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frontal and lateral views of the chest demonstrate normal lung volumes. no pleural effusion, focal consolidation, or pneumothorax is seen. hilar and mediastinal silhouettes are unremarkable. heart size is normal. there is no pulmonary edema. partially imaged upper abdomen is unremarkable. a round density projecting just inferior to distal left clavicle may be artifactual or represent soft tissue calcification.
patient status post fall.
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a nasoenteric feeding tube is seen passing through the esophagus into the distal stomach and out of the field-of-view. there is pulmonary vascular congestion with mild pulmonary edema. there is a left retrocardiac opacity, which may represent atelectasis with superimposed pneumonia. cardiomediastinal silhouette is slightly exaggerated by patient positioning and technique. cholecystectomy clips are seen in the right upper quadrant.
<unk> year old woman s/p left hemicraniectomy s/p ng tube placement // ngt placement
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initial portable supine chest radiograph demonstrates an endotracheal tube within the right mainstem bronchus. repeat ap radiograph through the chest demonstrates the distal tip of the endotracheal tube approximately <num> cm above the level of the carina. an enteric tube is identified descending the thorax in uncomplicated course, its tip which projects over the left upper quadrant in the presumed location of the gastric lumen. gas distended loop of transverse colon is identified projecting over the right upper quadrant. a port is identified, its catheter tip which projects over the anticipated location of the low superior vena cava. lung volumes are low with opacification at the left lung base likely secondary to partial collapse of the left lower lobe in the setting of right mainstem bronchus intubation. no focal consolidation convincing for pneumonia is seen. the heart border is obscured. there is no large pneumothorax. probable small left pleural effusion. osseous structures are without an acute abnormality.
history: <unk>f s/p intubation // eval ett placement
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. multiple rounded calcifications are noted projecting superior to the right mid clavicle, unchanged, potentially phleboliths.
history: <unk>f with ruq pain radiating to back // eval for acute process
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no focal consolidation or pulmonary edema is seen. cardiac silhouette is top normal. aortic knob is calcified. there is no pneumothorax or pleural effusion.
generalized weakness, concerning for pneumonia.
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<num> views of the chest: the right lung is well expanded and clear. the left lung shows persistent and worsening of left lower lobe opacification. the mediastinal silhouette is severely widening, unchanged. the hilar contours are normal. no pneumothorax is present.
rule out to pleural effusion. the right lobe <unk> aneurysm repair. previous pleural effusion.
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heart size and cardiomediastinal contours are stable. previously seen pulmonary edema has improved with residual pulmonary vascular congestion. no focal consolidation, atelectasis, or large pleural effusion.
history: <unk>f with several days respiratory sxs, recent pna <unk> x <num> day admission // eval ? pna, effusion
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ap portable upright view of the chest. lungs are hyperinflated and lucency suggesting underlying emphysema. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact.
history: <unk>f with syncope // eval for infiltrate
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there is stable periaortic opacity in the area of the surgery with adjacent left upper lung atelectasis. there has been interval increase in pulmonary edema. lung volumes are stable. there is no pneumothorax. <num> chest tubes are seen terminating within the left hemithorax. right lower lung atelectasis is seen. small-to-moderate right pleural effusion is unchanged. swan-ganz catheter is seen terminating within the right main pulmonary artery. endotracheal tube is in appropriate position terminating no less than <num> cm from the carina. an enteric tube is seen entering the stomach and out of the field of view.
<unk> y/o male intubated postoperative day <num> status post descending aorta repair.
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ett is <num> cm from the carina with the head tilted downwards. it could be pulled back <num> cm for a more secure position. new moderate pulmonary edema with bilateral pleural effusion, right moderate and left small .moderate cardiomegaly. no pneumothorax. increasing retrocardiac opacity can be atelectasis or edema.
<unk> year old man s/p cardiac arrest, ett placed during arrest // ett placement
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single portable view of the chest. the lungs are clear without focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is within normal limits.
<unk>-year-old male with chest pain radiating to the back.
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the endotracheal tube terminates approximately <num> cm above the carina. an enteric catheter courses inferiorly out of the field of view. bibasilar airspace opacities, are more prominent at the right base. in addition, there are likely air-bronchograms at the right base. cardiac and mediastinal contours are normal.
intubated patient.
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a left-sided subcutaneous aicd is noted, new in the interval, with lead projecting over the mediastinum, just to the left of midline. heart size is top normal. mediastinal and hilar contours are within normal limits. lungs are clear. pulmonary vasculature is normal. no pleural effusion or pneumothorax is seen. no acute osseus abnormalities are present.
history: <unk>m with chf, icd placement presents with chest pain // evaluation for cardiopulmonary process for chest pain
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there is persistent mild elevation of the left hemidiaphragm with overlying atelectasis. left basilar opacity is grossly similar compared to the prior study which could relate to chronic aspiration acute component not excluded, opacity may be slightly increased. . there is persistent minimal blunting of the left costophrenic angle. no pneumothorax is seen. cardiac and mediastinal silhouettes are stable.
history: <unk>m with upper thoracic back pain // acute cardiopulm disease
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moderate to severe cardiomegaly is re- demonstrated. the mediastinal and hilar contours are unchanged with a small hiatal hernia again noted. pulmonary vasculature is not engorged. linear opacities in the lung bases are compatible with areas of subsegmental atelectasis. no focal consolidation, pleural effusion or pneumothorax is present. a vp shunt catheter courses along the right anterior aspect of the chest. there are no acute osseous abnormalities.
history: <unk>f with left sided chest pain, recent admission to the hospital, + chills
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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.
shortness of breath.
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indeterminate nodule right lung apex, probably similar. follow-up chest ct recommended. mild bronchial wall thickening, stable. no consolidations. degenerative arthritis bilateral shoulders. remainder normal.
<unk> year old woman with copd and chest tightness // r/o pna
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frontal and lateral views of the chest. since prior, there has been interval resolution of the left lung opacities. the lungs are now grossly clear noting some persistent left basilar opacity laterally on the frontal view which could represent residual scarring. cardiomediastinal silhouette is unchanged. deformity of the lateral right clavicle may be due to interval fracture. , the timing of which is uncertain. osseous structures are otherwise unchanged.
<unk>-year-old male with cough and fever. shortness of breath.
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pa and lateral views of the chest provided. the lungs are hyperinflated and clear. 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 doe, palptiations // r/o pneumonia
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frontal and lateral radiographs of the chest demonstrate well-expanded clear lungs. the cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion, pneumothorax or consolidation.
<unk>-year-old man with bilateral choroiditis. evaluate for tb or sarcoid.
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there is improved aeration at the left lung base from the most recent prior study. small bilateral pleural effusions are slightly decreased and pulmonary vascular congestion is improved. there is no definitive evidence of pneumothorax. retrocardiac opacification is unchanged dating back to <unk>, but increased from <unk>. persistent right lower lobe opacification may represent atelectasis or pneumonia. enlargement of the cardiac silhouette and prominence of the mediastinum relating to an unfolded thoracic aorta are stable. the patient has been extubated from the most recent prior study. a humeral fixation plate with multiple screws in the right humeral head is partially imaged. right rib fractures are less well seen on today's study.
pedestrian struck by car with polytrauma, now with respiratory desaturation, here to evaluate for interval change.
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patient is status post median sternotomy and cabg. cardiac silhouette size is top normal with the left ventricular predominance. the aorta is calcified and mildly tortuous. mediastinal and hilar contours are otherwise unremarkable. pulmonary vasculature is not engorged. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is present. hypertrophic changes are seen throughout the thoracic spine.
history: <unk>m with chest tightness now resolved
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the cardiomediastinal and hilar contours are stable, with moderate calcification of the thoracic aorta. the lungs are clear without consolidation, pleural effusion or pneumothorax. mild bibasal atelectasis is seen.
<unk>-year-old woman with hyponatremia and confusion for the past two days.
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the lungs are unchanged. there is no pleural effusion, pneumothorax or focal airspace consolidation. the cardiac silhouette is mildly enlarged. the mediastinal, hilar and pleural structures are unremarkable. a left pectoral pacemaker is present with leads terminating in right atrium and right ventricle. there is no lead fracture.
progressive dyspnea on exertion. evaluate for parenchymal disease.
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there there are bilateral lower lobe airspace opacities. the lungs are otherwise clear. the hilar and cardiomediastinal contours are normal. there is no pneumothorax. there is no pleural effusion. pulmonary vascularity is normal.
<unk>-year-old man with cough and fever.
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endotracheal tube terminates approximately <num> cm above the level of the carina. enteric tube courses below the diaphragm, out of the field-of-view. left-sided aicd, triple lead, is stable in position. the patient is status post median sternotomy and cabg. the cardiac and mediastinal silhouettes are grossly stable, with moderate cardiomegaly. there is moderate to severe pulmonary edema. a right pleural effusion is likely present. no pneumothorax is seen.
history: <unk>m with s/p intubation // ett palcement
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the cardiomediastinal silhouette and pulmonary vasculature are unremarkable. the lungs are clear. there is no pleural effusion or pneumothorax. no rib fracture is identified.
history: <unk>f with chest pain // ?fracture
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no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. low lung volumes exaggerate heart size. the aorta is tortuous; mediastinal contours are otherwise within normal limits.
<unk>-year-old female with possible stroke.
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the tip of the left picc line now points upward along the right of the mediastinum, suggesting that it now terminates in either the azygous vein or right brachiocephalic vein. lung volumes are low. there is no evidence of pneumonia, pleural effusions or pneumothorax. cardiomediastinal silhouette is within normal limits. there is no pneumomediastinum.
<unk> w/ "excruciting heartburn", mild nausea s/p cystectomy s/p post-op ileus w/p picc for tpn // r/o acute process
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the has been interval improvement of the left retrocardiac opacity. there is no pleural effusion or pneumothorax. no new focal consolidations are identified. the heart size is top normal. the hilar and mediastinal contours are stable.
<unk>-year-old female with fever and cough x <num> week, who presents for evaluation of infiltrates.
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the right picc is unchanged with tip in the lower svc. there is a partially visualized esophageal stent. the pulmonary vasculature is normal. underlying emphysema. there is a persistent large round opacity in the lower left hemithorax, corresponding to the loculated effusion with adjacent atelectasis seen on prior ct. known hydropneumothorax component is better seen on the ct. note is also made of focal high density material adjacent to left heart border, possibly representing aspirated barium, more fully characterized on the ct as well. lungs are otherwise clear. no right pleural effusion. small left pleural effusion. no pneumothorax is seen. there are no acute osseous abnormalities.
<unk>f with worsening dyspnea, desaturation on room air. evaluate for interval lung changes.
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the patient is had median sternotomy with avr and mvr. the cardiac silhouette is severely enlarged and unchanged from <unk> study. a single chamber pacemaker is seen with the lead terminating in the right ventricle. vascular engorgement is limited to the hila. no focal consolidations, pleural effusions, or pulmonary edema are seen.
<unk> year old woman with cough and rhonchi // r/o pna
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previous right upper lobe pneumonia has resolved. a new nasogastric tube enters the stomach, however the side port is near the ge junction. blunting of the costophrenic angles is unchanged, and possibly due to small pleural effusions are pleural thickening. there is no pneumothorax. heart size is top-normal. new airspace opacification at the both lung bases may be due to atelectasis or aspiration. old healed left rib fractures are incidentally noted.
<unk>f with h/o breast ca presents with progressive abdominal distension over last <num> months with acute onset billious emesis over last <num> hours with new gastric outlet obstruction and porta hepatis mass // please assess ngt placement.
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there is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is within normal limits. pleural thickening of the left costophrenic angle and mild right diaphragmatic eventration are unchanged from multiple prior studies.
<unk>-year-old female with chest pain, evaluate for pneumothorax
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the patient has had prior median sternotomy. sternotomy wires are intact and aligned. all support devices, including et tube, feeding tube, and right ij central line remain in satisfactory position. a moderate layering left pleural effusion has increased. a small layering right pleural effusion is unchanged. there is no pneumothorax. there is stable elevation of the right hemidiaphragm.
<unk> year old woman with respiratory failure // interval change
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the et tube terminates approximately <num> mm above the carina. there is a right-sided pic line which terminates in the cavoatrial junction. there is an ng tube which extends below the diaphragm with the tip likely in the body of the stomach. the heart size is normal. there is mild pulmonary vascular congestion with mild bilateral pulmonary edema. note is made of worsening of mild bibasilar atelectasis, left greater than right. there is also increased consolidation of the right lung base, which could be secondary to aspiration. there is no large pleural effusion or pneumothorax.
history of debridement in the left leg. please assess for position of lines and et tube.
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lung volumes are low. previously visualized bilateral parenchymal opacities have improved. small bilateral pleural effusions likely persist. unchanged moderate cardiomegaly.
esrd and hypoxemia.
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pa and lateral images of the chest. the lungs well expanded and clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable.
chest pain.
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cardiac, mediastinal and hilar contours are normal. pulmonary vasculature is normal. there is minimal atelectasis in the left lung base. no focal consolidation, pleural effusion or pneumothorax is present. mild multilevel degenerative changes are noted throughout the thoracic spine.
history: <unk>f with dyspnea
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pa and lateral views of the chest demonstrate a persistent small apical pneumothorax on the left, not significantly changed since the prior study. no pneumothorax is identified on the right. there is mild left basilar atelectasis. the cardiomediastinal silhouette is unremarkable, and there is no evidence of tension. no displaced rib fractures are identified. there is no pleural effusion or focal airspace opacity.
<unk>-year-old man with known traumatic left pneumothorax.
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the lungs are hyperinflated but clear without consolidation, effusion, or edema. mild cardiomegaly is again noted as well as tortuosity of the descending thoracic aorta. calcific densities projecting inferior to the right coracoid process are likely intra-articular bodies, unchanged. degenerative changes are noted at the right shoulder.
<unk>m with chest tightness and cough // ?pneumonia
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ap and lateral views of the chest. the lungs are clear. there is no effusion or consolidation. cardiomediastinal silhouette is within normal limits for technique. no acute osseous abnormalities detected.
<unk>-year-old female with weakness.
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compared with <unk> at <time>, the right-sided chest tube is been removed. there does appear to a been development of a small right apical pneumothorax. otherwise, i doubt significant interval change.
<unk> year old man with mds <unk>/p vats for hypoxia, ggos, procedure complicated by small apical pneumothorax for which a chest tube was placed, chest tube d/c'ed at <unk> // <num> hrs s/p pulled chest tube for small apical pneumothorax s/p vats
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pa and lateral radiographs of the chest demonstrate clear lungs and normal hilar and cardiomediastinal contours. there is no pneumothorax or pleural effusion. the pulmonary vascularity is normal.
right-sided pleuritic chest pain.
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pa and lateral chest radiographs. obscuration of the right heart border is most likely due to atelectasis or chest wall deformity. there is no focal consolidation, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is normal.
chest pain.
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when compared to prior exam, there has been no significant interval change. right basilar opacity is compatible with pleural effusion with adjacent atelectasis noting that infection cannot be excluded. there is mild pulmonary edema. left chest wall dual lead pacing device is again noted. cardiac silhouette is difficult to assess but it appears at least moderately enlarged. atherosclerotic calcifications seen at the arch.
<unk>f with h/o chf and doe pna?chf exacerbation
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the endotracheal tube terminates <num> cm above the carina. a right picc line terminates in the low svc, unchanged. dobbhoff tube terminates in the stomach. compared with the prior radiograph, there has been an interval increase in the severity of the left pleural effusion, but the left lower lobe atelectasis has improved. no pneumothorax. residual bibasilar opacities could be due to aspiration or infection.
<unk> year old man with intubation. evaluate for acute interval change.
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pa and lateral views of the chest provided. hilar congestion is noted with mild interstitial edema. no large effusion or pneumothorax. no focal consolidation concerning for pneumonia. the heart is mildly enlarged. the mediastinal contour is stable. imaged osseous structures are intact.
<unk>m with fever, shortness of breath // eval heart and lungs
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bilateral streaky infiltrates worse in the upper lung fields are unchanged. lung volumes are low. left base streaky opacity, atelectasis vs pneumonia. no evidence of pleural effusion. cardiac and mediastinal silhouettes are stable.
history: <unk>f with ams // please eval for infiltrates
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no appreciable pneumothorax. linear opacities in the left lower lobe are likely atelectasis as well as the right lung base. no pleural effusions or pulmonary edema.
<unk> year old woman with asthma post bronchial thermoplasty // evaluate for pneumothorax
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there are linear bibasilar opacities suggestive of atelectasis versus scarring. the lungs are otherwise clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>f with ruq pain // eval for pna
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the cardiomediastinal and hilar contours are unchanged. a loculated right pleural effusion is unchanged in appearance from <unk>. extensive fibrotic right parenchymal changes and a perihilar right-sided mass are stable in appearance and better evaluated on ct from <unk>. there is subtly increased right infrahilar opacity compared to the prior radiograph. as before, there is mild hyperinflation of the left lung, not significantly changed. there is a small rounded lucency at the apex of the right lung suggesting a small pneumothorax.
history: <unk>m with hypoxia tachycardia and back pain in the setting of recent cancer l spien tenderness // eval for pe and compression fracture
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frontal and lateral views of the chest demonstrate transvenous pacer leads ending in the right atrium and right ventricle. there is no pneumothorax. mild cardiomegaly, vascular redistribution, and an enlarged right hilus is consistent with mild pulmonary edema.
<unk> year old woman s/p dual chamber ppm // confirm lead placement.
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there is no pleural effusion, pulmonary edema, pneumothorax, or focal consolidation. lungs are clear except for linear bibasilar atelectasis or scarring. the heart size is normal with prominent epicardial fat pads. mitral valve prosthesis is unchanged from prior studies. moderate to severe thoracic scoliosis is unchanged.
<unk>m with palpitations, evaluate for cardiomegaly.
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there is chronic blunting of the left lateral costophrenic angle potentially due to atelectasis or small effusion. there may be mild vascular congestion but without overt edema. linear left basilar opacity is likely atelectasis. cardiomediastinal silhouette is stable. no acute osseous abnormalities. peg tube projects over the abdomen.
<unk>f with confusion // eval infiltrate
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the lungs are clear without consolidation or edema. the mediastinum is unremarkable. the cardiac silhouette is top normal for size. no effusion or pneumothorax is noted. the osseous structures are unremarkable.
chest, back, and left shoulder pain.
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there are severe diffuse bilateral interstitial and alveolar opacities, with mild cardiomegaly, concerning for pulmonary edema in the setting of acute chf. bilateral pleural effusions are presumed, but not large. no pneumothorax identified.
<unk>m with shortnees of breath. transferred for acute chf.
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mild apparent cardiomegaly is likely exaggerated by ap technique interpretation anatomy, as there is borderline pectus excavatum. there is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. there is no displaced rib fracture. the sternomanubrial joint is obscured by overlying soft tissue structures, but the sternum and xiphoid process are within normal limits.
<unk>m with mvc, pain, evaluate for fracture.
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the cardiac silhouette is mildly to moderately enlarged. the mediastinal and hilar contours appear unremarkable. atherosclerotic calcifications seen at the aortic arch. the lungs are clear of consolidation. there is no pleural effusion or pneumothorax.
<unk>-year-old female with palpitations.
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hyperinflated lungs, vascular deficiency, and flattened right hemidiaphragm reflect emphysema. no focal consolidation is noted. no pleural effusion or pneumothorax is seen. the cardiac, hilar and mediastinal silhouettes are unremarkable. multiple healed left posterior rib fractures are again noted.
<unk> year old man former smoker with exertional dyspnea. // <unk> year old man former smoker with exertional dyspnea.
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pulmonary vascular markings are diffusely increased with prominent septal markings, suggestive of mild edema. no new focal consolidation is identified. chronic opacity at the left costophrenic angle is similar to prior and consistent with a combination of loculated effusion and atelectasis. rounded opacity projecting posteriorly over the thoracic spine is also similar to prior and consistent with round atelectasis. no pneumothorax. the heart is mildly enlarged. cardiomediastinal contours are otherwise unremarkable. chronic left clavicular and left rib fractures.
history: <unk>m with dyspnea, copd, cough, fell onto l-shoulder last night // evaluate for acute process
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the patient is status post median sternotomy and right lower lobectomy. heart size is top normal. aortic knob calcifications are re- demonstrated. mediastinal contours are unchanged. compared to the prior chest radiograph, the degree of diffuse right lung opacification has improved, with improved aeration particularly in the right upper lung field. emphysematous changes are again seen within the right apex. there is a small right pleural effusion. patchy opacities within the medial aspect of the left lung base are unchanged. no pneumothorax is identified. there is no pulmonary vascular engorgement.
history: <unk>m with history of lung cancer resection who presents shortness of breath and chest pain // eval for pna
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left ij central line stable. lung volumes are low compared to the prior radiograph. the previously identified right peribronchial consolidation has increased in density, likely secondary to new edema and vascular congestion. heart size and mediastinal contours are stable. no pleural effusion.
<unk> year old man with multiple sclerosis, neurogenic bladder, acute hypoxia <num>l with tachycardia to <num>s; tachycardia now resolved but continued o<num> requirement. elevated bnp, prior cxr without pulm edema // eval pulm edema
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portable ap chest radiograph. right-sided picc tip is at the cavoatrial junction. ng tube courses below the diaphragm and terminates outside the field of view. pulmonary vascular engorgement is slightly worse than on radiograph from three hours prior and the left heart border is less conspicuous. pleural effusions remain small. the heart size is stable. there is no pneumothorax.
decreased breath sounds. evaluation for pneumonia.
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as compared to <unk>, feeding tube has been removed. right-sided picc is at the cavoatrial junction. the lungs are clear. no pulmonary edema, effusions or pneumothorax. the cardiomediastinal contours are within normal limits.
<unk> year old man with anoxic brain injury now recovering but still with limited communication ability, p/w elevated temp and white count. // any acute infectious process?
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lungs are clear without focal consolidation, effusion, or pneumothorax. tiny calcified granuloma in the left lower lobe is stable. mediastinal and hilar contours are normal. heart size is normal.
<unk> year old man with <num> months of cough and clear sputum // assess for any infiltrates
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the cardiomediastinal silhouettes are 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.
<unk> year old woman with bmt and relapse aml, ?pneumonia?
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frontal and lateral chest radiographs were obtained. a left chest tube remains in place. persistent small left apical pneumothorax is unchanged from prior study. a small linear density outside the lung parenchyma in left apical area is new and suggests possible extrapleural blood collection. no focal consolidation or pulmonary edema is seen. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal.
patient with bilateral pneumothorax, eval progression.
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the patient is rotated. there is significant soft tissue attenuation. right lung volume is slightly less than the left lung with similar mild elevation of the right hemidiaphragm. no definite focal consolidation. increased streaky opacity of the lung bases is probably atelectasis. no pleural effusion or pneumothorax. linear platelike atelectasis in the left mid lung. cardiomegaly is overall unchanged. the thoracic aorta it is tortuous, unchanged. pulmonary vascular congestion but no frank pulmonary edema, similar to the prior exam. the left proximal humeral hardware device, incompletely visualized, appears intact and overall similar to the prior exams.
<unk>-year-old woman with congestive heart failure, who is chronically ill, bedbound, with tachycardia, elevated lactate. evaluate for evidence of pulmonary source of infection, volume status.
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there are persistent small bilateral pleural effusions, not significantly changed. there is no focal consolidation worrisome for infection. small hiatal hernia is noted. the cardiomediastinal silhouette is stable. atherosclerotic calcifications noted at the aorta. mid thoracic compression deformities are unchanged.
<unk>f with delirium, lle swelling // infiltrate, dvt?
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heart size is normal. cardiomediastinal silhouette is unremarkable. there is a central pulmonary vascular engorgement with moderate interstitial pulmonary edema. a right subclavian approach port-a-cath tip terminates in the right atrium. there is a small right-sided pleural effusion with increased density at the right base. there is no pneumothorax. bones are diffusely demineralized.
likely right-sided ischemic stroke. evaluate for pulmonary edema.
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the cardiomediastinal silhouette and pulmonary vasculature are normal. there is no pleural effusion or pneumothorax. the lungs are clear.
history: <unk>f with chest pain
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ap portable upright view of the chest. right ij access port-a-cath is again seen with its tip in the region of the right atrium. overlying ekg leads are present. the lung volumes are somewhat low. vague opacity in the lower lungs could reflect crowding of bronchovascular markings and atelectasis given low lung volumes though small partially layering pleural effusions difficult to exclude. cardiomediastinal silhouette is stable. no large pneumothorax. no convincing evidence for pneumonia. bony structures are intact.
<unk>m with dyspnea // eval for pleural effusion, pna
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upright ap and lateral views of the chest demonstrate a left chest wall pulse generator, with pacing wires terminating in the right atrium and right ventricle, unchanged from the prior study. the lung volumes are somewhat low, with background emphysema and interstitial prominence, similar compared to prior studies; however, there are new left perihilar opacities which are concerning for infection. no pleural effusion or pneumothorax is detected. the cardiomediastinal silhouette is unremarkable.
<unk>-year-old man with known copd, with worsening shortness of breath, cough over the past three to five days. evaluation for pneumonia.
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the lung volumes are low. the cardiac, mediastinal and hilar contours appear unchanged. there are plate-like opacities in the lower lungs suggesting atelectasis. a large pulmonary nodule is visible at the right lung base and has been characterized previously. there no pleural effusions or pneumothorax.
chest pain. question pneumothorax.
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lung volumes are low. there is a small residual left pleural effusion likely with associated compressive atelectasis. lungs otherwise clear. no convincing evidence for edema or pneumonia. no pneumothorax. cardiomediastinal silhouette is stable. bony structures intact. no free air below the right hemidiaphragm. on the lateral view a port is seen projecting over the left upper quadrant.
<unk>-year-old woman presenting with fever, nausea, vomiting, s/p laparotomy for ovarian ca, also with non-productive cough. evaluate for evidence of infiltrates, lesions, effusion, volume status.
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the lungs are well expanded. there is a consolidative opacity in the left lung base with air bronchograms, concerning for pneumonia or aspiration. diffuse opacity is also seen in the left lung base, which may represent a layering small left pleural effusion. there is no pneumothorax. the cardiomediastinal silhouette is unremarkable.
<unk> year old man with shortness of breath // please evaluate for pulmonary edema vs. atelectasis
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cardiac size is normal. the lungs are clear. there is no pneumothorax or pleural effusion.
<unk> year old woman with cerebellar mass, h/o breast ca and r mastectomy // pre op cxr surg: <unk> (tumor bx)
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as compared to the previous image, no relevant change is seen. the lung volumes are normal. normal size of the cardiac silhouette. normal hilar and mediastinal contours. no evidence of pneumonia, no pulmonary edema and no pleural effusions.
<unk> year old woman with cough, fever // pneumonia vs other
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right internal jugular central venous catheter is in the upper svc. swan-ganz catheter has been removed. mediastinal and pleural drains remain in stable position. lung volumes remain quite low. left hilar and left retrocardiac opacity likely reflects atelectasis. there is no large pleural effusion or pneumothorax. there is no pulmonary edema. mild cardiomegaly is unchanged. postoperative widening of the mediastinum is improving.
<unk>m s/p bentall with <unk>mm <unk> <unk> mechanical valve conduit/<unk> mm graft for aortic dissection <unk> now with hypoxia. to look for any acute pulmonary process
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the heart size is normal. mediastinal and hilar contours are unremarkable. there is no evidence of pleural effusion or pneumothorax. there is no focal lung consolidation. chronic compression deformity of the lower thoracic spine, unchanged from prior.
<unk>f with rheumatoid arthritis on prednisone with fever/cough/pleuritic chest pain, evaluate for pneumonia .
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the cardiac silhouette size is normal. the mediastinal and hilar contours are unchanged, with mild calcification of the aortic knob again noted. the pulmonary vasculature is not engorged. patchy and linear opacities in the lung bases appear progressed in the interval. no pleural effusion or pneumothorax is demonstrated. vertebroplasty changes are noted within the mid and lower thoracic spine. multilevel degenerative changes are present in the thoracic spine.
difficulty swallowing, cough.
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since the chest radiograph obtained approximately <num> hours prior, there has been interval placement of a dobhoff tube, which passes through the ge junction into the proximal stomach. mild pulmonary edema has improved. right lower lung and left mid lung opacities are unchanged. increased retrocardiac opacities. small left pleural effusion is unchanged.
<unk> year old man with right intraparenchymal hemorrhage s/p dobhoff placement // please evaluate dobhoff (ngt) position
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the cardiomediastinal silhouette and pulmonary vasculature are unremarkable. no focal consolidation is seen. there is no pleural effusion or pneumothorax. this patient is status post median sternotomy. the median sternotomy wires are intact and well aligned. cabg clips are noted.
history: <unk>m with preop // preop
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pa and lateral views of the chest provided. blunting of the left cp angle on the frontal projection only likely represents pleural thickening/ scarring. otherwise the lungs are clear. cardiomediastinal silhouette is normal. no bony injuries.
history: <unk>f with cough // acute process
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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. there is mild prominence of the hila which may be due to central pulmonary vascular engorgement, underlying lymphadenopathy not entirely excluded.
history: <unk>f with chest pain // evaluate for acute process
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portable semi-upright chest radiograph <unk> at <time> is submitted.
<unk> year old man s/p multiple gun shot wounds to chest and neck, s/p trach // pls eval interval change pls eval interval change
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there has been interval removal of a left-sided chest tube. there is a small basal pneumothorax, which is seen on the lateral film only, with no evidence of tension. a right-sided atelectatic band at the right costodiaphragmatic angle is improved. the left basal atelectasis remains stable. the cardiomediastinal and hilar contours are normal.
<unk>-year-old status post left lower lobe wedge resection.
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endotracheal tube tip terminates approximately <num> cm from the carina. an enteric tube is noted within the distal esophagus, though the tip is not well visualized. lung volumes are low. heart size is mildly enlarged. the aorta is tortuous. crowding of bronchovascular structures is present with mild pulmonary vascular congestion. bibasilar airspace opacities may reflect areas of atelectasis. numerous clips are seen in the right neck. no acute osseous abnormalities detected.
history: <unk>m with respiratory failure, intubated // eval et tube position
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pa and lateral views of the chest. the lungs are clear. the cardiomediastinal silhouette is normal. no acute osseous abnormality is identified.
<unk>-year-old female with chest pain.
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the lungs remain clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified.
<unk>m with chf // doe
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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. mild prominence of the hila is stable.
history: <unk>f with sob and cp // r/oinfiltrate
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there is probable hyperinflation with background copd. there are diffusely increased interstitial markings, with more pronounced bibasilar opacities, which may represent atelectasis or aspiration in the appropriate clinical setting. no substantial pleural effusion. there is no pneumothorax. heart size is mild to moderately enlarged. aorta is calcified and slightly unfolded. no acute osseous abnormalities identified. severe right glenohumeral joint osteoarthritis noted. rounded lucency projecting over the left cardiophrenic region raises the possibility of a small hiatal hernia.
<unk>-year-old female on coumadin status post fall onto left knee and right lower back
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. apart from subsegmental atelectasis in the lingula, the lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
history: <unk>f with chest tightness, dyspnea, cough
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low bilateral lung volumes with bibasilar atelectasis. no focal consolidation, or pneumothorax identified. a trace right pleural effusion is suspected. the size of the cardiomediastinal silhouette is within normal limits.
<unk> year old man with urosepsis // pulmonary edema?
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the endotracheal tube, enteric tube and swan-ganz catheters are unchanged in position. moderate bilateral layering pleural effusions with adjacent bibasilar subsegmental atelectasis are unchanged. prominent bilateral pulmonary arteries suggest pulmonary arterial hypertension. there is no pneumothorax. the heart remains enlarged despite the projection.
<unk> year old woman with pah; evaluate for swan placement.
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no interval change to the severe pulmonary edema changes compared to the previous study.
mr. <unk> is a <unk> male with metastatic nsclc to the brain, bone, and liver s/p palliative radiotherapy now on experimental egfr medication who was admitted with hemoptysis and transferred to the ficu with respiratory distress, hypotension, and altered mental status. // please evaluate for interval change
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the heart is moderately enlarged without signs of heart failure including pulmonary edema or pleural effusions. there is no focal opacity or pneumothorax. the mediastinal contours are unremarkable.
chest pain. evaluate for pneumonia, edema.
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frontal and lateral radiographs of the chest demonstrate low lung volumes, which results in bronchovascular crowding. the cardiac silhouette remains enlarged. there is no pneumothorax, pleural effusion, or consolidation.
history: <unk>f with chest pain, a-fib with rbr // eval for acute process
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the lung volumes are low. streaky opacities within the lung bases are compatible with atelectatic changes. the heart size is normal. the mediastinal and hilar contours are unremarkable. the pulmonary vascularity is not engorged. no pleural effusion or pneumothorax is detected. there are no acute osseous abnormalities.
appendicitis.