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the lungs are normally expanded and clear without pneumothorax. the cardiomediastinal silhouette and hilar contours are normal. there is no pleural effusion.
right chest pain. rule out pneumothorax.
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there is no change compared to the prior exam. no evidence of focal pneumonia. no pleural effusion or pneumothorax. no abdominal free air. lung volumes are low.
hiv and fever.
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no focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. patient is status post median sternotomy and cabg. evidence of dish is seen along the thoracic spine.
history: <unk>m with cp // cp
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the cardiomediastinal silhouettes are normal. the bilateral hila are normal. the lungs are clear. there is no evidence of pulmonary vascular congestion. there is no pneumothorax or effusion.
<unk>-year-old with chest heaviness evaluate for pneumonia or other acute process.
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a single portable frontal supine view of the chest was obtained. endotracheal tube terminates approximately <num> cm above the carina, left subclavian central venous catheter is in the lower svc, and the ng tube is within the stomach, all in satisfactory position. lung volumes are low. lungs are clear with normal vascularity. patchy atelectasis is noted at the bases. there is no pleural effusion or pneumothorax. heart is normal in size and cardiomediastinal contour is unremarkable.
<unk>-year-old woman with altered mental status, intubated from outside hospital, evaluate for consolidation.
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ap portable upright view of the chest. the right ij central venous catheter is new from prior exam extending into the region of the lower svc. evaluation is suboptimal due to patient rotation to the left. allowing for this, no further change.
<unk>m with rij placement // ? line placement
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the heart is borderline in size. the cardiac, mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. the lungs appear clear.
syncope.
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pa and lateral views of the chest provided. faint linear densities in the lower lungs likely reflect platelike atelectasis. the lungs are otherwise clear. there is stable prominence of the mediastinal silhouette, which has been previously assessed by ct chest from <unk>. the heart size is normal. bony structures are intact. no free air below the right hemidiaphragm.
<unk>m with abd pain, n/v, cp hx of pericarditis // acute process
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable and unremarkable.
history: <unk>f with dizzyness, slight confusion // r/o pna, acute path
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assessment is limited due to patient rotation. right-sided port-a-cath tip terminates in the right atrium. the heart size is mildly enlarged. mediastinal contours are grossly unremarkable. there is no pulmonary edema. streaky opacities within the right lung base likely reflect atelectasis. no focal consolidation, pleural effusion or pneumothorax is identified. previously noted osseous metastases are seen better visualized on the prior ct.
history: <unk>f with weakness, metastatic breast cancer
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pa and lateral radiographs of the chest demonstrate multifocal airspace opacities, predominantly in the right middle, right lower, and left lower lung fields. because the patient has had a significant prior pathology at these locations, it is assumed that these represent chronic scarring or inflammatory changes. however, if the patient has experienced infectious symptoms, new multifocal pneumonia with a similar distribution cannot be excluded. the heart size is normal, and there is no pulmonary vascular engorgement, nor interstitial pulmonary edema. there is no pneumothorax or pleural effusion.
evaluate for the presence of congestive heart failure in a patient with chronic myelofibrosis and new lower extremity edema. the patient has a history of multiple episodes of aspiration pneumonia.
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dubhoff tube tip is in the stomach. right internal jugular line tip is at the level of mid svc. cardiomediastinal silhouette is unchanged. stable appearance of the long bones with calcified pleural plaques and pleural thickening. the lungs remain hyperinflated. minimal retrocardiac opacities likely atelectasis. no definitive evidence of new consolidations to suggest infection demonstrated.
<unk> year old man with s/p cabg // rising white count
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the lungs are hyperexpanded. heart size is normal. the aorta is calcified, indicating atherosclerosis. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. left basilar atelectasis. lungs are otherwise clear. no pleural effusion or pneumothorax is seen. there are multilevel degenerative changes of the visualized spine.
history: <unk>f with chest pain and subsequent left arm numbness. evaluate for acute cardiopulmonary process
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lungs are low in volume with retrocardiac atelectasis. there may be a nodule in the right upper lung laterally projecting in the second interface over the scapula. no pleural effusion or pneumothorax is seen. the heart is normal in size with normal cardiomediastinal contours.
<unk>-year-old female with slurred speech and headache, assess for pneumonia.
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there has been interval increase in the loculated right pleural effusion. this is seen as multiple smoothly marginated opacities projecting over the right lung. there is a small left effusion that is also increased in size. the appearance of the pacemaker is unchanged
<unk> year old woman with ovarian cancer and persistent r pleural effusion now s/p pleurex // please assess interval change in right pleural effusion
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the lungs are well expanded and clear. the right basilar opacity/effusion on the most recent chest radiograph has resolved. there is increased soft tissue density in the anterior mediastinum seen on lateral radiograph above the aortic arch, causing mass effect and posterior displacement of the trachea. this density is seen as a vague opacity in the left apex on frontal radiograph. it may have been present in <unk> but is more conspicuous today. given no correlative finding on thyroid u/s, recommend non-urgent ct neck. the aorta is elongated and tortuous. the cardiomediastinal silhouette reveals stable, mild cardiomegaly. the hilar contours and pleural surfaces are normal. there is no pneumothorax or pleural effusion. thoracic scoliosis and degenerative changes in the thoracic spine are redemonstrated. surgical clips are in the abdomen.
syncope, possible fever. evaluate for acute intrathoracic process.
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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 cough // eval for pna
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portable chest radiograph demonstrates interval placement of the chest tube with tip difficult to evaluate but appears to be along the left base. there is increased dense opacification of the left hemithorax with air bronchograms present in the retrocardiac position. increased density likely combination of known large left upper lobe mass as well as increased left lower lobe collapse and increased left pleural effusion. right mediastinal and hilar borders are unremarkable. right lung is clear. the right-sided pleural effusion evident.
left pleurx catheter placement, tachypnea. please evaluate catheter placement and residual pneumothorax.
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comparison a chest radiograph from <unk>, a small-to-moderate right pleural effusion has nearly resolved. the fluid component of a moderate left hydropneumothorax has decreased with moderate improvement in the apical pneumothorax. there is no focal consolidation, vascular congestion or pulmonary edema.
<unk> year old man with pneumothorax s/p l chest tube drainage of long-standing pleural effusion // please eval pneumothorax, effusion
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the left chest tube has been removed and a new left pigtail catheter projects over the left lung apex. the previously seen large left pneumothorax is now very small, with lucency abutting the aortic knob. bilateral patchy opacities are unchanged. no pleural effusion. the cardiac and mediastinal contours are stable. there are bilateral rib fractures and subcutaneous gas over the left chest wall.
<unk>-year-old man with a new left pigtail catheter.
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. the lungs appear clear. there are no pleural effusions or pneumothorax. bony structures appear within normal limits.
right upper quadrant and chest pain.
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lung volumes remain low. mild cardiomegaly persists. the aorta remains tortuous. widening of the superior mediastinal contour is unchanged. pulmonary vasculature is not engorged. there is no focal consolidation, pleural effusion or pneumothorax. atelectasis is noted in the lung bases. there are no acute osseous abnormalities.
history: <unk>m with syncope // eval for pneumonia
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lung volumes are low. the heart size is mildly enlarged. the mediastinal contour is unremarkable. there is crowding of the bronchovascular structures with mild pulmonary edema. no large pleural effusion or pneumothorax is seen. retrocardiac and right basilar patchy opacities likely reflect atelectasis. there are no acute osseous abnormalities identified.
shortness of breath.
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compared with the prior radiograph, lung volumes are lower causing bronchovascular crowding and accentuation of the cardiac silhouette. however, there is no new focal consolidation, pleural effusion, or pneumothorax.
<unk>f with seizure, cough, fever. evaluate for pneumonia.
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there has been improvement in the pulmonary edema, now moderate. small bilateral pleural effusions are unchanged. the cardiac silhouette remains mildly enlarged. the mediastinal contours at the hilar structures are unremarkable. there is no pneumothorax or focal airspace consolidation.
shortness of breath, heart failure.
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linear atelectasis is scarring in the lingula is improved when compared to the prior study. lung volumes are within normal limits. the trachea is central. the cardiomediastinal contour is unchanged. the heart is not enlarged. no pleural effusion seen on the ap projection however there is likely a small effusion on the left side seen on the lateral projection only. no consolidation or pneumothorax seen. the visualized bony structures are unremarkable in appearance.
<unk> year old man with pleural effusion, cough. pancreatitis, leukocytsosis // r/o pna, loculated effusion
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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.
cough
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et tube terminates <num> cm above the carina. right subclavian catheter tip is in stable position. again seen are low lung volumes with probable small bilateral pleural effusions and associated atelectasis. there is no pneumothorax. mild cardiomegaly is stable.
respiratory failure.
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the left upper lobe is well aerated but left lower lobe atelectasis persists, with associated elevation of the left hemidiaphragm due to volume loss. the right lung is clear. a right ij central line terminates in the lower svc. there is no pneumothorax or pleural effusion. the cardiomediastinal silhouette is normal.
<unk>-year-old woman with hemoptysis, assess for interval change.
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single portable view of the chest. appearance of the right lung is unchanged with surgical chain sutures adjacent to the hilum underlying fibrotic changes in overall right hemithorax volume loss suggestive of prior lobectomy. although the left lung is partially obscured due to overlying oxygenation mask and cardiac leads, there are multifocal regions of consolidation throughout the lung. the cardiomediastinal silhouette is unchanged. atherosclerotic calcifications again seen at the aortic arch. bilateral shoulder arthroplasties are identified.
<unk>-year-old female with dyspnea.
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the heart is enlarged. a left mid-upper lung mass is again seen with a clip and associated thoracotomy changes. there is mild pulmonary edema. there are small bilateral pleural effusions. no definite focal consolidation or pneumothorax identified.
shortness of breath. recent antibiotics for possible pneumonia, evaluate for infiltrate.
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the lungs are well expanded and clear. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. a right coronary artery stent is better seen in the lateral view.
<unk>-year-old male with chest pain. evaluate for acute cardiopulmonary process.
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the lungs are mildly hyperinflated, with flattening of the diaphragms on the lateral view. bilateral interstitial opacities are compatible with pulmonary edema, unchanged from <unk>. retrocardiac consolidation is also unchanged and is likely atelectasis. the heart remains mildly enlarged. the mediastinal and hilar contours are unremarkable. a large hiatal hernia is again noted. the aorta is diffusely calcified.
shortness of breath. evaluate for heart failure.
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there is prominence of the pulmonary vasculature suggestive of mild-to-moderate increased in central pulmonary pressure. additionally, there is silhouetting of the left hemidiaphragm likely due to a small pleural effusion with adjacent atelectasis. the cardiac silhouette appears moderately enlarged. the lungs are otherwise without a focal consolidation. no acute fractures are identified.
patient with cough and crackles.
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no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. heart and mediastinal contours are within normal limits.
<unk>-year-old female with rheumatoid arthritis, prior to starting biologic therapy.
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the lungs are clear with no evidence of acute interstitial or airspace disease. there is no pleural effusion or pneumothorax. no areas of focal consolidation are identified. cardiomediastinal silhouette is unremarkable. the aorta is slightly tortuous and ectatic. there is no pleural effusion or evidence of pneumothorax. the pleural surfaces are unremarkable.
<unk>-year-old male with history of ra on methotrexate and history of copd, presents with cough and dyspnea.
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ap views of the chest provided. since <unk>, mild pulmonary edema has nearly cleared and the previously seen left basilar consolidation has resolved. stable, mild cardiomegaly is seen. the azygos vein and mediastinal vessels are mildly distended. a dobbhoff tube is seen terminating in the distal stomach. imaged osseous structures are intact.
<unk> year old man with endocarditis, mssa bacteremia, with intermittent fevers. // any evidence of pneumonia?
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frontal supine portable radiograph of the chest demonstrate a right internal jugular central venous catheter in the low svc. there is stable severe enlargement of cardiac silhouette. the large left effusion is likely stable given differences in positioning. there is an unchanged small right pleural effusion. no pneumothorax. there is persistent mild pulmonary edema
hypotension, stemi status post central line placement.
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the cardiac silhouette is borderline enlarged. the pulmonary vasculature is unremarkable and unchanged since the prior examination. atelectasis is noted in the azygous lobe. the lungs are otherwise clear. no definite pleural effusion or pneumothorax is identified.
history: <unk>f with palpitations and cp // pna?
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ap upright and lateral views of the chest provided.bibasilar atelectasis and bronchovascular crowding limits evaluation through the lower lungs. no definite signs of pneumonia or edema. no large effusion or pneumothorax is seen. cardiomediastinal silhouette is stable. a chronic deformity involving the mid shaft right clavicle is again noted.
<unk>m with dyspnea // r/o acute process
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right-sided port-a-cath tip terminates in the svc. the heart size is mildly enlarged but unchanged. mediastinal and hilar contours are stable. emphysematous changes within the lungs are re- demonstrated with marked scarring in the lung apices. no new focal consolidation, pleural effusion or pneumothorax is present. there is no pulmonary vascular congestion. no acute osseous abnormalities detected. clips are noted within the midline upper abdomen.
fever and hypotension.
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the ng tube courses below the diaphragm with its tip in the body of the stomach. there is a right-sided picc line, which appears to end in the mid svc. the right upper lobe consolidation is stable compared to the prior exam. the right hemidiaphragm is substantially elevated compared to the left hemidiaphragm likely secondary to ascites. the left lung opacities are stable. there is no pneumothorax. there is no pleural effusion. the right heart border is obscured by the elevated hemidiaphragm.
<unk>-year-old male with history of cirrhosis, status post ng tube placement, who presents for evaluation of ng tube position.
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the endotracheal tube tip projects approximately <num> cm above the carina. an esophageal catheter courses below the diaphragm with tip out of view and side port projecting over the left upper quadrant. lung volumes are low. no focal consolidation, pleural effusion, or pneumothorax is detected. heart size is top normal but may be exaggerated by positioning and low lung volumes.
<unk>-year-old male status post intubation.
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single portable view of the chest is compared to previous exam from <unk>. as previously noted, lung volumes remain low. there are subtle patchy opacities in the lungs bilaterally. there is possible left-sided pleural effusion. left diaphragm is not clearly delineated. prominence of the hila again noted. cardiac silhouette is stable. degenerative changes are again seen at the glenohumeral joints.
<unk>-year-old female with chest pain and shortness of breath, question pneumonia or fluid overload.
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frontal and lateral chest radiographs demonstrate an increasing retrocardiac opacity which is concerning for pneumonia. there has been progressive increase in an ap window opacity between <unk> and <unk>, potentially representing pulmonary hypertension. there is no pleural effusion or pneumothorax.
recent bronchitis, now with productive cough and shortness of breath. evaluate for pneumonia.
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no focal consolidation is seen. there is no pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are stable and unremarkable.. mild elevation of the right hemidiaphragm is stable. no evidence of pneumomediastinum is seen.
history: <unk>f with chest and abdominal pain // evaluate for pneumomediastinum
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previously seen right perihilar consolidation is worsened and now involves right upper and lower lobes and left upper and lower lobes. the consolidation is heterogeneous and dense, concerning for multifocal pneumonia, possibly from aspiration. right lower lobe is partially collapsed. <num> mm calcified granuloma in the right mid lung is unchanged. cardial mediastinal silhouette is normal size. the et tube terminates <num> cm above the carina. ng tube extends inferiorly beyond the inferior edge of the film.
<unk> year old man with overdose and ?aspiration // aspiration vs. pulmonary edema after cocaine/heroin overdose
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the lungs are well expanded and clear. hila and cardiomediastinal contours and pleural surfaces are normal.
<unk> year old woman with pain in mid back x <num> weeks, occurs more after standing. chills at night and feels hot in am // ? parenchymal abn.
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the cardiomediastinal and hilar contours are within normal limits. lungs are well-expanded and clear. there is no focal consolidation, pleural effusion or pneumothorax.
history: <unk>m with sob, cough // chf?
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the lungs are hyperinflated. the lungs are clear. the atelectasis seen on chest radiograph dated <unk> (right lower lung) has resolved. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unchanged.
<unk> year old woman with dyspnea on exertion.
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the cardiomediastinal and hilar contours are within normal limits and stable. the lungs are hyperexpanded but clear without focal consolidation, pleural effusion or pneumothorax. no nondisplaced rib fractures identified.
<unk>m with ha, fall // eval for bleed
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large right pleural effusion has improved with better visualization of the right lower lung. basilar consolidation representing pneumonia are unchanged. cardiac contour is mildly enlarged, and mediastinal contours are unchanged. et tube is in appropriate position, and the left picc line is in the mid svc.
<unk>-year-old man intubated for pneumonia. evaluate for progression of pneumonia.
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pa and lateral views are provided. there is no focal consolidation, pneumothorax, or pleural effusion. heart size is top normal. there is no evidence of chf. there is no free air under the right hemidiaphragm. osseous structures are unremarkable.
<unk>-year-old woman with persistent afib, chest pressure, question pulmonary edema.
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the mid sternum is fractured and displaced by <num> mm with the superior sternum located posterior to the inferior sternum. there continues to be blunting of the left costophrenic angle posteriorly, which appears to be from chronic pleural thickening. there continues to be a hazy retrocardiac opacity, which may be attributable to atelectasis. cardiac and mediastinal contours are unchanged. pulmonary vasculature is normal. no pneumothorax is identified. there are multilevel degenerative changes of the thoracic spine.
<unk>m with chest pain status post bag of cement falling onto chest, question ribs or sternum fracture.
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compared to the prior exam, nodular parenchymal opacities in the right lung are less conspicuous with minimal residual asymmetric increased opacity in the right compared to the left lung. no new parenchymal opacities. no pleural effusion or pneumothorax. no edema. the heart is normal in size. the mediastinum is not widened. aortic knob calcifications are mild. multilevel degenerative changes of thoracic spine are moderate to severe.
<unk>-year-old woman with fever and cough. evaluate for pneumonia.
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a right apically directed chest tube is present. subcutaneous emphysema is noted over the right lateral chest wall and neck. lower bilateral lung volumes with pulmonary vascular congestion and enlargement of the vascular pedicle of the suggestive of pulmonary edema. the size of the cardiac silhouette is mildly enlarged. no discrete pneumothorax identified. no pleural effusion. patchy airspace opacities at at the medial right lung base may reflect atelectasis.
<unk> year old woman with recurrent tracheomalacia now s/p re-do tracheobronchoplasty // evaluate tube position
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when compared to prior, the previously seen tubing presumably from vp shunt along the right chest wall is no longer visualized. streaky bibasilar opacities more so on the right are suggestive of atelectasis. there is blunting of the posterior left costophrenic angle potentially due to small effusion or pleural thickening. there is no acute confluent consolidation. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormality is detected.
<unk>-year-old male with seizure disorder status post gastric bypass and pituitary resection with mid left back pain.
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frontal and lateral views of the chest were obtained. there has been interval removal of a right ij central venous catheter as well as a right pleural pigtail catheter. a moderate-sized right pleural effusion is present with adjacent right base consolidation, compatible with atelectasis or potentially infection. the left lung is clear. no pneumothorax. heart size and cardiomediastinal contours are stable.
<unk>-year-old male with history of right pleural effusion and altered mental status. evaluate for interval change.
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heart size is normal. cardiomediastinal silhouette and hilar contours are unremarkable. there is increased density at the right lung base which has posterior correlate on lateral view which could be representative of atelectasis, aspiration or pneumonia. lungs are otherwise clear. there is no pleural effusion or pneumothorax.
pre syncopal episode.
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cardiac silhouette is mild to moderately enlarged. the aorta is calcified. there is central pulmonary vascular engorgement without overt pulmonary edema. slight blunting of the posterior left costophrenic angle likely relates to to atelectasis, less likely trace pleural effusion. no definite focal consolidation to suggest pneumonia.
history: <unk>f with chest pain, crackles on exam in bases // pna? fluid?
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frontal and lateral views of the chest are compared to previous exam from <unk>. the lungs are clear. the cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unremarkable.
<unk>-year-old male with right upper extremity weakness and altered mental status, question pneumonia.
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since the prior study the right picc is been removed. the lungs are clear with no consolidation to suggest pneumonia. no pulmonary edema or pleural effusions. heart size and mediastinal contours are normal. no pneumothorax.
history: <unk>f with ams< no focal deficits, responsive to verbal stim,. evaluate for acute cardiopulmonary process.
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single ap view of the chest provided. the right picc is unchanged in position. an et tube is stable terminating <num> cm above the carina. interval placement of a dobbhoff projecting over the mid esophagus. an orogastric tube extends below the diaphragm, the tip is not imaged. mild pulmonary edema is improved. hilar contours are normal. moderate cardiomegaly is unchanged.
<unk> year old man with placement of dobhoff tube // eval for line tip
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lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. there is no pulmonary edema. the cardiac and mediastinal silhouettes are unremarkable. osteophytes are seen along the spine. surgical clips are seen in the right upper abdomen.
palpitations.
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frontal and lateral views of the chest. right chest wall pacing device is seen with lead tips in unchanged position. the lungs are clear without consolidation, effusion, or overt pulmonary edema. the cardiac silhouette is enlarged, but stable in configuration. atherosclerotic calcification noted at the aortic arch, the descending thoracic aorta is tortuous. no acute osseous abnormality is identified.
<unk>-year-old female with chest pain.
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large left and moderate right layering pleural effusions have increased compared with the prior study. there is no pneumothorax or focal consolidation. endotracheal tube terminates <num> cm from the carina. a left picc terminates in the mid svc, and a right ij central venous catheter terminates in the distal svc. enteric tube courses below the diaphragm and outside of the field of view. multiple mediastinal clips are unchanged.
<unk>m s/p lap convert to open ccy c/b retained stone s/p ercp c/b post-ercp pancreatitis, wopn with spontaneous perforation s/p ex-lap/pancreatic debridement,washout <unk> // interval assesment
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portable semisupine frontal radiograph of the chest demonstrates stable severe cardiomegaly. the large left pleural effusion is not significantly changed from <num> hours prior but increased from <unk>. a small right effusion is unchanged. enlargement of the bilateral hila was demonstrated to be due to dilated pulmonary arteries on the previous ct. mild pulmonary pulmonary edema is new. no pneumothorax.
myocardial infarction, evaluate for chf.
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frontal and lateral views of the chest demonstrate mild pulmonary vascular congestion. there is no pleural effusion or pneumothorax. hilar and mediastinal silhouettes are unchanged. heart size is top normal. aortic arch calcifications are noted. sternotomy wires are intact. mitral annular calcifications are noted.
worsening dyspnea on exertion.
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the lung volumes are noted to be decreased. rounded opacities overly the bilateral lower lobes and likely represent nipple shadows, although pulmonary nodules cannot be excluded. an additional rounded density is seen at the lateral aspect of the left upper lobe, and may represent a pulmonary nodule. there is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema identified. specifically, there is no evidence of intrathoracic metastases. the heart size is normal. mediastinal and hilar contours are normal.
left-sided rcc, evaluate for lung metastasis.
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pa and lateral views of the chest provided. fusion hardware at the upper t-spine again noted. a triangular opacity projecting over the left lateral lung base could reflect a rib or chest wall lesion in this patient with history of multiple myeloma. no convincing signs of pneumonia, edema, effusion or pneumothorax. overall cardiomediastinal silhouette is normal.
<unk>m with dyspnea and fevers // r/o acute process
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there is increased opacity overlying the left lower lobe which may represent an early pneumonia in the proper clinical setting. there is no pleural effusion or pneumothorax. cardiac and mediastinal silhouettes are normal. no acute fractures are identified.
fever, cough, and chest pain.
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single ap view of the chest provided. interval removal right chest tube. a second right chest tube has been slightly pulled back. there is mildly increased thickening along the right lateral pleura concerning for residual empyema. small to moderate right pleural effusion and associated atelectasis are unchanged. mild atelectatic changes at the left lung base are mildly improved. cardiomegaly is stable.
<unk> m w/ abdominal pain <unk> to likely etoh pancreatitis also found to have a right sided ?empeyema, s/p ct placement on <unk> s/p r vats, decortication <unk>, repeat washout <unk> <unk> // interval change. please perform at <unk>
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single portable view of the chest. no prior. linear opacities at the left lung base are most suggestive of atelectasis. calcified granuloma is seen in the right mid lung. lungs are otherwise clear. cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unremarkable.
<unk>-year-old male with chest pain.
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portable semi-upright chest radiograph <unk> at <time> is submitted. the lateral left hemi thorax is not entirely included on the study.
<unk> year old woman with encephalopathy <unk> cns toxo with ngt that got misplaced // eval ngt position eval ngt position
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low lung volumes cause bronchovascular crowding. left-sided perihilar interstitial opacities may be related to aspiration or infection. there is no pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is within normal limits.
<unk>f with b/l crackles on exam, evaluate for pneumonia.
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as compared to chest radiograph the chest radiograph from <num> day prior, endotracheal tube and nasogastric tubes have been removed. right ij catheter is at the cavoatrial junction. pulmonary vascular congestion has increased. moderate to severe cardiomegaly. small to moderate left pleural effusion and increasing right basilar opacity. slight improved aeration of the retrocardiac opacity. .
<unk> year old man with new o<num> requirement, leukocytosis // r/o pna, acute process
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right internal jugular venous catheter terminates at mid svc. mild bibasilar opacities are similar to before which may reflect atelectasis. there is no pneumothorax or large pleural effusion. cardiac silhouette is exaggerated by low lung volumes. mediastinal silhouette is normal size.
history: <unk>f with right ij placement*** warning *** multiple patients with same last name! // eval for ptx, central line placement
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an endotracheal tube and feeding tube have been removed since the prior study. the right internal jugular line tip is at the level of the mid svc and unchanged. the right lung is clear. there is a retrocardiac opacity at the base of the left lung, which is similar in appearance to the prior study. the heart is enlarged and the hilar contours are normal. there is no evidence of pneumothorax. there is a very small left pleural effusion.
history of chf.
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a very large hiatal hernia is again demonstrated, unchanged in configuration since the <unk> radiographs. the heart size remains within normal limits. the hilar and mediastinal contours are normal. there is no focal consolidation, pneumothorax, or pleural effusion.
cough.
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frontal and lateral radiographs of the chest demonstrate a left chest tube in unchanged position since the prior study. the previously noted left apical pneumothorax is slightly improved since the prior examination. again seen is a small right-sided pleural effusion and a stable moderate left-sided pleural effusion. the heart size, hilar and mediastinal contours are normal. scoliotic deformity of the spine is unchanged.
pneumothorax with chest tube to water-seal.
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two upright images of the chest demonstrate mild bilateral pulmonary vascular congestion, unchanged from previous imaging. there is a small new opacity at the left lung base which likely represents atelectasis. small right pleural effusion is again seen. left pleural effusion has mostly resolved. cardiomediastinal silhouette is unchanged. support and maintenance devices are unchanged.
<unk>-year-old male with pancreatitis.
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heart size is top normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
history: <unk>f with chest pain, worse with movement, reproducible along the sternal border
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portable ap chest radiograph. mild pulmonary vascular congestion, cephalization, and interstitial edema are new. there is no large pleural effusion or pneumothorax. left-sided dual-chamber pacer leads are in stable position.
shortness of breath and concern for pulmonary edema. recently under general anesthesia for atrial tachycardia ablation.
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pa and lateral views of the chest. again seen are bilateral calcified pleural plaques. the underlying parenchymal opacities seen with a predominantly apical distribution on chest x-ray from <unk> have essentially resolved. there is no new region of consolidation. the cardiomediastinal silhouette is stable. atherosclerotic calcification is seen at the aortic arch. median sternotomy wires are noted. no acute osseous abnormality.
<unk>-year-old male with shortness of breath and fatigue.
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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. note is made of eventration of the anterior portion of the right hemidiaphragm. heart is normal in size with tortuous aortic contour.
altered mental status. assess for pneumonia.
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there is a small right pleural effusion. peribronchial cuffing and fissural density suggests fluid overload. pulmonary vascular cephalization is again noted. mild cardiomegaly and aortic tortuosity are also again noted. no definite focal consolidation or pneumothorax is detected. the lungs are again noted to be hyperinflated.
<unk>-year-old female with shortness of breath and history of congestive heart failure.
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the heart is at the upper limits of normal size. the mediastinal and hilar contours appear unchanged. there is patchy left lower lung opacity obscuring the left hemidiaphragm, probably within the lingula, which is non-specific but most suggestive of minor atelectasis. there is no evidence for pneumomediastinum or pneumothorax. there is no pleural effusion. bony structures are unremarkable.
chest pain and dysphagia.
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the lungs are mildly hypoinflated with crowding of vasculature. no pneumothorax. persistent blunting of the right costophrenic angle. no left pleural effusion. bibasilar reticular opacities are consistent with interstitial fibrosis, unchanged in appearance since prior examination. heart size, mediastinal contour, and hila are unremarkable.
<unk>m with left sided chest pain and productive cough. assess for pneumonia.
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compared to the prior study there is no significant interval change in moderately severe pulmonary edema with severe cardiomegaly, pulmonary vascular redistribution, hazy alveolar infiltrates, and moderate bilateral pleural effusions. .
<unk> year old man with renal failure and volume overload. // evaluate for improvement in pulmonary edema.
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cardiomegaly is mild. enlargement of the hilar pulmonary arteries is symmetric. there is no pneumothorax or large pleural effusion. the lungs are well expanded and clear without focal consolidation. there is no pulmonary edema. the upper abdomen is unremarkable.
<unk> male with hypotension and fever, pls eval for pna or edema.
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ap upright and lateral views of the chest provided. cardiomegaly is again noted, severe, with mild to moderate pulmonary edema. no large effusion is seen. no pneumothorax. no asymmetric opacity to raise concern for pneumonia. mediastinal contour is stable. bony structures are intact. no free air below the right hemidiaphragm.
<unk>f with new onset weakness and sob /
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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.
history: <unk>m with cough, fever // pna?
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lines and tubes: enteric tube terminates in the stomach. right-sided picc terminates in the svc. lungs: low lung volumes with interval worsening pulmonary edema pleura: no pleural effusion or pneumothorax mediastinum: there is cardiomegaly. mediastinal silhouette is unchanged. bony thorax: no interval change
<unk> year old man with l mca stroke // eval ng placement
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pa and lateral views of the chest are compared to previous exam from <unk>. the lungs are clear. cardiomediastinal silhouette is within limits. atherosclerotic calcification is again noted at the aortic arch. osseous and soft tissue structures are unremarkable.
<unk>-year-old male with intermittent chest pain, history of stents in the past.
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pa and lateral chest views were obtained with patient in upright position. the heart size is within normal limits. no configurational abnormality is present. unremarkable appearance of thoracic aorta for age. no local contour abnormalities are present. mediastinal structures are unremarkable. the pulmonary vasculature is not congested. no signs of acute or chronic parenchymal infiltrates are present and the lateral and posterior pleural sinuses are free. skeletal structures of the thorax grossly within normal limits. there exists no prior chest examination or records available for comparison.
<unk>-year-old male patient with left-sided chest pain, probably chest wall pain, nonsmoker, evaluate for lung lesion.
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upright ap and lateral views of the chest provided. dual lead pacemaker is unchanged in position with leads extending to the region of the right atrium and right ventricle. bilateral pleural effusions are again seen, right greater than left. associated compressive lower lobe atelectasis is likely also present. a retrocardiac density containing an air-fluid level likely represents a hiatal hernia. coarsened curvilinear structures projecting over the heart likely represent mitral annular calcification. no pneumothorax is seen. pneumonia is difficult to exclude in the lower lungs given effusions and subjacent consolidation. no acute bony abnormality is seen. dish related changes of the thoracic spine with chronic appearing deformity of the right humeral head.
<unk>m with dyspnea, chest pain s/p fall.
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right chest wall port is seen with catheter tip in the right atrium. the lungs are clear of focal consolidation effusion or vascular congestion. cardiac silhouette is mildly enlarged, and calcifications of the left ventricular apex on the lateral view are as seen on prior pet-ct, potentially prior infarct. atherosclerotic calcifications seen at the aortic arch. no acute osseous abnormalities.
<unk>m with chest pain fever cough currently on chemo // r/o pna vs pleural effusion
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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. there are surgical clips in the left upper quadrant.
<unk>-year-old male with sickle cell presents with rib cage pain. evaluate for infectious process, effusion or consolidation.
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no focal consolidation is seen. there is no pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are unremarkable.
history: <unk>m with chest pain // ptx
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there is mild pleural thickening at the left costophrenic angle. the lungs are otherwise clear. the cardiomediastinal silhouette and hila are normal. there is no pleural effusion and no pneumothorax.
<unk>-year-old with upper abdominal pain.