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mild to moderate cardiomegaly is redemonstrated. mediastinal contours are stable, as are the hilar contours. no definite focal consolidation is seen. there is no pleural effusion or pneumothorax. chronic changes of the left shoulder are again seen.
history: <unk>f with n/v abd distension, hx of diag hernia, pls eval for incar hernia <unk> <unk> // history: <unk>f with n/v abd distension, hx of diag hernia, pls eval for incar hernia <unk> <unk>
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lung volumes are very low accentuating the cardiac silhouette and pulmonary vasculature. heart size is probably mildly enlarged. central pulmonary vascular engorgement with mild interstitial pulmonary edema as well as small bilateral pleural effusions. left greater than right base consolidations could possibly all be atelectatic though pneumonia cannot be excluded.
shortness of breath.
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this is a somewhat technically limited evaluation as patient was unable to lift his arm. there is mild interstitial edema. no focal consolidation is identified. the heart is top-normal. there is no pleural effusion or pneumothorax. atherosclerotic calcification of the aortic arch is noted. there is gaseous distention of loops of small and large bowel seen in the upper abdomen.
<unk>m with fever, abdominal pain, evaluate for acute process.
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pa and lateral views of the chest provided. port-a-cath positioned over the right axilla with catheter tip in the region of the mid svc. the heart is mildly enlarged. the hila appear engorged. there is a tiny right pleural effusion. retrocardiac linear density is likely indicative of subsegmental atelectasis. there is no convincing evidence for pneumonia or edema. no pneumothorax. mediastinal contour is unchanged. bony structures are intact.
<unk>f with hct <unk>.<unk> s/p port placement
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single portable view of the chest. the lungs remain clear of consolidation or large effusion. calcifications in the region of the hila are compatible with calcified hilar lymph nodes which are enlarged on the right, similar compared to prior. .the cardiomediastinal silhouette is unremarkable. atherosclerotic calcifications seen at the aortic arch. no acute osseous abnormalities detected.
<unk>-year-old female with confusion. history of sarcoidosis.
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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.
history: <unk>f with cp, recvent uri // r/o pna
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the lungs are well inflated and clear. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. there is no pleural effusion or pneumothorax. osseous structures are grossly intact.
<unk>-year-old woman with asthma, worsening shortness of breath and cough, evaluate for pneumonia.
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heart size is normal. mediastinal silhouette is unremarkable. hilar contours are unchanged since <unk>. areas of right greater than left biapical linear probable scarring are unchanged since prior examination. there are slight increased opacities in the right medial lung base. there is mild bibasilar atelectasis. lungs are otherwise clear. pleural surfaces are clear without effusion or pneumothorax.
sarcoidosis and cough.
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there is a new right lower lobe consolidation. no pleural effusion or pneumothorax is detected. heart and mediastinal contours are within normal limits. elevation of the left hemidiaphragm appears unchanged.
<unk>-year-old male with fever and cough.
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there is worsening of the right lung base opacity when compared to the prior cxr performed earlier this morning. there is likely still underlying pleural effusion with new right lower lobe collapse. the left lung is essentially clear. no pneumothorax. the endotracheal tube and enteric tube are unchanged in position. stable moderate cardiomegaly. no acute osseous abnormalities.
<unk> year old woman s/p bronch // please look for interval improvement s/p bronch
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mild-to-moderate cardiomegaly is a stable. the lungs are clear. there is no pneumothorax or pleural effusion.
<unk> year old man with chf with ef <unk>% who presents with fall, weakness, elevated lactate // ?edema, pna
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mild cardiomegaly and mild vascular congestion with right basilar opacity which is likely due to prominent vasculature. there is no pleural effusion and no pneumothorax. sternotomy wires are seen and the patient is status post mitral valve replacement. incidental note is made of dish and osteopenia of the thoracic spine. old right sided rib fractures and pleural thickening are noted.
<unk> yo with sob.
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cardiac, mediastinal, and hilar contours are normal. pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is present. no acute osseous abnormalities detected. an electronic device is seen within the left chest wall.
history: <unk>m with cough
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pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>m with cp // ptx
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a dobbhoff tube and enteric tube bold terminate in the stomach. the swan-ganz catheter is in appropriate position no other significant change from the prior study. there is increased atelectasis in the left lower lobe. there is increased pulmonary edema, more on the left. no evidence of pneumothorax
<unk>f intubated, s/p dobhoff repositioning // <unk>f intubated, s/p dobhoff repositioning with resistance <num>cm, assess position/placement.
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interval removal of a right-sided picc line. cervical hardware is again noted. persistent streaky a left lower lobe and retrocardiac opacities likely reflect atelectasis. remainder the lungs are grossly clear. there is no evidence of pneumothorax or pulmonary edema. the cardiomediastinal silhouette is unchanged appearance.
history: <unk>f with fevers // r/o pneumonia
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frontal and lateral chest radiographs demonstrate moderate left-sided pleural effusion, improved since <unk> and unchanged since <unk>. small right-sided pleural effusion noted. lungs are grossly clear well with no focal consolidation. there is no pneumothorax. heart size is top normal. pulmonary vasculature is unremarkable.
<unk>-year-old female with recurrent pleural effusion status post thoracentesis <unk>.
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frontal upright views of the chest were obtained. tracheostomy tube is in stable position. right subclavian central catheter terminates in the lower svc. leads of a left chest wall pacer terminate over the right atrium and right ventricle. moderate cardiomegaly is similar to prior, allowing for difference in patient position. retrocardiac opacity is stable and compatible with atelectasis, although infection may have a similar appearance. left lung volume loss is similar to prior. no pneumothorax is visualized, though the patient's chin obscures the left apex.
<unk>-year-old male with fever and shortness of breath.
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a portable upright ap radiograph of the chest demonstrates clear lungs. the calcified granuloma in the right lower lobe is stable, along with calcified hilar lymph nodes. moderate cardiomegaly has been unchanged as far back as <unk>. there is no pneumothorax or pleural effusion and pulmonary vascularity is normal.
<unk>-year-old woman with weakness.
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interval resection of the aspergillosis on. this expected volume loss in the left lung. a small left effusion is present. the right lung is clear. mild mediastinal shift to the left. the cardiac silhouette is not enlarged.
<unk> year old woman with surgery for aspergilloma. // new baseline after thoracic surgery
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the right-sided picc line is within the right atrium approximately <num> cm from the expected cavoatrial junction. the endotracheal tube is in good position. there is improved aeration with decreasing bibasal atelectatic changes. no interstitial edema. no significant pleural effusions. the cardiomediastinal silhouette is nonenlarged.
<unk> year old man with intubated // new pathology
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the cardiomediastinal and hilar contours remain stable. again seen are widespread parenchymal opacities, now worsened compared to the most recent prior study. additionally, there is a new retrocardiac opacity, indicating partial left lower lobe collapse with an expanded upper lobe. there is a new small left pleural effusion. there is no pneumothorax. again seen is a left chest port with tip in the mid svc.
followup interval change.
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cardiomediastinal silhouette and hilar contours are unremarkable. lungs are clear. pleural surfaces are clear without effusion or pneumothorax. there is no evidence of pneumoperitoneum.
right upper quadrant epigastric pain.
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normal cardiomediastinal contours. small bilateral dependent pleural effusions. right lung consolidation is slightly smaller. small left apical pneumothorax. possible loculated pneumothorax at the left base. status post surgical repair of left clavicular fracture. left rib fractures are re-identified.
<unk>-year-old man with a history of a left clavicular fracture status post orif and multiple left rib fractures, now status post removal of chest tube.
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there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. the imaged upper abdomen is unremarkable. the bones are intact.
history: <unk>f with hyperglycemia, infectious symptomatology // r/o pneumonia
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the heart appears larger on the study as compared to last. this is likely due to the ap lordotic-like projection of this current film as well as slightly lower lung volumes. cardiomediastinal silhouettes are stable. the lungs are clear. there is no pulmonary edema, pleural effusion or pneumothorax. right picc line remains in good position.
<unk>-year-old with all, currently on chemo, now with worsening shortness of breath.
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ap single view of the chest has been obtained with patient in sitting semi-upright position. comparison is made with the frontal view of ap and lateral chest examination obtained two days earlier (<unk>). again, there is status post sternotomy and the presence of multiple surgical clips in the left-sided anterior mediastinal structures is indicative of bypass surgery. the heart size has not changed significantly. the pulmonary vasculature is not congested. an apparently postoperatively developed thin plate atelectasis on the left base remains unchanged. the right hemithorax does not demonstrate any pulmonary abnormalities at all. skeletal structures grossly unchanged and no evidence of pneumothorax.
<unk>-year-old male patient status post bypass surgery, evaluate effusion, orthostatic?
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left-sided chest tube is unchanged position. left apical pneumothorax is unchanged. bibasilar atelectasis is unchanged. moderate left pleural effusion and small right pleural effusion are state. cardiomediastinal silhouette is unchanged.
<unk> year old woman with new tpc // effusion size, ptx
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pa and lateral views of the chest provided. pacemaker projects over the right chest wall with single lead extending into the region of the right ventricle unchanged. the heart remains mildly enlarged. there is no focal consolidation, large effusion or pneumothorax. mediastinal contour is unchanged. bony structures remain intact. no free air below the right hemidiaphragm.
<unk>f with epigastric pain // r/o pneumonia
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minimal left basilar atelectasis is seen without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
history: <unk>m with left sided chest pain*** warning *** multiple patients with same last name! // eval for cardiopulm process
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assessment is somewhat limited by patient rotation and incomplete coverage of the right costophrenic angle. heart size appears grossly within normal limits. mediastinal and hilar contours are grossly unremarkable. pulmonary vasculature is not engorged. lungs appear grossly clear without focal consolidation. no large left-sided pleural effusion is identified. no pneumothorax is seen. no acute osseous abnormality is visualized.
<unk> year old woman with intoxication, cough
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frontal and lateral views of the chest. there is a subcentimeter nodular opacity projecting over the anterior right first rib. the lungs are otherwise essentially clear. cardiomediastinal silhouette is within normal limits. old healed left lateral eighth rib fracture is identified. osseous and soft tissue structures are unremarkable.
<unk>-year-old female with distal radius fracture, preop.
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this radiograph was read in conjunction with most recent ct from <unk>. again seen is moderate to severe centrilobular emphysema predominantly in the upper lobes, though present elsewhere. heart size is within normal limits.mediastinal and hilar contours are unremarkable. there is no evidence for pulmonary edema, pulmonary consolidation, pleural effusion, or pneumothorax.aortic knob calcification seen.
<unk> year old woman with cirrhosis and productive cough. evaluate for pneumonia.
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mild enlargement of cardiac silhouette is unchanged. mediastinal contour appears similar. low lung volumes result in crowding of bronchovascular structures without overt pulmonary edema. patchy opacities are noted in the lung bases likely reflective of atelectasis. no pneumothorax or pleural effusion is present. no subdiaphragmatic free air is present. clips are noted in the left upper quadrant of the abdomen.
history: <unk>f with abdominal pain, distension, no bm few days
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single portable view of the chest. endotracheal tube is seen with tip approximately <num> cm from the carina, in appropriate position. an enteric tube is seen with tip in the region of the gastric fundus side port likely in the distal esophagus. low inspiratory volume is seen. increased opacity at the right lung apex suggestive of right upper lobe collapse. elsewhere the lungs are grossly clear noting left basilar linear opacity suggestive of atelectasis. cardiomediastinal silhouette is unremarkable.
<unk>-year-old male intubated.
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frontal and lateral chest radiographs demonstrate chronic elevation of left hemidiaphragm with adjacent atelectasis, unchanged from <unk>. there is no focal consolidation, pleural effusion, or pneumothorax. the cardiac silhouette is normal in size, the mediastinal contours are normal.
<unk>-year-old male with dizziness. evaluate for occult pneumonia.
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an endotracheal tube terminates at the level of the clavicles. a right ij catheter sheath terminates in the upper svc. a nasogastric tube enters the stomach, distal tip not visualized. moderate right and small left layering pleural effusions have increased. extensive bilateral airspace opacities are more extensive in the right lung. the heart and mediastinum are magnified by the projection. bones and soft tissues are unremarkable.
<unk> year old woman with pulmonary contusion // eval for worsening change
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pa and lateral chest radiographs were obtained. bibasilar airspace opacities correlate with the findings seen on the recent ct. there is no consolidation in the upper lobes. there is no pneumothorax. the central pulmonary vasculature is mildly prominent, but there is no evidence of overt edema. there are no abnormal cardiac or cardiomediastinal contours. the aorta is mildly tortuous. no signficant pleural effusions is noted.
pancreatitis, hypoxemia, possible bibasilar pneumonia.
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ap portable upright view of the chest. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. dextroscoliosis of the lumbar spine is partially visualized.
<unk>f with sob and tachy pls eval for edema or pna
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a small, loculated left pleural effusion is stable in appearance as compared to the cta chest dated <unk>. there is no focal consolidation, new pleural effusion, pneumothorax, or pulmonary edema identified. heart size is top normal. the cardiomediastinal silhouette is otherwise unremarkable.
history of cml, pulmonary hypertension. now with worsening dyspnea.
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the cardiomediastinal and hilar contours are within normal limits. lungs are hyperexpanded. there is no focal consolidation, pleural effusion or pneumothorax.
hematemesis. overlying mediastinal widening or aspiration.
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ap portable upright view of the chest. midline sternotomy wires and mediastinal clips are noted. overlying ekg leads are present. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact.
<unk>m with copd, syncope // eval for pulm edema
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as compared to chest radiograph from earlier same day, the tip of the endotracheal tube is <num> cm from the carina. the feeding tube tip remains at the gastroesophageal junction. the nasogastric tube tip is not visualized. the right ij catheter in similar position. extensive subcutaneous emphysema has not significantly changed. slight interval increase in bibasilar opacities. widespread airspace opacities are otherwise unchanged. right apical lucency concerning for small pneumothorax.
<unk> year old man with ards // evaluate ett placement
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pa and lateral views of the chest. the lungs are clear. there is no focal consolidation, pleural effusion or pneumothorax. cardiomediastinal and hilar contours are normal.
chest pain.
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frontal and lateral views of the chest were obtained. the heart is mildly enlarged, similar to <unk>. bibasilar atelectasis is again seen. the lungs are otherwise clear. no pleural effusion, pneumothorax, or pneumomediastinum is seen. median sternotomy wires are intact. several metallic clips overlie the cardiac shadow. there are severe degenerative changes of the right shoulder including complete effacement of the right acromiohumeral interval suggesting rotator cuff pathology.
<unk>-year-old male with subacute onset of sternal chest pain. evaluate for pneumothorax or pneumomediastinum.
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frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well aerated lungs which are clear. there is no focal consolidation, pleural effusion, or pneumothorax. the visualized upper abdomen is unremarkable.
chest pain.
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a single portable ap semi-upright view of the chest was obtained. the endotracheal tube terminates approximately <num> cm above the carina with the patient's neck flexed and should be pulled back by approximately <num> cm for optimal placement. ng tube is subdiaphragmatic. heart is normal size and cardiomediastinal contours are unremarkable. lung volumes are low and mild basilar atelectasis is noted. lungs are otherwise clear. there is no pleural effusion or pneumothorax.
<unk>-year-old woman intubated, evaluate 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 unremarkable.
history: <unk>f with cough x<num> week // evidence of pneumonia
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ap and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette. there are normal pulmonary vascular markings. there is no focal consolidation, pleural effusion, or pneumothorax.
stroke, evaluate for pneumonia.
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. multilevel moderate degenerative changes are noted in the thoracic spine. partially assessed is cervical fusion hardware.
history: <unk>f with chest pain
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ap upright and lateral chest radiograph demonstrates median sternotomy wires which appear intact. a prosthetic mitral valve is noted. there is a small to moderate right pleural effusion decreased in size relative to prior study. several opacities project over the right lower lung zone, likely artifactual and superimposed osseous structures. streaky opacity within the left upper lobe is unchanged. blunting of the left costophrenic angle likely reflect small pleural effusion. cardiomediastinal silhouette is stable. no evidence of pulmonary edema. there is no pneumothorax.
<unk>f with recent mvr on <unk> p/w n/v, lethargy and new oxygen requirement. // acute cardiopulmonary process
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frontal and lateral views of the chest were performed. the lungs are hyperexpanded. there is no pleural effusion, pneumothorax or focal airspace consolidation. atelectasis is seen at the left lung base. the cardiac and mediastinal contours are normal. calcifications are seen within the aortic arch. there are no acute osseous abnormalities appreciated. sternotomy wires and mediastinal clips are redemonstrated.
hiccups, evaluate for pneumonia.
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the lungs are well inflated. the trachea is central. the cardiomediastinal contour is normal. the heart is not enlarged. no blunting of the costophrenic angles to suggest a pleural effusion. no areas concerning for consolidation seen. no destructive bony lesions seen. a tiny density in the right mid lung is likely a vascular marking versus a small calcified granuloma, this measures <num>-<num> mm.
<unk>f w/fever, body aches, please rule out pna // <unk>f w/fever, body aches, please rule out pna
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pa and lateral views of the chest. compared to most recent study on <unk>, the pulmonary edema has increased. a new heterogeneous opacity is seen in the anterior segment of the right upper lobe concerning for pneumonia. small bilateral pleural effusions are unchanged. heart size is top normal. mediastinal widening, particularly in the right lower paratracheal region, is unchanged and previously documented as adenopathy and azygos distention. there has been interval removal of left internal jugular line. sternotomy wires and clips in the upper mediastinum are seen.
<unk>-year-old male with urosepsis, now resolved. also with critical as and systolic chf, rule out 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.
history: <unk>m with chest pain // ? acute cardipulm process
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the hyperinflated lungs are clear. the cardiac size is top normal. the hilar and mediastinal contours are normal. there is no pneumothorax or pleural effusion. pulmonary vascularity is normal.
chest pain, evaluate for pneumonia.
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the endotracheal tube ends <num> cm above the level of the carina. an enteric catheter courses below the level of the diaphragm and out of the field of view inferiorly. there is minimal bilateral lower lung atelectasis. the lungs are otherwise clear. the heart remains top normal in size. the descending thoracic aorta is tortuous, as before. there are no pleural effusions. no pneumothorax is seen.
found unresponsive, status post intubation.
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cardiomediastinal silhouette is top-normal in size. hilar contours are normal. again appreciated is left pacemaker with transvenous leads leading to the right atrium and right ventricle. multiple patchy opacities are seen throughout the right lung. the left lung is clear. there is no effusion or pneumothorax. no acute bony abnormality is identified.
status post motor vehicle collision with reported rib fractures.
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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 overt pulmonary edema is seen. no displaced fracture is seen.
chest pain.
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left-sided pacemaker device is noted with leads terminating in the right atrium and right ventricle. mild to moderate enlargement of cardiac silhouette is re- demonstrated. the mediastinal and hilar contours are unremarkable. pulmonary vasculature is not engorged. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is present. there are no acute osseous abnormalities detected.
<unk> year old man with history of heart failure and new chest pain
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frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and fairly well-aerated lungs, without pleural effusion or pneumothorax. mildly increased opacity adjacent to but not obscuring the right heart border has a linear quality on lateral view suggestive of atelectasis. the visualized upper abdomen is unremarkable.
evaluate for pneumonia in an <unk>-year-old woman with fever.
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lungs are clear. no pleural effusion, pneumothorax or focal airspace consolidation. heart is normal size. mediastinal and hilar structures are unremarkable. lung volumes are normal.
malaise, evaluate for infection.
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ap portable upright chest radiograph was obtained. the lungs are well expanded with small right pleural effusion and atelectasis. there is vascular congestion without definite edema. no left effusion or pneumothorax is seen. mild to moderate cardiomegaly, particularly with enlargement of left atrial contour, is noted.
syncopal event. assess for acute process.
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when compared to radiograph dated <unk>, there has been interval removal of endotracheal tube and enteric feeding tube. a left-sided internal jugular catheter is seen terminating at the mid svc. there is no pneumothorax. lung volumes are persistently low with mild to moderate left-sided pleural effusion unchanged in appearance. cardiac silhouette is constant with sternotomy wires intact. no new focal consolidations.
<unk>-year-old male with septic shock. evaluate for pneumonia.
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a right middle lobe consolidation persists and is consistent with the patient's known post-obstructive pneumonia. there is no new consolidation. a small right pleural effusion is unchanged. there is no pneumothorax. mild enlargement of the right hilum is consistent with the patient's known lymphadenopathy, although it is better evaluated on recent ct scan. the cardiac silhouette is normal.
history of lung cancer and post-obstructive pneumonia. evaluate for interval change.
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there are vertical linear lucencies along the left paratracheal stripe, possibly reflecting a pneumomediastinum. recommend clinical correlation for possible trauma. the heart is normal in size, and the lungs are clear without focal consolidation, pleural effusion or pulmonary edema.
<unk>-year-old female status post suicide attempt with overdose and pinpoint pupils on physical exam. no relief with narcan administration. evaluate for pneumonia.
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interstitial and perihilar prominence with small bilateral pleural effusions is consistent with moderate pulmonary edema, worse than prior. the small pleural effusions were only appreciated on the lateral view on <unk> and have increased in size. accounting for differences in technique, the cardiac silhouette remains mildly enlarged. a tortuous aorta contributes to the prominence of the mediastinum. no pneumothorax.
dyspnea. elevated fluid overload or pneumonia.
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lungs are clear without consolidation, effusion, or pneumothorax. nipple shadows are identified bilaterally. the cardiomediastinal silhouette is normal. no acute osseous abnormalities identified.
<unk>m with chest pain // eval for cardiopulmonary process
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patient is with rotated somewhat to the right. there is thoracolumbar scoliosis. minimal basilar atelectasis is seen without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. there is persistent elevation or eventration of the right hemidiaphragm.
history: <unk>f with hypoxia // acute process?
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right central line is in unchanged position, terminating in the lower svc. endotracheal tube terminates <num> cm above the carina, in unchanged position. a nasogastric tube extends into the stomach. stable, moderate cardiomegaly. hilar and mediastinal contours are unchanged. apparent increase in density in the left hemithorax is likely secondary to supine positioning with layering of the left pleural effusion, which is likely unchanged in size. pulmonary edema has resolved on the right and has improved on the left. there is stable, severe left lower lobe atelectasis. there is no pneumothorax. there is moderate, stable right lower lobe atelectasis and a small, stable right pleural effusion.
<unk>-year-old woman status post feeding tube placement.
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frontal and lateral radiographs of the chest when compared to the prior study demonstrates resolution of left basilar opacity from the prior study. no focal areas of increased opacity are identified. the cardiac and mediastinal contours are normal. no pleural abnormality is detected.
follow up pneumonia from <unk>.
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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 a-fib // eval for acute process
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there relatively low lung volumes.no focal consolidation is seen. there is no pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are stable and unremarkable.
history: <unk>m with chest pain, sob, and cough // ?pneumonia
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the lungs are clear. there is no consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is within normal limits. no displaced fractures identified.
<unk>m with trauma to r chest from cart // please assess for pneumothorax, as well as displaced rib fractures if possible
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pa and lateral views of the chest demonstrate the lungs are well expanded and clear. the cardiomediastinal silhouette is unremarkable. there is no pleural effusion, pulmonary edema, pneumothorax, or focal airspace opacity.
<unk>-year-old female with tachycardia. evaluation for infiltrate.
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patient is status post median sternotomy, cabg, with dense mitral annular calcifications again noted. mild to moderate cardiomegaly is unchanged. the thoracic aorta is diffusely calcified. small hiatal hernia is noted. mediastinal and hilar contours are otherwise unremarkable. pulmonary vasculature is not engorged. no focal consolidation, pleural effusion or pneumothorax is present. the osseous structures are diffusely demineralized. partially imaged is a vascular stent within the left upper extremity.
history: <unk>f with dyspnea, lightheadedness, coronary artery disease
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lung volumes are normal. there is no focal consolidation, effusion, or pneumothorax. there is no central vascular congestion or overt pulmonary edema. mediastinal and hilar contours are normal. triangular opacity at the right cardiophrenic angle is likely prominent epicardial fat or a mediastinal cyst. heart size is normal.
history: <unk>f with infectious work-up // eval pna
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left chest wall dual lead pacing device is again noted. median sternotomy wires and mediastinal clips are seen. the lungs are clear without focal consolidation, effusion, or edema. degree of cardiomegaly is unchanged. no acute osseous abnormalities
<unk>m with dyspnea eval for edema, eval for dvt
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the lungs are well expanded. there is no focal consolidation, pleural effusion or pneumothorax. the cardiac silhouette is normal.
history of rheumatoid arthritis initiating methotrexate. rule out interstitial pneumonitis or any other abnormalities.
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the patient is status post median sternotomy, cabg, and aortic valve replacement. heart size appears mildly enlarged. pulmonary vasculature is normal. lung volumes are slightly low, with minimal left basilar atelectasis. no focal consolidation, left pleural effusion or pneumothorax is clearly evident. there may be minimal pleural thickening or trace fluid at the right costophrenic angle. no acute osseous abnormality is detected.
history: <unk>m with shortness of breath
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pa and lateral views of the chest provided. left ij access port-a-cath is unchanged in position with tip in the cavoatrial junction. there is worsening pulmonary edema, now moderate in overall severity with small bilateral pleural effusions increased in the interval. cardiomediastinal silhouette is unchanged. no pneumothorax. clips in the upper abdomen noted.
<unk>m with fevers, hx as, hx chf s/p bmt // r/o pna, pulm edema
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pa and lateral views of the chest provided. bilateral breast implants are noted likely accounting for increased opacities projecting over the lower lungs. 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 r posterior rib // evidence of rib fracture or pneumo
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increased interstitial markings are worse when compared to the prior. there is slightly more dense opacity at the right lung base compared to prior. severe cardiac enlargement is again noted. densely calcified, tortuous thoracic aorta is unchanged. left chest wall dual lead pacing device is in stable position. no acute osseous abnormalities.
<unk>f with shortness of breath // acute process?
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there is no evidence of picc line fragment. small bilateral pleural effusions are similar to the recent prior study and are accompanied by mild basilar atelectasis. a left pectoral dual-chamber pacemaker and its leads project in unchanged location. there is no focal consolidation, pulmonary edema, or pneumothorax.
<unk>-year-old female with <num> cm picc which was removed and measured <num> cm, currently asymptomatic in likely a typo during documentation of initial placement. please evaluate for picc fragment.
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note is again made of a linear opacity in the lingula, which is unchanged from the prior study and likely represents a scar. no focal consolidation concerning for pneumonia is detected. biapical pleural thickening is noted, which appears symmetrical. no significant pleural effusion or pneumothorax is detected. the pulmonary vasculature is not engorged. the cardiac silhouette is normal in size. a bulge at the aortic arch is stable from the prior study and corresponds to the patient's known pseudoaneurysm. the trachea is midline. right-sided rib deformities are also unchanged.
palpitations, here to evaluate for acute cardiopulmonary process.
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pa and lateral views of the chest. there has been interval resolution of the previously identified left upper lobe opacity. there is no new region of consolidation or effusion. the cardiomediastinal silhouette is normal. no acute osseous abnormalities detected.
<unk>-year-old female with nausea, chills and sweats. history of gpa on steroids.
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heart size is normal. the aorta is mildly tortuous and demonstrates atherosclerotic calcifications within the ascending aorta and aortic knob. pulmonary vasculature is normal. mediastinal and hilar contours are unremarkable. hyperinflation of the lungs persists suggestive of underlying copd. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is present. no acute osseous abnormalities are detected.
history: <unk>f with shortness of breath
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the lungs are hyperinflated but clear without consolidation or edema. moderate cardiac enlargement is grossly unchanged given differences in positioning. prosthetic valve is noted as well as median sternotomy wires. right chest wall dual lumen central venous catheter is in stable position. no acute osseous abnormalities. vascular stent projects over left axillary region.
<unk>m with presyncope, hx chf // edema, effusion, infiltrate
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pa and lateral chest radiographs were obtained. the tip of a right chest port-a-cath terminates at the cavoatrial junction. the lungs are well expanded. there is minimal bibasilar atelectasis. there is no effusion or pneumothorax. cardiomegally is mild there are no abnormal cardiac or mediastinal contours.
chest pain.
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ap upright view of the chest low lung volumes are present. right basilar patchy opacity is worrisome for pneumonia. minimal left basilar patchy opacity may reflect atelectasis. the cardiomediastinal silhouette is normal. pulmonary vasculature is normal. no pleural effusion or pneumothorax. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
history: <unk>m with <num> days cough
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frontal and lateral views of the chest were obtained. the heart size and cardiomediastinal contours are normal. the lungs are clear. no focal consolidation, pleural effusion, or pneumothorax.
dizziness and hypotension. evaluate for consolidation.
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there is increased size of the right hilum consistent with lymphadenopathy. there is a faint, ill-defined opacity overlying the right second rib to which attention should be paid on followup imaging. there is no, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is within normal limits.
<unk> year old woman with hypercalcemia // assess for evidence of sarcoid
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frontal and lateral views of the chest are compared to previous exam from <unk>. right upper lung calcified pulmonary nodule is again noted. the lungs are otherwise clear, noting relatively low lung volumes with secondary crowding of the bronchovascular markings. no pleural effusion. cardiomediastinal silhouette is within normal limits. hypertrophic changes are noted in the spine. osseous and soft tissue structures are otherwise unremarkable.
<unk>-year-old male with shortness of breath.
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a left-sided pectoral pacemaker is noted with <num> intact leads terminating within the right atrium and right ventral, respectively. the heart remains severely enlarged, unchanged from the prior examination. lung volumes are low and there is mild prominence to the central pulmonary vasculature. there is no pleural effusion, pneumothorax, or focal consolidation. a severe vertebral body compression deformity is noted within the mid thoracic spine, unchanged from prior examination.
history: <unk>f with weakness, palpitations // eval pacer placement
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pa and lateral views of the chest were obtained. bilateral airspace opacities in the left upper and lower lobes and right middle and lower lobes are concerning for multifocal pneumonia. no pleural effusions or pneumothorax. the cardiomediastinal silhouette is normal. no bony abnormalities. no free air below the hemidiaphragm.
cough and fever.
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frontal and lateral radiographs of the chest were acquired. the lungs are clear. the heart size is normal. the mediastinal contours are normal. there are no pleural effusions. no pneumothorax is seen. a <num> x <num> cm lobulated opacity projecting over the left supraclavicular region was seen to be a skin lesion on prior ct from <unk>. multilevel degenerative changes of the thoracic spine are noted.
left-sided stroke. evaluate for acute process.
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the cardiac and mediastinal silhouettes are stable. there is mild prominence of the central pulmonary vasculature suggesting vascular engorgement with minimal vascular congestion, without overt pulmonary edema. no pleural effusion is seen. there is no pneumothorax. no definite focal consolidation is seen.
history: <unk>m with htn, adrenal adenoma, obesity, smoker who presents with chest pain and normal ekg. // evaluate for acute cardiopulmonary process
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portable ap upright chest film <unk> at <time> is submitted.
<unk> year old man with cad, hfref, uri, <unk> here with volume overload, now with new wbc of <num> // evidence of new infiltrate evidence of new infiltrate
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the cardiac, mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. an opacity in the left lower lobe suggests pneumonia. there is also potentially medial right lower lobe opacity.
cough. question infection.
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the lungs are clear without focal consolidation. there is cardiomegaly and mild pulmonary edema. there is likely a small left pleural effusion. no pneumothorax is identified. degenerative changes are noted at the bilateral ac and glenohumeral joints.
<unk>f with fall, found down, evaluate for edema or pneumonia.