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the lungs are well expanded and clear. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. rounded opacity projecting over the costovertebral junction of the left posterior <num>rd rib may represent summation of structures although a lung or bony lesion cannot be excluded. multiple surgical clips projecting over the left hemithorax are due to prior breast procedures.
patient with cough for two months and history of breast cancer.
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all previous supporting lines and monitoring devices have been removed except for a right ij introducer sheath. median sternotomy wires are intact, and the cardiac silhouette is mildly enlarged postoperatively with mild vascular congestion. bibasilar atelectasis and associated pleural effusions are seen. no focal consolidation is seen, and no pneumothorax is seen following chest tube removal.
<unk>-year-old man status post cabg, evaluate pneumothorax status post is to preclude.
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mild hyperinflation. no lobar consolidation. no pulmonary edema. mild cardiomegaly. mild tortuosity of the aorta. no pleural effusion or pneumothorax.
<unk> year old woman with cough // r/o pneumonia
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in comparison to the earlier radiograph, there is slight interval improvement in moderate pulmonary edema but stable small bilateral pleural effusions, right greater than left. a new nasogastric tube enters the stomach, distal tip not visualized. et tube and right ij central venous catheter remain in optimal position.
<unk> year old woman with new ogt // evaluate line placement
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. the lungs appear clear. there are no pleural effusions or pneumothorax. there is a smooth nondisplaced fracture through the anterior lateral aspect of the right fifth rib, possibly incomplete and probably unchanged since the prior study although better depicted on this one due to differences in orientation.
lactic acidosis. question pneumonia.
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heart size remains mildly enlarged. a moderate size hiatal hernia is similar. mediastinal and hilar contours are unchanged. diffuse airspace opacities are noted bilaterally with relative sparing of the lung bases, worse compared to the previous examinations. there may be an element of mild pulmonary vascular congestion. there appears to be a trace left pleural effusion. no pneumothorax is identified. deformity of the right mid clavicle is compatible with a remote fracture. remote compression deformity of the l<num> vertebral body is also unchanged. there are no acute osseous abnormalities. loose body adjacent to the left glenohumeral joint is again noted.
history: <unk>f with dyspnea and increased cough. stated was recently treated with antibiotics for pneumonia.
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multiple overlying ekg leads are present. lungs are clear. cardiomediastinal and hilar contours are within normal limits. there is no pneumothorax or pleural effusion. no free air under the right hemidiaphragm. degenerative changes at the acromioclavicular joints bilaterally. cervical hardware is identified.
<unk>f with intermittent episodes of lightheadedness
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low lung volumes with crowding of vasculature and bilateral lower lobe opacities. no pulmonary edema. no pleural effusion or pneumothorax. the heart is top-normal in size, likely accentuated due to low lung volumes. mediastinal contour and hila are unremarkable.
<unk> year old woman with low saturations. assess for pulmonary edema
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cardiac, mediastinal and hilar contours are normal. lungs are clear. pulmonary vasculature is normal. no pleural effusion or pneumothorax is present. there are no acute osseous abnormalities.
chest pain.
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threaded screws are noted in the right humeral head. the cardiomediastinal silhouette is unremarkable. lung volumes are low. there is platelike atelectasis at the lung bases, bilaterally. there is no focal consolidation.
<unk>f with altered mental status // eval for acute process
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a tracheostomy is stable in position. a dobbhoff tube is seen terminating in the stomach antrum. cardiomediastinal and hilar contours are unchanged. lung volumes are low. opacity at the left lung base is new from the prior study and likely represents atelectasis. a small right pleural effusion is unchanged. there is no evidence of pneumothorax
<unk>m w/basilar artery and l vertebral artery occlusion and l cerebellar stroke now with worsening secretions, desaturations, and diffuse rhonchi on exam // eval for pneumonia
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cardiac silhouette size is normal. mediastinal and hilar contours are normal. pulmonary vasculature is normal. lungs are clear. mild elevation of the right hemidiaphragm may be due to a small subpulmonic effusion or subdiaphragmatic process if acute, though the chronicity of this finding is unknown without prior imaging. no left-sided pleural effusion is demonstrated. there is no pneumothorax. no acute osseous abnormalities seen.
history: <unk>m with <num> weeks of tachycardia, <num> days of right lower quadrant pain
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with chest pain // chest pain
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the trachea is midline. the cardiomediastinal silhouette is within normal limits. the aorta and pulmonary vasculature are unremarkable. there is no consolidation or pulmonary nodule. there is no pleural effusion. degenerative changes of the thoracic spine are mild.
<unk> year old woman with f/u for papillary thyroid carcinoma <unk>. // <unk> year old woman with f/u for papillary thyroid carcinoma <unk>. new throat/swallowing discomfort <num>+ weeks f/u papillary thyroid carcinoma w/resection <unk>,no chemo no radiation,pt states occasional sob r/o abnormality
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interval placement of left chest tube. left pleural effusion has decreased. improved left basilar opacity. no definite pneumothorax. right picc line tip near cavoatrial junction. esophageal stent in place. radiopaque density in the left lung base, may represent aspirated, or extravasated barium from the esophagus, similar to prior.
<unk> year old woman with chest tube // chest tube on left
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moderate cardiomegaly is chronic exaggerated by the low inspiratory volumes; mediastinal and hilar contours are otherwise normal. lungs are clear. sutures related to prior biopsy are noted projecting over the right mid lung. no pleural effusion or pneumothorax identified. no osseous abnormality is present.
pain with breathing. please evaluate for pneumonia versus alveolar hemorrhage.
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compared to the immediate prior study of <unk>, the small to moderate right apical pneumothorax is unchanged. increasing opacification of the right lung base in the absence of clinical signs of pneumonia likely represents right middle lobe collapse. there may be a small left pleural effusion. the heart is top normal in size and unchanged. the right-sided chest wall port catheter tip ends in the low svc. there is no pulmonary edema.
<unk> year old woman with pneumothorax after portacath placement with new onset chest pain // please evaluate for worsening in neumon thorax
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the retrocardiac opacity has resolved, and was presumably due to atelectasis. the lungs are clear. there is no pneumothorax. moderate cardiomegaly despite the projection is unchanged. unchanged prominence of the hilar contours are likely due to stable mild lymph node enlargement.
<unk> year old woman with acute hypoxia // please evaluate for flash pulmonary edema vs other intrapulmonary process
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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.
<unk>-year-old female with abdominal pain. evaluate for acute process.
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pa and lateral views of the chest. the lungs are clear. cardiomediastinal silhouette is within normal limits. no acute osseous abnormality detected noting probable exostosis at the proximal right humerus, unchanged.
<unk>-year-old female with confusion.
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pa and lateral views of the chest. no prior. the lungs are clear. costophrenic angles are sharp. cardiomediastinal silhouette is within normal limits.
<unk>-year-old female with four days of low-grade fever and cough. question pneumonia.
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the lungs are notable for mild left lower lobe atelectasis. no large pleural effusion although blunting of the posterior costophrenic angles could represent small effusions. no pneumothorax. mild bilateral symmetric irregular apical pleural thickening is unchanged since prior examination. heart size, mediastinal contour, and hila are unremarkable. again noted are bilateral breast implants. visualized osseous structures are unremarkable with mild multilevel degenerative changes.
<unk>f with dizziness, nausea and vomiting. assess for pneumonia.
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the lungs are clear of focal consolidation. cardiomediastinal silhouette is within normal limits. there is apparent enlargement of right hilum which could be due to underlying enlargement of the pulmonary artery or underlying adenopathy. no acute osseous abnormalities identified, hypertrophic changes are noted spine and degenerative changes at the acromioclavicular joints.
<unk>m with sob and cp // eval pneumonia, chf
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the heart is at the upper limits of normal size. the mediastinal and hilar contours appear unchanged. bilateral nipple shadows are visualized. there is again a very large hiatal hernia with an air-fluid level projecting primarily to the right of midline. the lungs are hyperinflated but clear. mild loss in vertebral body height among mid to lower thoracic vertebral bodies is probably unchanged and chronic, associated with demineralization. several mid to lower thoracic vertebral bodies have mildly biconcave endplate configuration that is typical for compression deformities associated with demineralization.
cough and hemoptysis. patient on coumadin.
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lungs are hyperexpanded and grossly clear. cardiomediastinal contours are stable compared to the prior radiograph. . no pleural effusion or pneumothorax.
<unk> year old woman with chronic cough, asthma // r/o mass or infiltrate
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there are low inspiratory volumes and underpenetration due to overlying soft tissues. allowing for this, there is moderate to moderately severe cardiomegaly, straightening of left heart border trauma and effacement of the ap window. mild prominence the right hilum is noted, but is likely accentuated by low inspiratory volumes. there is upper zone redistribution. there may be mild vascular plethora, but this is likely accentuated by low inspiratory volumes and underpenetration. no gross s right-sided effusion. the left costophrenic sulcus is clear. minimal bibasilar atelectasis no calcified lymph nodes, apical scarring, hilar retraction and/or obvious calcified granuloma identified.
<unk> year old woman with need for central line hd // r/o tb, preop eval
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no overt pulmonary edema. no lobar consolidation. volume loss with mediastinal shift and calcified/ noncalcified pleural thickening is chronic. ill-defined opacity in the right lower lobe may be a combination of crowded vessels and atelectasis. heart size is top normal. no pneumothorax or pleural effusion.
<unk> year old man with copd and dchf w new tachypnea and sob w some wheezing // possible chf as cause of above and cxr may differentiate pulm congestion from bronchospasm as wheeze can occur in both conditions
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there is a dual-lead pacemaker/icd device with leads terminating in the right atrium and ventricle, respectively. there is mild unfolding of the thoracic aorta. the cardiac, mediastinal and hilar contours are otherwise unremarkable. there is no pleural effusion or pneumothorax. fissures appear slightly thickened, but there is no evidence for parenchymal edema. bilaterally, nipple shadows are visualized. otherwise, the lung fields appear clear. small-to-moderate osteophytes are noted along mid through lower thoracic spinal levels. the bones appear demineralized.
generalized weakness.
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frontal view of the chest was obtained. endotracheal tube terminates <num> cm above the carina. the superior most sternal wire is fragmented, similar to prior exams dating back to at least <unk>, without evidence of sternal dehiscence. new diffuse hazy and indistinct bilateral pulmonary opacities are consistent with pulmonary edema. no substantial pleural effusion or pneumothorax. moderate cardiomegaly is unchanged.
<unk>-year-old female status post respiratory arrest.
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there are relatively low lung volumes. increased prominence of the soft tissue along the lower right peritracheal region and right hilar region is nonspecific, but could be due to lymphadenopathy versus prominent vascular structures or mediastinal fat. right mid lung atelectasis/scarring is seen. there is no definite focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac silhouette is top-normal to mildly enlarged. the aortic knob is calcified. degenerative changes seen along the thoracic spine without loss of vertebral body height.
history: <unk>m with ttp over t<num> t-spine pain // eval for fx
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there are bibasilar opacities, left greater than right, likely corresponding to findings on recent ct which were felt to most likely represent atelectasis. the dominant left upper lobe pulmonary nodule is re-demonstrated. no other areas of focal consolidation suspicious for pneumonia. no pleural effusions or pneumothorax. cardiomediastinal silhouette is within normal limits. no free air under in the hemidiaphragms.
<unk>m with cp, sob, infiltrates on cta from <unk> // pna?
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in comparison with the study of <unk>, there again are diffuse areas of opacification bilaterally, more prominent on the right, consistent with multifocal pneumonia. right and possibly left pleural effusions. tracheostomy tube remains in place.
quadriplegia with pneumonia.
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there is a subtle opacity in the right middle lobe, concerning for pneumonia. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. no pneumothorax, pulmonary edema, or pleural effusion.
<unk> year old woman with <num> weeks of cough and low grade fevers // evaluate for pneumonia
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pa and lateral chest radiograph demonstrates hyperexpanded lungs. lungs are otherwise clear without a focal consolidation. cardiomediastinal and hilar contours are within normal limits. there is no pleural effusion, pneumothorax, or evidence of pulmonary edema.
<unk>f with cough x <num> days with crackles in bilateral lower lobes // ? pneumonia
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pa and lateral chest views were obtained with patient in upright position. analysis is performed in direct comparison with the next preceding similar study <unk> <unk>. the heart is mildly enlarged with a relative prominence of the left ventricular contour to the left and posteriorly, but no significant enlargement of the left atrium can be identified. the thoracic aorta is moderately widened and elongated with calcium deposits in the wall, mostly at the level of the arch. no local contour abnormality can be identified. the pulmonary vasculature is not congested, and there are no signs of acute parenchymal infiltrates. comparison with the next previous study demonstrates unchanged appearance of the previously described left basal pleural and parenchymal densities, most likely representing scar formations as they are completely unchanged, and no new infiltrates can be identified. previously noted patchy infiltrates on the right lung base occupying the posterior segment have now resolved. thus, at the present time, there is no evidence of any acute infiltrate or significant congestion. diffuse demineralization of the skeletal structures, as before, accentuated kyphotic curvature in the thoracic spine but no evidence of new vertebral body compression.
<unk>-year-old female patient with cough since weekend, low oxygen saturation, evaluate for pneumonia.
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heart size is normal. cardiomediastinal silhouette and hilar contours are unremarkable. there is minimal opacity in the right costovertebral sulcus which is likely atelectatic however may represent minimal aspiration. lungs are otherwise clear. there is no pleural effusion or pneumothorax.
seizures.
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cardiac silhouette is mildly enlarged but stable. there is continued improvement of central vascular engorgement and right effusion. the left base consolidation with small to moderate effusion is slightly worse and is likely atelectasis, although infection cannot be excluded given the appropriate clinical setting. a left pacer and right internal jugular catheter are unchanged in position. there is no pneumothorax.
shock and respiratory failure.
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no focal consolidation is seen. there is no pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are unremarkable. no pulmonary edema is seen.
history: <unk>f with cp // r/o acute process
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the heart size is normal. the mediastinal and hilar contours are unchanged, with calcification of the aortic knob again noted. pulmonary vasculature is normal. lungs remain hyperexpanded. no focal consolidation, pleural effusion or pneumothorax is seen. there are multilevel degenerative changes in the spine.
lethargy.
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since <unk>, mild pulmonary congestion and left retrocardiac atelectasis from severely elevated left hemidiaphragm, which may be due to eventration or diaphragmatic paralysis, are unchanged. moderate cardiomegaly is stable. no evidence of pneumothorax or pneumonia. narrow appearing trachea may be seen in patients with chronic lung disease.
<unk> is an <unk> year old man with history of atrial fibrillation on eliquis, thalamic stroke and recent left femoral neck fracture s/p orif now in icu with hypotension. // interval change
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as compared to <unk>, right-sided picc at the cavoatrial junction. weighted feeding tube with the tip in the body of the stomach. increasing left basal opacity and moderate left effusion. minimal subsegmental atelectasis in the right lung base. possible new nodular opacity with central cavitation in the right lower lobe. no pneumothorax. the cardiac mediastinal contours are stable.
<unk> year old man with l iph with hypoxic respiratory failure <unk> hcap // interval change
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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 overt pulmonary edema is seen.
fever, tachycardia, dyspnea.
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compared to the prior study there is no significant interval change.
<unk> year old man s/p cabg // eval for infiltrate
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frontal and lateral chest radiographs demonstrate unremarkable cardiomediastinal contours. lungs are clear. no pleural effusion or pneumothorax evident. a vp shunt projects over the right hemithorax. no osseous abnormality is evident.
shunt headache, abnormal breath sounds. evaluate for chest infiltrate.
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ap and lateral views of the chest. right picc line is identified with tip in the upper right atrium, best seen on the lateral view. lungs remain clear. cardiomediastinal silhouette is within normal limits. no acute osseous abnormality detected. surgical clips and a catheter seen in the upper abdomen.
<unk>-year-old female with cancer. evaluate picc placement.
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no focal consolidation is seen. there is mild pulmonary vascular congestion. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are grossly stable with the cardiac silhouette possibly slightly enlarged compared to prior.
history: <unk>f with shortness of breath // shortness of breath
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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 w deep inspir pls eval for pna and edema
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small left pleural effusion slightly larger today than on <unk>, was appreciably larger on <unk>. sharply demarcated region of heterogeneous consolidation and bronchiectasis in the left apex, in the setting of prior left mastectomy and vascular clips denoting dissection in the left axilla is radiation fibrosis. this has not really changed since <unk>. a better candidate for acute pneumonia is a relatively round region of a mild increased opacification at the right lung base and peribronchial infiltration just superior to it. borderline cardiac enlargement has increased since <unk>, and there is an increase in vascular congestion and the suggestion of early edema in the left mid lung.
a <unk>-year-old woman with fever. pa and lateral chest compared to <unk> through <unk>:
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pa and lateral chest views were obtained with patient in upright position. comparison is made with the next preceding similar study <unk> <unk>. mild cardiac enlargement as before with no interval change. the same holds for the moderately widened and elongated thoracic aorta which is without evidence of local contour abnormalities. 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 unchanged.
<unk>-year-old female patient with shortness of breath, wheeze, cough, and chills for two weeks. history of pneumonia, exclude acute processes.
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lung volumes are slightly low. no focal consolidation, pleural effusion, or pneumothorax is seen. heart size is top normal. mediastinal contours are within normal limits; aortic calcifications are noted. there is no evidence for pulmonary edema.
<unk>-year-old female with two weeks of shortness of breath.
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small bilateral effusions with probable compressive lower lobe atelectasis noted. no pneumothorax. cardiomediastinal silhouette appears mildly prominent, likely technique related. bony structures are intact.
<unk>m with tachycardia, reported pneumonia // pneumonia, fluid overload
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cardiac silhouette size is normal. the mediastinal and hilar contours are unchanged. pulmonary vasculature is not engorged. the lungs remain hyperinflated suggestive of copd. no focal consolidation, pleural effusion or pneumothorax is identified. scarring is seen within the lung apices. the osseous structures are diffusely demineralized. no acute osseous abnormalities otherwise demonstrated.
history: <unk>f with chest pain x <num> days with nausea, shortness of breath, lightheadedness.
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pa and lateral chest radiograph. the lungs are clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal.
sudden onset of chest pain.
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minor basilar atelectasis is seen without definite focal consolidation. no large pleural effusion is seen. trace left pleural effusion is difficult to entirely exclude. cardiac and mediastinal silhouettes are stable. there is no overt pulmonary edema.
history: <unk>m with left facial droop, left arm/leg weakness // eval for ich, pneumonia
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the heart is top-normal in size. mediastinal contour is normal. no focal consolidation, large effusion or pneumothorax is seen. no signs of congestion or edema. bony structures are intact. no displaced rib fracture is identified.
<unk>-year-old man with fall down <num> stairs w/ headstrike <num> days ago, w/ dizziness, headache, and right hip pain
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ap and lateral chest radiographs. lung volumes are low and the right hemidiaphragm is persistently elevated. however, there is no focal consolidation, pleural effusion, or pneumothorax. right basilar atelectasis is stable. the heart is mildly enlarged. leftward deviation of the trachea is from the patient's enlarged right thyroid lobe. compression deformity of one of the upper lumbar vertebral bodies is similar to prior ct in <unk>.
fever and cough.
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assessment is limited due to artifacts from trauma board. allowing for these limitations: no focal opacity is identified in the lungs. there is no pleural effusion or pneumothorax. no rib fractures are seen. cardiac size is normal.
<unk>-year-old male status post motor vehicle accident.
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when compared to the prior, there is no significant interval change. increased interstitial markings which is more extensive on the left when compared to the right is again seen compatible with patient's known chronic lung disease. there is no superimposed acute consolidation. the cardiomediastinal silhouette is stable given differences in positioning. median sternotomy wires and mediastinal clips are noted. severe degenerative changes are seen at the left shoulder. surgical clips in the right upper quadrant and at the thoracic inlet are again noted.
<unk>f with h/o ild now with new hypoxia // eval for consolidation, effusion, edema. concern for pneumonia
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the lung volumes are low and linear opacities at the bases most likely represent atelectasis. otherwise there is little change. there is no focal consolidation to suggest pneumonia. there is no pulmonary edema. the small subpleural nodule seen on the prior ct of the chest are not well visualized on today's exam. there are small bilateral pleural effusions. no pneumothorax is identified. the cardiomediastinal silhouette is normal. a metallic biliary stent is present in the right upper quadrant.
fevers of uncertain etiology. evaluate for pneumonia.
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interval placement of a right-sided picc line terminating in the lower svc. the lungs are mildly hyperexpanded. there is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is within normal limits.
history: <unk>f with fever // picc placement
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left-sided dual-chamber pacemaker device is noted with leads terminating in unchanged positions, within the right atrium and right ventricle. moderate enlargement of cardiac silhouette persists. the mediastinal and hilar contours are stable. there is no pulmonary edema noted. minimal retrocardiac opacity likely reflects atelectasis. no pleural effusion or pneumothorax is identified. no acute osseous abnormality seen.
bilateral lower extremity edema, shortness of breath.
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patient is rotated somewhat to the right. moderate left pleural effusion with overlying atelectasis is seen. no right pleural effusion is seen. no right-sided focal consolidation is seen. the cardiac silhouette is moderately enlarged. mediastinal contours unremarkable. no pneumothorax is seen. no pulmonary edema is seen. multilevel degenerative changes are seen along the spine.
history: <unk>f with cough // cough
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frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. the cardiomediastinal and hilar contours are unremarkable. there is no pneumothorax, pleural effusion, or consolidation.
<unk> year old woman with <num>mo h/o dry nonproductive cough, incessant, no acei/asthma/gerd/allergies // ?atypical pna, other acute process
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compared with the prior study, lung volumes are lower, causing bronchovascular crowding. the heart size is exaggerated from the ap projection. no new focal consolidation, effusion, or pneumothorax. incidental note is made of embolization coils and a tips stent.
<unk> year old man with cirrhosis, myalgia, nonproductive cough. evaluate for infection.
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the cardiac, mediastinal and hilar contours are normal. lungs are clear and the pulmonary vascularity is normal. no pleural effusion or pneumothorax is present. no acute osseous abnormalities are visualized.
cough and shortness of breath.
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heart is moderately enlarged, unchanged from <unk>. there is mild interstitial pulmonary edema. no pleural effusion or pneumothorax. no focal airspace consolidation or pneumothorax.
hypotension and cardiomyopathy. evaluate for edema or pneumonia.
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there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. the imaged upper abdomen is unremarkable. the bones are intact.
<unk> year old woman with asthma, presenting with chest tightness // ? infiltrate
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frontal and lateral chest radiographs demonstrate low lung volumes, with increased prominence of the cardiomediastinal silhouette and bronchovascular crowding. a right chest wall port catheter terminates at the cavoatrial junction. there is no obvious catheter kink or disconnection. there is no focal consolidation, pleural effusion, or pneumothorax. the visualized upper abdomen is unremarkable.
evaluate line placement in a patient with a history of lymphoma, unable to draw blood from the port catheter.
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heart size is normal. mediastinal and hilar contours are unremarkable. the pulmonary vascularity is normal. linear and patchy opacities in the left lung base most likely reflect atelectasis though pneumonia is not completely excluded. right lung is clear. no pleural effusion or pneumothorax is present. no acute osseous abnormalities are visualized.
chest pain for <num> day.
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chest pa and lateral radiograph demonstrates unremarkable mediastinal, hilar and cardiac contours. the lungs are clear. minimal blunting of left costophrenic angle without pleural effusion evident on lateral view suggests pleural scarring. no pneumothorax.
cardiomegaly.
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heart size and mediastinal contours are normal. no focal consolidation, pleural effusion or pneumothorax.
<unk> year old woman with l side, back and chest pain, worse with inspiration and movement of l arm. present since <unk>. // r/o pulmonary infarct, r/o pna
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there has been interval significant worsening of right pleural effusion with dense opacification of the right lung base, indicating collapse of the right lower lobe. there is also a new small left pleural effusion. there is no pneumothorax. the cardiomediastinal and hilar contours are stable. the left axillary pacemaker is unchanged with leads terminating in the right atrium and right ventricle.
copd, asthma with increased shortness of breath, query pneumonia or heart failure.
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bilateral apical chest tubes are unchanged. there is no appreciable pneumothorax. the tip of an endotracheal tube ends <num> cm from the carina. an ng tube is in the stomach with the tip out of view. moderate right and left pleural effusions are stable. there are no new opacities. the mediastinum appears slightly decreased in size from prior radiographs. the heart size is normal.
trauma.
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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. there is no evidence of free air under the diaphragm.
left upper quadrant pain. question air under diaphragm, acute cardiopulmonary disease.
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the cardiomediastinal and hilar contours are within normal limits. no chf, focal infiltrate, effusion, or pneumothorax is detected.
history: <unk>f with worsening cough and fevers to <num> (dx bronchitis want to r/o pna) // evaluate for pna
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patient is status post median sternotomy cabg. left-sided dual-chamber pacemaker device is demonstrated with leads terminating in the right atrium and right ventricle. moderate cardiomegaly is re- demonstrated. the mediastinal and hilar contours are unremarkable. pulmonary vasculature is normal. lungs are clear without focal consolidation. no pleural effusion pneumothorax is present. no acute osseous abnormality is visualized.
history: <unk>m with ppm placement last month now w/ bradycardia in <num>s-<num>s
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the right-sided central catheter position is unchanged with the tip seen in the right atrium. et tube in situ <num> mm proximal to the carina. nasogastric tube in situ. interval progression of the right lower lobe airspace consolidation. associated small to moderate right-sided pleural effusion. interval progression of the nodular opacities seen in the bilateral upper lobes as well as the left lower lung zone.
<unk> year old woman with ovarian cancer w/ hypoxic rf concern aspiration pna // interval change
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ap single view of the chest has been obtained with patient in sitting semi-upright position. analysis is performed in direct comparison with the next preceding similar study of <unk>. the heart size remains within normal limits. no pulmonary vascular congestive pattern is identified. the previously identified prominence of the right-sided hilar structures has further progressed and extension into the central portion of the lower lobe area is noted. aeration of the lung remains intact. there is no evidence of pleural effusion as the lateral pleural sinuses are free. no evidence of new pulmonary abnormalities in the left hemithorax which is superimposed by multiple small surgical clips apparently related to surgery. no pneumothorax is seen.
<unk>-year-old female patient with metastatic breast cancer, now with increased oxygen requirement. evaluate for consolidation or infiltrates.
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there is again a three-lead pacemaker/icd device with leads terminating in the right atrium, right ventricle, and coronary sinus. the cardiac, mediastinal and hilar contours appear unchanged including mild-to-moderate cardiomegaly and moderate unfolding of the thoracic aorta. similar to prior findings, there is upper zone redistribution of pulmonary vasculature and peribronchial cuffing suggesting a state of very mild vascular congestion. there is no definite pleural effusion or pneumothorax. there has been little if any change.
altered mental status.
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there are ill-defined opacities in the right mid and lower lung zones. additionally, a more subtle opacity is present in the left mid lung zone. there is no pneumothorax. a small right pleural effusion may be present. there is no left pleural effusion. the mediastinal contours are normal. the heart size is mildly enlarged.
worsening shortness of breath.
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lung volumes are slightly low with left lower lobe atelectasis. superimposed infection cannot be excluded. even allowing for the projection, the heart size is mildly enlarged and there is prominence of the bilateral hila consistent with mild congestive heart failure. no definite pleural effusion. no pneumothorax seen.
<unk> year old woman s/p cea w/ fever // eval for new infiltrate
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the lungs are well expanded. patchy left lower lobe opacity is worrisome for pneumonia. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax.
<unk>-year-old male with recent bronchitis and left upper quadrant abdominal pain. evaluate for evidence of pneumonia.
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frontal chest radiograph demonstrates the et tube terminating <num> cm above the carina. the lungs are clear. there is no pleural effusion or pneumothorax. a single loop of dilated small bowel is noted in the left upper quadrant. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal.
intubation. evaluation of tube placement.
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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 definite displaced rib fracture seen.
history: <unk>m with left sided rib pain after recent fall. // ? rib fracture
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the heart size is normal. the hilar and mediastinal contours are unremarkable. the lungs are clear without evidence of focal consolidations. there is no pleural effusion or pneumothorax. no subdiaphragmatic free air identified.
history of epigastric pain. please evaluate for free air.
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dual lead right-sided pacemaker is seen with lead extending the expected positions of the right atrium and right ventricle. oblong radiopaque structure projects over the left lower hemi thorax which has the appearance of a pen and is most likely external to the patient. correlate with direct visualization. no focal consolidation is seen. there is no pleural effusion or pneumothorax. the cardiac silhouette is top-normal to mildly enlarged. mediastinal contours are stable.
history: <unk>m with pacer needing mri // eval for pacemaker placement
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compared to the prior study the et tube and ng tube are unchanged. there is a right ij cordis with its tip in the proximal svc. there is moderate cardiomegaly and pulmonary vascular redistribution. there is volume loss at both bases. compared to the prior study the fluid overload and volume loss of increased impression slightly worse.
intubated check interval change.
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the lungs are well expanded and clear. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. there is no pleural effusion or pneumothorax.
confusion, weakness. evaluate for infection.
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the lungs are well expanded and clear. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. osseous structures are unremarkable.
<unk>-year-old male with paget-schroeder syndrome. evaluate for cervical ribs.
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the heart size is normal. the hilar and mediastinal contours are normal. the lungs are clear without evidence of focal consolidations concerning for pneumonia. there is no pleural effusion or pneumothorax.
history of cough and chills. please evaluate for pneumonia.
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there has been placement of an ng tube with the tip terminating well into the distal stomach. there is poor inspiratory effort, which accentuates prominence of the heart and vascular structures. there is bibasilar atelectasis and small effusions. there is no pneumothorax.
crohn's, status post ileocecectomy for stricture, now status post ex lap and ileostomy for leak. ng tube placement.
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compared to the prior study there is no significant interval change
<unk> year old woman with suspected right-sided pna, intubated/sedated. // eval r infiltrate for flourishing of pna
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ap upright image of the chest. the lungs are well-expanded. areas of irregular consolidation and small nodules are seen throughout the bilateral lungs, consistent with a multifocal infection. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable.
dyspnea.
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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.
<unk>-year-old female with left chest pain, sudden onset. please assess for evidence of pneumothorax.
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borderline cardiomegaly. pulmonary vascular congestion, but no frank edema. lungs are clear. no pleural effusion or pneumothorax.
history: <unk>m with weakness and cirrhotic // ?pneumonia
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there is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. previously noted cardiomegaly is less conspicuous, potentially due to differences in technique. the descending aorta is tortuous, unchanged. dense calcification projecting in the subcarinal region corresponds to calcified lymph nodes on the prior chest ct.
<unk>f with fever, evaluate for infection.
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the lungs are clear without focal opacity, pulmonary edema, pleural effusion or pneumothorax. the cardiac and mediastinal contours are normal.
history: <unk>f with palpitations, dyspnea // eval effusion or cardiomegaly
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a vp shunt is again noted. there is mild interstitial edema. the heart is top-normal in size. increased ap diameter of the chest is likely reflective of chronic pulmonary disease.
<unk>-year-old female with syncope, left sided crackles. evaluate for pneumonia and congestive heart failure.
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the heart size is normal. the hilar and mediastinal contours are normal. no focal consolidations concerning for pneumonia are identified. there is a small left pleural effusion. there is no evidence of a pneumothorax. the visualized osseous structures are unremarkable. mild left basilar atelectasis.
history: <unk>f with etoh hepatitis with worseing ascites // *assess pv with dopplers
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the heart size is normal. the hilar and mediastinal contours are normal. lungs are clear without evidence of focal consolidations concerning for pneumonia. there is no pleural effusion or pneumothorax. the visualized osseous structures are unremarkable.
history of right posterior chest pain. please evaluate.