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again seen are multiple calcified pleural and diaphragmatic plaques consistent with prior asbestos exposure. there is no evidence of pneumonia or pulmonary edema. the heart is enlarged and unchanged in appearance from the prior. the hilar contours are normal. there is no effusion or pneumothorax.
evaluation for pneumonia.
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single frontal view of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. no free air below the right hemidiaphragm is seen. portacath position is unchanged, terminating at the upper right atrium.
<unk> year old man with abd pain <unk> tumor perforation after chemo // upright film, please assess for pneumoperitoneum
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the lung volumes are low, but there is no focal pulmonary abnormality. no focal consolidation is seen. no pleural effusion or pneumothorax is seen. tortuous top-normal ascending thoracic aorta is responsible for the bulging contour of the right supra cardiac mediastinum. cardiomediastinal silhouette is otherwise unremarkable. multiple right healed rib fractures are again seen.
transplanted liver <unk> now etoh w/d, elevated lactate, c/f status of liver // ?transplant patency
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as compared to the previous radiograph, the pre-existing right upper and lateral peripheral consolidation has decreased in extent and severity. the lung volumes are low and there is increased opacity at the bases which could be due to volume loss or acute on chronic infiltrate. . stable moderate cardiomegaly. no pleural effusions. unchanged position of the left picc line. .
<unk> year old woman with aml now febrile and short of breath. // new infiltrate?
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one portable ap view of the chest. endotracheal tube ends <num> cm from the carina. right internal jugular central venous catheter ends in the right atrium. dobhoff tube is seen traversing the stomach, reversing direction, and its tip lies in the proximal body of the stomach. the most inferior portion of the ng tube is not seen on these images. a second nasogastric tube tip is in the fundus of the stomach. there is unchanged moderate right and small left pleural effusion along with adjacent atelectasis. no focal parenchymal opacities.
acute pancreatitis, status post dobbhoff placement.
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pa and lateral views of the chest demonstrate the lungs are well expanded and clear. the cardiomediastinal silhouette is unremarkable. there is no pleural effusion, pulmonary edema or pneumothorax. no focal opacity is identified within the lungs.
seizures. evaluation for pneumonia.
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no focal consolidation is seen. there is no pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are unremarkable. anterior left costochondral calcification is seen in the mid to lower left hemi thorax.
history: <unk>m with fever // eval for pneumonia
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the heart size is at the upper limits of normal. the mediastinal and hilar contours are normal. a small-to-moderate right-sided pleural effusion is present, some of which appears to track laterally. right basilar opacity is noted. no large pneumothorax is present.
<unk>-year-old female with lung biopsy on <unk>, now with right flank pain.
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pa and lateral views of the chest provided. lungs are hyper-expanded but clear. compared to prior study, there is new small amount of pleural effusion on the left. heart size is normal. work on <num> is normal.
<unk> year old woman with new o<num> requirement overnight, low <num>s on ra, evaluate for atelectasis vs pneumonia
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lung volumes are normal. there is no consolidation to suggest pneumonia. no pneumothorax or pleural effusion. cardiomediastinal contours are normal. there is an old right humeral neck fracture.
<unk> year old man with cough and rt base crackles // r/o infiltrate
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the left pleural effusion is smaller but persists with a subpulmonic component. left basilar opacity also remains. there is no pneumothorax or right pleural effusion. cardiomediastinal and hilar contours are normal. again seen is a left anterior chest pacemaker defibrillator with tips terminating in the right atrium and right ventricle as expected.
query pneumothorax after thoracentesis.
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a single ap portable radiograph was acquired. small calcified densities overlying both mid lungs relate to partially calcified pleural plaques as seen on chest ct from <unk>. the lungs are clear. heart size is top normal. the mediastinal contours are normal. there are no pleural effusions. no pneumothorax. a left pacemaker is seen with right atrial and right ventricular leads, not significantly changed in position compared to radiographs from <unk>. the patient is status post midline sternotomy and cabg, as before.
hypotension and syncope. evaluate for pneumonia.
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frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs without focal consolidation, pleural effusion, or pneumothorax. minimal scarring in the middle lobe and lingula are unchanged. the visualized upper abdomen is unremarkable.
evaluate for pneumonia in a patient with chest discomfort.
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heart size is normal and the mediastinal and hilar contours are unremarkable. lungs are clear and the pulmonary vascularity is normal. no pleural effusion or pneumothorax is present. there are no acute osseous abnormalities.
seizures.
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compared with prior radiographs on <unk>, there is interval increase in right basilar atelectasis. there is no new focal consolidation or pneumothorax. lung volumes are again low. cardiomediastinal silhouette is unchanged. monitoring and support devices are unchanged.
<unk> year old woman with meningioma s/p resection now with distributive shock and fevers // please assess for cause of acute fever
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heart size is normal. the aortic knob is densely calcified. mediastinal and hilar contours are unchanged. pulmonary vasculature is not engorged. lungs are hyperinflated with marked emphysematous changes again noted. a fiducial marker in the right upper lobe of the lung is in unchanged position. <num> mm nodule within the right juxta hilar region is unchanged. no focal consolidation, pleural effusion or pneumothorax is identified. there are no acute osseous abnormalities. marked narrowing of the right acromial humeral interval with sclerosis of the acromion and superior humeral head as well as superior subluxation of the humeral head relative to the glenoid is compatible with rotator cuff disease. moderate degenerative changes the right glenohumeral joint are also noted.
history: <unk>f with dyspnea, cough
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moderate cardiomegaly is stable. the aorta is tortuous. port a cath tip is in standard position. there is no pneumothorax. bilateral effusions are small larger on the right associated with adjacent atelectasis. there is mild vascular congestion. there are moderate degenerative changes in the thoracic spine
<unk> year old man with new dx dchf, episode afib w/rvr, dyspnea // r/o pulm edema vs pna
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pa and lateral views of the chest provided. again seen is a retrocardiac rounded opacity which is most compatible with known hiatal hernia, seen on prior ct. linear density in the left lower lung is most compatible with platelike atelectasis. 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 sob // eval pneumonia
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frontal view of the chest demonstrates normal lung volumes. lungs are essentially clear. biapical scarring is unchanged. there is minimal blunting of the left costophrenic angle, suggestive of trace pleural effusion. there is no appreciable right pleural effusion. no pneumothorax. hilar and mediastinal silhouettes are unchanged. ascending aorta remains prominent. heart size is normal. there is no pulmonary edema. left shoulder is partially imaged. left humerus appears high riding, which slight deformity of the humeral head/neck junction.
patient with recent fall and femur fracture status post orif, now presents with fever and decreased breath sounds.
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a nasogastric tube terminates in the stomach. the lung volumes are low. the cardiac, mediastinal and hilar contours appear unchanged. there is similar heterogeneous opacification of each lung, greater on the right than left, with indistinct pulmonary vasculature suggesting mild to moderate pulmonary edema the main difference is an increasing pleural effusion on the right with right basilar volume loss suggesting coinciding atelectasis. a small pleural effusion is noted on the left.
altered mental status. history of congestive heart failure.
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pa and lateral images of the chest. the lungs are well expanded. there is a retrocardiac opacity which likely represents atelectasis, but cannot rule out pneumonia or aspiration in the right clinical setting. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable. indication on the right aspect of the trachea is again seen, possibly related to a prominent right thyroid lobe.
dizziness, chest pain.
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large hiatal hernia is seen with air-fluid level. patchy linear opacities in left mid to lower lung most likely represent atelectasis rather than consolidation due to infection. no pleural effusion is seen. there is no pneumothorax. the cardiac and mediastinal silhouettes are stable.
history: <unk>m with cad and fevers, chills p/w expiratory chest pain // c/f pna
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lung volumes are low. subtle basilar opacities are seen, which may be due to atelectasis or aspiration. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable.
<unk> year old woman with seizure disorder here for confusion medication titration // assess for pneumonia
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single portable semi-erect chest radiograph demonstrates endotracheal tube terminating <num> cm above the carina. enteric catheter terminates in the fundus of the stomach with sideport at the expected level of ge junction and could be advanced several centimeters for better function. right central venous catheter terminates at the cavoatrial junction. remainder of exam is unchanged with unremarkable cardiomediastinal borders, clear lungs and no pleural fluid.
intubation, evaluate endotracheal tube placement.
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cardiomediastinal silhouette grossly unchanged. lung volumes are low with increased bibasilar lung opacity. there is no pneumothorax or large pleural effusion.
<unk>-year-old woman with fever
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previous median sternotomy noted. a dual lead pacemaker and valve prosthesis are unchanged in appearance compared to prior study. a right-sided picc is unchanged in appearance terminating likely in the right atrium. an endotracheal tube and nasogastric tube are unchanged in appearance. lung volumes remain low. probable layering pleural effusion at the left lung base with associated atelectasis. the right lung is clear.
<unk> year old man with cervical-spine epidural hematoma // routine cxr
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there is increased opacification over the right lung, likely due to increase in loculated pleural effusion, underlying atelectasis, with concern for worsening of metastatic disease, underlying consolidation or infection not excluded. increased opacification of the right upper lobe may represent increased tumor spread although infection is not excluded. the patient is rotated to the right, however, library deviation of the trachea suggest partial lung collapse, likely obstruction from tumor. increasing nodular opacities diffusely throughout the lower left lung is highly concerning for progression of metastatic disease. a small left pleural effusion is difficult to exclude. diffuse osseous metastases better evaluated on ct.
lung cancer shortness of breath.
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the heart size is normal. mediastinal and hilar contours are unremarkable. lungs are clear and the pulmonary vascularity is normal. no pleural effusion or pneumothorax is present. no acute osseous abnormalities are visualized.
left chest pain.
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since the radiographs obtained approximately <num> months prior, no significant changes are appreciated. there is a small left pleural effusion and maybe a tiny right pleural effusion. lungs are otherwise fully expanded and clear without consolidations. mild cardiomegaly. cardiomediastinal and hilar silhouettes are normal. pleural surfaces are normal.
<unk> year old woman with recurrent cough and fever // r/o pneumonia
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the right-sided chest tube is been removed. there is a small right effusion that is smaller than on the study from <num> days prior. there is dense consolidation and volume loss in the right mid lung. there is also haziness to the pulmonary vasculature predominately on the right and a patchy alveolar edema predominantly in the right upper lung
<unk> year old man with pleural effusion s/p chest tube placement // pneumothorax, evaluate interval change
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heart size is normal. the aorta is tortuous but of normal caliber. pulmonary edema present on prior study has now resolved. the lungs are hyperexpanded but clear. there is no pulmonary edema, pleural effusion or pneumothorax. there is new left diaphragmatic pleural calcification.
<unk>-year-old with multiple myeloma, pre-bmt.
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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.
<unk> year old man with neck/jaw/chest pain, ear fullness, recent uri // acute cardiac/pulmonary process
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there is interval decrease in size of the posterior left pleural effusion. the study is otherwise unchanged from prior, with hazy opacity on frontal view in the lingular region.
<unk> year old man with cad s/p cabg c/b persistent left-sided pleural effusion now s/p thoracentesis today // ptx
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the cardiac, mediastinal and hilar contours appear stable. a staple line projects over the right lung as before. lung fields appear otherwise clear. there is no pleural effusion or pneumothorax. there has been no significant change.
worsening edema. history of behcet's disease, pneumonia, and heart failure.
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ap upright and lateral views of the chest provided. left chest wall pacer device with dual leads extending to the region the right atrium and right ventricle noted. there is cardiomegaly with mitral annular calcification noted. opacity at the right apex likely scarring though in the absence of prior imaging, clinical correlation is advised. background emphysema is noted. no large effusion. no convincing signs of pneumonia. bony structures appear intact.
<unk>f with chest tightness, recently had pna // pna?
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frontal and lateral views of the chest were obtained. the heart size is mildly enlarged. increased opacity at the medial right lung apex is increased since <unk>. though this may represent a mediastinal vessel, a mass is not excluded. pulmonary vascular markings are unremarkable. no focal consolidation, substantial pleural effusion, or pneumothorax. no radiopaque foreign body.
<unk>-year-old male with shortness of breath. evaluate for pneumonia.
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lung volumes are low. heart size remains moderately enlarged. a large hiatal hernia is re- demonstrated. the mediastinal and hilar contours are similar with atherosclerotic calcifications noted at the aortic knob. the pulmonary vasculature is not engorged. blunting of the left costophrenic angle suggests a trace left pleural effusion with mild left basilar patchy opacity, likely atelectasis. no pneumothorax is identified. there are no acute osseous abnormalities.
history: <unk>m with malaise, history of cirrhosis, ascites // ? acute cardipulm process
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lung volumes are normal. no pleural effusion, pneumothorax or focal airspace consolidation. heart is normal size. mediastinal and hilar contours are unremarkable.
history of graft versus host disease status post bone marrow transplant for aml. evaluate for pneumonia.
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the lungs are well expanded and clear. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. degenerative changes of the t spine are noted.
generalized weakness and abdominal pain.
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frontal and lateral views of the chest demonstrate no focal consolidations. lung volumes are slightly lower than prior. cardiomediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax.
<unk> year old woman with all with fevers and chills, assess for pneumonia.
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frontal and lateral views of the chest. heart size and cardiomediastinal contours are normal. lungs are clear without focal consolidation, pleural effusion, or pneumothorax.
persistent cough on antibiotics.
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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 normal. no acute osseous abnormality is identified.
<unk>-year-old male with left-sided chest pain and dyspnea.
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there is no focal consolidation, pleural effusion or pneumothorax. cardiomediastinal silhouette is unremarkable. osseous structures are intact. there is a "rugger <unk>" appearance of the spine, consistent with renal osteodystrophy.
chest pain, worse with cough, question infection.
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mild cardiomegaly is unchanged. there is stable postoperative mediastinal contour status post cabg. a linear band of fibrosis in the lingula is unchanged. lungs are otherwise clear. there is no evidence of vascular congestion or pulmonary edema. there is no pleural effusion or pneumothorax. a right picc is unchanged in position with the tip projecting over the lower svc.
diabetes and congestive heart failure presenting with fever.
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cardiac silhouette size is top normal. moderate size hiatal hernia is re- demonstrated. mediastinal and hilar contours are otherwise unchanged. pulmonary vasculature is normal. no focal consolidation, pleural effusion or pneumothorax is present. moderate multilevel degenerative changes are noted in the thoracic spine. clip is noted within the left upper quadrant of the abdomen.
history: <unk>f with copd, asthma, recent flu-like symptoms and worsening dyspnea, cough
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the lungs are clear. the cardiomediastinal silhouette is normal. no acute osseous abnormalities identified.
<unk>f with fever cough like pna in the past // r/o pna
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the cardiomediastinal and hilar contours are within normal limits and unchanged since prior examination. again noted is a thick band of atelectasis at the left lung base with smaller atelectatic changes bilaterally. there is no new focal consolidation. no definite vascular congestion or pleural effusions. there is no pneumothorax. multiple rib fractures are again noted along the left.
<unk>-year-old man status post whipple, now with bacteremia. study requested for evaluation of possible pulmonary 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. there are no acute osseous abnormalities.
history: <unk>m with left-sided chest pain // question left-sided pleural or parenchymal abnormality
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there is mild cardiomegaly, which is partially due to portable technique. the ascending and descending thoracic aorta are mildly calcified. there is no pleural effusion or pneumothorax. there is no focal consolidation to suggest pneumonia.
<unk>f with cough and sob // r/o pna
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pa and lateral chest radiograph demonstrate clear lungs bilaterally. cardiomediastinal and hilar contours are within normal limits, stable relative to prior study performed <unk>. there is no pneumothorax or pleural effusion. no air is seen under the right hemidiaphragm.
history: <unk>m with chest pain <unk> celiac artery dilation // pna? ad?
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. the lungs appear clear. there is no pleural effusion or pneumothorax.
chest pain and cough.
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heart size is normal. the mediastinal and hilar contours are unchanged. the pulmonary vasculature is not engorged. patchy opacities are seen within the lung bases. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. mild degenerative changes are noted in the thoracic spine.
history: <unk>m with chest pain
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the heart size is normal. the hilar mediastinal contours are normal. no focal consolidations concerning for pneumonia are identified. there is no pleural effusion or pneumothorax. the visualized osseous structures are unremarkable.
history: <unk>f with chest pain and shortness of breath with radiation into the back // eval for chf, pneumonia, aortic dissection, pe
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the lungs are clear. no pleural effusion, edema, or pneumothorax. the cardiomediastinal silhouette is normal. levoconvex scoliosis of the upper thoracic spine is mild, similar to the prior exam. no evidence of an acute osseous abnormality.
history: <unk>m with right sided chest pain, malaise // r/o pna
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moderate to severe enlargement of the cardiac silhouette is present. mediastinal contours unremarkable. there is mild interstitial pulmonary edema with perihilar haziness and increased interstitial opacities bilaterally. no pleural effusion, focal consolidation or pneumothorax is present. mild multilevel degenerative changes are noted in the thoracic spine.
history: <unk>f with chest pain
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lung volumes are low. this accentuates the size of the cardiac silhouette which is top normal. the mediastinal contour is likely within normal limits. there is crowding of the bronchovascular structures but no pulmonary edema is demonstrated. streaky opacities in the lung bases likely reflect atelectasis. infection cannot be completely excluded. no pleural effusion or pneumothorax is present. single <unk> rod is seen within the thoracolumbar spine which demonstrates a moderate s-shaped scoliosis.
mental retardation with productive cough, seizures.
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heart size is normal. mediastinal and hilar contours are within normal limits. lungs are clear. pulmonary vascularity is normal. no pleural effusion or pneumothorax is present. no acute osseous abnormalities are present.
right upper quadrant abdominal pain and right rib pain.
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mild cardiomegaly has been stable compared to the prior exam from <unk>. there is an interval increase in pulmonary vascular congestion, and mild to moderate pulmonary edema compared to the prior exam. there is no pleural effusion, or pneumothorax.
history: <unk>f with hypoxia, confusion // eval for infiltrate
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lung volumes are low. there are increasing interstitial and perihilar opacities suggesting mild pulmonary edema. opacities at the left base likely reflect atelectasis. the heart is mildly enlarged and the pulmonary artery appears enlarged. there is no large pleural effusion or pneumothorax.
history: <unk>f with shortness of breath, hypoxia
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compared to prior radiographs on <unk>, there is an interval improvement in the left lower lobe opacity. there is an oval opacity projecting over the left lower lung which correlates with a healed posterior eighth rib fracture seen on ct on <unk>. there is no new focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unchanged.
<unk>m w/ food bolus impaction hematemesis s/p egd w distal esophageal injury c/f for <unk> tear. also lll consolidation c/f aspiration. // evaluate for interval change, in particular lll.
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pa and lateral views of the chest were obtained. heart is normal size and cardiomediastinal contours are unremarkable. lungs are clear. there is no pleural effusion or pneumothorax.
<unk>-year-old man with back pain, preoperative evaluation.
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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 shortness of breath // eval for pna
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ap and lateral chest radiographs. the right paratracheal stripe is enlarged, which may represent a dilated azygos vein from impeded venous return in the ivc shown on concurrent ct of the abdomen/pelvis. alternatively, this could be lymphadenopathy in this patient with presumed lymphoma. the left hemidiaphragm is elevated from massive splenomegaly with adjacent atelectasis. there is no focal consolidation, pleural effusion, or pneumothorax. excreted contrast within hydronephrotic left kidney is partially imaged. there is no free intraperitoneal air.
abdominal pain. evaluation for free air.
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ap portable semi upright view of the chest. lung volumes are low limiting assessment. the previously noted right upper extremity picc line has been removed. there is a left-sided pleural effusion which is at least moderate in size with associated left basal compressive atelectasis. aside from right basal atelectasis, the right lung appears clear. the heart size cannot be assessed. mediastinal contour is prominent though unchanged. bony structures appear intact.
history: <unk>f with dyspnea and wheezing // ?cpd vs change from prior
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pa and lateral views of the chest provided. right pic line courses into the neck and terminates out of view. loculated air-fluid levels and loculations of air within the right pneumonectomy space have decreased. large amount of fluid in the right pleural space, with several loculations of air, persists. air within the pneumonectomy space is essentially unchanged. left lower lobe opacities are unchanged and could reflect aspiration from the pneumonectomy site. right chest wall subcutaneous emphysema has improved. cardiomediastinal structures are midline.
<unk> year old man s/p r total lobectomy // @<unk> on <unk> ptx? effusion?
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the endotracheal tube seats <num>-<num> cm above the carina. a left-sided central line tip is within the upper right atrium/lower cavoatrial junction. an endogastric feeding tube demonstrates its tip sitting in the distal portion of the stomach/early portion of the duodenum. four metallic coil/clip densities project over the expected region of the stomach. the cardiomediastinal contours are stable. bibasilar opacities persist, more extensive on the right than the left, and progressed from prior studies. mild pulmonary edema is present. bilateral pleural effusions, small, also persist. there is no pneumothorax.
<unk>-year-old female with pneumonia after an mvc.
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moderate to severe cardiomegaly is unchanged, and an aortic valve replacement is in unchanged position. there has been interval removal of a right ij temporary pacer line. there is no pneumothorax. there may be a small right pleural effusion, there is no left pleural effusion. there is no pulmonary edema or focal consolidation.
<unk> year old woman with tavr // effusion?
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et tube is in appropriate position, <num> cm above the carina. the right picc line is unchanged. right lateral rib fractures are similar in appearance to prior. the hemidiaphragms and left heart border are better delineated. there is decreased bilateral alveolar opacities. the heart size appears smaller.
<unk> year old man presenting with status post intubation.
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frontal chest radiograph demonstrates no focal consolidation, pleural effusion, or pneumothorax. surgical material, probably from a prior wedge resection of the right upper lobe is noted. there is no pleural effusion or pneumothorax.
angina.
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an endotracheal tube terminates approximately <num> cm above the carina. orogastric tube enters the proximal stomach and terminates beyond the field of view. lung volumes are low. right infrahilar, right basilar and left retrocardiac opacities most likely represent atelectasis, less likely infection. there is a moderate-sized left pleural effusion. no large effusion on the right. there is no central vascular congestion or overt pulmonary edema. no pneumothorax. heart size is difficult to assess in the setting of left pleural effusion, though likely moderately enlarged. there is mild unfolding of the thoracic aorta.
history: <unk>m with intubated // ? effusion , et tube placement, og tube placement
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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.
history: <unk>f with head pain s/p mvc w/o airbags // ? acute process
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an orogastric tube has been advanced further into the stomach where it makes a half coil. otherwise, there has been no definite change.
orogastric tube placement.
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unchanged left chest wall single lead aicd. the patient is status post prior median sternotomy and cabg. there is no focal consolidation, pleural effusion or pneumothorax identified. unchanged left basilar scarring/ atelectasis. the size of the cardiomediastinal silhouette is unchanged.
<unk>m with systolic hf (ef <unk>%), prior cabg, h/o vt/vf s/p icd, here with significant volume overload in setting of diuretic dose change recently. // consolidation? effusions
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right ij central venous catheter is at the cavoatrial junction. lung volumes remain low. there is no focal consolidation or pleural effusion. no pneumothorax.
<unk> year old man with kidney transplant // interval change
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opacity at the left base is worrisome for pneumonia. there are calcified granulomas projecting over the right upper lung. the heart is not enlarged. there are calcified right hilar lymph nodes. there is no pleural effusion or pneumothorax.
<unk> year old woman with <num> weeks of cough and mild shortness of breath // rule out pneumonia
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heterogeneous bilateral mid and lower lung opacities are likely atelectasis, especially given slightly low lung volumes, although infection or aspiration pneumonitis could have a similar appearance. there may be a small left pleural effusion. there is no pneumothorax. heart size is normal. the mediastinal contours are normal. aortic calcifications are seen. multilevel degenerative changes of the thoracic spine are noted.
reported right hip fracture and unclear history of fall. assess for acute process.
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there is opacification of the right lung base, likely due to a small pleural effusion with adjacent atelectasis. a small left effusion is likely also present. these findings are better characterized on recent ct chest dated <unk>. no pneumothorax. the mediastinum, hila and heart are within normal limits. severe degenerative changes in bilateral shoulders.
<unk> year old woman with ?gib and hypotension. osh cxr with rll opacity, atelectasis vs pna.also osh ct with right pleural effusion // rule out pna. evaluate presence of right pleural effusion.
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lung volumes are low which results in bronchovascular crowding and apparent enlargement of the cardiac silhouette. no acute osseous abnormalities.
<unk>f with altered mental status // evaluate for pneumonia, aspiration
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compared to the prior study there is no significant interval change in the appearance of the lungs. there is a new dobbhoff catheter with tip in the stomach.
<unk> year old woman with dobhoff replaced // eval new dobhoff placement
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there are low lung volumes. the lungs appear clear. no pleural effusion or pneumothorax is seen. the cardiac silhouette is top-normal, likely accentuated by low lung volumes. no pulmonary edema is seen.
history: <unk>f with cp/sob/syncope // eval for acute process
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the lungs are clear. there is no evidence of pneumonia, pneumothorax, or pleural effusion. cardiac silhouette is normal in size. surgical clips seen in the left upper quadrant. mid thoracic dextroscoliosis is noted.
<unk>f with chest pain radiating to let arm // acute cardiopulm disease
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ap and left lateral decubitus radiographs were obtained. the volume of the left-sided pneumothorax has decreased since the prior study. small pneumothorax remains. there is no consolidation, effusion or effusion. the cardiac and mediastinal contours are normal. the incompletely formed pigtail catheter remains in stable position.
pneumothorax.
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the lungs are hypoinflated with crowding of vasculature and bibasilar atelectasis. subtle increased right upper lobe opacity. mild vascular congestion has improved. small retrocardiac opacity is stable. no pleural effusion or pneumothorax. the heart is top-normal in size, decreased since prior examination and likely accentuated due to low lung volumes. mediastinal contour and hila are unremarkable. interval removal of endotracheal tube and enteric feeding tube. right ij cvl tip is in the low svc with left ij cvl tip in the svc junction.
<unk> year old woman with pe, hypoxic respiratory failure.
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pa and lateral views of the chest provided. there is a tracheostomy tube projecting over the superior mediastinum. the lungs appear clear. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>m with sob // sob
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the new endotracheal tube terminates <num> cm from the carina. the enteric tube terminates within the proximal stomach with the side port at approximately the level of the ge junction. evaluation of the pulmonary parenchyma is limited by exclusion of the left chest from the field of view. the visualized lungs are clear without focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is stable.
<unk>m with s/p intubation, evaluate positions ett and ngt.
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pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. slight blunting at the left lateral lung base likely represents mild pleural thickening. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>m with lt sided upper back pain with previous ptx // evaluate for ptx
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tracheal stent and bilateral mainstem bronchial stents are in grossly stable position. the proximal end of the tracheal stent projects at the level of the clavicles. heart size and cardiomediastinal contours are normal. lungs are clear without focal consolidation, pleural effusion, or pneumothorax.
history: <unk>f with chest pain and shortness of breath // r/o stent migration, ptx, infiltrate
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the lungs are clear. the cardiomediastinal silhouette and hila are normal. there is no pleural effusion and no pneumothorax.
<unk>-year-old with syncope.
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ap upright and lateral views of the chest provided. aside from mild lower lung atelectasis, the lungs appear clear. the heart and mediastinal contours are unchanged. no large effusion or pneumothorax is seen. no overt edema. bony structures are intact.
<unk>m with unknown hx // please evaluate for infectious process
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the lungs are clear and there is no evidence of a consolidation, effusion, or pneumothorax. cardiomediastinal silhouette is normal. no definite hiatal hernia is visualized. there are no fractures noted.
evaluation of patient with reflux.
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low lung volumes. the patient is status post median sternotomy. unchanged cardiomegaly. 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>f with syncope. evaluate for pneumonia.
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frontal and lateral chest radiographs were obtained. there has been interval removal of bilateral chest tubes. the right apical pneumothorax has increased in size and the left apical pneumothorax is unchanged. there is stable mild bibasilar atelectasis and small right pleural effusion. the cardiomediastinal contours are stable. the stomach is no longer distended.
patient is status post bilateral vats, now with chest tube removal, rule out pneumothorax.
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pa and lateral views of the chest demonstrate well-expanded and clear lungs. heart is normal in size and cardiomediastinal contour is unremarkable. there is no pleural effusion or pneumothorax. a tubular density posterior to the trachea may represent a thickened esophagus.
<unk>-year-old woman with pleuritic chest pain for four days, evaluate for pneumonia or pneumothorax.
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mild pulmonary edema has recurred. lung bases are obscured by a combinaton of chronic moderate to severe cardiomegaly there is no pneumothorax. pneumonia and pleural effusions could be present.
<unk>-year-old female with fever, obesity and difficulty breathing. 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. no pulmonary edema is seen. no displaced fracture is seen.
chest pain and shortness of breath.
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<num> views were obtained of the chest. the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. the heart is top-normal in size with a tortuous aortic contour.
shortness of breath x<num> days.
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single portable view of the chest is compared to previous exam from <unk>. tracheostomy tube is again noted. left picc tip is not clearly delineated on the current exam. again there is mild pulmonary vascular congestion. streaky opacities at the lung bases suggestive of atelectasis; however infection cannot be excluded. cardiomediastinal silhouette is stable as are the osseous and soft tissue structures.
<unk>-year-old male with ekg changes and fever.
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heart size is mildly enlarged. the aorta is tortuous. mediastinal and hilar contours are otherwise unremarkable. the pulmonary vasculature is not engorged. streaky opacities in the lung bases likely reflect areas of atelectasis. no focal consolidation, pleural effusion or pneumothorax is identified. no acute fractures are visualized. there are mild degenerative changes noted in the thoracic spine.
history: <unk>m with shortness of breath after mvc, airbag to chest
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there are new heterogeneous interstitial opacities in the right mid and lower lung, which do not appear to be confined to one lobe.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen.
history: <unk>f with cough. evaluate for pneumonia
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patient is slightly rotated. patient is status post median sternotomy and cabg. mild cardiomegaly is present. main pulmonary artery contour appears enlarged. there is mild pulmonary edema with vascular indistinctness. patchy atelectasis is seen in the lung bases without focal consolidation. no large pleural effusion or pneumothorax is present. no acute osseous abnormalities are evident.
history: <unk>f with weakness // eval for infection