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portable supine chest radiograph was obtained. the lungs are somewhat low in volume with unchanged retrocardiac atelectasis. right internal jugular central venous catheter terminates at the level of the superior cavoatrial junction. there is no pleural effusion. assessment for pneumothorax limited on the supine view without evidence of large pneumothorax. the cardiac size and cardiomediastinal contours are unremarkable.
new right ij
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ap upright 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. left humeral head replacement noted. no free air below the right hemidiaphragm is seen.
<unk>m with leukocytosis // evidence of infection
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heart size is normal. mediastinal and hilar contours are unremarkable and unchanged. lungs are clear. pulmonary vasculature is not engorged. no pleural effusion or pneumothorax is detected. cervical spinal fusion hardware is incompletely assessed. moderate to severe degenerative changes involving both glenohumeral joints are present. no subdiaphragmatic free air is present.
history: <unk>m with abdominal pain, neck pain and swelling
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a tracheal and bilateral bronchial stents are again visualized, unchanged in position from the prior examination. the lungs are well expanded and clear without focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is unchanged from prior examination.
history: <unk>f with hemoptysis. // eval for stent placement
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interval removal of the right-sided chest tube with development of a new small right apical pneumothorax. no evidence of tension. improved aeration bilaterally compared to the prior exam. no focal consolidation, overt pulmonary edema, or pleural effusion. the heart is top-normal in size, unchanged. the mediastinal contours and hila are within normal limits. the left sided port-a-cath appears intact and unchanged in position.
<unk>-year-old woman status post right vats lymph node biopsy; evaluate for pneumothorax after removal of a chest tube.
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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. no pulmonary edema is seen. no displaced fracture is seen.
fever, anorexia, right lower quadrant pain.
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portable semi-erect chest film <unk> at <time> is submitted.
<unk>m with multiple medical problems on asa/plavix/coumadin who presents after a fall with spinal hematoma now s/p c<num>-<num> decompression // interval change and ett placement interval change and ett placement
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again seen are bilateral calcified pleural plaques. these plaques obscure visualization of the lung parenchyma, particularly at the bases. there is no definite superimposed acute consolidation. the cardiomediastinal silhouette is stable. atherosclerotic calcifications again noted at the arch. no displaced fracture is identified.
<unk>-year-old female with seizures and altered mental status.
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compared to the prior exam there is no significant interval change.
<unk> year old woman with fever // pna?
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left-sided port-a-cath tip terminates in the mid svc. heart size remains mildly enlarged but unchanged. mediastinal and hilar contours are normal. lungs are clear without focal consolidation. pulmonary vasculature is normal. no pleural effusion or pneumothorax is present. no acute osseous abnormalities are visualized.
history: <unk>m with nausea, vomiting, diarrhea, vomiting for past <num> days // assess for pneumonia
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there is no evidence of pneumothorax. there is a <num>-cm mass seen within the right lower lobe. there is mild bilateral interstitial edema with moderate-to-severe cardiomegaly. there is no pleural effusion on the right. a pleural effusion on the left cannot be excluded due to the cardiomegaly.
right lung mass status post transbronchial biopsies. evaluate for pneumothorax.
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single portable upright radiograph is provided. low lung volumes and resultant bronchovascular crowding limits examination in addition to patient body habitus. there is obscuration of the left hemidiaphragm which may represent left lower lobe atelectasis or consolidation or effusion. right basilar opacity medially is also more conspicuous on the current exam. there is also likley mild pulmonary vascular congestion. heart size is top normal. there is no right pleural effusion; however, left pleural effusion cannot be excluded.
shortness of breath, hypoxia, asthma.
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the heart is enlarged but unchanged from <unk>. the mediastinal contours are within normal limits. a left-sided pacemaker with transvenous right atrial and left ventricular pacing wires as well as a right ventricular pacer/ defibrillator lead follow their expected courses. there is no pneumothorax, pleural effusion or mediastinal widening. the pulmonary vasculature is distended but unchanged from the prior study. there is no frank pulmonary edema.
<unk>m with defib that fired // eval positioning of defib leads
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two ap supine images over the upper abdomen and lower thorax were obtained which demonstrate the tip of the feeding tube to be within the body of the stomach. left lower lobe atelectasis. multiple air-filled loops of bowel project over the visualized abdomen and skin <unk> are noted over the right hemiabdomen.
<unk> year old man s/p ngt placement // please eval ngt placement
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the cardiac, mediastinal and hilar contours appear stable. streaky left basilar opacity suggests minor atelectasis. the lateral view depicts a greater degree of right middle lobe atelectasis than before, more coalescent. there is no definite pleural effusion or pneumothorax.
cough and dyspnea.
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there is been again continued improvement in the known right middle lobe opacity, without complete resolution. the lungs are well expanded, and there is no new additional focal consolidation concerning for pneumonia. the cardiomediastinal and hilar contours remain stable. no pleural effusion or pneumothorax. healed left lower lateral rib fractures are again noted. surgical clips project over the mid upper abdomen. there is been interval removal of the left picc.
<unk> year old man with fever/neutropenia. s/p chemo for aml // fever/neutropenioa. aml
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the heart is mildly enlarged. the mediastinal and hilar contours appear within normal limits. the lungs appear clear. there are no pleural effusions or pneumothorax. slight degenerative changes are noted along the lower thoracic spine. surgical clips projecting over the right upper quadrant of the abdomen are likely associated with prior cholecystectomy.
shortness of breath.
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when compared to prior chest radiograph obtained <num> hour prior, there has been interval placement of a right-sided chest tube with prior identified right moderate pneumothorax now near resolved. there is no pneumothorax of the left. bilateral lungs appear largely unchanged. a right-sided internal jugular venous catheter is seen with its tip terminating in the mid superior vena cava. an enteric tube is seen descending in an uncomplicated course with its terminal end not in the field of view.
<unk>-year-old male status post vsd repair. evaluate for pneumothorax.
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frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs without focal consolidation, pleural effusion, or pneumothorax. the visualized upper abdomen is unremarkable.
cough and fever.
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the lungs are hyperexpanded with flattening of diaphragms, consistent with emphysema. opacities in the right lung base are consistent with pneumonia. no pneumothorax or pleural effusion. heart size is normal and mediastinal contours, including tortuosity of the aorta, are stable.
history: <unk>m with hypotension // ? pna
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frontal and lateral views of the chest are compared to previous exam from <unk> and <unk>. right chest wall port is again seen with catheter tip at the cavoatrial junction. there are bibasilar opacities, potentially due to atelectasis. superiorly, the lungs are clear. cardiomediastinal silhouette is stable. osseous and soft tissue structures are notable for hypertrophic changes in the spine. surgical clips project over the lower neck on both sides.
<unk>-year-old female with cough. question pneumonia.
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portable chest radiograph centered at the epigastric region dated <unk> at <time> is submitted.
<unk> year old man with cholangitis, intubated // eval et and og placement eval et and og placement
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there is a dual-lead pacemaker/icd device with leads terminating in the right atrium and ventricle, respectively. the heart is mildly enlarged with a left ventricular configuration. the cardiac, mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. the lungs appear clear.
cough and chest pain.
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there has been no significant interval change compared to the prior radiograph performed <num> hr earlier. a right internal jugular catheter terminates at the lower svc. there is no focal consolidation, pleural effusion or pneumothorax. cardiomediastinal silhouette is within normal limits. no evidence of pneumoperitoneum. no acute osseous abnormalities identified.
<unk>-year-old female presents for evaluation of bilateral leg pain, evaluate line placement.
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the lungs are clear of focal consolidation, effusion, or pulmonary vascular congestion. the cardiomediastinal silhouette is within normal limits. mid thoracic dextroscoliosis is again seen.
<unk>m with recent dental infection and fevers // please eval for pna, effusion, acute process.
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there is unchanged low lung volume noted bilaterally, bilateral pleural effusions are unchanged. there is a focal area in the left upper lung zone with increased opacity, which may represent a developing pneumonia or increased vascular congestion. endotracheal tube is seen in place no less than <num> cm from the carina. ij tube is seen appropriately positioned within the low svc. no evidence of pneumothorax.
<unk>-year-old male with hypoxia. study is to evaluate for interval change.
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frontal lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and moderately well-aerated lungs which are clear without focal consolidation, pleural effusion, or pneumothorax. the visualized upper abdomen is unremarkable.
pleuritic chest pain. evaluate for pneumothorax.
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the lungs are hyperinflated. the heart is normal in size. the aortic arch is partly calcified. the mediastinal and hilar contours appear unchanged. patchy scarring at each lung apex is also unchanged. the lungs appear otherwise clear. there are no pleural effusions or pneumothorax. bony structures are unremarkable.
hypertension, cough.
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the patient has had prior median sternotomy and cabg, which remain in standard position. lung volumes have increased. there is mild cardiomegaly with interval improvement of the vascular congestion and mild interstitial edema. small right and moderate left pleural effusions are noted. retrocardiac opacity is unchanged. .
<unk> year old woman with cad, cabg, hypertension presenting with abdominal pain // interval change
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low lung volumes again seen. streaky bibasilar opacities are again identified, right greater than left, likely atelectasis. superiorly the lungs are clear. the cardiomediastinal silhouette is unchanged. severe compression deformity of a lower thoracic vertebral body is unchanged.
<unk>f with chest pain, episode of unresponsiveness // eval infiltrate
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the heart is moderately enlarged. mitral calcifications are prominent along the annulus. the cardiac, mediastinal and hilar contours appear unchanged including tortuosity of the aorta and calcification along the arch. there is no pleural effusion or pneumothorax. the lungs appear clear. moderate rightward convex curvature centered along the mid thoracic spine. the bones are probably demineralized.
shortness of breath.
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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 the appear somewhat demineralized diffusely. no free air below the right hemidiaphragm is seen.
<unk>f with hyponatremia? // acute process?
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the inspiratory lung volumes remain low in comparison to multiple prior studies. underinflation of the lungs results in prominence of the cardiomediastinal silhouette and bronchovascular crowding. a focal opacity in the right medial lung base may reflect atelectasis or pneumonia, with mild atelectasis in the left lung base also noted. no pleural effusion or pneumothorax is present. there is no overt pulmonary edema. the cardiomediastinal silhouette is enlarged but stable. the osseous structures are grossly normal, although evaluation is limited secondary to body habitus. note is made of gaseous distention of the stomach.
dyspnea, here to evaluate for pneumonia.
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ap portable semi-upright view of the chest. endotracheal tube has been removed. the nasogastric tube appears in unchanged position with its tip not clearly visualized. the right upper extremity picc line is unchanged with tip in the expected region of the superior vena cava. the lungs are clear. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact.
<unk> year old woman - obtunded. possible new aspriation.
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pa and lateral views of the chest were examined. the heart size is normal. an aicd is seen with leads terminating in the right atrium and right ventricle. the mediastinal and hilar contours are unremarkable. <unk> b-lines and prominence of interstitial markings indicate interstitial pulmonary edema. there is no pleural effusion or pneumothorax. there is no focal consolidation concerning for pneumonia.
shortness of breath in a patient with diastolic heart failure.
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the cardiac, mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. the lungs appear clear. there has been no significant change.
chest pain.
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single portable view of the chest. et tube is seen with tip approximately <num> cm from the carina. nasogastric tube seen with tip in the gastric fundus with its side port likely in the region of the ge junction. there is elevation of the right hemidiaphragm with increased right basilar opacity. faint left basilar opacity is seen as well. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities detected. multi focal sclerotic lesions particularly involving the vertebral bodies are identified, worrisome for metastatic disease.
<unk>-year-old female intubated.
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portions of the right hemithorax are not visualized. dobhoff tube overlies the expected location of the stomach. a right internal jugular central venous line tip courses to the cavoatrial junction. the cardiomediastinal silhouette is stable. the left perihilar and right upper lobe parenchymal opacities have slightly decreased. no new parenchymal opacity is noted.
<unk> year old man s/p dobhoff placement // eval tube placement
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the lungs are clear without focal consolidation, effusion or edema. surgical chain sutures seen in the left paramediastinal region. the cardiomediastinal silhouette is normal. no acute osseous abnormalities identified. coils again identified in the right upper quadrant.
<unk> year old man with t cell lymphoma on chemotherapy who presents <unk> neutropenic fever and a dry cough x <num> days. // please evaluate for pneumonia
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cardiac, mediastinal and hilar contours are normal. lungs are clear and the pulmonary vasculature is normal. no pleural effusion or pneumothorax is present. no acute osseous abnormalities detected.
history: <unk>m with right upper quadrant pain
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ap and lateral views of the chest. lower lung volumes seen on the current exam. bibasilar opacities are likely secondary to atelectasis. lungs are otherwise clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormality is identified. surgical clips are identified in the right upper quadrant suggesting prior cholecystectomy.
<unk>-year-old female who presents with syncope.
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there is an opacity in the right lower lobe, in the location of prior pneumonia noted on <unk>. its margins are slightly irregular. this likely represents residual airspace consolidation, but follow up to resolution is advised to exclude an underlying malignancy. remainder of the lungs are clear. no pleural effusion or pneumothorax. cardiomediastinal contours are normal. calcifications are noted in the aortic arch. no acute osseous abnormalities.
<unk> year old woman with multi-focal pneumonia <unk>. please assess for clearance // assess for clearance of pneumonia
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there is evidence of a small left pneumothorax best seen on lateral views. stable small left pleural effusion. otherwise, no significant changes from most recent study from the current day.
<unk> year old man s/p robotic thymectomy // r/o ptx post ct removal
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ap and lateral views of the chest. there are small bilateral effusions, potentially slightly larger than in <unk>. the lungs, however, are clear without consolidation. the cardiomediastinal silhouette is stable, noting atherosclerotic calcifications at the aortic arch. prior healed fractures through the proximal right humerus and orthopedic hardware in the right humeral head are noted. no acute osseous abnormalities are identified.
<unk>-year-old male with fatigue and cough.
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the inspiratory lung volumes are appropriate. the lungs are clear without focal consolidation, pleural effusion or pneumothorax. the pulmonary vasculature is not engorged, and there is no overt pulmonary edema. the cardiomediastinal and hilar contours are within normal limits.
cough and myalgia, here to evaluate for pneumonia.
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innumerable sclerotic osseous metastases are present throughout the visualized bones. the vertebral body heights are maintained. no focal consolidation, pleural effusion or pneumothorax identified. enteric contrast material is present in the visualized colon. the size the cardiomediastinal silhouette is within normal limits.
<unk> year old man with metastatic prostate cancer, not on chemo, now with acute pancytopenia concerning for infection. // ?pneumonia
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single portable ap upright chest radiograph demonstrates low lung volumes. no focal consolidation concerning for pneumonia is identified. cardiomediastinal and hilar contours are stable. an enteric tube is seen descending along the expected course of the esophagus terminating in the left upper quadrant. in the expected location of the stomach. there is a relative paucity of gas throughout the abdomen. no evidence of free air under the right hemidiaphragm.
<unk>-year-old female with history of recent colostomy reversal status post nasogastric tube placement.
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ap portable view of the chest. increased density in the right lower lobe corresponds to a known right lower lobe mass, better seen on ct from <unk>. there is a small right pleural effusion and bibasilar atelectasis. no pneumothorax. cardiomediastinal and hilar contours are normal.
lung cancer, status post mediastinoscopy, evaluate for pneumothorax.
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the cardiac silhouette is normal in size. the hilar and mediastinal contours are within normal limits. there is no focal consolidation, pleural effusion or pneumothorax.
history: <unk>m with fever cough // eval for pna
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a left hemodialysis catheter is present with the tip in the right atrium. the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. the thoracic aorta is tortuous. the cardiomediastinal silhouette is otherwise normal. there is diffuse demineralization of the bones with a probable chronic compression deformity in the mid thoracic spine.
worsening cough. evaluate for pneumonia.
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lung volumes are low. heart size is normal. mediastinal and hilar contours are within normal limits. pulmonary vasculature is normal. minimal atelectasis is seen in the left lower lobe. no focal consolidation, pleural effusion or pneumothorax is identified. no displaced fractures identified.
history: <unk>m with lower rib pain // evaluate for pneumonia
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lungs are clear. the patient is status post median sternotomy as well as pacemaker placement with a single lead terminating in the left ventricle. cardiac size is within normal limits. aortic calcifications are noted at the knob. no pleural effusions or pulmonary edema.
history: <unk>m with dyspnea, lightheadedness // eval for pulmonary edema
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no peripheral catheter is visualized. tracheostomy tube is midline and appears unchanged in position. as compared to prior chest radiograph from <unk>, there has been interval increase of a left lower lung opacity, likely due to increased pleural effusion and adjacent consolidation. right lung base consolidation is unchanged. no new parenchymal opacities are identified. there is interval increase of mild vascular congestion. there is no pneumothorax. moderate cardiomegaly is unchanged.
<unk>-year-old female patient with pneumonia, septic shock. study requested for evaluation of interval change and evaluation of picc line placement.
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the heart size is normal. the aorta remains tortuous. the mediastinal and hilar contours are otherwise unremarkable, and the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are multilevel degenerative changes noted in the thoracic spine.
<num> minutes of slurred speech.
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cardiac silhouette size remains moderately enlarged due to prominent epicardial fat pads. mediastinal contour is unchanged, and stably widened compatible with mediastinal lipomatosis. hilar contours are normal. lungs are clear and the pulmonary vascularity is normal. pleural thickening is noted bilaterally due to pleural fat deposition. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
upper abdominal pain after fall.
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a new enteric tube has been placed with weighted tip in the distal stomach. the cardiac silhouette is mildly prominent, accentuated by ap technique and low lung volumes. bibasilar consolidations are present. there is a dense retrocardiac opacity, likely atelectasis versus consolidation. there is increased vascular engorgement and mild edema. no pneumothorax.
<unk>-year-old male status post recent egd. question new dobbhoff placement.
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picc line terminates in the mid to the lower svc. posterior fusion of the upper thoracic vertebrae is again noted. cardiomediastinal silhouette is stable. there is no consolidation or pleural effusion. a bandlike opacity at the left base likely represents atelectasis. no pneumothorax.
history: <unk>m with picc line // assess picc line placement
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frontal and lateral views of the chest were obtained. the lungs are well expanded and clear without focal consolidation, pleural effusion or pneumothorax. the heart is top normal size. the mediastinal silhouette and hilar contours are normal. cholecystectomy clips are seen in the right upper quadrant.
left flank pain.
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portable supine chest film <unk> at <time>
<unk> year old woman with pleural effusion, intubated. // evalutate pleural effusion progression evalutate pleural effusion progression
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heart size is top normal. the aorta remains tortuous and diffusely calcified. the mediastinal and hilar contours are otherwise unchanged. pulmonary vasculature is normal. lungs are clear. no focal consolidation, pleural effusion or pneumothorax is seen. large amount of free air is noted under the diaphragms. no acute osseous abnormalities demonstrated.
abdominal distention, peritoneal dialysis at home.
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a left lateral approach chest tube projects over the mid lung and descends inferiorly. the previously seen large left pleural effusion is substantially evacuated and no pneumothorax is seen. lateral view would be helpful in assessing the anterior component of the previous hydro pneumothorax. . the cardiac and mediastinal contours are stable. the right lung is clear. there are multiple displaced left rib fractures.
<unk>-year-old man status post chest tube. evaluate placement.
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there is a moderate right subpulmonic effusion. no definite left effusion is identified. there is mild interstitial edema and atelectasis at the bilateral lung bases. no focal consolidation is identified. the cardiomediastinal silhouette is unchanged. there is no pneumothorax. again noted is a left-sided pacemaker with lead tips over to right atrium and right ventricle. surgical clips noted in the left upper quadrant of the abdomen.
chest pain, shortness of breath, history pleural effusions, evaluate for pneumonia and pleural effusions.
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pa and lateral chest radiographs demonstrate low lung volumes. cardiomediastinal and hilar contours are within normal limits. streaky opacity at the left lung base likely reflects atelectasis. no focal opacity convincing for pneumonia is present. there is no evidence of pleural effusion, pulmonary edema, or pneumothorax. spinal hardware is noted involving the lower thoracic and lumbar spine.
history: <unk>m with fever // eval for infection
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heart size is normal. cardiomediastinal silhouette and hilar contours are normal. lungs are clear. pleural surfaces are clear without effusion or pneumothorax.
<num> weeks of cough.
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pa and lateral chest radiograph demonstrates clear lungs bilaterally. there is no focal consolidation. cardiomediastinal and hilar contours are within normal limits. there is no pulmonary edema, pleural effusion, or evidence of pneumothorax. imaged osseous structures and upper abdomen are without an acute abnormality.
<unk>-year-old female with syncope.
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heart size is top normal, unchanged. mediastinal and hilar contours are unremarkable. lungs are clear without focal consolidation, pleural effusion, or pneumothorax.
<unk>m with hx alcohol abuse presenting with left arm pain and sob earlier in the day. cardiac/pulm abnormalities?
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ap portable upright view of the chest. overlying ekg leads are present. patient's chin partially obscures the superior mediastinum and lung apices. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact.
<unk>f with sudden onset chest pain, inability to move legs.
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the lungs are well-expanded and clear. the cardiomediastinal silhouette is unremarkable. there is no pleural effusion, pulmonary edema, pneumothorax, or focal consolidation concerning for pneumonia.
history: <unk>m with cp // r/o cardiomegaly, pna, effusions
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since the chest radiograph obtained <num> days prior, there has been interval removal of a right-sided ij central venous catheter partially loculated, moderate right pleural effusion is probably unchanged allowing for technical differences between the studies. previously reported interstitial edema has resolved. multifocal scarring and bronchiectasis are again demonstrated, as well as chronic collapse of the right middle lobe, more fully assessed by a prior ct of <unk>. no pneumothorax. median sternotomy wires are midline and intact.
<unk> year old man s/p esophagectomy // ? interval change
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portable semi upright radiograph of the chest demonstrates low lung volumes which results in bronchovascular crowding. there is a stable left-sided pleural effusion with adjacent atelectasis. increased opacification of the right base is unchanged. the cardiomediastinal and hilar contours are unchanged. there is no pneumothorax. a right-sided picc line ends in the mid svc. the nasogastric tube ends in the stomach with the last side port at the ge junction.
<unk> year old man with pneumonia and aspiration // ngt 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. several remote appearing left-sided rib deformities suggest prior fractures.
history: <unk>m with chest pain
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. cardiac silhouette is top-normal to mildly enlarged. mediastinal contours are unremarkable. there is no pulmonary edema. multi-level degenerative changes including multilevel anterior osteophytes are seen along the thoracic spine.
history: <unk>f with r upper abdominal pain // evaluate for pulmonary edema, effusion
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pa and lateral views of the chest provided. left chest wall aicd is seen with leads extending to the region of the right atrium, right ventricle, and coronary sinus. there is no focal consolidation, large effusion or pneumothorax seen. mild bibasilar atelectasis is better assessed on same-day ct abdomen pelvis. cardiomediastinal silhouette appears grossly within normal limits. bony structures are intact. no free air below the right hemidiaphragm.
<unk>m with fever, leukocytosis, no source
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single portable view of the chest. no prior. endotracheal tube is seen with tip approximately <num> cm from the carina. nasogastric tube passes off the inferior field of view. diffuse hazy opacities seen in the lungs potentially due to mild pulmonary edema. cardiomediastinal silhouette is grossly unremarkable as are the osseous and soft tissue structures.
<unk>-year-old male intubated, with epiglottitis. question pulmonary edema.
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frontal and lateral views of the chest. the patient is status post median sternotomy. a left-sided pacemaker has leads terminating in the right atrium, right ventricle and coronary sinus. moderate cardiomegaly is unchanged. there are atherosclerotic calcifications of the aorta. mild pulmonary edema is relatively unchanged compared to the prior chest radiograph. there is a small left pleural effusion and bibasilar opacites moreso on the right, suggestive of atelectasis. no pneumothorax is identified. there are degenerative changes in the spine.
recent left lower lobe consolidation and outside hospital chest radiograph. here with altered mental status.
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pa and lateral views of the chest were obtained. heart is normal size and cardiomediastinal contours are stable. minimal atelectasis is noted at the left base. there is no focal consolidation, pleural effusion, or pneumothorax.
<unk>-year-old woman with altered mental status, evaluate for pneumonia.
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no focal consolidation is seen. there is no pleural effusion or pneumothorax. cardiac silhouette is top-normal to mildly enlarged. mediastinal contours are unremarkable. no pulmonary edema is seen.
history: <unk>f with sob // pulmonary edema
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compared to prior, there is homogeneous opacity in the left hemithorax with a small area of air and significant volume loss, likely due to complete left upper and lower lobe collapse with large pleural effusion replacing the area. discontinuation of air column is seen in the left main bronchus, proximal to the bronchial stent. shift of mediastinum to the left is seen. heart size is unable to be evaluated. the right lung and right hilum appear normal. no significant right pleural effusion is seen. chest tube is seen in the left hemithorax. left bronchial stent appears grossly unchanged in location.
<unk> year old man with pleural effusion.
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no focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable.
history: <unk>m with sob // acute process
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an endotracheal tube terminates approximately <num> cm above the carina. there is also an orogastric tube that terminates in the gastric cardia. the heart appears mild-to-moderately enlarged; although it is difficult to compare differences in technique, the size is probably increased. there is also some widening of the vascular pedicle suggesting fluid overload. although there is mild asymmetry with greater opacification of the right lung and left, diffuse bilateral opacification is present, partly favoring the central areas. however, there is no definite pleural effusion and no evidence for pneumothorax.
dyspnea.
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increased opacity in the right upper lung with air bronchograms is concerning for pneumonia. the left lung is clear aside from left basilar atelecatsis. the known right upper lobe mass is again seen. heart size is normal. mediastinal silhouette and hilar contours are normal. there is no free air under the diaphragm. sternotomy wires and mediastinal clips are noted. radioopaque foreign bodies project over the right mid lung.
<unk>-year-old man with lung cancer and failure to thrive with leukocytosis.
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since the prior study, there has been interval removal of a right internal jugular venous catheter. low lung volumes persist, as does pleural effusion and consolidation in the left lung base. the right lung is grossly clear. moderate cardiomegaly is unchanged. median sternotomy wires and mediastinal clips are again noted.
history: <unk>m with hypoxia // r/o pna
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frontal and lateral chest radiographs demonstrate clear, well-expanded lungs without pleural effusion or pneumothorax. the cardiac silhouette and mediastinal contours are normal. there is no radiopaque foreign body.
<unk>-year-old male with hypoxia after choking, evaluate for foreign body or consolidation.
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ap upright portable chest radiograph demonstrates interval placement of an endotracheal tube. this appears approximately <num> cm above the level of the carina. bilateral opacities, right greater than left, are perihilar in distribution, not significantly changed. bilateral pleural effusions, left greater than right are noted. cardiac borders are obscured. there is no pneumothorax.
<unk> year old woman with ards, rll pna, intubated at <num>am // patient was just intubated, check tube position
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there are right lower lobe and left lower lobe consolidations as well as bilateral mild pleural effusions, suggestive of an infectious process. the heart size is normal. the mediastinal and hilar contours are unremarkable. there is no evidence of pneumothorax. the osseous structures are unremarkable.
<unk>-year-old female with a history of breast cancer, who presents for evaluation of leukocytosis and bandemia.
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heart size is mildly enlarged. the aorta is tortuous and calcified. hilar contours are unremarkable and the pulmonary vasculature is not engorged. there is patchy retrocardiac atelectasis without focal consolidation. no pleural effusion or pneumothorax is present. moderate to severe multilevel degenerative changes are re- demonstrated in the thoracic spine.
history: <unk>m with bilateral lower extremity weakness.
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frontal and lateral views of the chest demonstrate fully expanded and clear lungs. there is no pulmonary edema. cardiomegaly is stable as is a mediastinal contours. there is no pleural effusion or pneumothorax. right port ends in the proximal right atrium.
<unk> year old woman with sob when lying flat, assess for chf.
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compared with prior radiographs on <unk>, there is mild vascular congestion and bibasilar atelectasis. there is no pulmonary edema or pleural effusion. there is no new focal consolidation or pneumothorax. cardiomegaly is unchanged.
<unk> year old woman with metastatic lung cancer, increased sob // <unk> year old woman with metastatic lung cancer, increased sob, ? pna
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median sternotomy wires are intact. there is stable, moderate cardiomegaly. mediastinal and hilar contours are unchanged. there are stable bibasilar opacities. interval increase in moderate to severe pulmonary edema. no appreciable pneumothorax.
<unk>-year-old woman with heart failure, now with concern for aspiration pneumonia.
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ap view of the chest and upper abdomen. endotracheal tube ends <num> cm from the carina in appropriate position. there are streaky bibasilar opacities likely represents atelectasis or aspiration. otherwise lungs are clear. the cardiomediastinal and hilar contours are normal. enteric tube ends in the stomach.
cocaine ingestion. intubated. evaluate ett placement.
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the left hemidiaphragm is elevated and the left lung appears to have decreased volume as compared to the right. interstitial markings appear increased bilaterally but more so on the left. there is also left perihilar opacity. findings could be due to asymmetric pulmonary edema on top of chronic lung disease, however atypical infection is not excluded. no pleural effusion is seen. there is no pneumothorax. the cardiac silhouette is top-normal to mildly enlarged. mediastinal contours are unremarkable.
history: <unk>m with sob. // pna?
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the lungs are clear. cardiomediastinal silhouette is within normal limits. right chest wall port and left vagal nerve stimulator are again noted. no acute osseous abnormalities.
<unk>f with colon ca, on chemo. hypotensive today // please evaluate for acute infectious process
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the lungs are clear of airspace or interstitial opacity. the cardiomediastinal silhouette is unremarkable. no pleural effusions or pneumothorax. no acute or aggressive osseus changes.
<unk> year old man with hemangiopericytoma c/b large cortical stroke and high aspiration risk now with low spo<num>. // please evaluate for aspiration pna
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the lungs are clear without focal consolidation, effusion, or pneumothorax. cardiomediastinal silhouette is normal.
<unk> year old man with <num> month of sob and wheezing. evaluate focal consolidation.
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a single portable ap chest radiograph was obtained. comparison was made to prior study at <time> a.m. an endotracheal tube has been inserted <num> cm above the carina. an orogastric tube extends inferiorly out of the field of view. opacity at the right cardiophrenic angle and left retrocardiac space is unchanged. there is also bibasilar linear reticular opacities suggesting chronic lung disease. lung volumes are low. the aortic arch remains enlarged and calcified.
status post endotracheal tube placement.
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lung volumes remain low. cardiac silhouette size is mildly enlarged, unchanged. mediastinal and hilar contours are similar. pulmonary vasculature is not engorged. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is present. moderate multilevel degenerative changes are noted in the thoracic spine.
history: <unk>m with fever
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<num> views were obtained of the chest. large area of consolidation of the posterior right upper lobe and in smaller volumes of the right lower lobe is compatible with pneumonia. small right pleural effusion is likely. left lower lobe consolidation has largely cleared since <unk>. background emphysema is also noted. there is no pneumothorax. heart and mediastinal contours are unremarkable.
fever and recent thoracotomy.
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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. moderate multilevel degenerative changes are noted in the thoracic spine.
history: <unk>m with altered mental status
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portable ap chest radiograph. <num>-cm nodular density in the right upper lung was not present on <unk>. the lungs are remarkable only for bibasilar atelectasis and pulmonary vascular congestion. mild cardiomegaly is unchanged from multiple priors without pulmonary edema.
fever and leukocytosis. evaluation for chf.
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clear lungs bilaterally without pleural effusion or pneumothorax. heart size, mediastinal contour and hila are normal. no bony abnormality.
female with possible seizures. assess for pneumonia.