation, pleural effusion or pneumothorax. the cardiac silhouette is mildly enlarged. mediastinal silhouette and hilar contours are normal. there is no free air under the diaphragm. no displaced rib fracture is seen.
fever and chest pain.
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cardiomediastinal contours are normal. the lungs are clear. there is no pneumothorax or pleural effusion. the osseous structures are unremarkable
<unk> year old woman with lll pna // pls eval for resolution at <num> weeks
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the patient has been extubated. interval removal of right ij central venous catheter. the pacer lead is in unchanged position. bilateral mid to lower lung diffuse opacities have increased, right more than left, and likely represent worsening pulmonary edema. superimposed right-sided consolidation cannot be ruled out. bilateral pleural effusion are unchanged. no pneumothorax. severe cardiomegaly is unchanged. mediastinal silhouette is unchanged.
<unk> year old man with hfpef, gib now w/ persistent cough, mild o<num> requirement. // pulm edema? consolidation?
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patient has known pulmonary metastases more conspicuous on the prior study. no pleural effusion or pneumothorax is seen. the cardiac silhouette remains enlarged. the cardiac and mediastinal silhouettes are stable. the patient is status post median sternotomy. there is possible mild pulmonary vascular congestion, not significantly changed from prior study.
history: <unk>m with cad, chf says he has sob, and is volume overloaded // chf?
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previously described right lower lobe consolidation has resolved. heart size is unchanged. lungs are clear without pleural effusions or pneumothorax. a left lower lung calcified granuloma is unchanged. the dual-lumen catheter tip terminates at the cavoatrial junction.
<unk>m with dyspnea, recent tx for pna. evaluate for consolidation.
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the lungs are hyperinflated. there are bibasilar opacities, more conspicuous on the right than on the left. the cardiomediastinal silhouette is top normal in size. mitral valve replacement is identified. hypertrophic changes seen in the spine. median sternotomy wires are identified.
<unk>-year-old male with worsening shortness of breath for two days.
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the lungs are clear without focal consolidation, effusion, or edema. apparent increased density projecting over the right lower lung is due to overlying breast implant. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>f with syncope // evaluate for cardiomegaly, fractures
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the patient is status post median sternotomy and cabg. left-sided dual-chamber pacemaker is noted with leads terminating in right atrium and right ventricle, unchanged. cardiomegaly is similar. there is continued mild to moderate pulmonary edema, slightly improved compared to the prior exam. small layering bilateral pleural effusions also may be slightly decreased in the interval. bibasilar airspace opacities likely reflect atelectasis. there is no pneumothorax. no acute osseous abnormalities are visualized.
history of pneumonia with increased lethargy.
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cardiac silhouette is normal in size. the mediastinal and hilar contours are unchanged with mild tortuosity of the thoracic aorta again noted. pulmonary vasculature is normal. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is present. no acute osseous abnormalities identified.
history: <unk>m with palpitations
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cardiac silhouette size appears moderately enlarged, increased from prior. the mediastinal and hilar contours are within normal limits. mild perihilar haziness and vascular indistinctness compatible with mild pulmonary vascular congestion. no focal consolidation, pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
history: <unk>f with chf and shortness of breath// ?pulmonary edema
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frontal and lateral views of the chest are obtained. mild cardiomegaly is unchanged from comparison study. no overt pulmonary edema. no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. the hilar contours are stable. again seen are compression deformities of <num> lower thoracic vertebral bodies, grossly unchanged from comparison study.
<unk>m with shortness of breath // please assess for cardiopulmonary process
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ap portable upright view of the chest. the lateral aspect of the right hemi thorax is excluded from view. the imaged portions of the lungs appear clear. volumes are low. no large pneumothorax. no convincing signs of congestion or edema. heart is top-normal in size. mediastinal contours unremarkable. bony structures appear grossly intact.
<unk>m with rhonchi, vomiting // eval for pneumonia
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lungs are well expanded and clear. the mediastinal contours and hila are normal. the heart is top normal in size. left chest wall pacemaker appears unchanged. no pleural effusion.
<unk> year old man on amio; asymptomatic // assess for amio lung toxicity
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an ng tube is present, the tip overlies the gastric fundus. a sideport, if present, is not well visualized. note is made of several mildly dilated loops of small bowel in the mid upper abdomen. the appearance is in keeping with findings on an abdominal ct obtained the same day. inspiratory volumes are low, with bibasilar atelectasis. mild prominence of the cardiomediastinal silhouette is likely accentuated by low lung volumes. there is upper zone redistribution, without other evidence of chf. no gross effusion.
history: <unk>m with ngt, sbo // eval ngt placement
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no acute focal consolidation. mild pulmonary edema has increased. small bilateral pleural effusions. fluid is also tracking along the right fissures, causing pseudo opacity in the right upper lobe. retrocardiac opacity is likely atelectasis and unchanged. mild cardiomegaly unchanged.
<unk> year old man s/p colostomy takedown w/ primary anastomosis, now w/ rales rll, cough. // assess for pna
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the lungs are hyperexpanded consistent with underlying obstructive lung disease. there is predominantly streaky linear opacity laterally in the left upper lung likely in the posterior segment of the left upper lobe when corroborated with the lateral view. ill-defined opacities are seen in the right suprahilar region as well. no superimposed edema is noted. the mediastinum is unremarkable. the cardiac silhouette is within normal limits for size. no effusion or pneumothorax is noted. the visualized osseous structures are unremarkable.
shortness of breath with wheezes and crackles.
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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. an old right mid shaft clavicle deformity is noted. no free air below the right hemidiaphragm is seen.
<unk>m with ams, first time seizure, c<num>-c<num> ttp // fracture or bleed
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oblique positioning, probably slightly rpo. the upper mediastinum is slightly underpenetrated and the tubes are not well seen. allowing for this, i identify a single tube with its tip approximately <num> cm above the carina, at the level of the mid clavicular heads. this is in nominal position for an et tube. no definite and og-tube is identified . the cardiac silhouette is massively enlarged. the level of the diaphragms of the obscured. there is hazy opacity in the right lung suggesting a layering right effusion with underlying collapse and/or consolidation. the upper and mid zones of the left lung are grossly clear, without chf. there is retrocardiac density consistent with left lower lobe collapse and/or consolidation. the extreme left costophrenic angle is excluded from the film. no pneumothorax is identified. background degenerative changes noted in the spine, not fully evaluated.
history: <unk>m with ich, intubated // eval ett and ogt
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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 cp // eval chf vs pneumonia
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lung volumes are low. heart size is normal. mediastinal and hilar contours are unremarkable. pulmonary vasculature is unremarkable. linear opacities in the lung bases are compatible with areas of atelectasis. no pleural effusion or pneumothorax is seen. fiducial markers are seen within the right upper quadrant of the abdomen.
<unk> year old man with cirrhosis and hepatic encephalopathy
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there is mild cardiomegaly with alveolar infiltrate in both lower lobes. however, this is decrease compared to the prior study which had more florid pulmonary edema at that point in time. there is mild pulmonary vascular redistribution. sternal wires are seen. the picc line is unchanged. there is a small left effusion.
<unk> year old man with e facaelis bacteremia and osteomyelitis complains of sob and cough. // r/o pna
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frontal radiograph of the chest demonstrates constant position of endotracheal tube, enteric tube, and right internal jugular central venous line. compared to the prior study, there is continued mild pulmonary edema with small bilateral pleural effusions. no pneumothorax is seen. cardiomediastinal contours are essentially normal accounting for differences in patient positioning.
status post massive transfusion. evaluate for pulmonary edema.
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again seen is dense retrocardiac opacity compatible with left basilar atelectasis and effusion. on the lateral view, the findings appear to have progressed. known left hilar mass and mediastinal adenopathy was better seen on prior ct. left mainstem bronchus stent is again seen. no acute osseous abnormalities. surgical clips in the right upper quadrant are noted. no acute osseous abnormalities.
<unk>f with tachy and hypoxic, recent lung biopsy // ptx
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pa and lateral views of the chest. the lungs are clear. there is no consolidation, pleural effusion, or pneumothorax. heart size is normal. the pulmonary vasculature is not congested. low and flat diaphragms and hyperinflation of the lungs suggests copd. there is mild dilation and elongation of the aorta with no definite calcifications.
decreased breath sounds at the right lung base.
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there is little change compared to a prior study. heart size remains mildly enlarged. hilar contours are unremarkable. mild interstitial edema is unchanged. there is a small right pleural effusion. endotracheal tube and right picc line are in appropriate position. there is no pneumothorax. small amount of pneumoperitoneum is present, likely from recent peg tube placement and was also present on recent ct examination.
persistent fever.
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ap upright and lateral views of the chest provided. lungs are hyperinflated and clear. no large effusion or pneumothorax. no edema or pneumonia. heart is top-normal in size. mediastinal contour is notable for unfolded thoracic aorta. degenerative spurring in the t-spine noted. high riding right humeral head likely reflect chronic rotator cuff disease. no free air seen below the right hemidiaphragm.
<unk>f with cough // ? pna
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ap upright and lateral views of the chest provided. mediastinal widening above the cardiac silhouette and hilar enlargement due to a combination of adenopathy and pulmonary hypertension are similar to prior. there is no focal consolidation, effusion, or pneumothorax. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen. compared to the prior exam there are increased interstitaial markings, acute on chronic fluid overload
history: <unk>f with pulm htn, recent cough, fell out of bed with head strike/loc // ct imaging: eval for acute injury
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compared to the prior study there is no significant interval change.
<unk> year old man with esophageal cancer s/p mie // please do <unk> am. interval changes
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the cardiac silhouette is mildly enlarged. the pulmonary vasculature is slightly more indistinct than on prior examination. mild left basilar opacity may represent atelectasis. no pleural effusion or pneumothorax is present.
<unk> year old woman with edema, rales on exam // assess for evidence of chf
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the enteric tube curls in the distal stomach with the tip pointing towards the fundus. cardiomediastinal silhouette is stable. mild increased opacification of the right lower lung likely represent atelectasis. no large effusion or pneumothorax.
<unk> year old woman with dobhoff tube placed. // dobhoff placement
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lung volumes are somewhat low. there is diffuse prominence of interstitial markings. there is no pneumothorax. the heart appears large although cardiac size may be exaggerated by ap technique. mediastinal structures are otherwise unremarkable. the bony thorax is grossly intact.
please evaluate for pulmonary edema
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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. slight residual left lower lung opacity remains but improved since the prior examination from <unk>, with no definite new focal opacity. an exostosis along the course of the superior right second rib appears unchanged.
left shoulder pain and fever.
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study is slightly limited by patient rotation. moderate enlargement of cardiac silhouette is re- demonstrated. mediastinal and hilar contours are likely unchanged. previous pattern of mild pulmonary vascular congestion appears mildly improved with no pulmonary edema is present. patchy opacities in the lung bases persists, likely atelectasis. no focal consolidation, pleural effusion or pneumothorax is present. moderate multilevel degenerative changes are seen in the thoracic spine.
history: <unk>f with worsening shortness of breath
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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. left-sided port-a-cath with the tip in the mid svc.
<unk> year old woman with her<num> positive breast cancer with recently treated lll pneumonia // f/u lll pneumonia s/p treatment
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the cardio mediastinal silhouette is normal. there is no pleural effusion or pneumothorax. there is no focal consolidation. views of the upper abdomen are unremarkable.
<unk>f with chest pain, evaluate for pneumonia..
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the lungs are clear without consolidation, effusion, are pulmonary edema. left chest port is seen with catheter tip at the upper svc. the cardiomediastinal silhouette is stable. hypertrophic changes noted in the spine.
<unk>f with weakness // ? pneumonia
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ap upright and lateral views of the chest provided. lung volumes are low limiting assessment. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is stable and likely normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>f with multiple recent falls.
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frontal and lateral chest radiographs demonstrate clear lungs, which are well expanded. there is interval resolution of opacity overlying the cardiac silhouette on the lateral view. there is no effusion, or pneumothorax. the cardiac silhouette, mediastinal contours remain normal.
<unk>-year-old female with a lingular pneumonia in <unk> with <num> days of recent cough, question pneumonia.
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heart size remains mildly enlarged, not substantially changed in the interval. the mediastinal and hilar contours are similar. there is no focal consolidation, pleural effusion or pneumothorax present. there may be mild pulmonary vascular congestion, as seen previously, without frank pulmonary edema. patchy opacities in the lung bases are compatible with areas of atelectasis. a tips catheter projects over the right upper quadrant of the abdomen. there are no acute osseous abnormalities.
history: <unk>f with abdominal pain, ascites // assess for pneumonia
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lung volumes are slightly low. there is a left retrocardiac opacity. a dome-shaped opacity at the right base could reflect pleural fluid. the mid and upper lung fields are clear. the heart is moderately enlarged. there is no frank pulmonary edema. there is no pneumothorax.
<unk> year old woman with acute onset tachypnea, shortness of breath // pneumonia
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a left base chest tube remains in place with only a trace apical component of remnant pneumothorax. cardiomediastinal silhouette and hilar contours are stable. left apical mass with fiducial markers unchanged. lungs are otherwise clear. there is no pleural effusion.
left pneumothorax status post left apical mass fiducial placement.
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lungs are hyperinflated and hyperlucent due to known severe emphysema. there are subtle parenchymal opacities in the right apex, which may represent minimal bronchiolitis. there is otherwise no focal consolidation, pleural effusion or pneumothorax. single fiducial marker is present in the right upper lobe. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities are identified.
<unk>-year-old male presenting with cough and shortness of breath
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as compared to chest radiograph from <num> day prior, insertion of a left-sided chest tube, the tip is not included in the field of view and the visualized portion is at the level of the diaphragm. interval decrease in the left-sided pleural effusion which is now very small. no visualized pneumothorax. pulmonary edema is mild to moderate, and has not substantially changed. cardiomegaly and lobulated mediastinal widening is stable.
<unk> year old man with chest tube, s/p medical <unk> // ? tube placement
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right internal jugular central venous catheter tip terminates at the junction of the svc and right atrium. no pneumothorax is present. moderate enlargement of the heart is again noted with coronary artery stenting. atherosclerotic calcifications of the aortic knob are again present. mediastinal contour is otherwise unchanged. there is mild pulmonary vascular congestion, perhaps minimally worse in the interval. streaky opacities in the lung bases may reflect areas of atelectasis. no pleural effusion is present.
history: <unk>f with central line placement
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the exam is partially limited by rotation of the patient, however the lungs appear clear. the cardiac, hilar and mediastinal contours are normal. no pleural abnormality is seen.
history: <unk>f with hypoxia. evaluate for pneumonia
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. no focal consolidation, pleural effusion, or pneumothorax.smooth extrapleural opacity in the right mid chest laterally corresponds to an area of asymmetric extrapleural fat deposition on prior ct.
<unk> year old man with h/o chf has mild pleuritic cp and sob last night, hypoxemia // r/o infiltrate/chf
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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 neutropenia, rll focal wheeze
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mild to moderate cardiomegaly re- demonstrated, with diffuse calcification and tortuosity of the thoracic aorta. graft stent within the descending thoracic aorta is in unchanged position. opacity within the right paramediastinal upper lung is unchanged compatible with known radiation changes for non-small cell lung cancer. no overt pulmonary edema is identified. moderate right pleural effusion appears relatively unchanged. left basilar opacification is new, and is compatible with the presence of a small to moderate left pleural effusion and probable adjacent atelectasis. a left basilar infectious process is not excluded. no pneumothorax is identified. no acute osseous abnormalities are seen.
fever, shortness of breath.
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the lungs are clear. the cardiomediastinal silhouette is normal. no acute osseous abnormalities identified.
<unk>m with fever // cxr: ?pnact head: ?appendicitis vs colitis
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frontal and lateral radiographs of the chest show appropriate inspiratory lung volumes. the lungs are clear without focal consolidation, pleural effusion or pneumothorax. no pulmonary vascular congestion or edema is present. the cardiac silhouette is normal in size. the mediastinal and hilar contours are within normal limits. no acute osseous abnormality is identified.
<unk>-year-old male with dyspnea, here to evaluate for pneumonia.
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the et tube tip is <num> cm above the carina. there is an og tube with tip at the thoracic inlet. a portion of this is seen coiled in the oropharynx. lung volumes are low and there is dense consolidation at the bases. there is also likely a small left effusion. the right central line tip is just below the cavoatrial junction. there is no pneumothorax.
<unk> year old woman with new ett, ogt // ?ett, ogt placement
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right port-a-cath tip, and left ij central line tip near cavoatrial junction. there is no pneumothorax. right upper quadrant catheter in place. stable left lower lung consolidation, small left pleural effusion. right lung is clear.
<unk> year old man with stage iii/iv hodgkin's lymphoma admitted with cholangitis, sepsis, now w/t<num>. // evaluate for infection/pna
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increased interstitial markings are seen predominantly centrally. there is no confluent consolidation or layering effusion. there is suggestion of fluid within the fissure. the cardiac silhouette is mildly enlarged. no acute osseous abnormality is identified.
<unk>m with htn, ckd with nstemi // cp, elevated troponin
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the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. the lungs are hyperinflated, consistent with a history of copd. enlargement of the cardiac silouhette is stable. atherosclerotic calcifications are noted in the aortic arch. an implanted aicd is unchanged in position. a compression deformity in the lower thoracic spine is also unchanged in appearance. no new compression deformities are noted.
chest pain and shortness of breath.
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ap and lateral views of the chest. the lungs are hyperinflated but are clear. there is no consolidation, effusion, or pulmonary vascular congestion. mid thoracic dextroscoliosis is identified. no acute osseous abnormality is identified. mitral annular calcifications are noted.
<unk>-year-old female with weakness and failure to thrive. comparison: <unk>.
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pa and lateral views of the chest provided. lung volumes are low, accentuating the heart silhouette. pulmonary vasculature is prominent but there is no overt edema. increased vascular pedicle width may also reflect slight volume overload. there are no focal consolidations concerning for pneumonia. there are no pleural effusions.
<unk>m with fever, evaluate for pna
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portable view of the chest demonstrates clear lungs. cardiac silhouette is normal size. no pleural effusion or pneumothorax.
elevated white blood cell count.
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the patient is status post median sternotomy and cabg with unchanged fracture of the superior most wire. heart size is normal. the aorta remains tortuous. pulmonary vasculature is normal. hilar and mediastinal contours are unchanged. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is identified. vascular stent is re- demonstrated within the upper abdomen.
history: <unk>m with confusion
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frontal and lateral views of the chest. compared to prior, there has been no significant interval change. there is persistent mild pulmonary vascular congestion without overt pulmonary edema or effusion. cardiac silhouette is enlarged but stable. atherosclerotic calcifications seen at the aortic arch. median sternotomy wires and mediastinal clips are again noted. no acute osseous abnormality.
<unk>-year-old female with history of chf and shortness of breath with lower extremity edema.
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frontal and lateral views of the chest. no prior. relatively low lung volumes are seen with secondary crowding of the bronchovascular markings. mild blunting of posterior costophrenic angle on the right may represent trace effusion. cardiomediastinal silhouette is within normal limits. gastric band is identified within the upper abdomen. osseous and soft tissue structures are otherwise unremarkable.
<unk>-year-old female with fever. question pneumonia or effusion.
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pa and lateral views of the chest provided. subtle opacity in the left lower lung is concerning for an early pneumonia. right lung is clear. no large effusion or pneumothorax. the cardiomediastinal silhouette is normal. bony structures are intact. no free air below the right hemidiaphragm.
<unk>m with fever, cough, myalgias // eval for 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. bony structures are unremarkable.
fever, leukocytosis and cough.
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supine portable frontal chest radiograph shows a ng tube terminating a <unk> portion of the duodenum. a right upper extremity picc has been withdrawn in the interim, now terminating at the confluence of the right brachiocephalic vein and superior vena cava. the lung volumes remain low, which accentuates the bronchovascular structures. there is prominence of the central pulmonary vasculature. there is no pleural effusion or pneumothorax. the cardiac and mediastinal contours are normal.
right upper extremity picc and ng tube.
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endotracheal tube terminates <num> cm above the carina. enteric catheter courses below the left diaphragm and out of view. there is mild cardiomegaly with left atrial predominance, and central pulmonary vasculature engorgement suggesting fluid overload. linear opacifications are noted throughout both lungs, particularly on the right suggesting atelectasis. no pleural effusion or pneumothorax identified.
tpa running for a stroke, now with vomiting, change in mental status. evaluate endotracheal tube placement.
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cardiomediastinal silhouette is within normal limits. lungs are symmetrically expanded and clear. there is no pleural effusion or pneumothorax. no pulmonary edema.
history: <unk>f with history of increase seizure (frontal lobe epsiley) over the last week, lungs clear // r/o intracranial hemorrhage r/o pna vs pleural
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widespread bony metastases from prostate cancer limits evaluation. diffuse interstitial pattern predominantly in the upper and mid lung fields, an worse in the bilateral lower lungs, may be due to atypical pneumonia or pulmonary hemorrhage, given no new heart enlargement suggesting failure. cardiomediastinal and hilar contours are unchanged. no large pleural effusions.
<unk>m with hemoptysis. evidence of infection.
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there is a <num> cm nodule projecting over the right lung base. the lungs are well expanded and otherwise clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable.
<unk>f newly started on mtx for ra p/w x<num> month cp, headache, abd pain // eval for acute cardiopulm process
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left-sided pacer is re- demonstrated with leads terminating in the right atrium and right ventricle. the patient is status post median sternotomy, aortic valve replacement, and cabg. heart size is mildly enlarged, unchanged. mediastinal and hilar contours are similar. mild upper zone pulmonary vascular redistribution is likely chronic without overt pulmonary edema. lung volumes remain low with streaky opacities in the lung bases suggestive of atelectasis. no large pleural effusion or pneumothorax is present. fusion hardware within the lumbar spine is partially imaged as well as hardware within the right humeral head.
history: <unk>m surgery planned for tomorrow
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the lungs are well expanded and clear without focal consolidation, pleural effusion or pneumothorax. heart size is normal. mediastinal silhouette and hilar contours are normal.
<unk>-year-old man with weakness.
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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 cp // evidence of pneumo
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frontal view of the chest. a left central venous catheter ends in the mid svc. low lung volumes result in bronchovascular crowding. retrocardiac opacity is likely atelectasis. no new opacity and no pneumothorax. there is probably a tiny left pleural effusion. cardiac and mediastinal silhouettes are stable.
<unk>-year-old man with altered mental status.