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right subclavian catheter terminates in lower svc. nasogastric tube terminates below the diaphragm. tracheostomy terminates below the level of the thoracic inlet. mild cardiomegaly and mediastinal contours are stable. moderate left pleural effusion is substantially improved since the radiograph performed at <time>, with mild bibasilar atelectasis. no pneumothorax.
<unk> year old woman with left pleural effusion s/p thoracentesis // ? pneumothorax
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the lungs are well expanded and clear. the aorta is heavily calcified and heart is top-normal in size. no evidence of pneumonia, pulmonary edema, or pleural effusions. a calcified right breast implant and thoracic scoliosis is unchanged in appearance from <unk>.
<unk> year old woman with smoking hx and hyponatremia. // any neoplastic process?
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left picc tip terminates in the lower svc, unchanged. heart size is normal. mediastinal and hilar contours are normal. pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is present. multiple skin <unk> are seen projecting over the right axilla. no acute osseous abnormalities detected.
history: <unk>m with left picc
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ap portable view of the chest. the lower part of the chest is not visualized on these images. the endotracheal tube is in appropriate position, <num> cm from the carina. the visualized portions of the lungs appear grossly clear. the cardiomediastinal and hilar contours are normal. there is no pneumothorax. partially visualized enteric tube is seen. left sided rib fractures are seen, evaluated in more detail on chest ct done today.
status post intubation and hypotension, evaluate for pneumothorax and endotracheal tube placement.
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as compared to prior chest radiograph from <unk>, there is overall increased pulmonary vascular markings and the pulmonary vasculature. this is more prominent at the right lung base, where there is an area of new ill-defined opacity which also obscures the right cardiac border. there is no pleural effusion or pneumothorax.
history: <unk>f with hypoxia, fever // eval for pna eval for pna
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the heart is top normal size. the mediastinum and hilar contours are within normal limits. lungs are well expanded and clear. there is no focal consolidation, pleural effusion or pneumothorax.
<unk> year old woman with cough for a week r/o infiltrate // cough for a week, decresaed breath sounds left base.
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right-sided central venous catheter tip sits at the lower svc. there is no pneumothorax. the lungs demonstrate a suture chain in the left apex. the heart size is normal as are the mediastinal and hilar contours. a moderate right-sided pleural effusion with underlying associated atelectasis is similar in volume but has become more loculated.
<unk>-year-old male with history of metastatic melanoma who has been admitted for il-<num> therapy and recent recipient of central line.
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endotracheal tube, enteric tube, and left internal jugular central venous line are in standard position. lung volumes are low and there is retrocardiac opacification which represents left lower lobe collapse. heterogeneous right infrahilar opacity persists. no new pleural effusion.
<unk> year old woman with aka, mobid obesity intubated // pleural effusion, pna, increased peep. compare with previous
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there is no focal consolidation to suggest pneumonia. bibasilar atelectasis is present. moderate cardiomegaly is unchanged but there has been a slight in decrease in pulmonary vascularity which could be due to early cardiac decompensation. nevertheless there is no pleural effusion. . mediastinal contour is normal.
<unk>f with chest pain, evaluate for acute 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 dyspnea // eval for effusion
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endotracheal and enteric tubes are stable in position.heart size is normal and lungs are clear aside from linear atelectasis at the right lung base. left lower lobe is improving over the prior studies. no pleural effusion or pneumothorax.
<unk> year old woman with asthma s/p intubation. evaluate interval change.
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an endotracheal tube tip terminates approximately <num> cm from the prior ct. lung volumes are low. the heart size is normal. mediastinal contour is unremarkable and the hilar contours are within normal limits. no pulmonary edema is identified. hazy opacity is seen within the right upper and mid lung fields. focal opacity is also seen within the retrocardiac region. no large pleural effusion or pneumothorax is seen. there is gaseous distention of the stomach. no acutely displaced rib fractures are noted.
history: <unk>f with post arrest // eval ett placement
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the cardiac silhouette size is normal. the mediastinal and hilar contours are unremarkable. the pulmonary vascularity is normal. there is no focal consolidation, pleural effusion or pneumothorax. relative lucency within the lung apices is reflective of paraseptal emphysema, better delineated on the prior ct. minimal streaky opacities are noted in the lung bases likely reflective of atelectasis. there are no acute osseous abnormalities.
chest pain, shortness of breath, abdominal pain.
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there is no pleural effusion, pneumothorax or focal airspace consolidation. streaky atelectasis is seen at the lung bases. the left costophrenic angle is not fully imaged on the frontal view. pleural thickening is seen in the right posterior sinus. the lungs are hyperinflated, consistent with chronic pulmonary disease. the mediastinal and hilar contours are unremarkable. the cardiac silhouette is mildly enlarged but unchanged. pulmonary vascularity is normal. a <num> cm hyperdensity projecting over the right lung is redemonstration of the known scapular bone island as seen on the prior ct.
cough and shortness of breath. evaluate for pneumonia.
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the patient is status post cabg with intact sternotomy wires. the hilar and mediastinal contours appear to be stable with evidence of a tortuous aorta. there is stable mild cardiomegaly. there is no pleural effusion or pneumothorax. there appears to be a subtle increase in opacification in the retrocardiac region, superimposed on a stable mild background of interstitial abnormality, best seen on the lateral view.
history of chest pain x<num> minutes, please evaluate for pneumonia or other acute process.
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a nasogastric tube has been placed and terminates in the stomach. the stomach appears distended. partly visualized small bowel is also distended. gas and stool are visualized in the transverse colon. the cardiac, mediastinal and hilar contours appear within normal limits. the lungs appear clear. there are no pleural effusions or pneumothorax. no free air is identified. contrast from a recent prior ct is visualized within each renal collecting system.
status post nasogastric tube placement.
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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.bilateral subtle perihilar hazy opacities, right greater than left. no focal segmental or lobar consolidation.
<unk> year old man with productive cough for <num> week // r/o pneumonia
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previously seen opacity in the left mid lung field is no longer identified on this radiograph. there are no new parenchymal opacities, pleural effusion or pneumothorax. cardiomediastinal silhouette is normal. there are no acute bony abnormalities.
<unk>-year-old woman with pneumonia feels worse, rule out worsening pneumonia.
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frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and moderately well-aerated lungs. there are persistent but improved left lower lobe opacities, consistent with evolution of known pneumonia. no new focal consolidation is identified. there is no appreciable effusion or pneumothorax. the visualized upper abdomen is unremarkable.
evaluate for worsening pneumonia in a patient with chest pain and cough.
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patient is status post median sternotomy and cabg. cardiac silhouette size remains mildly enlarged but unchanged. mediastinal and hilar contours are normal. pulmonary vasculature is normal. subsegmental atelectasis is noted in the left lung base. no focal consolidation, pleural effusion or pneumothorax is identified. no displaced fractures are visualized. there are mild degenerative changes noted in the thoracic spine.
history: <unk>m with left chest pain status post motor vehicle collision
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single lead cardiac pacemaker. there is a marked cardiomegaly, with markedly enlarged right heart, stable since prior exam. aortic calcification. lungs are clear. thoracolumbar curve. normal pulmonary vascularity. no pleural effusion.
<unk> f hx mild dementia, afib on coumadin s/p r tfn (<unk>, <unk>) p/w device failure // pre-op surg: <unk> (hemi)
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the left-sided chest tube is in place. no obvious residual pneumothorax is present. the heart and mediastinal contours are within normal limits and exhibit no shift. there is no hemidiaphragmatic flattening. the lungs are clear.
<unk>-year-old female with left-sided pneumothorax.
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lung volumes are slightly low. there is slightly increased pulmonary vascular prominence compared to prior. no focal consolidation, pleural effusion, or pneumothorax is detected on this study; of note, the left costophrenic angle is incompletely imaged on lateral view. right suprahilar and right upper lobe masses are again seen. aortic tortuosity is again noted. heart size is top normal.
<unk>-year-old female with shortness of breath.
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there is persistent scarring at the right lung base which has not significantly changed in association with a small effusion. moderate sized left pleural effusion has increased since prior chest x-ray but is similar compared to prior chest ct from <unk>. retrocardiac opacity may also be due to effusion and atelectasis. more superiorly, the lungs are clear, there is no edema. the cardiomediastinal silhouette is stable. no acute osseous abnormalities.
<unk>m with dyspnea // ? pulm edema
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mild pulmonary edema has increased. swan-ganz catheter ends in the lower right pulmonary artery. enteric tube ends in the stomach. et tube ends <num> cm from the carina. mild pulmonary edema is unchanged. cardiomediastinal and hilar contours are stable. no large pleural effusions.
status post cardiac arrest and intubated, swan-ganz in place, pulmonary edema.
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the cardiomediastinal and hilar contours are within normal limits. the lungs are hyperinflated and there is flattening of the diaphragms, suggestive of copd. there is lower lobe predominant emphysema. there are no focal consolidations, pleural effusions, pulmonary edema or pneumothorax. there is mild scoliosis.
<unk>-year-old female patient with worsening dyspnea, myeloma. study requested for evaluation of pneumonia, infiltrate.
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the lungs are hyperinflated. no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is within normal limits.
<unk>-year-old man presenting with acute and shortness of breath; evaluate for etiology shortness of breath.
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mild right base subsegmental atelectasis is seen. there is no focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. there is subtle suggestion of a hiatal hernia. no pulmonary edema is seen.
history: <unk>f with palpitations/ // acute process
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heart size is mildly enlarged, unchanged. 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. cervical spinal fusion hardware is re- demonstrated. degenerative changes within the mid thoracic spine are again seen.
history: <unk>f with chest pain
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there are opacities at the right lung base as well the left perihilar region concerning for infectious process or infarcts given history of sickle cell disease. the cardiac silhouette is mildly enlarged. there is no pleural effusion or pneumothorax. osseous structures are grossly intact. a left chest port-a-cath terminates at the caval atrial junction.
<unk> yo m w/sicklec cell p/w fever, cp and productive cough, evaluate for pneumonia
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the lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen.
<unk>f with cough, fever. evaluate for pneumonia.
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the tip of the endotracheal tube projects over the mid thoracic trachea. again noted are bilateral calcified pleural plaques, consistent with prior asbestos exposure. there is new mild pulmonary vascular congestion and ill-defined haziness over the left lower lung zone however no focal consolidation is identified. no pleural effusion or pneumothorax identified. the size of the cardiac silhouette is within normal limits. calcification of the aortic arch is visualized. remote appearing bilateral rib fractures.
<unk> year old man with iph and sdh, intubated, line placement attempt // r/o pneumo
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pa and lateral views of the chest. the lungs are clear of consolidation, effusion, or pulmonary vascular congestion. cardiomediastinal silhouette is within normal limits. previously seen right picc is no longer visualized. no acute osseous abnormalities detected.
<unk>-year-old male with increased peripheral edema.
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portable ap chest radiographs shows the et tube and left picc in stable position. persistent right basilar opacification most likely represents aspiration. the left lung base has cleared from most recent study. there is no pulmonary vascular congestion. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal.
subarachnoid hemorrhage requiring intubation. thickened secretions.
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the cardiomediastinal and hilar contours are normal. lung volumes are decreased. there is no focal consolidation, pleural effusion or pneumothorax.
cough, left lower lobe crackles.
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lung volumes are low. the heart size is mildly enlarged but appear similar compared to previous exam. mediastinal and hilar contours are unremarkable. there is crowding of the bronchovascular structures. patchy bibasilar airspace opacities likely reflect atelectasis in the setting of low lung volumes. no pleural effusion or pneumothorax is identified. there are no acute osseous abnormalities.
chest pain, sickle cell disease.
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severe scoliosis with is with subsequent asymmetry of the ribcage. normal structure and transparency of the lung parenchyma. no pneumonia, no pulmonary edema. no pleural effusion. no cardiac abnormalities.
<unk> year old woman with hospital stay last month for back pain, presents with subjective fevers and cough. lungs clear and no sputum so suspicion for pna is low but would like to rule it out radiographically. // rule out pneumonia
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the et tube is <num> cm above the carina this volume loss at both bases. there is mild pulmonary vascular redistribution but no overt pulmonary edema. dual lead pacemaker is again visualized. ng tube tip is in the stomach.
axilla intubated check ett.
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the cardiac silhouette is normal in size. the hilar and mediastinal contours are within normal limits. lungs are well expanded and clear. there is no focal consolidation, pleural effusion or pneumothorax. sternotomy wires appear grossly intact. chronic bony changes are noted in the left ribs.
history: <unk>m with dyspnea // acut eprocess
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an endotracheal tube terminates <num> cm above the carina. an enteric tube terminates in the stomach with side port beyond the expected location the gastroesophageal junction. the lungs are well expanded with mild bibasilar atelectasis. no pneumothorax or pleural effusion.
<unk>m with altered mental status // eval for tube placement
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ap portable supine view of the chest. left chest wall aicd is noted with leads extending to the region the right atrium and right ventricle. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact.
<unk>f with leukocytosis // infiltrate?
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left port-a-cath terminates in the right atrium. normal heart size. normal hilar contours and pleural surfaces. fully expanded, clear lungs. no acute pneumonia, pleural effusion, or pneumothorax.
<unk>-year-old woman with intermittent seizures, now with fever and cough. evaluate for pneumonia.
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moderate cardiomegaly is again noted as well as significant tortuosity of the aorta, particularly at its distal descending portion. the lungs are clear without consolidation, effusion, or edema. no acute osseous abnormalities.
<unk>m with new onset exertional dyspnea, fatigue // eval for acute process, pulm edema
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slight prominence of the hila may be due to pulmonary vascular engorgement. no overt pulmonary edema is seen. mild basilar atelectasis without focal consolidation. no pleural effusion or pneumothorax. degenerative changes are seen along the spine. the cardiac and mediastinal silhouettes are unremarkable.
history: <unk>m with angina // eval for ptx, pna, effusion, cardiomeg
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pa and lateral views of the chest provided. there is right basal atelectasis. otherwise lungs are clear. no large effusion or pneumothorax. no signs of congestion or edema. cardiomediastinal silhouette appears normal. no free air below the right hemidiaphragm. bony structures are intact.
history: <unk>f with gi symptoms, fatigue // ? pna
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there is interstitial thickening most prominent at the bases bilaterally. there is also patchy opacification of the right lower lobe. cardiac enlargement stable. the aorta is calcified and tortuous. the hilar contours are normal. the pulmonary vasculature is normal. no pleural effusion or pneumothorax is seen.
<unk> year old woman with hemoptysis // chf? other cause?
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there is persistent diffuse opacification of the right upper lobe stable compared to prior. there is also persistent left basilar atelectasis as well as persistent opacification in the left lower lobe, although less apparent today. there is no pneumothorax. there is no pulmonary vascular congestion.
<unk>-year-old, evaluate right upper lobe pneumonia and pulmonary vascular congestion.
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frontal and lateral views of the chest were obtained. the right lower lung opacity is decreased from <unk>, but persists, and may be mostly due to the right middle lobe mass. the diffuse bilateral interstitial abnormality is worse. mediastinal lymphadenopathy has decreased. mild cardiomegaly is unchanged. there has been interval removal of the left picc.
lung cancer, presenting with fevers and cough.
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frontal and lateral radiographs of the chest show a right-sided port-a-cath in appropriate position with the tip terminating within the right atrium. the inspiratory lung volumes are slightly decreased. the lungs are clear without focal consolidation, pleural effusion or pneumothorax. the pulmonary vasculature is not engorged. minimal bibasilar atelectasis is noted. the cardiac silhouette is normal in size. the mediastinal and hilar contours are within normal limits. degenerative changes involving the thoracic spine are noted.
<unk>-year-old female with metastatic small cell lung cancer status post recent stenting of bronchus intermedius, now with cough and low-grade fever, here to evaluate for pneumonia.
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the left upper lobe opacity is unchanged. the lungs are otherwise clear. no new consolidation. no pleural abnormalities or pneumothorax. the cardiomediastinal silhouette is normal.
<unk> year old woman with sarcoid dx'd via mediastinoscopy, but not on any rx so far // assess for any progression of lul opacity or adenopathy
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there has been interval decrease in pulmonary vascular congestion with improved aeration and lung volumes. no pleural effusion, edema, or pneumothorax is seen. ng tube is seen coursing through the esophagus entering the stomach and then out of field of view. endotracheal tube is appropriately positioned terminating no less than <num> cm from the carina.
<unk>-year-old male intubated after recent spine surgery.
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at least four, contiguous, partially displaced rib fractures are noted involving the right lateral ribs <unk>. generalized haziness over this region may reflect underlying pulmonary contusion or soft tissue edema. there is no pneumothorax, pleural effusion, or frank pulmonary edema. the cardiac silhouette is normal. the descending thoracic aorta is mildly tortuous. a probable chronic right shoulder fracture these noted.
history: <unk>m with seizure, on seizure meds // eval pna
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portable upright view of the chest demonstrates bibasilar opacities, which are new since prior exam, concerning for infection. no pleural effusion or pneumothorax. perihilar vascular congestion. hilar and mediastinal silhouettes are otherwise unchanged. heart size is normal. low lung volumes.
the patient with respiratory distress and fever. assess for pneumonia.
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there is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. subsegmental atelectasis is noted in the left midlung. the cardiomediastinal contour is normal. the osseous structures and upper abdomen are unremarkable.
<unk>m with seizure evaluate for pneumonia.
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two views of the chest demonstrate a right chest hemodialysis catheter with its tip located at the expected position of the right atrium. low lung volumes are present. the pulmonary vasculature is mildly engorged. there is no pleural effusion or pneumothorax. the cardiac silhouette is top normal, the mediastinal contours are normal. incidental note is made of a stent graft within the right arm.
<unk>-year-old male with cough and fevers on dialysis. assess for infiltrate.
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in comparison to the prior study of <unk>, there is no substantial change. severe thoracic scoliosis is again noted and cardiomediastinal silhouette is stable. a <num> mm calcified nodule projecting over the right lower lung is stable dating back to <unk>, likely a granuloma. there is no focal consolidation, pleural effusion, or pneumothorax. age indeterminate compression deformities in the lower thoracic spine have progressed since <unk>.
history: <unk>f with cough x<num> days // evidence of pneumonia
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ap portable upright view of the chest. evaluation is limited due to lung volumes being low and abdominal pannus projecting over the left lung base. allowing for this, no definite consolidation large effusion or pneumothorax is seen. please note, the left lung base is suboptimally assessed. cardiomediastinal silhouette appears stable. patient is slightly rotated to the left. a left humeral head replacement noted. no acute bony abnormalities.
<unk>f with dyspnea
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frontal and lateral views of the chest demonstrate normal cardiomediastinal silhouette. the thoracic aorta is mildly unfolded. the lungs are clear without pneumothorax, vascular congestion, or pleural effusion. there is a moderate multilevel thoracic spondylosis.
<unk>-year-old female with cough and productive sputum. question pneumonia.
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frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs which are clear. there is no focal consolidation, pleural effusion, or pneumothorax. the visualized upper abdomen is unremarkable. minimal degenerative changes of the thoracic spine are again noted and unchanged.
fever and history of pneumonia.
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the lungs are clear despite low lung volumes. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>f with chest pain, right arm pain // rule out pneumonia, effusion
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ap upright and lateral views of the chest provided. patient is slightly rotated to his left side somewhat limiting assessment. the lungs appear clear without focal consolidation, large effusion or pneumothorax. the heart appears mildly enlarged mediastinal contour appears normal. bony structures are intact.
<unk>m with sob, crackles // eval infiltrate, chf
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frontal and lateral views of the chest were obtained. the heart size and cardiomediastinal contours are normal. the lungs are clear. no focal consolidation, pleural effusion, or pneumothorax.
<unk> year old with previous mr showing pulmonary mass.
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the heart is mildly enlarged. the lung volumes are low. the mediastinal and hilar contours appear unchanged. the lungs appear clear. there are no pleural effusions or pneumothorax. small-to-moderate anterior osteophytes are present along the lower thoracic spine.
choking episodes, status post recent discharge.
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pa and lateral views of the chest provided. prominence of the cardiomediastinal silhouette is unchanged. there is hilar congestion and and mild interstitial pulmonary edema. no large effusion or pneumothorax. no definite signs of pneumonia. bony structures are intact. no free air below the right hemidiaphragm.
<unk>m with pain, leg swelling <num>wk s/p mvc
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the cardiomediastinal and hilar contours are within normal limits. lungs are clear. there is no focal consolidation, pleural effusion or pneumothorax. there is a compression deformity involving a vertebral body in the mid thoracic spine which corresponds to vertebral endplate irregularities and vertebral body wedging as seen on subsequent thoracic spine ct examination.
history: <unk>m with ped struck // eval for evidence of acute injury
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the lungs are well inflated. the right apical pneumothorax is not changed. a right chest tube is in place. a left central venous catheter terminates in the svc. a catheter overlies the epigastrium. the splenic flexure of the colon is moderately prominent. the mediastinum is normal. no pleural effusions identified the heart size is normal. hypertrophic changes are seen in the ac joints.
<unk> year old man with r chest tube, r ptx; please obtain <num> hours after previous film (approx. <time> pm); patient still on water seal // size/persistence of r ptx, possible interval resolution?
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the ett tip ends approximately <num> cm from the carina. the right ij tip ends in the mid svc. median sternotomy wires appear intact and unchanged in position. pleural drains are unchanged in position. the stomach remains distended and filled with air, perhaps more so compared to the prior exam. stable postoperative appearance of the cardiomediastinal silhouette. there is moderate pulmonary edema that appears slightly improved with improved aeration, although lung volumes remain low. probable layering small right pleural effusion is overall unchanged. no pneumothorax.
<unk> year old man with cabg. check ett.
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the heart size is enlarged and there is no evidence of vascular congestion. the hilar and mediastinal contours are normal. increased opacification at the left lung base is consistent with volume loss in the lower lobe and effusion. there is an increased opacification at the right lower lobe, seen in the frontal view but not appreciated on the lateral view. there is a small right pleural effusion.
<unk>-year-old male patient with metabolic encephalopathy, hypothermia. study requested to rule out right middle lobe infiltrate.
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the trachea is midline; in the neck the airway may taper proximally. the lungs are relatively clear bilaterally, the mediastinum is normal limits. heart is normal size. no pneumothorax is seen.
<unk> year old man s/p tracheal resection for recurrent medullary thyroid carcinoma involving the right lateral trachea, // check interval change check interval change
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the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>f with sob // r/o cardiopulm abnormality
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patient's condition required examination in sitting upright position using ap frontal and left lateral views. comparison is made with the preceding pa and lateral chest examination of <unk>. the previously existing marked cardiac enlargement has regressed but moderate cardiac enlargement remains. generally widened and markedly elongated thoracic aorta as before. no new local contour abnormalities are identified. previously existing distended pulmonary vasculature, significant perivascular haze has improved and the pulmonary vasculature is now unremarkable. the lateral and posterior pleural sinuses are free, thus no evidence of accumulating pleural effusion. no evidence of pneumothorax in the apical area on the frontal view with no evidence of new parenchymal infiltrates suggestive of pneumonia.
<unk>-year-old female patient with chf and possible viral pneumonia. assess interval improvement.
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heart size is normal. mediastinal and hilar contours are unremarkable. there has been interval resolution of the previously noted diffuse tree-in-<unk> nodular opacities compatible with infectious bronchiolitis. no new focal consolidation, pleural effusion or pneumothorax is identified. pulmonary vasculature is not engorged. no acute osseous abnormality is visualized.
history: <unk>m with hypotension, necrotic left <unk> toe
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frontal and lateral chest radiograph demonstrate slightly hyperexpanded lungs. again seen is biapical pleural thickening/scarring, similar to previous examination. no additional focal opacity. no pleural effusion or pneumothorax. heart size and mediastinal contour are otherwise stable. limited assessment of the upper abdomen is unremarkable and visualized osseous structures are within normal limits.
history: <unk>m with ams. assess for pneumonia.
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near complete opacification of the left lung has progressed with increasing left-sided pleural effusion and further collapse of the left lung. the left lower lobe masslike opacity is unchanged an can be round atelectasis. there is crowding of the bronchovascular markings and mild pulmonary vascular congestion in the right lung. endotracheal tube is <num> cm from the carina. the first side port of the nasogastric tube is at the gastroesophageal junction. in the right upper quadrant a tips catheter is noted.
<unk>m with history of cirrhosis c/b portal htn, variceal bleeding, hepatic encephalopathy s/p tips, presenting after fall with sdh and sah. // interval cxr
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pa and lateral views of the chest provided. the lungs appear hyperinflated with flattened diaphragms and upper lobe lucency suggesting emphysema/copd. there is no focal consolidation concerning for pneumonia. no signs of congestion or edema. no large effusion or pneumothorax. the heart is mildly enlarged. the mediastinal contour appears normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>f with right chest tightness and discomfort s/p aspiration <num> week ago
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the lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. cardiomediastinal silhouette is mildly enlarged. no acute fractures are identified.
evaluation of patient with hypotension.
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right picc terminating at the superior cavoatrial junction. mild bilateral atelectasis mostly unchanged from prior. no pneumothorax. mild cardiomegaly.
<unk> year old man with resp distress // aspiration vs chf
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in comparison to prior study, there has been slight interval improvement of the right lower lobe consolidation. however, a right upper lung opacity is more coalescent. the cardiomediastinal and hilar contours are normal. possible trace right pleural effusion. otherwise, the pleural surfaces are normal. stable degenerative changes of thoracic spine.
<unk> year old woman with aspiration pneumonia, continued cough, afebrile, worsening aspiration on last cxr monitoring for improvement // improved aspiration
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enteric tube has been advanced and terminates in stomach with side port near the location of the gastroesophageal junction. lumbar fusion hardware is partially visualized.
<unk>m with ogt advanced // eval for ogt placement
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a left pectoral permanent pacer is in place with a single icd lead terminating in the right ventricle. the course of the lead is unremarkable. the lungs are clear without focal consolidation, pleural effusion or pneumothorax. the pulmonary vasculature is not engorged, and there is no overt pulmonary edema. the cardiac silhouette is mildly enlarged but stable. the mediastinal and hilar contours are within normal limits.
status post rv lead extraction and placement of new rv icd lead.
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the patient is status post removal of the left upper chest tube with a small, about <num>-mm left apical pneumothorax. the cardiomediastinal silhouette and hila are normal and unchanged. the left basilar atelectasis has improved. stripe-like right basilar atelectasis remains. there is unchanged subcutaneous emphysema at the left lower lateral chest wall from previous chest tube insertion.
<unk>-year-old man after left upper lobectomy, after removal of the chest tube.
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the lungs are clear without consolidation, effusion, or edema. the cardiomediastinal silhouette is normal. no acute osseous abnormalities.
<unk>f with shortness of breath // acute process?
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ap and lateral views of the chest. there has been significant interval enlargement of the right-sided pleural effusion which is primarily loculated laterally. there is a moderate left-sided effusion which has also increased since prior. underlying consolidation particularly at the left lung base cannot be excluded. superiorly the lungs are clear. cardiomediastinal silhouette is unchanged. median sternotomy wires are again seen with fracture through the wire which is <unk> from the top, unchanged. no acute osseous abnormalities detected.
<unk>-year-old male with cough and hypoxia. fatigue.
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the lungs are well expanded and clear. hila and cardiomediastinal contours and pleural surfaces are normal.
<unk> year old man with inflammation/swelling of optic nerve. // ?sarcoid
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the lungs are clear with no evidence of consolidation, effusion, or pneumothorax. cardiomediastinal silhouette is normal. no acute fractures are identified.
fever, myalgias and productive cough.
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the right ij tip ends in the right atrium, approximately <num> cm distal to the cavoatrial junction. sternotomy wires are intact and unchanged in position. the replaced aortic valve is intact and in the expected position. small left pleural effusion. right lower lobe atelectasis. no pneumothorax, focal consolidation, or pulmonary edema. stable prominent cardiomegaly. no acute osseous abnormality.
<unk>-year-old woman status-post avr; evaluate for 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. left-sided pacer device is seen, with lead extending to the expected position of the right ventricle.
history: <unk>m with cp // eval for pacemaker placement, infiltrate, chf
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there is a large right pleural effusion with associated underlying collapse and/or consolidation. heart size at the upper limits of normal. the left lung is clear. the upper portion of the right lung is clear. no left pleural effusion. no pneumothorax
history: <unk>f with ruq abd pain, cirrhosis // pleural effusion?
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cardiac size is normal. the lungs are clear. there is no pneumothorax or pleural effusion.
<unk> year old woman with stemi, pericarditis // evaluate for interval change
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the heart is not enlarged. within the limits of plain film radiography, no mediastinal or hilar enlargement is detected. no chf, focal infiltrate, effusion, or pneumothorax is detected. no acute osseous abnormality is identified. poor visualization of the sternum on the lateral view is presumably an artifact due to positioning and overlying soft tissue structures.
<unk>-year-old woman with chest pain.
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lungs are clear without consolidation, effusion, or edema. cardiomediastinal silhouette stable, within normal limits. atherosclerotic calcifications are seen in the thoracic aorta. no acute osseous abnormalities.
<unk>m with chest pain // eval for acute process
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pa and lateral chest radiographs were obtained. the pa film was repeated once jewelry was removed. the lungs are well expanded and clear. there is no focal consolidation, effusion, or pneumothorax. cardiac and mediastinal contours are normal.
cough
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increasing pulmonary vascular engorgement and septal thickening in keeping with increased pulmonary edema. small bilateral pleural effusions are present, greater on the right. no pneumothorax. the size of the cardiac silhouette is enlarged but unchanged. the patient is status post median sternotomy. chronic appearing right upper rib fractures.
<unk> year old woman with ms, bed-bound, now with recurrent fevers despite broad antibiotics // assess for pulmonary edema vs pneumonia
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pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the heart appears mildly enlarged. the mediastinal contour is normal. probable calcified granuloma projects over the right lung base. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>m with sob, palpitations, lightheadedness. known ptsd, anxiety. // rule out acute pulmonary complaints
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there are multifocal consolidations, somewhat worse on the left than the right. this could be due to multifocal pneumonia or edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal.
tachypnea. evaluate for pneumonia.
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in comparison with the study of <unk>, little change. again there is enlargement of the cardiac silhouette without vascular congestion or pleural effusion or acute focal pneumonia. posterior right lower lobe coiling is again seen. again noted is the deformity involving the left eighth rib.
cirrhosis and for liver transplant evaluation, to assess for effusions.
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ccardiomediastinal silhouette and hilar contours are normal. lungs are clear. a right port is unchanged in position with the tip projecting over the upper svc. there is no pleural effusion or pneumothorax.
asthma with worsening shortness of breath.
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there are substantial bilateral pleural effusions, at least moderate in size with associated parenchymal opacification, probably compatible with associated atelectasis in the lower lobes. slight fullness of each hilum and indistinct contours suggest very mild congestion, but without frank congestive heart failure. there is no pneumothorax. bony structures are unremarkable.
diffuse edema; question congestive heart failure.
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the trachea is poorly delineated. allowing for this, the tip of the et tube lies approximately <num> cm above the carina. an ng type tube is present, extending beneath the diaphragm, off the film. a right ij central line is again seen, tip overlying mid svc. the cardiomediastinal silhouette is unchanged. allowing for low lung volumes, no definite chf. bibasilar atelectasis. no gross effusion. no pneumothorax detected.
<unk> year old man with etoh + bzd overdose and ams // evaluate for placement of ett
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left chest wall single lead pacing device is again seen with lead tip in the right ventricle. degree of cardiomegaly has decreased in the interval. the lungs are clear without consolidation or edema. there is no effusion.
<unk>m with chest pain // eval for pna