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the heart is enlarged and the aorta is tortuous and calcified as before. lung volumes are low which accentuates bronchovascular markings. there is pulmonary vascular congestion with mild pulmonary edema. bibasilar opacities are most consistent with bibasilar atelectasis and small bilateral effusions however underlying infection should be considered in the appropriate setting. a right humeral prosthesis is demonstrated. a large hiatal hernia projects over the heart unchanged from the prior.
history: <unk>f with dyspnea // r/o chf
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pa and lateral views of the chest. the left-sided pacemaker/aicd with <num> leads is unchanged in position. sternotomy wires are intact. mediastinal clips are unchanged. there is severe cardiomegaly. again seen is mild pulmonary vascular congestion, similar to prior study. trace bilateral pleural effusions are unchanged.
weakness, question pneumonia.
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biapical scarring is noted, right greater the left, and no focal consolidation, pleural effusion or pneumothorax is seen. the lungs are hyperinflated, likely reflective of copd. the heart is normal in size, and there is no pulmonary edema.
<unk>-year-old female with hemoptysis. evaluate for infection or mass.
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et tube terminates <num>cm above the carina. a transesophageal tube courses below the diaphragm and out of view. right subclavian venous catheter terminates at the right atrium. pulmonary edema was transiently clearing from <unk> to <unk>, before it worsened on <unk>. on current study, the moderate pulmonary edema is improved. left pleural effusion is small. cardiomediastinal silhouette is normal size and stable.
<unk> year old woman with ams s/p fall, c<num> fracture, ards in setting of likely aspiration pna // ? interval change
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slightly increased density at the lung basez is may represent vascular engorgement or atelectasis. there is suggestion of increased density in the retrocardiac region, which also may be due to atelectasis. heart size is enlarged. aortic calcification is seen. no pneumothorax is detected. no frank pulmonary edema is detected but pulmonary vessels are engorged. small effusion may be present. dual-lead pacing hardware is noted. hardware projecting over the right subcutaneous tissues is likely external to the patient.
<unk>-year-old female with shortness of breath.
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portable semi-upright radiograph of the chest demonstrates low lung volumes which results in bronchovascular crowding. the cardiomediastinal and hilar contours are improving, and are similar to the patient's baseline. there is no pneumothorax, pleural effusion or consolidation. the right-sided internal jugular central venous line ends in the cavoatrial junction.
<unk> year old man s/p renal transplant, now s/p placement of r ij cvl // eval position of cvl and for ptx
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ap upright and lateral chest radiographs were obtained. diffuse predominantly subpleural fibrosis is re- demonstrated with superimposed increased interstitial abnormality, likely reflecting mild pulmonary edema. additionally a more focal opacity in the left lower lobe is concerning for pneumonia. no pleural effusion or pneumothorax. the heart and mediastinal contours are unchanged.
cough.
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lung volumes are slightly low. the heart is moderately to severely enlarged as before. prominence of the interstitial markings suggest mild pulmonary edema. there are small bilateral pleural effusions and probable associated atelectasis at the lung bases. there is no pneumothorax.
history: <unk>m with sob, cp // chf?
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frontal and lateral views of the chest demonstrate moderate bilateral pleural effusions, left greater than right. bilateral vascular congestion and perihilar edema has increased. the heart remains enlarged. a left-sided dual lead pacer is unchanged in position. there is no pneumothorax.
chf and bilateral pleural effusions, with worsening shortness of breath, interval assessment.
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no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. heart and mediastinal contours are within normal limits.
<unk>-year-old male with chest pain and cough.
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the cardiomediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. the lungs are hyperexpanded but clear without focal consolidation concerning for pneumonia. the upper abdomen is unremarkable aside from a curvilinear calcification on the diaphragmatic pleural surface. there is no acute osseous abnormality. bilateral breast implants are incidentally noted.
<unk> year old woman with cough and etoh use // please eval for pna, aspiration
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heart size is normal. cardiomediastinal silhouette and hilar contours are unremarkable. lungs are clear. pleural surfaces are clear without effusion or pneumothorax.
near syncope.
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a <num> cm poorly-defined nodule is seen in the lateral right mid lung overlying the <unk> anterior right rib. this nodule is in retrospect also seen in the most recent chest radiograph of <unk> but it is not evident on the older radiograph of <unk>. no consolidation, pleural effusion or pulmonary edema is seen, and the cardiomediastinal and hilar contours are normal.
<unk>-year-old woman with chronic cough and dyspnea on exertion, history of smoking. evaluate for copd, chf.
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single portable chest radiograph was provided. the tracheal stent is not visualized on this exam. there is new collapse of the left upper lobe. lung volumes are low. there is no pneumothorax. cardiac silhouette is top normal.
history of recent tracheal stent. evaluate for location.
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the lungs are clear. the cardiomediastinal silhouette is within normal limits. hypertrophic changes are noted in the spine.
<unk>m with recent unwitnessed fall and amnesia // ? pneumonia
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lungs are well expanded. there is no focal consolidation or pulmonary edema. mild blunting of the left costophrenic angle may reflect some pleural thickening or small pleural effusion. no pneumothorax. the cardiomediastinal silhouette and hilar contours are normal.
history: <unk>f with ams // cardiac workup
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heart size is at the upper limits of normal. the aorta is calcified and slightly unfolded. there is some patchy increased opacity in the retrocardiac region an the possibility of an early left lower lobe infiltrate would be difficult to exclude. possible slight opacity in this area on the lateral view from <unk>. minimal blunting of the right costophrenic angle. no overt chf and no gross effusion. there is mild prominence of the right hilum, similar to the <unk> study.
<unk> year old woman with seizures now with cough and crackles and fevers // eval pneumo
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the lungs are well expanded. there is bilateral hilar indistinctness consistent with central vascular engorgement but no overt pulmonary edema. patchy opacities in the right cardiophrenic angle as well as in a paramediastinal location in the left mid lung are seen. loss of definition of the vessels in the retrocardiac region is also apparent. there is no pleural effusion or pneumothorax. moderate cardiomegaly is unchanged from prior.
<unk>-year-old male with hypoxia and altered mental status. evaluate for acute cardiopulmonary process.
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heart size is normal. mediastinal and hilar contours are unremarkable. the pulmonary vasculature is normal. minimal streaky opacities in the lung bases likely reflect atelectasis. no focal consolidation, pleural effusion or pneumothorax is present. there are mild degenerative changes in the thoracic spine. clips are seen within the upper abdomen.
cva history,now with symptoms concerning for recurrent stroke.
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there has been interval placement of an endotracheal tube, the tip which terminates <num> cm above the carina. a nasogastric tube is noted passing through the stomach. there is stable, mild cardiomegaly with associated vascular congestion and moderate pulmonary edema. a small left pleural effusion is identified. there is no focal consolidation or pneumothorax are identified. the aortic arch is noted to be mildly calcified, and the mediastinal and hilar contours are otherwise stable.
status post cardiac arrest, evaluate ett location.
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ap upright and lateral views of the chest provided. dialysis catheter is in unchanged position with its tip in the lower svc. cardiomegaly again noted with pulmonary vascular congestion and mild interstitial edema. no large effusion or pneumothorax. no convincing evidence for pneumonia. mediastinal contour is stable. bony structures are intact.
<unk>f with shortness of breath, discharged yesterday from ed with diagnosis of viral syndrome
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the lungs are well expanded and clear. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax.
<unk> f with upper respiratory infection and syncope.
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compared to the prior study there is no significant interval change.
<unk> year old man with trauma, rib fractures // acute process
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the lungs are clear. the cardiomediastinal silhouette is normal. no acute osseous abnormalities identified. surgical clips are identified in the upper abdomen. prior right picc is no longer visualized.
<unk>f with leukemia, currently within chemo cycles, fever. // eval for acute infectious process
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linear opacity at the left lung base likely represents atelectasis. multiple tiny, rounded opacities are noted within the bilateral mid-upper lung zones. there is no evidence of focal consolidation, pleural effusion, pneumothorax, or frank pulmonary edema. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities are detected. b/l noduoes, possible calc <unk>...rec compare with prior or ct
<unk> year old man with past smoker c/o chronic cough and nonpurulent sputum // r/o pneumonia or changes c/w copd
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single ap portable chest radiograph demonstrates an endotracheal tube which terminates approximately <num> cm above the level of the carina for which repositioning is advised. an enteric tube descends the thorax in an uncomplicated course, its terminal tip not imaged. a right ureteral stent is looped within the expected location of the renal pelvis projecting over the right upper quadrant. cardiomediastinal and hilar contours are stable. hilar congestion with mild pulmonary edema noted. there is no large pleural effusion. there is no pneumothorax.
<unk>f with status, intubuated in ed, altered ms // confirm tube placement
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
history: <unk>m with dyspnea // eval for acute process
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there are relatively low lung volumes. the cardiac mediastinal silhouettes are stable with the aorta calcified tortuous in the cardiac silhouette top-normal in size. no focal consolidation is seen. there is no pleural effusion or pneumothorax.
history: <unk>m with vomiting ams // eval for aspiration
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heart size is normal. cardiomediastinal silhouette and hilar contours are normal. lungs are clear. pleural surfaces are clear without effusion or pneumothorax.
recent uterine d&c presenting with abdominal pain.
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the lungs are clear with no evidence of consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette remains stable at the upper limits of normal with a left ventricular configuration. a left lower lobe calcified granuloma appears stable dating back to <unk>. diffuse osteopenia is again noted.
evaluation of patient with cough.
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the cardiomediastinal and hilar contours are within normal limits. lungs are well expanded and clear. there is no focal consolidation, pleural effusion or pneumothorax.
history: <unk>f with cough x <num> months, lots of sputum at night, upper airway rattle when lying, right lower chest pain <num> weeks ago // eval heart and lungs eval heart and lungs
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left-sided port-a-cath tip ends in the approximate region of the cavoatrial junction, unchanged. the lungs are well-expanded and clear. no focal consolidation, pulmonary edema, large pleural effusion, or pneumothorax. blunting of the costophrenic angles, worse on the left, is probably scarring or thickening. the heart is normal in size. the mediastinum is not patent. hila are within normal limits.
<unk> year old woman with ovarian cancer // please check port placement
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cardiac silhouette size is normal. the aorta is tortuous. mediastinal and hilar contours are normal. the pulmonary vasculature is normal. streaky opacities in the lung bases likely reflect atelectasis. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
chest pain, shortness of breath and cough
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normal heart size, mediastinal and hilar contours. no focal consolidation, pleural effusion or pneumothorax. bilateral apical scarring is unchanged.
history: <unk>f with cad presenting with palpitations // r/o cardiomegaly
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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 diffuse widespread interstitial abnormality overall unchanged compared to the prior exam, likely secondary to mild pulmonary edema. there may be mild pulmonary vascular congestion. there is no pneumothorax or pleural effusion. the visualized osseous structures are unremarkable.
history: <unk>f with syncope // ?infection
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as compared to the previous radiograph, the right pigtail catheter was removed from the pleural space. the distribution and extent of the pre-existing parenchymal and pleural opacities on the right are constant. the presence of a minimal basal pneumothorax on the right cannot be excluded. unchanged appearance of the left lung and the cardiac silhouette.
<unk> year old man with hcap // eval for change s/p chest tube removal
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heart size is top-normal likely exaggerated by low lung volumes. otherwise cardiomediastinal silhouette and hilar contours are unremarkable. lungs are clear. pleural surfaces are clear without effusion pneumothorax.
history of cirrhosis presenting with fever.
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lung volumes remain low with bibasilar linear atelectasis. there is no pneumothorax or large pleural effusion. the heart is not enlarged. the mediastinal and hilar contours are stable in appearance.
<unk> year old man with shortness of breath, tachypnea // please evaluate for acute process
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normal heart size with mild tortuosity of the thoracic aorta. there is an approximately <num> mm nodule projecting over the ninth right posterior rib. no focal consolidation, pleural effusion or pneumothorax.
<unk> year old woman with <num> weeks nonproductive cough, clear lung exam. also due for <unk> year surveillance for rml <num>-<num>mm subpleural nodule (patient will bring in outside ct film for comparison) // assess for infiltrate, also assess rml nodule
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the heart size is normal. the mediastinal and hilar contours are unremarkable. lungs are clear and the pulmonary vascularity is normal. no pleural effusion or pneumothorax is present. no acute osseous abnormalities are seen.
shortness of breath.
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there is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. the cardiomediastinal contour is within normal limits with unchanged median sternotomy wires and mediastinal surgical clips noted.
<unk>f with back pain, fever evaluate for acute cardiopulmonary disease.
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the lungs are hyperinflated, with flattening of the diaphragms, consistent with chronic obstructive pulmonary disease. there are bibasilar opacities which may be due to atelectasis and scarring, however, underlying infectious process or aspiration not excluded in the appropriate clinical setting. no large pleural effusion is seen although trace pleural effusions would be difficult to exclude. there is no evidence of pneumothorax. the cardiac silhouette is top-normal. the aorta is slightly tortuous.
chronic emphysema presenting with headache radiating to bilateral ears and shoulders, mild chest pain.
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the inspiratory lung volumes are appropriate. a subtle opacity in the posterior aspect of the right lower lobe is concerning for pneumonia. there is no pleural effusion or pneumothorax. the pulmonary vasculature is not engorged. the cardiomediastinal and hilar contours are within normal limits. no acute osseous abnormality is detected.
history: <unk>f with cough // ?pneumonia
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portable ap chest radiograph <unk> at <time> is submitted.
<unk> year old man with l pleural effusion and dyspnea. ? pna // assess for progression of l pleural effusion assess for progression of l pleural effusion
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as compared to prior chest radiograph from <unk>, there has been interval removal of an et tube and placement of a tracheostomy tube which appears in midline position. there has been interval worsening of left lung and retrocardiac opacities likely due to increased pleural effusion, increased atelectasis and volume loss. right lung is unchanged. a right picc line tip terminates in the lower svc and is in unchanged position.
<unk>-year-old male patient with hemorrhagic right basal ganglia stroke, status post failed extubation, now status post bedside trach.
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lung volumes are low and the lungs are clear. the aorta is tortuous. hila are normal. cardiac silhouette is top-normal in size. surgical clips overlie the neck. no pneumothorax or pleural effusion.
<unk>f with vertigo, fall with head strike. //
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frontal and lateral chest radiographs were obtained. the tip of the right chest port-a-cath terminates in the mid svc. there is no evidence of catheter fracture or complications. the right hilar enlargement is consistent with known mass seen on previous ct scan. there are multiple bilateral, ill-defined nodules, consistent with known metastatic disease, better characterized on recent ct. heart size is normal. there is no pleural effusion or pneumothorax.
patient with nsclc, verify port placement.
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no focal consolidation is seen. scattered calcified subcentimeter nodular opacities most likely represent calcified granulomas. no large pleural effusion or pneumothorax is seen. no pulmonary edema is seen. the cardiac silhouette is top-normal to mildly enlarged. mediastinal contours are unremarkable.
history: <unk>m with hypoxia // ?pneumonia
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heart size and cardiomediastinal contours are normal. lungs are clear without focal consolidation, pleural effusion, or pneumothorax.
history: <unk>f with dm, hx myocardial bridge, prior hx myopericarditis w/ <num> hrs chest pain // eval ? ptx, effusion
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the lung volumes are low, somewhat accentuating the bronchovascular structures. there is minimal left basilar atelectasis. there is no focal airspace consolidation or pulmonary edema. there is no pleural effusion or pneumothorax. the aorta is tortuous. the cardiomediastinal silhouette is otherwise normal. the stomach remains distended and filled with air. overall, there is little change from the prior chest radiograph.
hypoxia. evaluate for cause.
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as compared to prior chest radiograph from <unk>, there has been minimal improvement of the right-sided pleural effusion. there is atelectasis at the base of the right lung. there is no pneumothorax. posttreatment changes of the right middle lobe mass are unchanged. no vascular congestion or acute focal consolidations are noted.
<unk>-year-old female patient with recurrent right effusion status post thoracentesis, <num> ml removal.
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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 syncope // eval for acute process
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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. cardiomediastinal silhouette is unremarkable. no displaced rib fractures are seen.
fall, altered mental status.
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continued interval improvement in the diffuse lung abnormalities since <unk> reflecting acute disease on chronic interstitial lung disease and emphysema. moderate cardiomegaly is overall unchanged. the thoracic aorta is slightly tortuous or ectatic, also unchanged. mediastinal and hilar contours are overall similar. the right picc line has since been removed compared to the prior radiograph. no pneumothorax. no pleural effusions.
<unk> year old man with multiple myeloma s/p auto transplant who remains leukopenic // infection
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a single portable chest radiograph was obtained. bibasilar airspace opacities have rapidly progressed since <time> this morning. right lower lobe airspace opacities are more severe. there is a persistent consolidation at the left base. the endotracheal tube terminates <num> cm above the carina. an enteric catheter extends inferiorly of the field of view.
neutropenia and pneumonia.
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the lungs are well expanded. there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. the imaged upper abdomen is unremarkable.
history of anemia, hyperlipidemia and mrsa/strep bacteremia presents with fevers and chills. evaluate for acute cardiopulmonary process.
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there is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema identified. the heart size is normal. mediastinal and hilar contours are normal. mild scoliosis with rightward convexity of the thoracic spine. no acute bony abnormality is detected.
left-sided chest pain, evaluate for pneumonia.
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heart size is normal. mild prominence of the pulmonary arteries is similar to prior exam; the mediastinal and hilar contours are otherwise unchanged. right lower lobe opacity corresponding with the biopsied lung nodule is slightly increased in size compared with the prior chest radiograph. mild pleural thickening at the lung basis causing blunting of the costophrenic angles is unchanged. no pneumothorax is currently seen. the very small pneumothorax that was present on post procedure ct is either resolved or not visible radiographically.
<unk> year old woman s/p right lung bx. please do asap. patient is in rcu. // ? ptx
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pa and lateral chest radiographs were provided. there is no focal consolidation, pleural effusion or pneumothorax. cardiomediastinal silhouette is unremarkable. osseous structures unremarkable. there is no free air under right hemidiaphragm.
<unk>-year-old man with cough and one month pneumonia.
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a single portable erect chest radiograph was obtained. the lung volumes are low. there is an ill-defined retrocardiac opacity, which does not silhouette the left hemidiaphragm. median sternotomy wires are intact. the aortic arch is calcified.
<unk>-year-old man with hypoxemia and hypotension.
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ap portable supine view of the chest. there has been interval placement of a left pigtail chest tube. the lateral left lower chest is excluded. there is now a small pneumothorax. et and og tubes are unchanged. lower lobe consolidations consistent with aspiration.
<unk>m with l pigtail placement // eval placement pigtail catheter or for ptx
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the cardiac, mediastinal and hilar contours are unchanged, with the heart size appearing normal. lungs are clear. pulmonary vasculature is normal. no pleural effusion or pneumothorax is seen. no acute osseous abnormalities identified.
chest pain.
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interval insertion of an endotracheal tube in good position. the remaining support devices are in good position. previously described right apical pneumothorax is smaller and less apparent. improved aeration in the left lung base. otherwise, the lungs are unchanged and clear.
<unk> year old man with intubation // eval for tube placement
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frontal and lateral views of the chest were obtained. flattening of the hemidiaphragms is compatible with copd. there is no focal consolidation, pleural effusion or pneumothorax. heart size is normal. increased density along the right heart border is likely due to exuberant osteophytes and superimposition of structures in combination with patient rotation. pulmonary vasculature is normal. no change from <unk>.
weakness.
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tracheostomy, left picc line, right subclavian hemodialysis line and right chest tube are unchanged in position. right apical pneumothorax, if present, is minimal. there are bilateral pleural effusions, left greater than right, unchanged with paramediastinal pleural fluid on the left accentuating heart size.
pneumothorax and pleural effusion, chest tube on the right. evaluate interval change.
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ap and lateral views of the chest. the lungs are clear. the cardiomediastinal silhouette is within normal limits. left chest wall dual pacing device is again seen with tips in the right atrium and right ventricular apex. no acute osseous abnormality is identified.
<unk>-year-old female with altered mental status.
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et tube terminates <num> cm from the carina. ng with tip and side hole below the diaphragm. temperature probe in the mid esophagus. worsening bilateral perihilar opacities concerning for pulmonary edema, and new right lower lobe consolidation, probably atelectasis. . heart size is normal. no pleural effusion. no pneumothorax.
history: <unk>m with cardiac arrest // eval ett placement
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ap view of the chest. right picc is seen with tip at the upper svc. relatively low lung volumes are seen. the lungs however remain clear without consolidation, effusion or pulmonary vascular congestion. cardiac silhouette appears moderately enlarged, likely accentuated due to low lung volumes and ap technique.
<unk>-year-old female with end-stage renal disease not on dialysis presents with dyspnea. picc line placement.
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patient is status post a right pneumonectomy with chronic pleural calcifications. the heart border cannot be accurately assessed due to obliteration of the right heart border. there is persistent blunting of the left costophrenic angle which correlates to mediastinal fat on prior ct. persistent atelectatic changes present in the left lung base. multiple left-sided nodules are below the resolution of chest radiography and are better evaluated on ct. endotracheal tube is in appropriate position. there is no large pleural effusion or pneumothorax.
status post craniotomy for endotracheal tube placement.
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the lung volumes are low. no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. the heart size is top normal. mediastinal contours are stable. calcifications are seen within the aortic knob.
palpitations and chest pain.
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the lateral view is suboptimal due to low lung volumes and patient motion. lung volumes are low. no focal consolidation, pleural effusion, or pneumothorax is seen. there is mild interstitial edema.
<unk>-year-old male with cough and congestion in the setting of recent pneumonia.
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there is new faint opacity in the right lower lobe, which could be a developing pneumonia in correct clinical setting. there is no pleural effusion or pneumothorax. cardiomediastinal and hilar silhouettes are normal size. right apical pleural scarring is again noted.
<unk> year old woman with cough x sev days, few end inspir crackles left base o/w clear // r/o pna
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minimal bibasilar atelectasis, otherwise the lungs are clear. no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. mild cardiomegaly is overall unchanged. the mediastinum is not widened. the hila are within normal limits. surgical clips in the right breast are unchanged. moderate atherosclerotic calcifications throughout visualized thoracic aorta are overall unchanged.
<unk> year old woman with persistent cough ad night sweats // r/o infiltrate
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an azygos fissure is an incidental finding. no consolidation or pulmonary edema. pleural surfaces are smooth and without an effusion. known tiny right apical pneumothorax is not seen on the current study. no pneumothorax on the left. cardiomediastinal contours are normal.
history: <unk>m s/p mcc // assess for thoracic injury.
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there is mild left basal atelectasis. otherwise lungs appear clear. no large effusion or pneumothorax is seen. the cardiomediastinal silhouette is unchanged. bony structures are intact.
<unk>m with malaise, infectious work-up // eval pna
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there is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. allowing for technique, the cardiomediastinal silhouette is within normal limits.
<unk>-year-old t<num> altered mental status, evaluate for pneumonia.
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coarse interstitial markings with a lower lobe predominance are more conspicuous than on the prior radiograph of <unk>. calcified left pleural plaques are again noted. no focal opacity, pleural effusion or pneumothorax. the tortuosity of the aorta has increased since <unk>. the heart size is normal.
<unk> year old man with chronic cough and congestion. looking for possible etiology. // ? infiltrate
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no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. the heart size is normal. mediastinal contours are normal. no bony abnormality is detected.
cough x<num> weeks, with left basilar rhonchi.
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patient is rotated somewhat to the left. left base opacity is likely due to combination of pleural effusion and atelectasis, underlying consolidation is not excluded. there is mild to moderate pulmonary edema. no pneumothorax is seen. the cardiac and mediastinal silhouettes are stable.
history: <unk>m with tachycardia, tachypnea // evaluate for pneumonia, vascular congestion
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ap single view of the chest has been obtained with patient in semi-upright position. comparison is made with the next preceding similar study dated <unk>. previously described cardiac enlargement appears unchanged. the same holds for the previously described right internal jugular approach central venous line terminating in the lower svc. successful right-sided thoracocentesis has resulted in elimination of right-sided basal effusion, now with clear visibility of diaphragmatic contours. the pulmonary vasculature in the right hemithorax does not appear congested, and there is no evidence of a post-procedure pneumothorax in the apical area. on the left side, the previously described pleural effusion obscuring the diaphragmatic structures remains rather unchanged. no new pulmonary parenchymal infiltrates are seen.
<unk>-year-old female patient with pleural effusions, status post thoracocentesis, evaluate for pneumothorax and interval change in pleural effusion.
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ap upright and lateral views of the chest provided. a subtle opacity projecting over the right upper lung appears increased in overall conspicuity compared with the prior exam. this finding could represent prominent costochondral calcification, however a true pulmonary nodules impossible to exclude. a nonemergent ct chest may be performed to further assess. otherwise, 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 unstaedy gait and dizziness pls eval ct for posterior infarct, pls assess cxr for pna
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the lungs are clear. there is no focal consolidation, pneumothorax, or pleural effusion. the hila are unremarkable bilaterally. the cardiomediastinal silhouette is normal. osseous structures are unremarkable.
<unk>-year-old woman with new optic neuritis. evaluate for sarcoid.
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there is a left pectoral pacemaker with leads terminating in the right atrium and right ventricle. there appears to be a fracture of the inferior most sternotomy wire without priors for comparison. there is no displacement of the sternotomy wires. there is subtle opacification at the left base without priors for comparison, which likely represents an early developing left lower lobe pneumonia. the lungs are otherwise clear. the pulmonary vasculature is normal. there is postoperative enlargement of the cardiomediastinal silhouette. there are no pleural effusions. there is no pneumothorax.
<unk> year old man with dm, cad w/ischemic cmp, c/o cough // r/o pna, chf
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the cardiomediastinal silhouette and pulmonary vasculature are normal. the lungs are clear. there is no pneumothorax or pleural effusion.
<unk>f with syncopal episode
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pa and lateral views of the chest provided. midline sternotomy wires and aicd are unchanged. 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 cough, hypotension // acute process?
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portable semi-erect chest film <unk> <time> is submitted
<unk> year old woman with tachycardia/hypotension/trach // interval change interval change
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the heart size is normal. mediastinal and hilar contours are unremarkable. the pulmonary vascularity is not engorged. no focal consolidation, pleural effusion or pneumothorax is present. there are multilevel degenerative changes in the thoracic spine. old bilateral rib fractures are noted.
bilateral rhonchi.
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there is pulmonary edema, worse at the right lower lung. the patient is post right upper lobectomy, no pneumothorax is seen. a drain is seen likely draped over the lungs apex. cardiomediastinal silhouette is largely unchanged.
<unk> year old man with rul lobectomy // ? ptx ? ptx
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the lung volumes are noted to be mildly decreased, and the right hemidiaphragm is somewhat asymmetrically elevated as compared to the left. there is no evidence of focal consolidation, pleural effusion, pneumothorax, or frank pulmonary edema. the cardiomediastinal silhouette is within normal limits. levoscoliosis is again noted centered within the lower thoracic spine.
<unk>m with l back pain // eval for pneumonia, pneumo
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there is a new right pigtail catheter in the right lower hemithorax. the large right hydropneumothorax appears essentially unchanged from the prior exam within the limitations of technique. bilateral hazy opacification is suggestive of mild pulmonary edema. focal opacity in left upper lobe is consistent with pneumonia and similar to the prior study. ng tube is seen terminating in the stomach. cardiomediastinal silhouette is stable.
<unk>-year-old man with hepatic hydrothorax, now status post right-sided pigtail placement, evaluate for pneumothorax.
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ap portable upright view of the chest. lung volumes are low with bronchovascular crowding likely accounting for subtle opacities in the lower lungs. the possibility of an early pneumonia is difficult to exclude in the correct clinical setting. no large effusion or pneumothorax. heart and mediastinal contours are normal.imaged osseous structures are intact.
<unk>m with shortness of breath // eval for infiltrate
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one portable semi-upright ap view of the chest. the mediastinal contours are widened, likely exaggerated by the portable technique of the film. the right hilum is full, concerning for possible mass. no definite focal consolidations are seen. no large pleural effusion or pneumothorax.
<unk>-year-old female with hypotension and fever, evaluate for acute cardiopulmonary process.
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single frontal view of the chest demonstrates the patient to be rotated to the right. allowing for such, the cardiomediastinal silhouette is within normal limits. the thoracic aorta is unfolded, with extensive atherosclerotic calcifications. there is no pneumothorax, consolidation, or large effusion. there is suggestion of kerley b lines in the lower lungs, raising question of volume overload. there may be trace dependent atelectasis in the right base.
<unk>-year-old female with altered mental status after receiving ativan at outside hospital. question aspiration pneumonia.
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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. fusion hardware noted in the low cervical spine.
<unk>m with acute onset sob during ivig infusion pls eval for effusion vs pna.
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the cardiac, mediastinal and hilar contours are unchanged, with the heart size appearing mildly enlarged. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. right lateral pleural thickening is compatible with pleural fat and is unchanged. no acute osseous abnormalities identified.
productive cough, no relief after finishing z-pack and prednione for copd.
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the cardiac silhouette appears enlarged with mild pulmonary edema, small pleural effusions and bibasilar atelectasis. right central venous catheter is again seen and terminates at the distal svc. no focal consolidations or pneumothorax are seen.
<unk> year old woman with aml s/p allo with recent sob and difficulty taking deep breaths // acute pulmonary process? infiltrate?
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lung volumes are low. allowing for overpenetrated technique, though focal consolidation, pleural effusion or pneumothorax detected. heart size is normal. aorta mildly tortuous. no acute osseous abnormalities are identified. an enteric tube is present, but its tip cannot be visualized beyond the distal esophagus. at the inferior edge of these films, small round or ovoid densities project over the mid abdomen on both sides, not fully characterize, question intra-abdominal calcifications. the differential diagnosis could include residual iv contrast.
history: <unk>m with ngt. // ngt placementfree air?
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the lungs are clear without focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is within normal limits.
<unk>f w/productive cough, fever, and lightheadedness, feels like previous pna //
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pa and lateral chest radiograph is provided. there is no focal consolidation, pleural effusion, or pneumothorax. cardiomediastinal silhouette is unremarkable. there is no evidence of chf. visualized osseous structures are unremarkable. there is no free air under the right hemidiaphragm.
<unk>-year-old woman with cough, question pneumonia.
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cardiomegaly remains unchanged. a dual-lead left-sided pacemaker is in adequate position with leads terminating in the right atrium and right ventricle. increased pulmonary vascular congestion persists with increased right basal opacity. there is no definite pneumothorax or pleural effusions.
<unk>-year-old man with cad status post cabg, chf, diabetes type <num>, nsvt, afib status post cardiac cath with acute dyspnea. study requested to assess an explanation for acute dyspnea.