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pa and lateral views of the chest provided. stable elevation of the left hemidiaphragm noted. there is mild interstitial pulmonary edema. no large effusion or pneumothorax. no convincing signs of pneumonia. heart size appears grossly stable. mediastinal contour appears normal. no acute bony abnormality. acute kyphotic angulation at the thoracolumbar junction with a chronic compression deformity at t<num> again noted. right shoulder prosthesis again noted.
<unk>f with left lower lobe crackles // pna?
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right basilar chest tube has been removed in the interval with a small to moderate size right pleural effusion appearing increased in size compared to the most recent radiograph. a component of this pleural effusion appears to be loculated laterally. small left pleural effusion also has increased in the interval. new rounded opacities are seen along the periphery of the right mid lung field measuring up to <num> mm wide. bibasilar airspace opacities likely reflect areas of compressive atelectasis. moderate size hiatal hernia is again noted. the cardiac and mediastinal contours otherwise appear unchanged. no pulmonary vascular congestion is demonstrated. scarring is noted in the lung apices. no pneumothorax is seen. there are no acute osseous abnormalities identified.
history: <unk>f with dyspnea x <num>days
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pa and lateral chest radiographs were provided. lung volumes are low. there is no focal consolidation, pleural effusions, or pneumothorax. enlarged appearance of the heart may be due to low lung volumes. the bones are intact.
<unk>-year-old woman with new o<num> requirement, question pneumonia, atelectasis, or effusion.
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compared to the prior chest radiograph of <unk>, a right apical and inferolateral pneumothorax has increased and is now moderate in size. new right lung opacities consistent with atelectasis. multiple bilateral pulmonary nodules are noted. there are linear opacities in the left lung base which likely represent mild atelectasis. the cardiac and mediastinal contours are stable.
<unk> year old man with pneumothorax s/p pleurodesis prolonged hospitalization and persistent (? sl larger on last cxr <unk>; cough and sob persist since, limiting his activity. // ? increase in pneumothorax,? persists? ? change in cxr i
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pa and lateral views of the chest provided. the lungs appear clear. there may be minimal atelectasis in the left lower lung. no large effusion or pneumothorax is seen. the cardiomediastinal silhouette is stable. no radiopaque foreign body is seen. no free air below the right hemidiaphragm. bony structures are intact. dish related changes of the thoracic spine again noted.
<unk> year old man with recent gi bleed and capsule study, with retained capsule. // ? location of retained capusle
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patient with known left lower lobe mass, as better seen on recent prior ct. mild right base atelectasis is seen without definite focal consolidation. no large pleural effusion. no evidence of pneumothorax. the cardiac and mediastinal silhouettes are stable.
history: <unk>f with cough immune compromise // acute cardiopulm disease
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the heart size is normal. mediastinal and hilar contours are unremarkable. lungs are clear and the pulmonary vascularity is normal. no pleural effusion or pneumothorax is seen. no acute osseous abnormalities are present.
cough, shortness of breath, flu-like symptoms.
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the heart is at the upper limits of normal size. the mediastinal and hilar contours appear within normal limits. there is no pleural effusion or pneumothorax. the lungs appear clear aside from streaky lingular opacity most consistent with atelectasis. bony structures are unremarkable.
fever.
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the cardiomediastinal and hilar contours are within normal limits. there is no pleural effusion or pneumothorax. the lungs are well expanded with left base atelectasis. multiple displaced rib fractures are noted on the left posterior lateral ribs including ribs <unk>. additional rib fractures seen on concurrent ct are not well seen by radiography.
history: <unk>f with fall from standing onto left side with pleuritic chest pain, rib tenderness and shallow breathing // fx, ptx
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there is mild pulmonary edema without focal consolidation. a small right pleural effusion is new since prior study. the heart remains markedly enlarged. surgical clips and median sternotomy wires are noted. there is no pneumothorax.
<unk>-year-old man with dyspnea, evaluate for pulmonary edema.
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no significant interval change. multiple bilateral regions of focal opacification, worse on the right, are minimally changed from the prior exam. background chronic scarring and emphysema. cardiomediastinal silhouette is unchanged. the right internal jugular venous catheter ends in the mid svc, unchanged. ett in standard position. nasogastric tube courses along the midline but distally is not visualized on this image. bilateral pleural effusions are unchanged.
<unk> year old man with pna // interval change?
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ap and lateral views of the chest. the lungs are clear of focal consolidation. nodular opacity over the right lung base is most compatible with a nipple shadow. the cardiomediastinal silhouette is within normal limits. there is no effusion. no acute osseous abnormalities.
<unk>-year-old female with rhonchi. question pneumonia or edema.
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patient is status post median sternotomy and cabg. <num> battery pack is seen overlying the left lower chest. cardiac and mediastinal silhouettes are stable. right base opacity is stable, possibly atelectasis although underlying infection not excluded. interval removal of right-sided chest tube. no pneumothorax is appreciated on the current study.
<unk> year old man s/p chest tube pull, r/o pneumothorax // <unk> year old man s/p chest tube pull, r/o pneumothorax
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the lungs are well inflated and free of consolidation. the heart is not enlarged. the osseous structures are normal for age. picc line terminates in the svc.
<unk> year old woman with picc line in place // verify appropriate placing of picc line
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since <unk>, right basilar atelectasis is increased. ill-defined focal opacity in the left mid lung, corresponding to known cavitary mass, is unchanged with retrocardiac and basilar atelectasis. a superimposed pneumonia cannot be excluded in the right clinical setting. the heart size is normal. no pneumothorax.
<unk> year old man with scc lung cancer, s/p ebus ln staging. // r/o ptx.
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frontal and lateral radiographs of the chest demonstrate normal heart size. the mediastinal and hilar contours are normal. no pleural effusion or pneumothorax. clear lungs.
acute liver injury and abdominal pain. concern for infectious process as trigger. evaluate for intrapulmonary process.
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frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and hyperinflated lung volumes. there is no focal opacity, pneumothorax, or pleural effusion. pes excavatum is noted.
hyponatremia. evaluate for acute process.
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a retrocardiac opacity which appears to localize to the left lower lobe is noted, corresponding with patient's known left lower lobe mass. there is an associated, small, left pleural effusion, similar appearance to the patient's prior pet-ct examination. the remainder of the lung parenchyma is grossly clear, without focal consolidation, pneumothorax or pulmonary edema identified. the heart size is normal. the mediastinal and hilar contours are normal.
metastatic breast cancer, now with dyspnea on exertion and wheezing.
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in comparison to radiograph from <unk>, the cardiomediastinal silhouettes are stable, within normal limits. the bilateral hila are unremarkable. the lungs are clear. there is no pulmonary vascular congestion. there is no pneumothorax or pleural effusion.
a <unk>-year-old man with dyspnea, evaluate for pulmonary edema or pneumonia.
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endotracheal tube tip terminates approximately <num> cm from the carina. an enteric tube courses through the stomach with side port in the stomach, and tip off the inferior borders of the film. right sided central venous catheter tip terminates in the proximal right atrium. heart size is normal. the aorta is diffusely calcified. mediastinal and hilar contours are otherwise within normal limits. lungs are hyperinflated with severe upper lobe predominant emphysematous changes, more pronounced in the right lung than on the left. <num> mm nodular opacity projecting over the right mid lung field is present. patchy opacities in the lung bases may reflect atelectasis. no focal consolidation, pleural effusion or pneumothorax is detected. no acute osseous abnormality is seen.
history: <unk>f with intubation // eval for ett
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lungs are well-expanded and clear. heart is mildly enlarged. hilar contours are unremarkable. there is no evidence of widening of the mediastinum. no pneumothorax, pleural effusion, or consolidation. no acute displaced rib fractures.
<unk>f w/chest pain, please eval for mediastinal widening, occult ptx, occult pna // <unk>f w/chest pain, please eval for mediastinal widening, occult ptx, occult pna
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the heart size is normal. the hilar and mediastinal contours are normal. the lungs are clear without evidence of focal consolidations concerning for pneumonia. there is no pleural effusion or pneumothorax. the visualized osseous structures are unremarkable.
history of shortness of breath and dyspnea on exertion. please evaluate for acute intrathoracic abnormalities.
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the lungs are fully expanded and clear. cardiomediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. visualized osseous structures are normal.
<unk>-year-old woman with chest pain .
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pa and lateral views of the chest. no focal consolidation, pleural effusion, or pneumothorax. the cardiomediastinal contours are normal.
right-sided chest pain.
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frontal and lateral views of the chest demonstrate post-operative changes of right-sided thoracotomy and lobectomy with stable architectural distortion. a focal right hilar density appears more pronounced as compared to <unk> but similar as compared to <unk>, which may be in part related to rightward patient rotation. there is no additional opacity in the lung. there is no pneumothorax, vascular congestion, or large effusion. cardiomediastinal silhouette is within normal limits and stable.
<unk>-year-old male with left lower extremity weakness. question pneumonia.
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the heart size is normal. the hilar and mediastinal contours are normal. the lungs are clear without evidence of focal consolidations concerning for pneumonia. unchanged appearance of the paraspinal mediastinal clips.
history of severe abdominal pain. please evaluate for intra-abdominal free air.
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the left pleural effusion has increased significantly. underlying consolidation due to atelectasis or possible pneumonia cannot be ruled out. multiple left lung masses best seen on previous chest radiograph and ct are faintly visible, partially obscured by the pleural effusion, unchanged. the right hilar mass is unchanged. the right lung is otherwise clear. no pneumothorax. cardiomediastinal silhouette is unchanged.
<unk> year old man with left pleural effusion // progression of disease
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there are bibasilar airspace opacities new compared to the prior study. left lower lobe atelectasis also noted however the appearances are suspicious for aspiration. there is prominence of the pulmonary vasculature which appears hazy consistent with a degree of congestive heart failure. the projection precludes assessment of the heart size however prominence of the hila suggest a degree of congestive heart failure. probable small left pleural effusion. no pneumothorax seen.
<unk> year old woman l basal ganglia hematoma, extending to ventricle // r/o aspiration pna
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pa and lateral views of the chest provided. lung volumes are low limiting assessment. subtle retrocardiac opacity may be compatible with atelectasis versus an early left lower lobe pneumonia. please correlate clinically. no large effusion or pneumothorax. cardiomediastinal silhouette appears normal. no free air below the right hemidiaphragm. bony structures are intact.
<unk>m with alcoholic cirrhosis, abd distension and sob
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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. an old right rib deformities noted.
<unk>m with hypotension during anesthesia for colonoscopy and lbbb on ekg sent over for further evaluation
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right-sided picc is seen, terminating in the mid to lower svc without evidence of pneumothorax. no focal consolidation, pleural effusion, evidence of pneumothorax is seen. there has been interval resolution of previously seen left lower lobe pneumonia. the cardiac and mediastinal silhouettes are unremarkable.
history: <unk>m with picc placed at osh, wish to confirm placement for infusion // picc placement
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the lung volumes are low, accentuating the lung markings and the mediastinal silhouette. moderate cardiomegaly is likely stable. there is bibasilar atelectasis, though underlying infectious process cannot be excluded. no pleural effusion or pneumothorax is seen. osseous structures are grossly unremarkable.
history: <unk>m with left chest wall pain and hypoxia after a fall // eval ptx, rib fractures or other acute process.
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the cardiac, mediastinal and hilar contours appear unchanged including cardiac enlargement. there has been marked increase in a right-sided pleural effusion, which is now very large. although there is probably coinciding atelectasis of much or all of the right lower lobe, as well as the right middle lobe, there is also leftward shift of mediastinal structures that has increased. there is no pleural effusion on the left.
altered mental status.
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ap view of the chest. right lower lobe consolidation is unchanged. mild-to-moderate pulmonary edema is unchanged. no large pleural effusion. cardiomediastinal and hilar contours are stable. no pneumothorax.
copd and chf. evaluate for change.
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cardiomediastinal silhouette is normal. there is no focal lung consolidation. there is no pleural effusion or pneumothorax. there is no pulmonary edema.
<unk>f with right sided facial and body stiffness,, evaluate for pneumonia or edema.
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the cardiomediastinal and hilar contours are stable with mild unfolding of the descending thoracic aorta. there is no pleural effusion or pneumothorax. the lungs are well expanded and clear without new focal consolidation concerning for pneumonia. a small calcified granuloma is again noted at the right lung base. a surgical clip is noted in the right upper quadrant. chronic changes of the right shoulder are again noted.
dizziness, rule out pneumonia.
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the lung volumes are low. as compared to the prior examination, there has been an interval increase in the degree of prominence of the interstitial markings, compatible with an acute on chronic process. there is no lobar consolidation, pleural effusion or pneumothorax identified. the patient is status post cabg and sternotomy wires are intact and well aligned. chronic, mild cardiomegaly is present.
dyspnea and cough.
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portable ap chest film <unk> at <time> is submitted.
<unk> year old woman with prolonged intubation // comparison comparison
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pa and lateral from chest radiograph. there is stable appearance of the heart, hilar and mediastinal contours. there is unchanged bilateral apical capping and hyperinflation of lungs with flattening of the diaphragms. there is a vague opacity over the left mid lung peripherally as well as other smaller nodular opacities these may represent the nodules seen on ct from <unk>. recommend further evaluation with nonemergent chest ct.
chest pain.
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the cardiac silhouette is mildly enlarged. mediastinal contours are unremarkable. hilar contours are stable. no focal consolidation is seen. no pleural effusion or pneumothorax. multiple surgical clips are seen overlying the left hemi thorax.
history: <unk>f with cp // evidence of infection
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et tube has been removed. the enteric tube ends in the stomach. a left-sided chest tube is in place. multiple left-sided rib fractures are again seen. there is decrease in bilateral parenchymal opacities, likely a combination of atelectasis and possibly aspiration. no evidence of pneumothorax. no pleural effusion. the cardiomediastinal and hilar contours are stable.
status post mcc with hemodynamic instability, splenic flexure, rib fractures. evaluate for progression.
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patient is status post median sternotomy and prosthetic aortic valve placement. heart size is moderately enlarged. the aorta is tortuous, dilated, and diffusely calcified. pulmonary vasculature is not engorged. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is present. no acute osseous abnormalities demonstrated. there are moderate multilevel degenerative changes in the imaged thoracolumbar spine with levo scoliosis. multiple clips are noted projecting over the right second posterolateral rib.
history: <unk>f with altered mental status
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frontal radiograph of the chest demonstrate upper limits of normal heart size. ett ends <num> cm above the carina. enteric tube passes below the diaphragm and out of the field of view. clear lungs, no pleural effusion or pneumothorax.
intubated, evaluate et tube placement.
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. no pulmonary edema is seen. .
<unk> year old man with fever // chr vs pna
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the heart is mildly enlarged. there is a dual lead pacemaker/icd device that appears unchanged. the mediastinal and hilar contours appear similar. the aortic arch is again calcified. there is mild relative elevation of the anterior right hemidiaphragm, as seen previously and suggesting a small eventration. patchy basilar opacities suggest minor atelectasis or scarring and appear unchanged. in addition, there is a vague retrocardiac opacity with increased density which potentially indicates early infection. there is no pleural effusion or pneumothorax.
syncope and weakness.
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the heart size is within normal limits. the mediastinal contours are normal. the lung volumes are low, which show no consolidation. there is no large pleural effusion or pneumothorax. clips in the neck from prior thyroid surgery are unchanged.
<unk>-year-old male with tachypnea and recent knee replacement.
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pa and lateral views of the chest provided. lungs are hyperinflated and lucent compatible with known emphysema. no focal consolidation, large effusion or pneumothorax. no signs of edema or central vascular congestion. bony structures appear intact though somewhat demineralized.
<unk>f with sob // edema? infiltrate?
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an endotracheal tube is noted terminating approximately <num> cm above the level of the carina. a nasogastric tube is coiled within the stomach. a left-sided pectoral pacemaker is seen with <num> intracardiac leads. the lungs are grossly clear without evidence of lobar consolidation, pleural effusion, or pneumothorax. moderate cardiomegaly is noted. the cardiomediastinal silhouette is within normal limits.
history: <unk>m with tx intubated*** warning *** multiple patients with same last name! // eval tube placement
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pa and lateral views of the chest provided. right port-a-cath ends at the mid svc. surgical clips in the right upper quadrant are unchanged. a subtle retrocardiac opacity could represent early infection. no pneumothorax. hilar and cardiomediastinal contours are normal.
<unk>f with chronic abdominal pain, cad s/p mi, itp on prednisone p/w partial sbo on ct // eval pneumo
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no pleural effusion or pneumothorax is seen. mild basilar atelectasis is seen without definite focal consolidation. cardiac silhouette is top-normal in size. mediastinal contours are unremarkable. the hilar contours are unremarkable. no pulmonary edema is seen.
history: <unk>f with dyspnea, chest pain, pregnancy // eval for acute process, attn to pna
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ap upright and lateral views of the chest provided. streaky bandlike lower lung opacities most compatible with atelectasis. no convincing evidence for pneumonia, edema, effusion or pneumothorax. the cardiomediastinal silhouette appears normal. bony structures are intact.
<unk>f with preop cxr
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the cardiomediastinal silhouette is normal. there is no pleural effusion or pneumothorax. the lungs are fully expanded without focal consolidation. views of the upper abdomen are unremarkable. vascular treatment coils within the upper abdomen are again noted. an <num> x <num> mm irregular opacity projecting over the right first rib anteriorly is sclerosis of the costal sternal as documented by the chest cta performed subsequently, available the time of this final review.
<unk>m with chest pain and cough, evaluate for pneumonia..
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ett tube in standard placement. the newly placed og tube crosses the diaphragm and terminates in the expected region of the stomach in the left upper quadrant. persistent left lower lung collapse with silhouetting of the left hemidiaphragm, unchanged. no focal consolidation, pulmonary edema, or pneumothorax. minimal streaky densities, most likely subsegmental atelectasis, in the right infrahilar region.
<unk>-year-old man status post cardiac arrest; evaluate og tube placement.
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frontal and lateral chest radiographs demonstrate mild cardiomegaly. the lungs are again hyperinflated, related to known emphysema. bibasilar atelectasis is again noted, right greater than left. there is no focal consolidation or appreciable pleural effusion or pneumothorax. there may be borderline heart failure. the visualized upper abdomen is unremarkable.
difficulty breathing in a patient with recent fall and head strike.
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there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal silhouette normal. osseous structures are intact.
syncope, infection.
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normal heart size. note is made of pectus deformity which causes apparent obscuration of the right heart border. no focal consolidation, pleural effusion or pneumothorax. surgical clips are seen in the bilateral breasts.
<unk>f r/o pna // <unk>f r/o pna
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pa and lateral chest radiographs. there is no focal consolidation, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is normal.
fever.
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an endovascular stent graft is seen within the descending thoracic aorta. the lungs are well expanded and clear. the cardiomediastinal silhouette is unremarkable. no pleural effusion, pulmonary edema or pneumothorax is present.
cardiomegaly.
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cardiac silhouette size is normal. the aorta is mildly tortuous. the mediastinal and hilar contours are unremarkable. pulmonary vasculature is not engorged. mild emphysematous changes are present without focal consolidation, pleural effusion or pneumothorax. multiple bilateral rib fractures are noted, more so on the right left, better seen on the previous ct.
history: <unk>f with rib fractures
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right hilar and perihilar opacification appears unchanged and suggests a site of treated malignancy. the cardiac, mediastinal and hilar contours appear unchanged. the lungs appear otherwise clear. there are no pleural effusions or pneumothorax.
altered mental status and tachycardia; known history of lung cancer.
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et tube, left subclavian central line and ng tube remain in unchanged satisfactory position. compared with most recent prior radiograph, there are lower lung volumes and as a consequence, a general increase in lung density. in addition, a new consolidation seen in the left lung base is likely atelectasis. heart size is unchanged. the mediastinal contours are stable. small bilateral pleural effusions are unchanged. no pneumothorax.
ards, gpc bacteremia, evaluate for infiltrate.
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left-sided dual-chamber pacemaker device is re- demonstrated with leads terminating in the right atrium right ventricle. the patient is status post right upper lobectomy with expected fluid overlying the right apex. cardiac, mediastinal and hilar contours are unchanged. patchy opacities within the right perihilar region, right lung base, and left lung base are unchanged from the exam earlier today, but not clearly evident on the prior ct exam from <unk>. there is no pulmonary edema. small bilateral pleural effusions are noted. no pneumothorax is identified.
history of lung cancer status post right upper lobectomy in <unk> with low ejection fraction now with cough and dyspnea.
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the lungs are well expanded. the previously seen pulmonary edema has resolved since prior exam. patchy opacities are seen in the lung bases, which likely represent atelectasis, but infection cannot be excluded. scarring is seen in the left lung apex. there is a partially loculated small right pleural effusion, which is slightly improved in interval. there is a trace left pleural effusion, unchanged from prior exam. the cardiomediastinal silhouette is enlarged, unchanged from prior exam. the aorta is noted to be tortuous. there is a right-sided basilar chest tube in unchanged position from prior exam. median sternotomy wires and cabg clips are noted in the chest.
history of chf, now with dyspnea.
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pa and lateral chest radiograph demonstrates stable heart size and mediastinal contours. no focal consolidation is identified. there is no pleural effusion or pneumothorax. osseous structures demonstrate no acute abnormality.
<unk>-year-old female with sudden onset of dyspnea.
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shallow inspiration. central line in place with tip in the right atrium, stable. minimal bibasilar opacities, likely atelectasis, more prominent since prior. no pleural effusions. shallow inspiration accentuates heart size, pulmonary vascularity. no pneumothorax.
<unk> year old woman with non-healing lle wound and abi's suggestive of pad scheduled for angio <unk> // pre angio cxr
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right-sided port-a-cath tip terminates in the upper svc. there is mild enlargement of the cardiac silhouette. the aorta is unfolded and a small hiatal hernia is present. the pulmonary vasculature is normal. hilar contours are unremarkable. patchy opacity in the left lower lobe is nonspecific, and could reflect an area of atelectasis though infection or aspiration cannot be excluded. small left pleural effusion is present. there is no pneumothorax. mild degenerative changes are noted in the imaged thoracic spine as well as within both ac joints.
history: <unk>m with epigastric pain
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transsubclavian atrio-biventricular icd leads run from the left pectoral power pack with to the right atrial appendage, right ventricular apex and surface of the left ventricle, respectively. the lungs are clear and the pleural surfaces are normal. heart size is top normal with normal mediastinal contour and hila.
<unk>-year-old female, status post biventricular icd placement. assess lead placement.
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a left-sided port-a-cath tip terminates at the lower svc. the heart size is within normal limits. the mediastinal and hilar contours are normal. the lungs are clear of lobar consolidation with plate-like atelectasis or scarring along the major fissure than in the lower lateral lung zones bilaterally. blunting of the right costophrenic angle likely represents a small-to-moderate pleural fluid versus thickening. there is no pneumothorax. there is no change from prior exams.
<unk>-year-old male with hyperglycemia and altered mental status.
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relatively linear opacity identified at the medial right lung base. the lungs are otherwise clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>f with chest pain, shortness of breath, productive cough. <unk> wks pregnant. // eval 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 intermittent chest pain for few months
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the cardiac, mediastinal and hilar contours appear within normal limits. the heart is normal in size. there is no pleural effusion or pneumothorax. the lungs appear clear.
chest pain. question pneumonia.
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multifocal lymphadenopathy is present, most marked in the right hilar and subcarinal regions and likely also involving the mediastinum and left hilum to a lesser degree. the lungs are mildly hyperexpanded and are clear. the heart size is normal. small left pleural effusion is likely.
<unk> year old man with cough and green sputum. evaluate for pneumonia.
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pa and lateral views of the chest provided. lungs are hyperinflated. 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> year old man with chest pain.
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there has been interval removal of the left-sided pleural drainage catheter. no pneumothorax remains. overall, lung volumes are low. the cardiomediastinal and hilar contours are unchanged.
<unk> year old man with l ptx s/p pigtail placement, now s/p chest tube pull // interval change s/p chest tube pull, please evaluate; please perform at <time> pm
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patchy right middle lobe and lower lobe opacities are worrisome for multifocal pneumonia. no large pleural effusion is seen, but trace pleural effusion is difficult to exclude. no pneumothorax is seen. the cardiac and mediastinal silhouettes are stable.
history: <unk>f with hypoxia // eval for pna
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cardiomegaly and an unfolded aorta are again seen. hilar contours are stable. there are linear opacities at both lung bases, slightly more conspicuous on the left than on the <unk> chest radiographs. there is mild blunting of the bilateral posterior costophrenic sulci, similar to prior radiographs. there is no pneumothorax. mild loss of height in several mid thoracic vertebral bodies is unchanged. ossification of the anterior longitudinal ligament and small anterior endplate osteophytes are again seen in the thoracic spine. the ribs are not well penetrated on chest radiography, as expected, and the inferior ribs are not fully imaged. no displaced rib fracture is definitively identified.
history: <unk>m s/p fall <num> days ago and on coumadin. assess for rib fracture.
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the lungs are hyperinflated.there is a moderate left-sided pleural effusion, decreased in size from prior. an underlying consolidation is not excluded. a right lower lobe round opacity measuring <num> cm is compatible with previously identified metastasis. right lower lung field linear opacities may represent atelectasis or scarring. the cardiac and mediastinal silhouettes are unremarkable.
<unk>f with cough, on chemo. evaluate for pneumonia
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. surgical clips are seen overlying the upper abdomen on lateral view.
<unk>f with lle edema, cough, sob. //
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there are new trace bilateral pleural effusions. there is unchanged the hyperexpansion of both lungs with prominent interstitial markings and diffuse calcified and noncalcified miliary nodules. left clavicular plate and screws.
<unk> year old woman with acute hypoxemic respiratory failure with atypical pattern // please assess for changes in pneumonia. ?aspergillus
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the cardiac silhouette size is normal. the aorta is tortuous. the mediastinal and hilar contours are unremarkable. there is eventration of the right hemidiaphragm. lungs are clear. no pleural effusion or pneumothorax is seen. there are mild degenerative changes in the thoracic spine.
feeling ill for <num> month.
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a single frontal portable radiograph of the chest was acquired. there is re-demonstration of a left-sided pacemaker with biventricular leads. midline sternotomy wires are again noted, with surgical clips suggestive of prior cabg. an abandoned right-sided pacer lead is again noted. heterogeneous left lower lung opacities are slightly increased compared to the prior study from <unk>, likely atelectasis. there is minimal right basilar atelectasis. moderate-to-severe cardiomegaly is not significantly changed. there is mild pulmonary vascular congestion. the mediastinal contours are not significantly changed. there are no definite pleural effusions. no pneumothorax is seen.
shortness of breath and leukocytosis. attempt pa and lateral to evaluate for pneumonia.
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the right ij cordis is unchanged. massive cardiomegaly is again seen. there is elevated right hemidiaphragm right lower lobe infiltrate and right pleural effusion that is increased compared to the prior study. there is also small left effusion and volume loss in the left lower lobe there is mild pulmonary vascular redistribution
<unk> year old woman s/p cabg // eval for effusion
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port-a-cath ends at mid svc. very minimal right lung base atelectasis is present. there are no lung opacities concerning for pneumonia. there is no pleural effusion. heart size, mediastinal and hilar contours are normal.
to rule out pneumonia.
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ap and lateral views of the chest. the lungs are clear of focal consolidation or effusion or pulmonary vascular congestion. the cardiomediastinal silhouette is within normal limits for technique. post-traumatic changes seen at the distal right clavicle and at the right humeral head as well.
<unk>-year-old female with nausea and diaphoresis.
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lung volumes are low leading to crowding of the bronchovascular structures. the lungs are otherwise clear without focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the patient is status post midline sternotomy with multiple sternotomy wires midline and intact. the heart is normal in size.
<unk>m with cva // assess for pna
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the lung volumes are decreased, leading to crowding of the bronchovascular structures. there are increasingly prominant, patchy opacities in the right lower lobe, which may represent atlectasis versus pneumonia. redemonstrated is moderate cardiomegaly with small bilateral pleural effusions. mild peripheral emphysema with adjacent scaring is most prominant in the right upper lobe. minimal left lower lobe atelectasis is noted. there is no pneumothorax or overt pulmonary edema. mediastinal and hilar contours are stable.
persistent shortness of breath.
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compare to <unk>, there is no significant change. mildly increased opacity in the right lower lobe is likely due to atelectasis. tortuous thoracic aorta is again seen. the heart size is unchanged. the mediastinal and hilar contours are unchanged.
<unk> year old man with fever, leukocytosis, cough. evaluate for pneumonia.
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endotracheal tube tip terminates approximately <num> cm from the carina. an orogastric tube tip is proximal to the gastroesophageal junction and side port is within the distal esophagus. cardiac, mediastinal and hilar contours are normal. pulmonary vasculature is not engorged. no focal consolidation, large pleural effusion or pneumothorax is identified. mild curvature of the lower thoracic spine to the right is demonstrated with mild degenerative changes.
history: <unk>f with intubated transfer
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cardiomediastinal contours are stable with cardiac size top-normal. the lungs are clear. there is no pneumothorax or pleural effusion. the osseous structures are unremarkable
<unk> year old woman with r upper chest discomfort with inspiration for many months, no cough // r/o lung mass
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there is a new dual-lead pacemaker/icd device with leads terminating in the right atrium and ventricle, respectively. otherwise, there has been no significant change. there is no pneumothorax. there is no evidence for pneumonia.
new ppm.
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pa and lateral views of the chest are compared to previous exam from <unk> and cta from <unk>. again seen are bilateral calcified pleural plaques. there is engorgement of the central pulmonary vasculature with mild indistinctness of the vessels. there is a left-sided pleural effusion which is small but slightly larger compared to previous exam. there is no significant right pleural effusion. increased density projecting over the posterior aspect of the heart on the lateral is view at least in part due to calcified pleural plaques seen on prior ct of the chest from <unk>. cardiac silhouette is enlarged, mildly increased compared to most recent prior. dual-lead pacing device is in stable position. osseous and soft tissue structures are unchanged.
<unk>-year-old man with chf who presents with worsening shortness of breath. question pulmonary edema.
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pa and lateral views of the chest are compared to previous exam from <unk>. the lungs are clear of focal consolidation. previously identified small effusions have resolved. there is no evidence of pulmonary vascular congestion. cardiomediastinal silhouette is within normal limits. no free air is seen below the diaphragm. osseous and soft tissue structures are unremarkable.
<unk>-year-old female with fever after colonoscopy.
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frontal and lateral views of the chest. on the lateral view, there is increased opacity projecting over the lower thoracic vertebral bodies which may localize to the right lung base on the frontal. superiorly, the lungs are clear. cardiac silhouette is enlarged but stable compared to prior. no acute osseous abnormalities identified.
<unk>-year-old man with lightheadedness. question pneumonia.
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compared to chest radiographs from <unk>, moderate left anterior loculated hydropneumothorax is minimally increased. lung volumes have improved. trace left apical pneumothorax persists. mild subcutaneous emphysema over the left lateral chest wall continues to decrease. opacity in the right lower lung has improved, likely atelectasis. worsening opacity at the left lung base, likely atelectasis, though infection cannot be definitively exclude
<unk> year old woman s/p lul // check interval change
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a right upper lobe opacity is consistent with pneumonia. there is a faint suggestion of a "finger in glove" appearence. indistinctness of the right heart border suggests an additional right middle lobe consolidation. no effusion, nodule, or pneumothorax is present. cardiac and mediastinal contours are normal. a <num> x <num>cm calcified structure projects over the liver.
<unk>-year-old woman with fever and cough for three days.
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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 uri symptoms, cough, back pain // eval for pneumonia
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. the lungs are clear. there is no evidence for pleural effusion or pneumothorax. the bony structures are unremarkable.
back pain. question pneumothorax.
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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 chest pain // eval for acute process
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ap and lateral views of the chest demonstrate the lungs are well expanded and clear. the heart size is top normal. otherwise cardiomediastinal silhouette is unremarkable. there is no evidence of pleural effusion, pulmonary edema, pneumothorax or focal consolidation concerning for pneumonia. air under the left hemidiaphragm is likely within the stomach, however, clinical correlation is recommended.
<unk>-year-old female with presyncope.
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heart size remains moderately enlarged. mediastinal and hilar contours are unchanged and within normal limits. the pulmonary vascularity is within normal limits. patchy retrocardiac opacity is re- demonstrated as seen on the recent ct, and appears improved compared to the prior exams likely reflective of improving pneumonia. no pleural effusion or pneumothorax is seen. minimal right basilar streaky opacity is compatible with atelectasis. no pneumothorax or pleural effusion is demonstrated. no acute osseous abnormalities are noted.
pneumonia seen in the lower lobe on recent ct.