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pa and lateral views of the chest provided. lungs are clear. cardiomediastinal and hilar contours are normal. there are no pleural effusions. old healed right sided rib fractures are again seen.
<unk> year old woman with hx of myeloma. cough. please r/o pna. // <unk> year old woman with hx of myeloma. cough. please r/o pna.
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a right-sided infusion port is seen, with the tip terminating in the lower svc. the cardiac silhouette is unremarkable. in comparison to the prior examination, there has been increase in right pleural effusion/atelectasis. possible trace left pleural effusion is present as well. no definite focal consolidation is identified. the central pulmonary vasculature is slightly prominent. no overt chf. hazy density overlying the lower left chest is similar to the prior exam and may reflect the presence of the breast shadow. there is a severe thoracic vertebral body compression deformity (question t<num>), unchanged since prior examination. there is mild associated focal kyphosis.
history: <unk>f with fever // eval for pna
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the lowermost portion of the chest is excluded on the ap upright view, particularly the left costophrenic sulcus. the heart shows borderline enlargement with a left ventricular configuration. there is no pleural effusion or pneumothorax. the lungs appear clear. bones appear demineralized.
weakness.
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there is a severe thoracic kyphosis. within these limitations the lungs are grossly clear. there is emphysema. cardiomediastinal silhouette is unchanged with a tortuous thoracic aorta. there is no pneumothorax or pleural effusion. there is no focal lung consolidation. no displaced rib fractures seen.
<unk>f with chest pain and chills, evaluate for pneumothorax or pneumonia
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enlargement of the cardiomediastinal silhouette is stable. evidence of a large hiatal hernia is again seen. no convincing evidence of pneumonia is seen. there is no large pleural effusion or pneumothorax. no pulmonary edema is seen.
history: <unk>f with syncope and cp // cp and sob, screen for disection
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ap and lateral views of the chest. there are streaky left greater than right bibasilar opacities. elsewhere the lungs are clear without large effusion or pulmonary vascular congestion. blunting of the posterior costophrenic angles may be due to trace effusions. there is also suggestion of a hiatal hernia. the cardiac silhouette is enlarged. no acute osseous abnormalities detected.
<unk>-year-old female with hypoxia. systolic murmur.
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increased interstitial markings are seen throughout the lungs without predominant basilar distribution, overall similar compared to prior film and pet-ct. there is no superimposed focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities detected.
<unk>m with exertional cp // ? acute cardiopulm process
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in comparison to the chest radiograph obtained <num> week prior, the right hemidiaphragm is slightly more elevated with new partial collapse of the right middle lobe. lungs are otherwise clear without focal consolidations. no pleural effusions or pneumothorax. mild cardiomegaly is unchanged. cardiomediastinal hilar silhouettes are otherwise normal. mild calcification of the aortic knob is unchanged.
<unk> year old man with acute alcoholic hepatitis on prednisone now with low grade fever. // evaluate for interval development of pneumonia
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frontal and lateral views of the chest. hazy opacities projecting over the lung bases bilaterally likely in part due to overlying soft tissues and slight motion. there is no definite consolidation or pulmonary vascular congestion. cardiac silhouette is slightly enlarged. no acute osseous abnormalities noted.
<unk>-year-old female with altered mental status.
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frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and fairly well-aerated lungs which are without focal consolidation, pleural effusion, or pneumothorax. the visualized upper abdomen is unremarkable.
evaluate for pneumonia in a patient with fever.
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single ap view of the chest. coarse interstitial markings seen throughout the lungs compatible with patient's known history of fibrosis. there is a new region of consolidation at the right lung base. streaky left basilar opacities also appears slightly more conspicuous, potentially due atelectasis given eventration of left hemidiaphragm which is unchanged. cardiomediastinal silhouette is grossly unchanged. there is suggestion of a hiatal hernia with increased lucency overlying the heart. no acute osseous abnormality detected.
<unk>-year-old male with shortness of breath. history of idiopathic pulmonary fibrosis.
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cardiac size is top-normal. the aorta is elongated. enlargement of the right hilum suggests a right hilar mass. there are ill-defined peribronchial opacities in the right lower lobe. there is minimal biapical scarring. . there are mild degenerative changes in the thoracic spine
history: <unk>f with wheezing and sob // pna
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the lungs are clear without focal consolidation. nipple shadows are incidentally noted. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
history: <unk>m with mvc and etoh, pls eval head and cspine for injuries, also needs cxr and pelvis, has lle bruising and swelling on knee <unk> and <unk> pls assess fx // history: <unk>m with mvc and etoh, pls eval head and cspine for injuries, also needs cxr and pelvis, has lle bruising and swelling on knee <unk> and <unk> pls assess fx
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no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. the cardiac and mediastinal silhouettes are stable and unremarkable. no pulmonary edema is seen. no displaced fracture is identified.
chest pain.
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the left hemidiaphragm is elevated, similar to prior exam. the lungs are well expanded and clear except for localized left basilar pleural and parenchymal scarring adjacent to thoracotomy site. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is stable in appearance with adjacent surgical clips in keeping with history of resection of a thymic mass.
history: <unk>m with epig pain radiating to back // eval ? mediastinal abnormality, edema
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lungs remain hyperinflated suggestive of underlying copd. heart size is normal. the aorta remains tortuous with scattered calcifications. calcified left upper lobe granuloma and calcified right mediastinal lymph node suggests prior granulomatous disease. the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. persistent blunting of the right costophrenic sulcus likely reflects chronic pleural thickening or scarring. there are no acute osseous abnormalities.
cough.
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tracheostomy tube peg tube, right ij line, with tip over distal most svc, and right-sided chest tube are similar to the prior study. the cardiomediastinal silhouette is unchanged. the right base pneumothorax is also similar to the prior study. pleural thickening and/or fluid is noted in the right costophrenic sulcus and there is also a small left effusion, both similar to prior. the right hilum is elevated with chain sutures in the right lung apex and right upper/mid zone and surgical clips along the right chest wall. there is some focal prominence of interstitial markings in this region, which is better seen, but not clearly changed. chain sutures and hazy opacity at the right lung apex is noted, in keeping with findings on the <unk> ct scan.
<unk>f w/s/p recent trach and peg placement, with hematocrit drop, please eval for bleeding into chest // <unk>f w/hematocrit drop, please eval for bleeding into chest
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the lung volumes are low. within the limitations of technique, there is no definite abnormality of vasculature, but there is patchy opacity in the left mid-to-lower lung, possibly pneumonia in the appropriate clinical setting. the azygos vein appears mildly prominent. there is no pleural effusion or pneumothorax. the bones are probably demineralized. there is a slight s-shaped thoracic spinal curvature.
cough and lower extremity edema.
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ap and lateral views of the chest. right-sided dual-lumen central venous catheter is again seen with tip in right atrium. there are small persistent bilateral pleural effusions. the lungs are clear of focal consolidation or frank pulmonary edema. the cardiac silhouette is enlarged but unchanged. median sternotomy wires again noted. no acute osseous abnormalities.
<unk>-year-old female coronary artery disease, chf and copd with end-stage renal disease presenting with weakness.
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the lungs are well-expanded. obscuration of the right heart border is related to pectus deformity. there is no pleural effusion, pulmonary edema, pneumothorax or consolidation concerning for pneumonia. heart size is normal.
history: <unk>f with dry cough, chest pain // please eval for acute cp process
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cardiomediastinal contours are normal. the lungs are clear. there is no pneumothorax or pleural effusion. the osseous structures are unremarkable
<unk> year old woman with asthma and cough // eval for consolidation
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compared to the prior study there is no significant interval change. there is no pneumothorax
<unk> year old man s/p mini-invasive avr // eval for pneumothorax s/p chest tube removal
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the lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen.
history: <unk>m with altered mental status, new seizures, // rule out infection, lymphadenopathy
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the heart size is normal. the hilar and mediastinal contours are normal. no focal consolidations concerning for pneumonia identified. there is no pleural effusion or pneumothorax. the visualized osseous structures are unremarkable.
history of dyspnea. please assess for pneumonia.
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pa and lateral chest radiographs. the lungs are clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal.
dyspnea on exertion. right-sided chest tightness.
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there is a left-sided central line with tip in the right atrium. lung volumes are low and there is volume loss at the bases. there is no definite infiltrate. there is no pneumothorax. the cardiac and mediastinal silhouettes are normal
<unk> year old man with acute onset chest pain // eval for chest pain post op
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a dual-lead pacemaker/icd device appears unchanged with leads again terminating in the right atrium and ventricle, respectively. the heart is mildly enlarged. allowing for low lung volumes, there is no definite change, however, although it is difficult to exclude a small pericardial effusion. there is no definite pleural effusion. streaky basilar opacities suggest minor atelectasis. there is no pneumothorax. flowing anterior osteophytes along the thoracic spine suggest hyperostosis.
pleuritic chest pain and ekg findings concerning for pericarditis.
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heart size is top normal. mediastinal and hilar contours are unremarkable. the pulmonary vasculature is not engorged. streaky opacities in the lung bases likely reflect atelectasis. no pleural effusion or pneumothorax is present. there are no acute osseous abnormalities.
history of congestive heart failure and pulmonary embolism in <unk> with cough.
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the tip of the right picc line extends to the mid svc. there is no focal consolidation, pleural effusion or pneumothorax identified. the size of the cardiac silhouette is enlarged but unchanged.
<unk> year old man with new fever and cough // eval for aspiration pna
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streaky opacities in the left lower lobe are compatible with atelectasis versus a prominent fat pad. there are no consolidations concerning for pneumonia. there is no pulmonary edema, pleural effusion, or pneumothorax. the cardiac silhouette is normal in size.
copd, cad and hypoxia. evaluate for acute process.
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the lungs are clear without focal consolidation, pleural effusion or pneumothorax. the pulmonary vasculature is not engorged. the cardio mediastinal and hilar contours are within normal limits. the trachea is less deviated to the right than on the prior radiographs of <unk>. surgical clips in the left lower neck are compatible with recent thyroidectomy.
s/p thyroidectomy now with fever, here to evaluate for pneumonia.
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lung volumes are low with chronic elevation of the right hemidiaphragm. a rounded retrocardiac opacity could represent aspiration or pneumonia at the left base in this patient with history of aspiration pneumonia. plate-like opacity at the right base likely reflects atelectasis. no pneumothorax or significant pleural effusion is present. the heart size is normal. there are calcifications of the aortic arch. the patient is status post left shoulder hemiarthroplasty. there are severe degenerative changes of the right shoulder.
fever. history of lymphoma receiving neulasta and aranesp injections today. vomiting.
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bilateral lung volumes are low. endotracheal tube tip is <num> cm above the carina, orogastric tube ends into the stomach, and left subclavian line tip is in mid svc. increased retrocardiac opacity is better since yesterday. mild to moderately enlarged heart size is stable, and mediastinal and hilar contours are unremarkable. no discrete opacities in right lung.
respiratory failure, status post motor vehicle collision and ex lap, to evaluate for consolidation, effusion, or collapse.
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the endotracheal tube terminates <num> cm above the carina. unchanged ng tube and left picc line, which ends at the superior cavoatrial junction. there is an esophageal device ending at the thoracic inlet. since the prior radiograph, the cardiomediastinal silhouette has enlarged with a new small right pleural effusion, engorgement of the pulmonary vasculature, and worsened consolidation in the left lower lobe. this could be due to atelectasis or pneumonia.
<unk> year old man with cerebellar stroke. eval intrathoracic process.
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there has been interval removal of the right chest tube. right basilar opacification and left basilar atelectasis are unchanged. right upper lobe volume loss with right apical extrapleural thickening is also unchanged. no pleural effusion or pneumothorax. cardiac and mediastinal silhouettes and hilar contours are stable.
<unk>-year-old man status post pleurodesis with pleurx placement. now post chest tube removal. evaluate for pneumothorax.
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consistent with provided history of cabg, there has been median sternotomy with intact sutures and surgical clips projecting over the mediastinum. stable mild cardiac enlargement. moderate pulmonary edema evident. minimal retrocardiac atelectasis. no pleural effusion identified.
shortness of breath, history of congestive heart failure.
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compared with the most recent radiograph, there has been interval removal of although monitoring and support devices in this post cabg patient, including the mediastinal drains, and anterior chest tube, endotracheal tube, ng tube, and swan-ganz catheter. the right ij introducer sheath is still present. as expected, lung volumes have decreased, causing apparent increase in the size of the cardiac silhouette and bibasilar atelectasis. there is no new large pleural effusion or pneumothorax. patient is status post valve replacement and median sternotomy with intact wires.
<unk> year old man s/p ct pull. eval for ptx.
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right-sided internal jugular central venous catheter terminates in the proximal svc without evidence of pneumothorax. no focal consolidation is seen. there is slight blunting of the left costophrenic angle which is nonspecific but could be due to a trace pleural effusion. cardiac and mediastinal silhouettes are unremarkable. no pulmonary edema is seen.
<unk>m s/p line placement eval for line positioning, as well as pna // <unk>m s/p line placement eval for line positioning, as well as pna
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new right pleural drain has its tip terminating near the apex. there are expected postoperative changes in the right hemi thorax. there is subcutaneous emphysema in the right chest wall. the heart is not enlarged. mild prominence of the mediastinum is likely postsurgical. a lead projecting over the left upper hemithorax is noted, clinical correlation is recommended. there is no large pneumothorax.
<unk> year old man s/p rul lobectomy for squamous cell lung carcinoma// r/a in pacu
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the right chest tube has been removed. small bilateral effusions, right greater than left, have increased slightly compared with the immediate prior exam of <unk>. there is no focal consolidation, pulmonary edema, or pneumothorax.the cardiomediastinal silhouette is within normal limits.
<unk> year old woman s/p r vats decort, s/p chest tube removal on <unk>; on anticoagulation // please evaluate for pneumothorax and hemothorax
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the lungs are clear without focal consolidation, effusion, or edema. cardiac silhouette is slightly enlarged. no acute osseous abnormalities.
<unk>f with chest pain and doe // eval for pna
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there has been interval removal of the endotracheal and esophageal tubes since the prior study. left internal jugular approach central venous catheter is unchanged in position. the lung volumes are slightly low, as before, but remain clear. the cardiomediastinal silhouette is unremarkable. there is no pleural effusion or pneumothorax.
<unk>f with a hx of poorly controlled dm c/b chronic wound of the r <unk> metatarsal, chronic pancreatitis, etoh dependence, gangrenous cholecystitis s/p ccy, and multiple recent falls resulting in fractures of the r ankle and r <unk> metatarsal and ?break of l wrist who presented to the <unk> <unk> this morning due to ams and worsening infection of the r <unk> metatarsal. // any interval change?
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frontal and lateral views of the chest. there are persistent bibasilar opacities which appear more confluent at the right lung base and extends more superiorly on the left to involve the mid lung. there is no effusion. cardiac silhouette is enlarged but stable in configuration. tortuosity of the descending thoracic aorta is again seen. no acute osseous abnormality is detected.
<unk>-year-old male with palpitations and dyspnea.
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the heart size may be slightly decreased compared to the prior exam but is still mildly enlarged. bilateral small pleural effusions are overall unchanged. the lungs are clear. no focal consolidation, pulmonary edema, or pneumothorax. the thoracic aorta is calcified and ectatic. mild dextroconvex scoliosis of the thoracic spine is unchanged.
<unk> year old woman with dyspnea, pnd, h/o pericardial effusion <unk> <unk> virus myopericarditis s/p window x<num> at<unk>. // baseline prior to v/q scan.
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the lung volumes are low. there is vascular congestion and mild pulmonary edema. there is no focal opacity, pleural effusion, or pneumothorax. the mediastinal silhouette is normal. the heart is mildly enlarged.
hypoxia after extubation. evaluate for pulmonary edema.
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ap portable upright view of the chest. there is no focal consolidation, effusion, or pneumothorax. stable appearance of a ovoid calcification projecting over the aortic knob. the cardiomediastinal silhouette is normal. imaged osseous structures are intact.
<unk> year old man with gib and hypoxia s/p <num> units prbc // pulm edema
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bilateral reticular interstitial opacities are not appreciably changed. extensive biapical pleural scarring is again noted. small bilateral pleural effusions are unchanged. the cardiomediastinal silhouette is stable. aortic calcifications are incidentally noted.
<unk> year old woman with chf, copd, dyspnea // pulmonary edema?
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the central venous catheter is in unchanged position. there has been a slight interval increase in the right small pleural effusion compared to the exam from <unk>. there is a moderate left pleural effusion which appears slightly improved compared to the prior exam. the left heart border is obscured by the pleural effusion. the hilar and mediastinal contours demonstrate mild vascular engorgement; however, there is no evidence of pulmonary edema. there is no evidence of a pneumothorax.
history of pleural effusions. please evaluate.
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frontal and lateral chest radiograph demonstrates stable mild cardiomegaly. the mediastinal and hilar contours are otherwise unremarkable. minimal bibasilar atelectasis again identified. no focal opacification concerning for pneumonia identified. no pleural effusions or pneumothorax evident. mild-to-moderate multilevel degenerative change identified throughout the thoracic spine.
stroke. assess for infectious process.
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the lungs are clear. the cardiomediastinal silhouette is within normal limits. old healed left lateral rib fractures are noted. no free intraperitoneal air.
<unk>m with abd pain // eval infiltrate
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frontal and lateral chest radiographs demonstrate clear lungs bilaterally. there is no focal consolidation, pleural effusion, or pneumothorax. slight atelectatic changes at the right base are unchanged since prior examination. there is persistent elevation of left hemidiaphragm consistent with patient's known history of hiatal hernia. mild cardiomegaly is stable. a tortuous atherosclerotic descending aorta is noted.
<unk>-year-old male with cough and left lower lung pain. evaluate for pneumonia.
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left hilar fullness related to prominent pulmonary artery with rotation from scoliosis. bilateral linear scars in the mid left lung and both lower lung regions. cystic structure in the left lower lobe as seen on ct. heart size and mediastinal contour are normal.
male with question of perihilar fullness on recent spine radiograph. please assess.
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lung volumes are within normal limits. the trachea is central. the cardiomediastinal contour is unchanged. no focal consolidation seen. there is mild prominence of the pulmonary vasculature which may reflect a mild degree of congestive heart failure but no frank pulmonary edema. no pleural effusion seen. no pneumothorax.
<unk> year old man with nstemi with chf exacerbation and wheezing // fluid overload vs other pulmonary process
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compared to the most recent ct exam, there has been interval development of a moderate to large right-sided pleural effusion with associated right basilar atelectasis. rounded opacity within the right lung base likely reflects a metastatic lesion. other known pulmonary nodules within the lungs are not well seen on the current exam. there is no left-sided pleural effusion or pneumothorax. pulmonary vasculature is normal. assessment of the cardiac silhouette size is difficult given the presence of the right pleural effusion. fullness of the right mediastinal contour is compatible with underlying lymphadenopathy, and appears relatively unchanged compared to the prior ct exam. no acute osseous lesion is demonstrated.
metastatic renal cell carcinoma to the lungs with history of right pleural effusion and new dyspnea on exertion.
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cardiomediastinal contours are normal. the lungs are clear. there is no pneumothorax or pleural effusion. left rib fracture is better seen in prior ct
<unk> year old man with left rib fx with small associated ptx // eval for resolution/evolution of left ptx -- please perform upright and on expiration (*** <unk> - <num>am ***)
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ap portable upright view of the chest. the heart remains markedly enlarged. the aorta is densely calcified as on prior. there is hilar congestion and mild pulmonary edema. tiny effusions are likely present. no pneumothorax. no convincing evidence for pneumonia. bony structures are intact.
<unk>f with chf from snf, sob, hypoxia
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the lungs are clear. the cardiomediastinal silhouette is normal. no acute osseous abnormality is identified.
<unk>m with dypsnea // acute cardiopulmonary disease
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cardiomediastinal contours are normal. pleural thickening with adjacent opacity in the right lung have decreased. retrocardiac atelectasis have improved. there are no new lung abnormalities. patient is status post avr. there is no pneumothorax or pleural effusion. the osseous structures are unremarkable
<unk> year old woman s/p r vats wedge with post op hemoptysis // check interval change
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cardiac silhouette size is normal. the aorta is mildly tortuous. mediastinal and hilar contours are otherwise unremarkable. there is no pulmonary vascular congestion. subsegmental atelectasis is noted at the lung bases. no focal consolidation, pleural effusion or pneumothorax is demonstrated. no acute osseous abnormality is identified.
fever.
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mild-to-moderate cardiomegaly is unchanged. vascular congestion and pulmonary edema has mildly increased. there are small bilateral pleural effusions. increased left basilar opacity is most consistent with atelectasis. no pneumothorax. median sternotomy wires are intact.
<unk> year old man with dyspnea, evaluate for pleural effusion.
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as compared to chest radiograph from earlier today, tiny bilateral apical pneumothoraces have decreased. bilateral small effusions and atelectasis are unchanged. left chest tube is in similar position.
<unk> year old woman with ct clamped, previous ptx // eval for ptx
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the cardiomediastinal and hilar contours are within normal limits. the lung fields are clear. there is no pneumothorax, fracture or dislocation. limited assessment of the abdomen is unremarkable. there is mild s-shaped scoliosis of the thoracic spine.
history: <unk>f with cp // pna?
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there is increased opacity in the region of the right hilum and ill-defined opacity in the right paratracheal region. this is a worsened appearance compared to prior and is likely a combination of volume loss, and vascular plethora. thick contiguous to be increased opacity at the bases, right greater than left with obscuration of the right hemidiaphragm. a moderate effusion is layering posteriorly and is likely also atelectasis. an underlying infectious infiltrate can't be excluded. is a patchy area of alveolar infiltrate in the left lower lung as well. heart size is moderately enlarged. there is pulmonary vascular redistribution with ill-defined vascularity
<unk> year old man with concern for aspiration pneumonia vs pneumonitis // please assess for interval change
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pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>f with cp
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pa and lateral images of the chest demonstrate well-expanded lungs which are clear. there is no pleural effusion or pneumothorax. cardiomediastinal silhouette is unremarkable. visualized osseous structures are unremarkable.
<unk>-year-old female with history of positive ppd, requiring assessment for tuberculosis.
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the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. the mediastinal contours are normal. heart is mildly enlarged, and unchanged from the prior exam.
cough. evaluate for pneumonia.
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pa and lateral views of the chest provided. suture material in the left mid lung noted as well as a single fiducial clip in the right mid lung. there is persistent irregular opacity in the right upper lung which is somewhat atypical for pneumonia. in this patient with history of lung cancer, findings may be related to tumor related complication suggests hemorrhage. consider ct to further assess. no large effusion or pneumothorax is seen. heart size appears within normal limits.
<unk>m with pna at osh, hx lung ca // pna?
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mild cardiomegaly is accompanied by pulmonary vascular congestion and minimal edema. appearance of aortic contour and stents is unchanged. since a recent radiograph of <unk>, asymmetric consolidation in the right lower lobe has improved, well a peripheral consolidation in the right upper lobe abutting the minor fissure has apparently slightly increased in severity.
<unk> year old woman with h/o tobacco abuse, infectious aortitis and dissection s/p graft x<num>, here with dyspnea and hypoxemia requiring bipap // interval change
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portable upright chest film <unk> at <time> is submitted.
<unk> year old man with distal esophageal perforation s/p repair of perf, washout, and intercostal muscle flap c/b leaking s/p clip stent on <unk> // rule out acute changes/ pneumothorax, affusion rule out acute changes/ pneumothorax, affusion
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single portable view of the chest compared to previous exam from earlier the same day at <time> p.m. low inspiratory effort is seen. there is evidence of pulmonary vascular congestion. there is no large effusion. cardiac silhouette is enlarged, but likely accentuated due to low inspiratory effort. cardiomediastinal silhouette is otherwise grossly unremarkable. hypertrophic change is seen in the spine.
<unk>-year-old female with chest pain.
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the lungs are clear besides right basilar atelectasis. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities, hypertrophic changes noted in the spine.
<unk>m with generalized weakness // eval pna
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the lungs are clear. the cardiomediastinal silhouette is within normal limits. leftward deviation of the trachea at the thoracic inlet is noted. no acute osseous abnormalities. surgical clips noted in the right upper quadrant.
<unk>f with fever // eval for pna
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the et tube is low-lying, measuring approximately <num> cm above the carina. there is mild cardiomegaly. there is mild pulmonary vascular congestion, with mild pulmoanry edema. otherwise, the hilar and mediastinal contours are normal. consolidations overlying the mid-to-lower right lung likely secondary to pneumonia. enteric tube extends below the diaphragm with the tip in the body of the stomach. there is no evidence of pleural effusion or pneumothorax. the visualized osseous structures are unremarkable.
history of intubation. please evaluate et tube placement.
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heart size is normal. the aorta remains mildly tortuous. mediastinal and hilar contours are similar. pulmonary vasculature is normal. no focal consolidation, pleural effusion or pneumothorax is present. minimal patchy opacity within the left upper lung field is new compared to the prior study. relatively symmetric scarring within the lung apices is re- demonstrated as well as a focal. no acute osseous abnormalities are visualized.
history: <unk>m with fever, cll
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pa and lateral views of the chest provided. no convincing evidence for pneumonia or edema. no large effusion or pneumothorax. cardiomediastinal silhouette is normal. bony structures are intact. no free air below the right hemidiaphragm.
<unk>m with left shoulder pain and cough // ? pna
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since the prior chest radiograph performed on <unk>, the right middle lobe consolidation has resolved. no new consolidation. no pleural effusion or pneumothorax. heart size is top-normal. no acute osseous abnormalities.
<unk> year old man with follow-up right middle lobe pneumonia // f/u rml pneumonia
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portable chest radiograph demonstrates interval placement of a tracheal stent in the midline. when compared to chest film <num> day prior, there is no interval parenchymal changes. there is no pleural effusion or pneumothorax. cardiomediastinal silhouette stable in appearance.
<unk>-year-old male with recent tracheal stent placement.
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the heart size is mildly enlarged. prominence of the right superior mediastinal contour likely reflects tortuous vessels and is unchanged. the hilar contours are normal, and the pulmonary vascularity is not engorged. the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is identified. no acute osseous abnormalities seen.
chest pain.
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elevation of the left hemidiaphragm is unchanged compared to the prior exam. cardiomediastinal silhouette is within normal limits. the lungs are symmetrically expanded and clear bilaterally. there is no pleural effusion or pneumothorax.
<unk>-year-old female with cough, shortness of breath, evaluate for pneumonia.
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since the prior radiograph, there has been interval placement of a right-sided port that terminates in the mid-svc. except for mild bibasilar atelectasis, there are no new changes. specifically, there are no suspicious areas of focal consolidation, pleural effusions or pneumothorax. the mediastinum and hila are within normal limits. the heart is enlarged, unchanged from <unk>. no acute osseous abnormalities.
<unk> year old woman with aplastic anemia, now with fevers in the setting of neutropenia // r/o pneumonia
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no focal consolidations to suggest pneumonia. no pulmonary edema. stable appearance of the cardiomediastinal silhouette with atherosclerotic calcifications of the aortic knob. no pleural effusion. no pneumothorax.
history: <unk>f with chest pain // pna?
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a right picc ends in upper svc. mild right basilar atelectasis is new. there is no consolidation, edema, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is normal.
evaluate picc location. status post ercp.
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the lungs are well expanded and clear. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. of note, in the lateral view there is a <num> x <num> cm round opacity projecting over the posterior aspect of two mid thoracic vertebrae which appears unchanged from prior exams. however, certain location cannot be determined as it might be related to vertebral bodies or to the soft tissue.
<unk>-year-old male with chest pain and fever. evaluate for evidence of pneumonia.
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lung volumes are slightly improved when compared to the prior study. . there is a persistent small left pleural effusion with left lower lobe atelectasis. minimally atelectasis at the right lung base with likely a small right-sided pleural effusion. the cardiomediastinal contour is within normal limits. no pneumomediastinum appreciated on this study. no pneumothorax seen. the visualized bony structures are unremarkable in appearance. oral contrast material is seen within the large bowel in the left upper quadrant.
<unk> year old man with ? esophageal perforation // please evaluate for free air vs other pathology
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obscuration of the left hemidiaphragm may be due to a combination of prominent overlying soft tissues and epicardial fat. there is no pneumothorax. the lungs are clear. heart size is normal. prominence of the right upper paratracheal soft tissues may either be due to a tortuous innominate artery or a mildly enlarged right thyroid lobe.
<unk> year old woman with asthma and persistent cough, wheeze // r/o infiltrate
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midline tracheostomy is again noted. the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. left port-a-cath terminates at the cavoatrial junction.
history: <unk>f with dyspnea, w/ history of bronchopulm dysplasia, increased productive cough // acute cardiopulm disease
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the cardiac silhouette is enlarged. again noted are widespread, primarily reticular opacities with basal predominance, not significantly changed since the prior examination. no definite consolidation, large pleural effusion, or pneumothorax is identified.
<unk> year old man with vasculitis and possible pulmonary involvement vs. incidental ipf. feeling much better on immunosuppression, but dlco decreased significantly from <unk>% to <unk>% predicted. // any change in ild or superimposed infiltrate/edema
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mild cardiomegaly is a stable. the aorta is tortuous as before. the lungs are hyperinflated. opacities in the lingula are likely atelectasis. there are moderate degenerative changes in the thoracic spine. right healed fractures are unchanged. surgical clips projecting in the right upper quadrant are unchanged
<unk> year old woman with cough x <num> weeks. // any pulmonary pathology?
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no focal opacity to suggest pneumonia is seen. unchanged blunting of the costophrenic angles could indicate small pleural effusions or pleural thickening. no pneumothorax or pulmonary edema is present. there is chronic, linear atelectatic scarring in the left mid-thorax. the heart size is within normal limits.
fever.
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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 and sob
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left-sided port-a-cath tip terminates in the mid svc. heart size is normal. mediastinal and hilar contours are unremarkable. pulmonary vasculature is not engorged. lungs are clear. no pleural effusion or pneumothorax is present. mild degenerative changes are noted in the lower thoracic spine.
history: <unk>m with fevers for the past two weeks, likely due to ascending cholangitis, but need to rule out pneumonia // please assess for pneumonia as part of fever workup
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portable upright chest radiograph <unk> at <time>
<unk> year old woman with acute sob after ivf // ?worsening edema ?worsening edema
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pa and lateral views of the chest <unk> at <time> are submitted.
<unk> year old man with s/p cabg // eval for effusion or infiltrate eval for effusion or infiltrate
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interval removal of a left central venous catheter. the tip of a nasogastric tube extends into the stomach. interval development of left basilar opacities which may reflect atelectasis or pneumonia. a small left pleural effusion is also suspected. no pneumothorax is identified. the size and appearance of the cardiomediastinal silhouette is unchanged. enteric contrast material projects over the splenic flexure and descending colon. partially evaluated lumbar spinal hardware is noted.
<unk> year old woman with large r mca stroke, dysarthria, relies on tube feeds // ? ng tube placement
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a right internal jugular tunneled dialysis catheter and a left internal jugular vascular catheter are unchanged in position when compared to the prior study, the left-sided access catheter terminates at the junction of the <num> brachiocephalic veins. there is new elevation of the right hemi diaphragm. there is prominence of the bilateral hila with bilateral patchy airspace opacities. this likely reflects pulmonary edema although infection cannot be excluded, a more confluent area of consolidation in the left upper lobe is suspicious for consolidation.
<unk>f with dm and esrd with prior rtpx presenting with sepsis, s/p large debridement of l buttock gangrene <unk>, now s/p debridement and diverting colostomy <unk> now w/ recurrent fevers // intrapulmonary process?
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right-sided port-a-cath is seen, placed in the interval, terminating in the mid svc without evidence of pneumothorax. there has been interval significant decrease in right mediastinal mass. no focal consolidation is seen. there is no pleural effusion or pneumothorax. the cardiac silhouette is normal in size.
history: <unk>f with cough // pna?
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portable semi-upright radiograph of the chest demonstrates low lung volumes with associated bronchovascular crowding. there is slight increase in plate-like atelectasis at the right lung base. moderate cardiomegaly is unchanged. the patient is status post cabg. possible slight improvement in left basilar opacity may be due to positioning of the patient.
<unk>-year-old female with acute shortness of breath and chest pain. evaluate for pulmonary edema.
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cardiac silhouette size is mild to moderately enlarged. mediastinal contours unremarkable. there is mild interstitial pulmonary edema. a moderate left pleural effusion is noted along with left basilar opacification, potentially atelectasis, but infection is not excluded. a trace right pleural effusion is also likely present. no pneumothorax is visualized. there are no acute osseous abnormalities.
history: <unk>f with shortness of breath// eval for pulmonary edema, pneumonia
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compared with the prior film, an ng tube has been placed. the tip and side port lie distal to the ge junction, over the expected location of the stomach. otherwise, i doubt significant interval change. there are low inspiratory volumes, with bibasilar atelectasis.
<unk> year old man with sp shock // ngt
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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.
weakness and chills.