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the lungs are well-expanded and clear. no focal consolidations. vascular engorgement, but no frank pulmonary edema. there is apparent enlargement of the cardiomediastinal silhouette compared to <unk>, however this may be technical. no pleural effusion. no pneumothorax.
history: <unk>f with afib with rvr, dyspnea // eval ? edema, cardiomegaly
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et tube terminates <num> cm above the carina. right internal jugular venous catheter terminates in lower svc. prosthetic aortic valve is in unchanged position. there has been interval placement of an og tube which terminates in the stomach. a vascular stent is noted in the left axilla. bibasilar atelectasis and small pleural effusions are unchanged. mild vascular congestion and mildly enlarged cardiomediastinal silhouette is similar to before.
<unk> year old man with recent intubation and og tube placement // confirm og tube position
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the lungs are clear. the hilar and cardiomediastinal contours are normal. there is no pneumothorax. there is no pleural effusion. pulmonary vascularity is normal. there are surgical clips in the right breast.
<unk>-year-old woman with tachycardia and dyspnea. evaluate for pneumonia.
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et tube tip is approximately <num> cm from the carina. enteric tube tip in seen at the gastric fundus. the lungs are grossly clear within limitation of overlying external wires and devices. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified.
<unk>f intubated // eval ett position
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a picc line terminates at the right lower superior vena cava. the heart is probably enlarged to a mild degree. there is marked unfolding of the aorta and the arch may be dilated. flattening of the right costophrenic sulcus suggests potentially an effusion versus pleural thickening or scarring, but the lungs appear clear. left-sided rib deformities appear very likely chronic, with a remodeled appearance, and probably related to remote prior trauma.
respiratory distress.
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the heart is enlarged. there is mild-to-moderate pulmonary vascular congestion, with mild pulmonary edema. peripheral opacities are likely secondary to interstitial lung disease, as seen on dedicated head and neck cta from <unk>. visualized portions of the lungs in the prior cta examination also demonstrate calcified pleural plaque in the left upper lobe, suggestive of prior asbestos exposure. there is no large pleural effusion, focal consolidation or pneumothorax.
history: <unk>m with ams // please eval for pna please eval for pna
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since <unk>, right basilar and the left retrocardiac basilar opacities are mildly improved with residual focal atelectasis or scarring. the lungs are otherwise clear with normal lung volumes. the cardiac size is normal. no pneumothorax or pleural effusion.
<unk> year old woman s/p <unk> myotomy // check interval change
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the heart is enlarged but stable in size from <unk>. lung volumes are low which somewhat accentuates bronchovascular markings. there is no pleural effusion or pneumothorax. there is mild pulmonary vascular engorgement. no focal consolidation.
history: <unk>f with cough on lupus // eval for xray
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in comparison to the prior study the lung volumes are much lower and new bibasilar opacities probably represent atelectasis; superimposed consolidation cannot be excluded. small pleural effusions are possible.
<unk> year old man with history of pneumonia from osh, now with increased wob. // please r/o pneumonia
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left pectoral pacemaker and its <num> leads are in unchanged positions. there is no consolidation, pneumothorax, or pleural effusion. severely enlarged cardiac silhouette is similar to before.
history: <unk>m with oral bleed, possible aspiration. // pna? aspiration?
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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.
altered mental status, hypoglycemia. question acute cardiopulmonary process.
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heart size is moderately enlarged. bilateral pulmonary vascular congestion is similar to <unk>, allowing for differences in lung volumes. no focal consolidation concerning for pneumonia is seen. no pleural effusions are appreciated. hilar and mediastinal contour is normal.
increased jaundice and weakness. evaluate for pneumonia.
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there are peribronchial opacities adjacent to the left hilum. there is flattening of the diaphragms to suggest hyperinflation. no pleural effusion or pneumothorax is seen. patient's known lung nodules seen on ct <unk> are not visualized as they are below the resolution of a radiograph. heart size is top normal. the aorta is tortuous. there is scoliosis and degenerative changes in the spine.
<unk> year old woman with radiation esophagitis, cough, fever // eval for infiltrates
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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 hypotension
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no significant change from <unk>. heart and mediastinal contours are normal. no pleural effusion, pneumothorax, or pulmonary edema. again seen are the nodular densities in the left lower lobe which are unchanged. no bony abnormality detected.
female with dka. assess for infiltrate.
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cardiac, mediastinal and hilar contours are within normal limits. pulmonary vasculature is not engorged. no focal consolidation, pleural effusion or pneumothorax is seen. pulmonary vasculature is normal. deformity of the right posterior eighth and ninth ribs are new from the prior study, but appear chronic.
history: <unk>f with persistent right shoulder pain after fall <num> weeks ago
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ett and ng tube are in standard positions, with the distal tip of the ng tube not captured on the current study. the cardiomediastinal and hilar contours are stable. there is no pleural effusion or pneumothorax. the lungs are well-expanded, and there has been continued improvement in pulmonary edema.
<unk> year old man with respiratory failure, pulmonary edema, s/p diuresis // please assess for change in edema, ett placement
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ap portable upright view of the chest. mild left basal atelectasis noted. overlying ekg leads are present. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. gas-filled loops of bowel in the upper abdomen noted for which correlation with outside hospital ct abdomen pelvis is advised.
<unk>m with fall from bike
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there are mild bibasilar opacities, which may reflect superimposed breast tissue, however atelectasis, aspiration or pneumonia could be considered in the appropriate clinical setting. the cardiomediastinal and hilar contours are unremarkable. there is no pneumothorax or pleural effusion. the endotracheal tube ends <num> cm from the carina. nasogastric tube courses into the stomach and out of the field of view.
history: <unk>f with polysubstance overdose s/p intubation // eval for ich, ett placement
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a tracheostomy tube is in satisfactory position, unchanged from the prior exam. a right picc is unchanged with the tip in the low svc. since the prior exam, the lung volumes are lower, somewhat accentuating the bronchovascular structures. there is unchanged mild edema. the right basilar atelectasis has improved. there is no new opacity, pleural effusion, or pneumothorax. the mediastinal contours are normal. the heart size is mildly enlarged, and unchanged.
chronic respiratory failure. evaluate for interval change.
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again seen is marked cardiomegaly, probably not significantly changed. also again seen is upper zone redistribution and mild vascular plethora, which may be slightly worse. there has been interval improvement in the degree of opacification at the left lung base. there is residual left base atelectasis and a residual small left effusion. hazy opacity at the right base, slightly increased, may reflect chf and increased atelectasis. no frank consolidation or gross effusion seen at the right lung base.
history: <unk>m with gib and nstemi // acute cardiopulmonary process
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a left-sided pacemaker with <num> leads is seen in appropriate position. heart size is top normal. the aorta is tortuous. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. a subtle, equivocal retrocardiac opacity projected over the thoracic vertebral bodies is seen and may represent an area of infection. no pleural effusion or pneumothorax is seen. of note, there appears to be some vertebral body sclerosis, not appreciated on the prior examination.
<unk>f with cough and fever // r/o pna
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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 chest pain.
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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. no free air below the right hemidiaphragm is seen. imaged osseous structures are intact. <num> dedicated views of the right ribcage provided. no displaced rib fractures seen.
<unk>f s/p fall p/w ruq pain and ttp over ribs on exam.
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no focal consolidation is seen. left greater than right biapical pleural thickening is again seen. the lungs remain hyperinflated, suggesting chronic obstructive pulmonary disease. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable with the cardiac silhouette mildly enlarged. old right-sided rib deformities are again seen laterally..
history: <unk>f with episodes of slurred speach //
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compared to the prior study there is no significant interval change.
<unk> year old man with metastatic cancer admitted with ftt. hypotensive and tachycardic // eval pna?
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the lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. cardiac and mediastinal silhouettes are normal. no acute fractures are identified.
chest pain.
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lung volumes are low. heart size is normal. mediastinal and hilar contours are unremarkable. elevation of the right hemidiaphragm is unchanged. no focal consolidation, pleural effusion or pneumothorax is seen. no acute osseous abnormality is detected.
shaking chills and cough.
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an ill-defined retrocardiac opacity is worrisome for pneumonia in the proper clinical setting. mild pulmonary vascular congestion is new from the prior study. moderate cardiomegaly is unchanged. there is no pleural effusion or pneumothorax. sternotomy wires and mediastinal clips project in unchanged location.
<unk>f with sob, evaluate for pneumonia.
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asymmetric biapical pleural scarring is again noted. there is no pneumothorax or pleural effusion. the lungs are clear. mild cardiomegaly is stable. the left pulmonary arterial contour is prominent, raising concern for pulmonary arterial hypertension.
<unk> year old woman with nonspecific pleural and parenchymal opacities left apex noted on cxr <unk>. this is a screening cxr for tuberculosis.
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a portable frontal chest radiograph demonstrates a tracheostomy, unchanged in position. the cardiac silhouette is difficult to evaluate secondary to opacity in the bilateral lung bases, but appears increased in size. bilateral diffuse opacities are increased. bilateral pleural effusions are increased. there is no pneumothorax. the visualized upper abdomen is unremarkable.
evaluate for interval change in a patient with acute on chronic respiratory failure, now with increased respiratory distress.
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right central venous infusion catheter with its tip unchanged from prior study. a right pleural drainage tube with its tip at the right apex, unchanged from prior. there are bilateral small pleural effusions, slightly improved from prior. there is slightly improved aeration in both lungs with slight improvement in pulmonary edema. there are bilateral patchy opacities in both lungs, consistent with known widespread pulmonary metastases. no pneumothorax.
<unk> year old man with right malignant pleural effusion s/p pleurx catheter // any interval change in effusion?
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previously noted dense opacities in the left lower lobe has improved. cardiomediastinal silhouette including tortuosity of the aorta is unchanged. there is no pleural effusion or pneumothorax.
cough for <num> weeks lll pneumonia on <unk>, r/o worsening // cough for <num> weeks lll pneumonia on <unk>, r/o worsening
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there is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. there is slight prominence of the bilateral hila and pulmonary arteries. the cardiomediastinal silhouette is otherwise within normal limits. aortic knob calcifications are noted.
history: <unk>m with prostate ca, hematuria, onc admission, performing infectious w/u // eval ? pna
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an et tube is approximately <num> cm from the carina. a right subclavian central line is seen in the lower svc. on the most recent prior radiograph, there is no significant interval change. hazy opacification bilaterally in the lower lung zones may represent a combination of fluid and atelectasis. there is no definite focal consolidation or pneumothorax. ng tube is seen below the diaphragm.
<unk>-year-old woman status post bicycle accident with polytrauma, assess for interval change.
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lungs are clear bilaterally and well expanded with no focal consolidation, pleural effusion, or evidence of pneumothorax. the cardiomediastinal silhouette is stable and within normal limits. the pleural surfaces are unremarkable. noted are multilevel degenerative changes in the thoracic spine with intervertebral disc calcifications.
evaluation for preoperative renal transplant.
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left -sided dual lead pacemaker is unchanged in position. the heart is normal in size. small bilateral pleural effusions are not significantly changed . right basilar opacity appears increased from prior exam. the cardio mediastinal and hilar contours are unchanged.
<unk> year old man with pleural effusion // eval
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pa and lateral images of the chest. the lungs are well expanded. that cleared. there is no pleural effusion. no pneumothorax. the cardiomediastinal silhouette is unremarkable.
left-sided intermittent chest pain today, concerning for pneumonia or effusion.
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the cardiomediastinal contours are within normal limits. lungs are well expanded. there is an area of increased opacity at the right lung base which is concerning for an infectious process. streaky opacity at the left lung base is likely atelectasis. there is prominence of the hila in keeping with lymphadenopathy and known diagnosis of sarcoidosis. worsening apical opacities in the apices could reflect worsening sarcoidosis. there is no pleural effusion or pneumothorax.
right-sided chest pain, sore throat, cough. rule out pneumonia.
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pa and lateral views of the chest provided. no lobar consolidation, effusion or pneumothorax. no convincing signs of pneumonia. the heart and mediastinal contours are normal. bony structures are intact. no free air below the right hemidiaphragm.
<unk>m with fever // pna?
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a right picc terminates at the cavoatrial junction. there is no pneumothorax. the lungs are moderately well inflated and clear. the cardiomediastinal silhouette is unremarkable.
<unk> year old woman with for history of chronic pancreatitis, picc.
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lung volumes are low. compared to <unk>, there is decreased appearance of bilateral reticular opacity, parahilar opacity, width of mediastinum and thickened minor fissure. there is stable cardiomegaly. mediastinal and hilar contours are unremarkable. there is no evidence for pulmonary edema, pulmonary consolidation, pleural effusion, or pneumothorax. left-sided port terminates at the cavoatrial junction.
<unk> year old man with mds, with previous pulmonary edema by cxr. evaluate for pulmonary edema.
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lateral in frontal chest radiographs demonstrate mild cardiomegaly unchanged since <unk>. there is a mildly dilated descending aorta. hilar contour are otherwise unremarkable. the lungs are clear bilaterally without pulmonary edema. there is no pneumothorax or pleural effusion. the visualized osseous structures are unremarkable.
<unk>-year-old male with right lateral chest pain after falling asleep in chair.
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the cardiac silhouette remains enlarged. mediastinal contours are grossly unremarkable. patchy right lower lobe opacity is seen which could be due to atelectasis, pulmonary contusion in the setting of trauma, aspiration, or pneumonia. no large pleural effusion is seen. there is no evidence of pneumothorax. multiple surgical clips are seen in the left axilla. no obvious displaced fracture is seen.
history: <unk>f with s/p fall // eval for trauma
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the enteric tube ends in the distal esophagus. no focal consolidation, pleural effusion, or pneumothorax. the cardiomediastinal and hilar contours are normal.
ng tube placement, status post transverse colectomy.
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the patient is status post median sternotomy and mitral valve replacement. the heart size is normal. the mediastinal and hilar contours are unchanged. the pulmonary vasculature is normal. no focal consolidation, pleural effusion or pneumothorax is seen. linear opacities within the left lung base likely reflect atelectasis. previously seen cavitating nodules on chest ct are not well visualized on the current exam. there are no acute osseous abnormalities.
left flank pain status post mitral valve replacement with diffuse crackles on exam.
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there are relatively low lung volumes. increased interstitial markings bilaterally suggests mild pulmonary vascular congestion. the cardiac and mediastinal silhouettes are stable with the cardiac silhouette enlarged. no pleural effusion is seen. there is no focal consolidation. hilar contours are stable. patient is status post median sternotomy. evidence of dish is seen along the thoracic spine.
history: <unk>f with abd pain, diffuse tenderness, vomiting, chest pain, recent pna // eval for acute process
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right-sided internal jugular central venous catheter terminates in the low svc without evidence of pneumothorax. patchy left base opacity is worrisome for pneumonia. medial right base opacity is felt to more likely due to overlap of vascular structures or atelectasis. no large pleural effusion is seen. cardiac and mediastinal silhouettes are unremarkable. there is mild central pulmonary vascular engorgement.
history: <unk>m with pneumonia, large volume resuscitation // evaluate for pulmonary edema
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frontal and lateral views of the chest are compared to previous exam from <unk>. right picc is no longer seen. the lungs are clear of consolidation or effusion. the cardiomediastinal silhouette is normal. osseous and soft tissue structures are unremarkable.
<unk>-year-old male with chills and subjective fever.
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moderate to severe cardiomegaly and the mediastinal contours are unchanged. compared to the prior chest radiograph of <unk> mild interstitial pulmonary edema has resolved. no focal opacity, pleural effusion or pneumothorax.
<unk>-year-old woman with squeezing chest pain. evaluate for pneumothorax.
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lungs are clear. there is no pleural effusion or pneumothorax. right picc tip is not well seen but likely terminates in the mid to low svc. surgical clips are seen projecting over the right axilla and right apex. the heart is normal in size. normal cardiomediastinal silhouette.
decreased mental status and cough, assess for aspiration
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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 iddm presents with hyperglycemia and elevated white count
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ap and lateral views of the chest. low lung volumes are seen on both the frontal and lateral views. increased interstitial markings are seen throughout the lungs but most notably at the lung bases. there is no pleural effusion or confluent consolidation. the cardiomediastinal silhouette is grossly unremarkable. atherosclerotic calcifications noted at the aortic arch. no definite acute osseous abnormality identified. thoracolumbar s-shaped scoliosis is identified with degenerative changes in the spine.
<unk>-year-old male with word finding difficulty.
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frontal and lateral views of the chest. the lungs are clear. cardiomediastinal silhouette is normal. no acute osseous abnormality detected.
<unk>-year-old male with fever and elevated white blood cell count.
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the cardiac, mediastinal and hilar contours are normal. lungs are clear. no pleural effusion or pneumothorax is demonstrated, and the pulmonary vasculature is normal. there are no acute osseous abnormalities.
left-sided chest pain.
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frontal and lateral chest radiographs demonstrate slightly low lung volumes with exaggeration of the cardiac silhouette and bronchovascular crowding. allowing for this, the heart is not enlarged. the is minimally unfolded. increased opacity or they lower lobe on the lateral view likely represents artifact due to underpenetration and multiple overlapping the anatomic structures. allowing for this, no focal consolidation, pleural effusion, or pneumothorax is detected. the visualized upper abdomen is grossly unremarkable.
evaluate for acute process in a patient with cough/productive sputum.
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right pleural effusion, with rounded opacity seen at the superior portion is unchanged. no left pleural effusion. there is no pneumothorax. bilateral pulmonary nodules are better seen on prior chest ct on <unk>.
status post bronchoscopy, effusion. followup.
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when compared to prior, there is no significant interval change. indistinct pulmonary vascular markings are again noted with central venous engorgement. moderate cardiomegaly is stable in configuration. there is no pleural effusion. hypertrophic changes noted in the spine. atherosclerotic calcifications seen at the aortic arch.
<unk>m with known chf and sob // eval for pulm edema
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compared to the prior study the left ij line has been removed. otherwise, there is no significant interval change.
workup // evaluate
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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 borderline cardiac enlargement. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>f with chest pain and subjective fevers // ?pneumonia
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heart size is borderline enlarged with a left ventricular predominance. the mediastinal and hilar contours are normal. pulmonary vasculature is normal. the lungs are clear without focal consolidation. lungs are hyperinflated. minimal blunting of the right costophrenic angle may reflect a tiny amount of pleural fluid or pleural thickening. no pneumothorax is demonstrated. there are no acute osseous abnormalities.
history: <unk>f after syncopal episode
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chest pa and lateral radiograph demonstrate an unremarkable mediastinal and hilar contours. heart size is top normal. lungs are clear. no pleural effusion or pneumothorax identified. atherosclerotic calcifications identified within the aortic arch. the patient has a pacemaker with leads positioned in the right atrium and right ventricle. degenerative changes are noted in thoracic spine.
fatigue, hyponatremia, evaluate for pneumonia.
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ap portable view of the chest moderate left pleural effusion, essentially unchanged since prior exam. left lung base consolidation is present. no large right pleural effusion is seen. peripheral right lung base opacity is more conspicuous since prior exam. moderate cardiomegaly persists and mild interstitial pulmonary edema is relatively similar. hilar and mediastinal silhouettes are unchanged. aortic valve calcifications are seen. multiple surgical clips project over cardiac silhouette compatible with prior cabg. sternotomy wires appear intact. the mitral valve prosthesis is in place. there is no pneumothorax.
hypotension and fever.
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enteric tube tip is in the proximal stomach. endotracheal tube tip in good position. worsened left perihilar opacity, and to lesser degree right perihilar opacity, favor edema. stable right basilar opacity and left lower lobe consolidation. stable left pleural effusion. postoperative changes cervical spine. stable heart size.
<unk> year old man with metastatic rcc, mssa and pcp <unk>. increasing tachypnea and fio<num> requirement // please eval for interval change
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ap and lateral views of the chest are compared to previous exam from <unk>. again low lung volumes are seen. the lungs, however, are clear of consolidation. there is no effusion. increased opacity projecting over left upper lung is compatible with asymmetric degenerative changes at the costochondral junction of the first rib which is more clearly delineated on prior exam secondary to different technique. cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are otherwise unremarkable.
<unk>-year-old male with fatigue and lightheadedness.
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patient is status post bronchoscopy at multiple pulmonary device placements. lungs are hyperinflated and clear. no pneumothorax or pleural effusion is seen. the heart size is normal. the mediastinal and hilar contours are normal.
<unk> year old woman with new rul coils. evaluate for pneumothorax.
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the lungs are clear of consolidation or effusion. there is a <num> mm nodule projecting over the right lung apex and anterior right first rib. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>m with cough and green spututm one week // pna
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the endotracheal tube is no longer present. the ng tube is in stable position, coursing below the diaphragm and terminating outside the field of view. right pleural effusion and associated atelectasis is slightly improved from <unk>. moderate cardiomegaly is unchanged. there is no pneumothorax.
self extubation. evaluation for acute cardiopulmonary process.
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pa and lateral views of the chest provided. midline sternotomy wires are again noted with prosthetic cardiac valves again seen. previously noted right ij central venous catheter is been removed there has been placement of a left chest wall port-a-cath with tip in the mid svc region. the heart is moderately enlarged. there is persistent consolidation at the right mid to lower lung with moderate right pleural effusion which appears partially loculated. prominence of the mediastinum appears grossly unchanged. the left lung remains clear. bony structures are noted to be sclerotic with a rugger <unk> appearance, suggestive of renal osteodystrophy.
<unk>m with sob, mechanical valves not on coumadin.
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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 chest pain.
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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. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>f with dyspnea // eval for pna, pulm edema
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frontal and lateral views of chest were obtained. cardiomegaly is mild and similar to prior. small right apical scarring is stable. lungs are otherwise clear without focal or diffuse abnormality. no pleural effusion or pneumothorax. the osseous structures are unremarkable. the catheter of a left chest wall port terminates in the right atrium.
chest pain yesterday, now with weakness. evaluate for infiltrate.
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single portable upright frontal image of the chest. there has been interval placement of a left-sided pigtail chest tube. with partial re-expansion of the lung. increased opacity in the left lower lung and to a lesser extent the left upper lung may represent re-expansion edema. no pleural reflection is clearly seen, suggesting significant re-expansion. the cardiac silhouette is normal in size.
left pneumothorax status post pigtail placement.
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a rounded opacity in the right upper lung continues to decrease in conspicuity, likely post-operative hematoma/atelectasis. mild-to-moderate left retrocardiac atelectasis is not significantly changed. there is mild pulmonary vascular congestion. there is no definite pneumothorax. small bilateral pleural effusions are not significantly changed. the heart size is normal. the mediastinal contours are normal.
history of hcv cirrhosis, status post right vats and right upper lobe wedge resection for a pulmonary nodule, now with a <num> degree fever. assess for increasing pneumothorax.
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frontal and lateral radiographs of the chest demonstrate well expanded clear lungs. the previously seen area of increased opacification in the left lower lobe was better evaluated on recent ct of the chest. there is no consolidation, pneumothorax, or pleural effusion. the cardiomediastinal and hilar contours are unchanged. known hilar lymphadenopathy is better assessed on the recent ct of the chest as well. a right-sided port-a-cath is present with the tip terminating in the mid svc.
history of non-hodgkin's lymphoma now with shortness of breath, wheezing, and cough. evaluate 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.
history: <unk>f with history of <num> months submandibular node swelling with dry cough //lymphadenopathy?
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the left chest wall pacemaker leads end in the expected locations of the right atrium and right ventricle, unchanged.interval removal of the right internal jugular catheter. small bilateral pleural effusions with adjacent atelectasis have slightly increased from <unk>. the upper lung zones are clear. the patient is status post cabg with unchanged cardiac and mediastinal silhouettes.
cabg, shortness of breath. evaluate for effusion.
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there is no pleural effusion or pneumothorax. the lungs appear clear. bony structures are unremarkable.
shortness of breath and chest pain.
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a moderate to large right pleural effusion appears increased in size compared to the prior exam. there is associated right basilar atelectasis. mild leftward shift of mediastinal structures appears relatively unchanged. heart size is likely normal. there is no pulmonary vascular congestion. left lung is clear. there are no acute osseous abnormalities. a pigtail catheter is noted projecting over the right lung base.
shortness of breath with pleural effusion.
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the ng tube is coiled in the lower esophagus and will need to be reinserted. the chest tube has been removed. left subclavian line tip in the svc is unchanged. the tip of the et tube is not well visualized secondary to the overlying ng tube and other wires. there is volume loss at both bases with dense retrocardiac opacity.
re-intubation.
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<num> views were obtained of the chest. the lungs are low in volume with interval increase in mild vascular congestion. due to poor penetration likely due to body habitus, assessment for edema is somewhat limited. the heart remains moderately enlarged with perhaps trace pleural effusions. there is no pneumothorax.
shortness of breath and lower extremity edema. assess for chf.
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frontal and lateral views of the chest. prior left picc is no longer visualized. the lungs are clear without focal consolidation, effusion or pneumothorax. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormality is identified.
<unk>-year-old female with shortness of breath and fever.
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frontal and lateral radiographs of the chest show a persistent peripheral ill-defined opacity projecting over the right mid lung, which is not appreciably changed from the preceding radiograph of <unk> but new from the prior ct of <unk>. no focal consolidation, pleural effusion, or pneumothorax is present. the pulmonary vasculature is not engorged. the thoracic aorta is calcified throughout its course with extensive calcification of the bilateral carotid arteries as well. the cardiac silhouette is top normal in size. the mediastinal and hilar contours are within normal limits and unchanged from the preceding radiograph. degenerative changes are noted in the thoracic spine.
<unk>-year-old female with cough and possible right mid lung nodule on previous chest radiograph, here to reevaluate for resolution of nodule following antibiotic therapy.
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there is no significant change from the previous study, which was performed <num> hr and <unk> min prior to the current study. the appearance of the left pleural effusion and opacity at the right lung base are unchanged. there is no evidence of pneumothorax.
left pleural effusion.
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cardiac size is normal. the lungs are hyper inflated. bibasilar left greater than right opacities and nodular and peribronchial opacities in the upper lobes left greater than right have increased. there is no pneumothorax or pleural effusion
<unk> year old woman with mds sp <unk> mud <unk> <unk> admitted with ? colitis now with fever again. // please evalute for evidence of infection.
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the heart size is within normal limits, and the mediastinal contours are unchanged and within normal limits. there continues to be elevation of the left hemidiaphragm with associated basilar atelectasis, similar to prior exams. vascular congestion is also present. there is no large pleural effusion or pneumothorax.
<unk>-year-old male with chest pain.
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ap upright and lateral chest radiograph demonstrates a moderate right pleural effusion and smaller left pleural effusion. relative to ct dated <unk>, allowing for differences in modality, this appears increased. known left upper lung spiculated nodule suspicious for malignancy is not significantly changed. no opacity is identified convincing for pneumonia. bibasilar atelectasis is moderate. heart is enlarged. hiatal hernia seen in the retrocardiac region on the frontal view. no evidence of pulmonary edema. there is no pneumothorax.
<unk> year old man with known pleural effusions now with increasing fatigue unclear etiology. // assess for effusion
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as compared to the previous radiograph, no relevant change is seen. mild fluid overload. moderate cardiomegaly and substantial left lower lobe atelectasis. the pre-existing opacity at the left apex and at the right lung basis are constant in appearance. no new parenchymal opacities. the presence of a small left pleural effusion can not be excluded.
<unk> year old man s/p removal of <num> liters of transudative pleural fluid, still dyspneic requiring <num>l o<num>. // reason for dyspnea
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there has been interval placement of an enteric tube which terminates below the field of view. an endotracheal tube terminates <num> cm above the carinal. a right internal jugular catheter terminates at the superior cavoatrial junction. it subtle bibasilar opacities are suggestive of atelectasis however interstitial infection should be considered.
<unk>m with respiratory failure // ett placement
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pa and lateral views of the chest show a right picc terminating in the upper svc. in comparison to the prior exam on <unk>, it may be slightly pulled back, although exact amount of change is difficult to tell based on differences in angulation and patient positioning. basilar atelectasis is unchanged from the prior exam. small focal opacity at the right lung base was not present on prior or on ct torso from <unk> and most likely represents overlapping structures; developing consolidation not excluded in the appropriate setting. no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal.
presenting with bleeding at picc site. evaluate positioning.
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the right dialysis catheter terminates in the right atrium, unchanged from prior. the lung volume is small. the pulmonary venous congestion is unchanged. the bilateral atelectasis is unchanged. no appreciable pleural effusion. no new consolidation. the moderate cardiomegaly is unchanged.
<unk> year old woman with tdc and short run of ?vt in hd // confirm dialysis catheter placement
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the lungs are well expanded. the right lung is clear, but the left lung demonstrates a subtle opacity in the mid lung field whioch was not present in the prior examination. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax.
<unk>-year-old female with cough for seven days and fever. evaluate for evidence of pneumonia.
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portable chest radiograph demonstrates minimally improved aeration of the previously completely collapsed left lower lobe. remainder of the left and right lungs are clear. no pneumothorax is evident. a small left pleural effusion is likely. a right-sided picc line terminates in the distal svc.
cll with new left lower lobe collapse, please assess for interval change.
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the cardiac, mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. the lungs appear clear aside from minimal atelectasis at the left lung base. a stimulator device again projects over the left upper hemithorax.
seizure.
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pa and lateral views of the chest provided. new since prior exam is a rounded opacity in the right upper long concerning for pneumonia. the left lung is clear. no effusion or pneumothorax is seen. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
history: <unk>f with shortness of breath // eval for pna
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a pacemaker projects over the left chest wall with lead tips in the right atrium and right ventricle, unchanged since prior examination. the lungs are mildly hypoinflated with persistent moderate right and small left pleural effusions bibasilar opacities. mild vascular congestion noted. no pneumothorax. heart is partially obscured due to overlying parenchymal disease. aortic arch calcifications noted. mediastinal contour and hila are unremarkable.
<unk>m with chest pain. assess for acute process.
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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 tachycardia, elevated white blood cell count, felt short of breath and syncopized today
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bullet fragments project over the left humeral head. heart size is normal. an opacity in the left lung may represent atelectasis and mild pulmonary vascular congestion. there is no osseous abnormality. there is no pneumothorax or pleural effusion.
history: <unk>m with gsw l shoulder // assess for injury, foreign body
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cardiac silhouette size is mildly enlarged but unchanged. mediastinal and hilar contours are stable with atherosclerotic calcifications noted within the aortic arch. pulmonary vasculature is not engorged. lungs remain hyperinflated. there are continued bilateral increased interstitial opacities predominately along the periphery, likely reflective of chronic changes, without focal consolidation. no pleural effusion or pneumothorax is present. mild degenerative changes are noted throughout the thoracic spine.
history: <unk>f with cough and shortness of breath
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pa and lateral chest radiographs were provided. lung volumes are low. bilateral patchy opacities at the bases are likely atelectasis. there is no focal consolidation, pleural effusion or pneumothorax. cardiomediastinal silhouette is difficult to evaluate due to poor inspiration. osseous structures are intact. there is no free air under the hemidiaphragms.
<unk>-year-old male with sudden onset vomiting. rule out infiltrate.