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since <unk>, increased small to moderate bilateral pleural effusions, right greater than left, with increased small to moderate bibasilar atelectasis are seen. lung volumes remain low. there is new mild pulmonary edema. moderate cardiomegaly is unchanged. no pneumothorax. tip of the endotracheal tube is seen <num> cm above the carina. right port-a-cath placement is unchanged. new feeding tube is seen in the region of the stomach in continues out of view.
<unk> year old man with cholangiocarcinoma, shock, respiratory failure // acute interval change with intubation
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the lungs are clear of focal consolidation, pleural effusion or pneumothorax. the heart size is normal. the mediastinal contours are normal. there is linear atelectasis at the left lung base.
<unk> year old male with atrial fibrillation, new onset.
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cardiac size is top normal. transvenous pacemaker leads are in standard position. the lungs are clear. there is no pneumothorax or pleural effusion.
<unk> year old woman with new biv pacemaker // evaluate for pneumothroax and lead placement
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left pneumothorax is unchanged. there is no mediastinal shift. dense material in the left hemi thorax on has a more dependent position suggestive of intrathoracic contrast. cardiomediastinal silhouette and pulmonary vasculature are within normal limits. there is no consolidation. cardiac device generator overlying the left chest is unchanged with leads in the right atrium, right ventricle, and coronary sinus.
<unk> year old woman with hypotension s/p afib ablation and aicd // eval for pneumothorax vs ? pericardial effusion eval for pneumothorax vs ? pericardial effusion
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the cardiomediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. lungs are well-expanded and clear without focal consolidation concerning for pneumonia. the upper abdomen is unremarkable. there are no acute osseous abnormalities.
<unk>f with sob // r/o pna
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the cardiomediastinal silhouettes are normal. the bilateral hila are normal. the lungs are clear. there is no pulmonary vascular congestion. there is no pneumothorax or effusion. there is no evidence of fracture.
a <unk>-year-old man with right rib pain following a motor vehicle collision, evaluate for pneumothorax or rib fractures.
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linear bilateral lower lobe opacities are most consistent with atelectasis. otherwise, the lungs are clear without focal opacity, pulmonary edema, pleural effusion or pneumothorax. mild cardiomegaly is stable. the thoracic aorta is ectatic and contains dense calcifications. no acute osseous abnormality.
<unk>-year-old woman with a fall at home.
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right apical pneumothorax appears unchanged. there has been interval improvement in bilateral pulmonary edema. small bilateral pleural effusions persist. cardiac size is mildly enlarged.
<unk> year old woman with recurrent left effusion s/p <unk> with <num>ml removed // ? ptx
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pa and lateral views of the chest were obtained. the lungs are clear bilaterally. the heart is normal in size. mediastinal and hilar contours are within normal limits. there is no pneumothorax or pleural effusion.
<unk>-year-old male with chest pain and shortness of breath.
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a right port-a-cath terminates at the mid svc. the endotracheal tube terminates <num> cm above the carina. the cardiac and mediastinal contours are unchanged. there is continue central pulmonary vascular congestion, however, previously seen pulmonary edema from the <unk> examination has nearly resolved. a small right pleural effusion has enlarged. a moderate left pleural effusion has decreased in size. there is no pneumothorax.
antral perforation, post <unk> patch. hypoxia respiratory failure.
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a right-sided ventriculoperitoneal shunt courses across the right side of the chest. the cardiac, mediastinal, and hilar contours appear unchanged. hazy left basilar opacification has resolved. there is a persistent opacity projecting over the left upper lung that has decreased somewhat and may correspond to radiation-related changes, scarring, or atelectasis; since it has decreased, infection seems less likely though not entirely excluded.
hypotension and altered mental status.
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the cardiomediastinal and hilar contours are within normal limits. there is no focal consolidation, pleural effusion or pneumothorax. metallic fragments are again seen in the right lung base and posterior to the thoracic spine, consistent with old gunshot wound.
chest pain, right hip pain.
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a left-sided nerve stimulator device is noted with lead coursing cephalad into the left neck. heart size is normal. mediastinal and hilar contours are unremarkable. the pulmonary vasculature is normal. streaky opacities in the lung bases are most likely reflective of atelectasis. no focal consolidation, pleural effusion or pneumothorax is identified. deformity of right distal clavicle is compatible with prior injury.
seizures.
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pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>m with cp/sob
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the patient is status post median sternotomy and cabg. the lungs are hyperinflated with flattening of the diaphragms. mild enlargement of cardiac silhouette persists. there are calcifications of the aortic arch. there is no pulmonary vascular congestion. linear opacities within the lung bases most likely reflect atelectasis. blunting of the costophrenic angles posteriorly likely reflects the presence of trace bilateral pleural effusions. no pneumothorax is identified. there are no acute osseous abnormalities. multilevel mild degenerative changes are noted in the thoracic spine. extensive degenerative changes are also noted within the glenohumeral joints bilaterally, partially imaged.
shortness of breath status post cabg.
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pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is stable with top-normal heart size. a focal eventration of the right hemidiaphragm is noted. imaged osseous structures are intact with no acute fractures identified. no free air below the right hemidiaphragm is seen.
<unk> year old man with h/o chf and recent fall with chest/back pain, now w/ cough x<num> week.
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cardiac silhouette size is normal. the mediastinal and hilar contours are unremarkable. the pulmonary vasculature is not engorged. elevation of the right hemidiaphragm is noted with associated right basilar atelectasis. a small right pleural effusion is demonstrated. minimal streaky left basilar atelectasis is also demonstrated. no pneumothorax is seen. oral contrast material seen within the colon. there are no acute osseous abnormalities.
history: <unk>f with shortness of breath
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the lungs are clear without consolidation, effusion, or edema. there is moderate cardiomegaly, similar to prior. upper thoracic levoscoliosis is again seen. no acute osseous abnormalities. surgical clips in the right upper quadrant suggest prior cholecystectomy.
<unk>f with productive cough x<num> week on immunosuppression // ?acute intrapulmonary process
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bedside ap radiograph of the chest demonstrates near-complete opacification of the right hemithorax with interval development of pneumothorax. the pigtail catheter appears to lie in the expected location of the pleural space. there is increase in the degree of rightward tracheal deviation. diffuse left lung opacities consistent with disseminated tumor as seen on the ct of the chest obtained at the same time. there is no left-sided pneumothorax or effusion.
patient with disseminated lung cancer with tachycardia status post placement of right-sided pleural drainage catheter.
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the lungs are clear without focal consolidation. the cardiomediastinal silhouette is within normal limits. tortuosity of the thoracic aorta is noted with atherosclerotic calcifications at the arch. no acute osseous abnormalities.
<unk>f with cough // eval for pna
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the patient is status post median sternotomy with mediastinal surgical clips noted. the lungs are clear of focal consolidation, pleural effusion or pneumothorax. there is no pulmonary edema. the heart is top-normal in size.
<unk>-year-old male with dyspnea. evaluate for acute process.
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the lungs are hyperinflated but clear. the hilar and cardiomediastinal contours are normal. there is no pneumothorax or pleural effusion. pulmonary vascularity is normal.
chest pain.
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blunting of the right costophrenic angle could represent atelectasis, and no corresponding blunting is appreciated on the lateral view. linear markings in the left lung base are again noted, likely representing scarring or atelectasis. there is no evidence of focal consolidation, pulmonary edema or pneumothorax. the heart and mediastinal contours are normal.
<unk>-year-old female with dyspnea, chest tightness. evaluate for pneumonia, effusion or secondary signs of pulmonary embolism.
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single upright view of the chest provided. there is no focal consolidation, effusion, or pneumothorax. streaky left lower lobe atelectasis is similar to prior. moderate cardiomegaly is similar to prior. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen. aortic arch calcification appears similar to prior.
history: <unk>f with sle/esrd with angina and dyspnea, ischemic ekg changes // evaluate for acute process
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there is a right picc line, which terminates in the low svc. the cardiomediastinal silhouette is stable. there is moderate pulmonary edema. there is a small right pleural effusion, and a larger layering left pleural effusion. there are no focal consolidations. no pneumothorax is seen. the patient is status post vertebroplasty of an upper lumbar vertebrae, but no new compression fractures visualized. an ivc filter is partially visualized projecting over the upper abdomen.
<unk> year old man with esrd s/p tx on immunosuppression with chronic productive cough // evaluation for pna, atelectasis, aspiration
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single portable view of the chest. no prior. the lungs are hyperinflated. there is a perihilar distribution of parenchymal opacities. left-sided pleural effusion is seen tracking laterally. there is also subtle blunting of the right lateral costophrenic angle as well. cardiac silhouette is enlarged. atherosclerotic calcification is seen at the arch. median sternotomy wires and mediastinal clips are noted. calcification in the left upper quadrant of the splenic artery. iv line projects over the left neck as well as a surgical clip.
<unk>-year-old woman with st elevation mi.
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a single ap portable radiograph of the chest was acquired. there has been interval placement of a left internal jugular central venous catheter with its tip in the mid-to-upper svc. no pneumothorax is seen. the exam is otherwise unchanged compared to the radiograph from earlier today, approximately hours ago.
status post left internal jugular central venous catheter placement. evaluate position and assess for pneumothorax.
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the lungs are well-expanded and clear. no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. the heart size is normal. the mediastinal contours, hila, and pleura are unremarkable. mild dilatation and tortuosity of the descending aorta, stable since at least <unk>. no acute osseous abnormality.
<unk> year old woman with incidental finding of new cardiomegaly on cxr at<unk> hosp s/p fall. repeat to confirm and compare with old films here. evaluate for cardiomegaly.
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patient is status post tavr. surgical clips are again seen in place in the left upper lobe. an aortic stent is again seen. there is interval development of a small left-sided pleural effusion. stable left upper lobe lesion in the setting of post treatment changes is again noted. the lungs are clear without focal consolidation. no pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
<unk> year old man with history of tavr with aortic stent, lung cancer and left pleural effusion s/p thoracentesis. // eval
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left-sided pacer device is noted with leads terminating in the right atrium and right ventricle. right-sided port-a-cath tip terminates in the low svc, unchanged. bilateral chest tubes are in similar positions. a moderate size right pleural effusion has increased from the prior study and is loculated laterally. small left pleural effusion appears somewhat decreased compared to the prior study. opacities in both lung bases likely reflect regions of compressive atelectasis. cardiac and mediastinal contours are unchanged. pulmonary vasculature is not engorged. no definite pneumothorax is detected. there are no acute osseous abnormalities.
history: <unk>f with pleural effusions, bilateral pleux catheters presenting with chest pain
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single portable view of the chest compared to previous exam from <unk> and <unk>. hazy opacities at the lung bases, silhouetting the left hemidiaphragm likely due to effusions and potentially also in part due to patient positioning. there is pulmonary vascular congestion, mildly indistinct markings. cardiac silhouette is enlarged but stable in configuration. previously identified right-sided picc is no longer visualized. osseous and soft tissue structures are unremarkable.
<unk>-year-old female with pitting bilateral edema. question pneumonia or effusion.
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the cardiac and mediastinal contours appear stable. although less striking than on the last study, there is perihilar congestive change above that of an earlier baseline study from <unk>. there are also patchy opacities at both lung bases, more prominent in the retrocardiac area than at the right lung base, decreased from <unk> but retrocardiac opacity was not present in <unk> so is not necessarily chronic.
cough and renal failure.
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the lungs are clear without consolidation, effusion, or edema. the cardiomediastinal silhouette is stable. no acute osseous abnormalities.
<unk>f with sob // eval for pna
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there is unchanged opacification of the surgical cavity and unchanged appearance of left basal pulmonary findings including complete obliteration of the left diaphragmatic contour. additionally, the parenchymal densities in the mid left lung are increased from prior examination and may represent residual disease.
status post vats of the left upper lobe for squamous cell carcinoma.
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lungs are clear. cardiac silhouette is normal in size. there is no pleural effusion, pneumothorax, pulmonary edema or pneumonia. scoliosis is present and the bones are diffusely osteopenic.
multiple sclerosis, presenting with gi bleed. question pneumonia or effusions. also with hypoxia.
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the cardiac, mediastinal and hilar contours are normal. the pulmonary vascularity is normal. minimal atelectasis is seen in the left lung base. no focal consolidation, pleural effusion or pneumothorax is identified. no acute osseous abnormalities are seen.
chest pain radiating to the arm and back.
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pa and lateral views of the chest provided. ill-defined airspace opacities noted within the right upper lobe and right lower lobe, best seen on lateral view. findings concerning for pneumonia. no large effusion or pneumothorax. cardiomediastinal silhouette is stable. bony structures are intact.
<unk>f with tb exposure, cough
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single frontal view of the chest demonstrates left approach picc with tip in the lower svc. the lung volumes are low, accentuating cardiomediastinal silhouette. minimal subsegmental atelectasis is seen in the left base. there is no pneumothorax, pulmonary vascular congestion, or pleural effusion.
<unk>-year-old female with picc placement, here for assessment of position.
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there is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. the cardiomediastinal contour is normal.
<unk>f with dyspnea, evaluate for acute process
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linear atelectasis or scarring in the right middle lobe is new since <unk>. the lungs are otherwise clear. no acute focal consolidation. the cardiomediastinal contours are unchanged. no pleural effusions or pneumothorax.
<unk> year old woman with coungh, fever // eval for infiltrate
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there are multiple bilateral calcified nodular opacities, more numerous in the right lung, ranging up to <num> mm in the right mid lung region. there are also multiple calcified bilateral hilar and mediastinal lymph nodes. otherwise, cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. no focal consolidation worrisome for pneumonia.
<unk>-year-old male with one week of cough and bibasilar rales, with his partner being treated for pneumonia. evaluate for infiltrate. patient also reports history of histoplasmosis as a child.
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since the prior exam, an endotracheal tube has been placed. it is approximately <num> cm from the carina, and could be advanced <num>-<num> cm for optimal placement. otherwise, there is little change since the prior exam, including mild to moderate pulmonary edema, marked cardiomegaly, and small bilateral pleural effusions.
status post intubation. evaluate endotracheal tube.
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ap and lateral chest radiographs were obtained. the lungs are well expanded and clear. there is no focal consolidation, effusion, or pneumothorax. the heart size appears top normal but is not accurately measured on this ap projection.
seizure, rule out infiltrate.
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the cardiomediastinal silhouette and pulmonary vasculature are normal. the lungs are clear. there is no pleural effusion or pneumothorax. while study is not tailored to evaluate for rib fractures, no definite displaced fracture is identified.
history: <unk>m with chest pain after a fall // eval for any rib fx
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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>f with chest pain and shortness
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the tip of the endotracheal tube projects over the mid thoracic trachea. a feeding tube extends to the distal esophagus and should be advanced. unchanged retrocardiac opacities likely reflect atelectasis. unchanged right pleural effusion with subjacent atelectasis as well as mild pulmonary vascular congestion. no pneumothorax identified. the size and appearance of the cardiac silhouette is unchanged.
<unk> year old man with respiratory failure iso phtn and atrial tachyarrythmia // evaluate lll collapse
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partially evaluated cervical spinal hardware, new since the earlier radiograph. the tip of the endotracheal tube projects over the mid thoracic trachea. low bilateral lung volumes. mild left basilar atelectasis. no pneumothorax or pleural effusion. the size of the cardiac silhouette is enlarged but this may be technical secondary to ap technique and low lung volumes.
<unk>m s/p mvc with c<num> burst fracture with <num>mm retropulsion and <num>mm parafalcine subdural hematoma s/p corpectomy (<unk>). // intubated post op.
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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.
history: <unk>f with chest pain // eval heart and lungs
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cardiac silhouette size is normal. mediastinal and hilar contours are unremarkable. the pulmonary vasculature is not engorged. ill-defined relatively symmetric alveolar opacities are noted in both lung bases. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
history: <unk>m with hiv, shortness of breath
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frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation, or pneumothorax. minimal perihilar vascular congestion is noted. there is no pulmonary edema. hilar and mediastinal silhouettes are unremarkable. heart size is normal. there is mild blunting of the right cardiophrenic angle, suggestive of pericardial fat pad, lymph node, or tiny morgagni hernia, stable for at least one year. partially imaged upper abdomen is unremarkable. right lower lobe density seen on <unk> exam has resolved.
slurred speech. assess for pneumonia.
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. mild to moderate multilevel degenerative changes are seen throughout the imaged thoracic spine. no subdiaphragmatic free air is present.
history: <unk>f with epigastric, left upper quadrant abdominal pain
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two portable upright views of the chest. no prior. increased density projecting over the right lower lung likely due to anterior right sixth rib fracture. the lungs are otherwise clear. there is no pleural effusion or pneumothorax. cardiomediastinal silhouette is within normal limits. no free air identified below the diaphragm.
<unk>-year-old male with near syncope and vomiting after colonoscopy. upper abdominal pain.
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heart is moderately enlarged with left atrial enlargement. lungs are clear and there is no pleural abnormality. transvenous right atrial and left ventricular pacer leads and right ventricular pacer defibrillator leads are continuous from the left pectoral generator in follow their expected courses. both hila are enlarged, right greater than left, due to pulmonary artery enlargement. no pneumothorax.
<unk> year old man s/<unk> crt-d implant // ptx, leads
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ap portable semi upright view of the chest. ill-defined opacities in the lower lungs may reflect pneumonia or aspiration. additionally, a more band like opacity in the left lower lung is most compatible with atelectasis. no large effusion is seen. no large pneumothorax. the aorta is unfolded. the heart appears top-normal in size. prominent calcifications in the base of neck likely vascular. no acute bony abnormalities.
<unk>m with tachycardia/hypotension
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the patient is status post median sternotomy. a left -sided dual-chamber pacemaker device with leads terminating in the right atrium and right ventricle is unchanged. the cardiac, mediastinal and hilar contours are stable, with tortuosity of the thoracic aorta again noted. mild calcification of the thoracic aorta is also redemonstrated. the heart size is not enlarged. the pulmonary vascularity is normal and the lungs are clear. mild elevation of the left hemidiaphragm is chronic. no pleural effusion or pneumothorax is identified. no acute osseous abnormalities seen.
altered mental status and fevers.
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status post interval removal of a right-sided picc line. left basilar opacity is seen on the frontal view only, and may reflect asymmetric breast tissue or scarring. there is no pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is within normal limits.
<unk>f with hx aml, s/p sct <unk>yrs previously, now with <num> days of progressive cough on azithro with no improvement
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there is no pneumothorax. the cardiac, mediastinal and hilar contours appear unchanged. left basilar opacities persist, but perhaps minimally improved. a trace pleural effusion may be new on the right. it is difficult to exclude a very small pleural effusion on the left.
status post maze procedure. question pneumothorax after chest tube removal.
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there is hazy right basilar opacity new since prior exam. elsewhere, the lungs are clear. there is no effusion or pulmonary vascular congestion. cardiac silhouette is enlarged similar in configuration. trachea is deviated to the right at the thoracic inlet compatible with left greater than right thyroid enlargement on prior ultrasound. no acute osseous abnormalities.
<unk>f with cough and ili sx // eval pneumonia
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small bilateral pleural effusions, right greater than left have increased. bibasal opacities have also increased. mild pulmonary vascular congestion. mild cardiomegaly. stable appearance of the dual lead pacemaker. no pneumothorax.
<unk> year old woman with pleural effusion // eval
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semi-upright portable view of the chest demonstrates low lung volumes. left costophrenic angle and hemidiaphragm is obscured, suggestive of moderate pleural effusion and an adjacent area of consolidation. right cardiac border and right hemidiaphragm is preserved. there is no large right pleural effusion. right lung base opacity is present. mediastinum appears widened. cardiac border is difficult to discern due to surrounding opacities. pulmonary vascular congestion is noted. imaged osseous structures appear intact.
patient with wheezing and respiratory distress.
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pa and lateral views of chest. the lungs are clear. cardiac silhouette is normal. no pleural effusion, pneumothorax, pulmonary edema or pneumonia.
fever/cough
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pa and lateral views of the chest. the lungs are clear. there is no consolidation, effusion or pneumothorax. the cardiomediastinal silhouette is normal. no acute osseous abnormality is identified.
<unk>-year-old female with cough and chest pain.
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lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable and unremarkable. no overt pulmonary edema is seen.
hyperglycemia.
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there has been interval removal of chest tube. there is a tiny area of loculated pneumothorax at the right lung base. again seen is bibasilar atelectasis. retrocardiac opacity secondary to atelectatic changes and appears stable compared to prior chest film from <unk>.the lungs are clear without focal consolidation. the cardiac and mediastinal silhouettes are unremarkable.
<unk> year old man with recurrent right pneumothorax, now s/p removal chest tube. // assess for interval change in pneumothorax.
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an endotracheal tube is approximately <num> cm from the carina and should be advanced. a hemodialysis catheter is unchanged in position and ends in the mid svc. a left subclavian central line is coiled within the left brachiocephalic vein. since the prior radiograph, there has been interval development of severe pulmonary edema. the cardiomediastinal silhouette is normal. there are no pleural effusions. there is no pneumothorax or visible rib fractures.
status post pea arrest.
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compared with <unk>, no definite change is detected. again seen is a small posterior left pleural effusion, question on the left, with underlying collapse and/or consolidation, grossly similar to the prior study. patchy opacities at both lung bases the blunting of the right costophrenic angle is also similar. within the right and left upper and mid zones, no focal infiltrate is identified. there is mild cardiomegaly and aortic calcification, unchanged. no chf. no pneumothorax detected. hyperinflation, suggestive of background copd.
history: <unk>f with shortness of breath // acute process?
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cardiomediastinal shadow is normal. no hilar adenopathy. no pulmonary nodules or masses. no airspace consolidation. no pleural effusions. tips in situ.
<unk> year old man with smoking history and weight loss // please rule out malignancy
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the lungs are mildly hypoinflated with crowding of vasculature. no pleural effusion or pneumothorax. cardiomediastinal silhouette is stable with prominence of the superior mediastinum due to a a previously characterized thoracic aortic and left subclavian artery aneurysm. visualized osseous structures are unremarkable without displaced rib fracture.
<unk>m with syncope, headstrike. assess for fracture or bleed.
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frontal and lateral chest radiographdemonstrates well expanded lungs.no chf, focal infiltrate, pleural effusion or pneumothorax is detected. heart size, mediastinal contour, and hila are unremarkable. limited assessment of the upper abdomen is within normal limits.
status post assault with right rib tenderness. assess for rib fractures or complications of trauma.
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lung volumes remain low. the convex lateral opacity in the right lung corresponds to a loculated right pleural effusion documented on ct from <unk>. right lower lobe atelectasis is overall similar to the prior exam. probable small left pleural effusion and atelectasis. mild central pulmonary vascular congestion without edema. no pneumothorax. slight prominence of the bilateral hila may reflect lymphadenopathy, better appreciated on the chest ct from <unk>. the large hiatal hernia is unchanged.
<unk> year old man with shortness of breath, wheezing, prior abnormal cxr // please eval for interval change -- more wheezing, sob today
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heart size is normal. mediastinal contour is unchanged. prominence of the hila bilaterally may be due to underlying lymphadenopathy, and appears grossly unchanged. pulmonary vasculature is not engorged. severe cystic bronchiectasis is noted in both lung bases, with marked wall thickening and increased patchy and nodular opacification in the lung bases concerning for bronchitis and bronchopneumonia. no large pleural effusion or pneumothorax is present. there are no acute osseous abnormalities detected.
history: <unk>f with chest pain // eval cardiopulmonary process
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right-sided picc has migrated proximally and terminates in the right subclavian vein, high in position. single lead left aicd is seen, unchanged position. severe cardiomegaly is again seen. the mediastinal contours are stable. aortic knob calcification is again seen. blunting of the left costophrenic angle is worrisome for a small left pleural effusion with overlying atelectasis. previously seen right pleural effusion has decreased in the interval with possible trace remaining. no evidence of pneumothorax is seen.
history: <unk>m with picc line that appears dislodged per home <unk> aide pls eval placement // history: <unk>m with picc line that appears dislodged per home <unk> aide pls eval placement
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single portable view of the chest. the lungs are clear of consolidation. coarse interstitial markings are seen suggestive of chronic underlying parenchymal changes. cardiomediastinal silhouette is within normal limits. no acute osseous abnormality detected.
<unk>-year-old female with hypoxia and shortness of breath and cough.
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no focal consolidation is seen. rounded opacity projecting over the right mid lung, measuring approximately <num> cm is nonspecific, but could be external to the patient and possibly on the skin. suggests repeat with nipple markers or a marker on external structures such as a mole. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with epigastric pain // pna?
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there is no evidence for pneumomediastinum or pneumothorax. no pleural effusion is demonstrated. the lungs appear clear. bony structures appear within normal limits.
profuse vomiting and throat pain. question pneumomediastinum.
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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 normal. old healed left mid clavicular fracture again noted.
<unk>-year-old male with altered mental status.
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the heart is normal in size. there is moderate unchanged unfolding of the thoracic aorta. the main pulmonary artery and right hilum appear slightly prominent, probably due to mild enlargement of central pulmonary arteries, but without change. the lungs appear clear. there are no pleural effusions or pneumothorax. moderate degenerative changes are noted along the lower thoracic spine including prominent anterior osteophyte formation along the lower thoracic vertebral body, increased since the remote prior study.
lower extremity edema.
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the patient is rotated to the right significantly limiting evaluation of the mediastinal structures. allowing for these limitations a faint small focal opacity in the left upper lobe is not appreciably changed since <unk> and may correspond to scarring. bibasilar hazy opacities are likely due to atelectasis, however small pleural effusions cannot be excluded on this limited frontal radiograph, and there is mild blunting of the lateral costophrenic sulci. the mediastinal structures are not well evaluated, however, the heart appears mildly enlarged. there is no evidence of pulmonary edema or pneumothorax.
shortness of breath and hypoxia. evaluate for infectious process versus fluid.
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heart size is normal. mediastinal and hilar contours are normal. lungs are clear. no focal consolidation, pleural effusion or pneumothorax is present. there are no acute osseous abnormalities. rounded opacity projecting over the superior mediastinum appears to reflect a prominent sternum, and appears grossly unchanged compared to the scout view from the ct cervical spine in <unk>.
history: <unk>f with no past medical history comes in for fever and lower back pain. // ? pneumonia
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the patient is post cabg. there has been interval removal of a mediastinal drain and left thoracostomy tube. a small left apical pneumothorax is present. there is no focal consolidation or pleural effusion.
post cabg. chest tube removal.
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the lung volumes are low. the heart is at the upper limits of normal size. the mediastinal and hilar contours appear within normal limits. the lungs appear clear. there is no pleural effusion or pneumothorax. slight osteophyte formation is noted along the anterior margin of much of the thoracic spine. surgical clips project over the upper spine.
two weeks of cough and chest pain.
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right chest tube with the tip at the right base and a right internal jugular central venous catheter with tip in the upper svc appear unchanged. median sternotomy wires appear intact and aligned. otherwise, there is little interval change in comparison to the prior study. it is difficult to exclude tiny right basilar pneumothorax. there is no shift of midline structures. postsurgical appearance of the heart appears stable. subcutaneous air is again noted in the right axilla and flank. atelectatic changes are again noted at the left base.
status post cabg with clamping of chest tube.
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right upper quadrant ptc drain and clips. dual-lumen right ij cvc terminates at the svc ra junction. heart size within normal. low lung volumes with bibasilar atelectasis. no pneumothorax, focal consolidation of or pulmonary edema. previously demonstrated retrocardiac opacity is improved.
<unk> year old woman s/p ec fistula takedown, and sbr with temp <unk>.<num> // eval for fever source
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the cardiomediastinal silhouette is normal. there is no pleural effusion or pneumothorax. no focal lung consolidation. slight irregularity of the mid left clavicle, representing a fracture, which is better evaluated on dedicated views. no displaced rib fractures seen.
<unk>m with l shoulder injury while snowboarding.
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pa and lateral images of the chest. the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable. there is an irregularity in posterior rib <num> on the right consistent with an old fracture. the visualized osseous structures are otherwise unremarkable.
chest pain.
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there is enteric tube with tip in the distal stomach, near gastroduodenal junction. shallow inspiration. left basilar atelectasis has improved. normal heart size, pulmonary vascularity. endotracheal tube is no longer seen.
<unk> year old woman with basilar stroke, extubated // eval ngt placement
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single portable radiograph of the chest demonstrates interval placement of a nasogastric tube with the tip projecting over the stomach. the proximal side port is poorly visualized but likely at the ge junction. in order to position the proximal side port in the stomach, it should be advanced by no less than <num>-<num> cm. a right-sided picc is seen in the low svc. compared to the prior exam there has been interval decrease in lung volumes which exaggerates the heart size and vascular caliber. no pleural abnormalities or other relevant change is seen.
nasogastric tube position. right picc line position.
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there are no pleural effusions or pneumothorax. mild rightward convex curvature is similar and centered along the mid-to-lower thoracic spine.
chest bruising.
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the lungs are normally expanded and clear. the cardiomediastinal silhouette, hilar contours and pleural surfaces are normal. there is no pleural effusion or pneumothorax.
chest pain. evaluate for pneumothorax.
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there is atelectasis at the left lung base. no focal consolidation is identified. the cardiomediastinal silhouette and hilar contours are stable given differences in patient positioning. there is no pleural effusion or pneumothorax. degenerative changes are noted in the cervical spine as well as the bilateral shoulders. calcifications of the aortic arch and the tracheobronchial tree are again noted.
<unk>f with cva, htn, hld presenting with fall, seizure. evaluate for pneumonia
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since the prior exam, the right anterior chest tube has been removed. two chest tubes remain unchanged. there is no evidence of pneumothorax. cutaneous <unk> are noted along the right chest. since prior exam the left picc tip is now pointing inferiorly in the mid svc. a right subclavian central venous catheter is also present with tip in the mid svc. an ng tube is noted with the tip below the hemidiaphragms. the side port is sitting near the gastroesophageal junction. a left pigtail catheter is in unchanged position. there is no definite pulmonary edema. probable small bilateral pleural effusions are unchanged. lung volumes remain low. opacities in the right middle, left upper, and both lower lobes are unchanged. the cardiomediastinal silhouette is stable. again noted is a mildly widened mediastinum, stable from prior exams.
status post removal of right anterior chest tube. assess for pneumothorax.
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no significant change since <unk>. stable mild cardiomegaly. tracheostomy tube ends approximately <num> cm from carina. left-sided subclavian picc line ends in the superior cavoatrial junction. there is no pneumothorax. no focal consolidation. no pleural effusion. no pneumothorax.
<unk> year old woman with r mca stroke now with trach // ?infectious process
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lung volumes are low limiting assessment. overlying ekg leads are present. mild basilar atelectasis noted without convincing evidence for pneumonia, edema, effusion or pneumothorax. the cardiomediastinal silhouette is stable. subtle lucency projecting inferior to the right hemidiaphragm could represent interposed bowel. bony structures appear intact.
<unk>-year-old man presenting with lightheadedness; evaluate for acute process.
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cardiac silhouette size is normal. the mediastinal and hilar contours are unremarkable. the pulmonary vasculature is not engorged. no focal consolidation, pleural effusion or pneumothorax is present. mild scarring is seen within the lung apices. there are mild degenerative changes noted in the thoracic spine.
history: <unk>m with shortness of breath, chest pain, recent cardiac cath
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the lung volumes are slightly low. mild haziness of the infrahilar right lung is similar compared to the study from <unk> seen best on the frontal view. the left lung is grossly clear. mild cardiomegaly and tortuous descending thoracic aorta are unchanged. there is no pleural effusion or pneumothorax. mild anterior wedge compression deformities of mid thoracic vertebral bodies are unchanged since <unk>.
<unk> year old man with cough and fever // r/o pna
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right internal jugular central venous catheter tip terminates in the proximal right atrium. no pneumothorax is identified. lung volumes remain low. the cardiac and mediastinal contours are unchanged. streaky opacities in the lung bases persist, likely atelectasis. there is crowding of the bronchovascular structures with mild pulmonary vascular engorgement likely present.
history: <unk>f with central line placement
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heart size appears borderline enlarged, likely accentuated due to low lung volumes. mediastinal and hilar contours are unremarkable with mild atherosclerotic calcifications noted at the aortic knob. pulmonary vasculature is normal. patchy opacities are demonstrated in the lung bases likely reflective of atelectasis. no focal consolidation, pleural effusion or pneumothorax is present. no acute osseous abnormalities demonstrated.
history: <unk>m with cough, fever
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there is no focal consolidation or pneumothorax. a small left pleural effusion is best seen on the lateral radiograph. the cardiomediastinal silhouette is normal. the imaged upper abdomen is unremarkable. the right first and second ribs appear congenitally abnormal.
history: <unk>m with cough // evidence of infection
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ap and lateral views of the chest. low lung volumes are seen particularly on the frontal view with secondary crowding of the bronchovascular markings. lateral view is a limited by patient's arms being down by her side. there is no confluent consolidation or large effusion. cardiomediastinal silhouette is stable. degenerative changes again seen at the shoulders with chronic deformity particularly of the left humeral head and glenoid.
<unk>-year-old female with diffuse edema and dyspnea.
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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 cough