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when compared to prior, there has been no significant interval change. lungs are grossly clear. there is no large effusion or edema. cardiomediastinal silhouette is within normal limits. rightward deviation of the trachea at the thoracic inlet is compatible with known underlying left-sided thyroid enlargement. surgical clips seen projecting over the thoracic inlet. left chest wall dual lumen central venous catheter is now seen. multiple vascular stents project over the left upper extremity and mediastinum. severe degenerative changes noted at the shoulders bilaterally. old healed right posterior rib fractures are also noted.
<unk>m with hypotension // evaluate for pneumonia
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frontal and lateral chest radiograph demonstrates interval removal of right-sided chest tube with no definite pneumothorax identified. there is no pneumothorax on the left. there is a right picc terminating at the level of the low superior vena cava. along the right lateral hemithorax is a loculated pleural effusion which has increased since <unk> and on lateral view, appears more substantial than appreciated on the frontal view. left pleural effusion has decreased in size. mild basilar atelectasis, right greater than left. there is no overt pulmonary edema. a tortuous descending aorta is noted. mediastinal and hilar contours are unchanged. moderately gas distended loop of bowel is noted in the left upper quadrant.
<unk>-year-old male status post right vats decortication and chest tube removal.
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heart size is top normal. the aortic arch is calcified. mediastinal contour is unremarkable. pulmonary vasculature is not engorged. lungs appear hyperinflated. patchy opacities are noted in the lung bases, potentially atelectasis but infection or aspiration cannot be excluded. trace bilateral pleural effusions are also visualized, left greater than right. no pneumothorax is demonstrated. no acute osseous abnormality is identified.
history: <unk>f with weakness
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there is blunting of the left costophrenic angle which may be due to a trace pleural effusion. right upper lobe chain sutures are again seen. patchy opacity projecting over the lateral left mid lung is new since prior, and raises concern for infection/pneumonia. additional opacity projecting over the medial right lung base is more prominent as compared to prior, and could represent additional site of infection with overlapping vascular structures. cardiomegaly is unchanged from prior exam. there is no pneumothorax or pleural effusion.
productive cough, concerning for pneumonia.
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portable frontal view of the chest. the lung volumes are low. no pleural effusion or pneumothorax. there is bibasilar atelectasis, left greater than right. heart size is normal. mediastinal and hilar structures are unremarkable. the configuration of the trachea is unchanged from prior cross-sectional imaging.
unresponsive. evaluate for pneumonia.
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the heart size is mildly enlarged. mediastinal and hilar contours are unremarkable. the previously noted mild interstitial pulmonary edema has resolved. minimal atelectasis is noted in the lung bases. no focal consolidation, pleural effusion or pneumothorax is present. clips project over the left axillary region.
confusion.
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the lungs are clear without consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. no acute osseous abnormalities.
<unk>f with cough // cough
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a single supine portable radiograph of the chest was acquired. the lungs are clear. the cardiac and mediastinal contours are normal. there are no pleural effusions. no pneumothorax is seen. the bony thorax is grossly intact.
motor vehicle collision, intoxicated. evaluate for acute process.
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mild to moderate enlargement of the cardiac silhouette is present. atherosclerotic calcifications are noted within the aortic arch. the mediastinal and hilar contours are within normal limits. pulmonary vasculature is not engorged. linear opacities in the lung bases likely reflect areas of scarring or atelectasis. no focal consolidation, pleural effusion or pneumothorax is present. no acute osseous abnormality is visualized.
history: <unk>f with chest pain
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the lungs are relatively hyperinflated, suggesting chronic obstructive pulmonary disease. no definite focal consolidation is seen. there is no pleural effusion or pneumothorax.the cardiac silhouette is top-normal to mildly enlarged.
cough, a etoh, question pneumonia
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pa and lateral chest radiograph demonstrates clear lungs bilaterally. there is no focal consolidation. there is no pleural effusion or pneumothorax.
<unk>-year-old female with cough and syncope.
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since the prior radiograph performed earlier on the same date, the right sided picc line has been retracted and is now terminates at approximately the cavoatrial junction. there are no other significant changes. no evidence of pneumothorax. the lung volumes are low and there is bibasilar atelectasis.
<unk> year old woman with r picc confirm placement // r picc repositioned pulled back <num>cm <unk> <unk>
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frontal and lateral chest radiographs demonstrate a heterogeneous opacity within the right lower lobe new since <unk> and unchanged since <num> day prior, concerning for early consolidation. the cardiomediastinal and hilar contours are stable. small left-sided pleural effusion with associated left-sided pleural thickening unchanged. no pneumothorax.
<unk>-year-old male status post decortication. evaluate for interval changes.
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the heart is normal in size. there is redemonstration of radiation fibrotic changes within the left upper paramediastinal region as seen on prior chest examinations. there is again a leftward shift of mediastinal structures with volume loss in the left lung. no focal consolidation, pleural effusion or pneumothorax is identified.
right-sided chest pain. rule rule out pneumothorax, effusion.
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frontal and lateral views of the chest demonstrate multiple large ovoid opacities projecting over right lateral and posterior basilar hemithorax, which most likely represent loculated pleural fluid, significantly progressed from <unk> exams. minor fissure is thickened, likely due to layering fluid. right paramediastinal opacity is compatible with the patient's known mass, better characterized on most recent ct exam. reticular opacities involving the entire right hemithorax, may represent asymmetric pulmonary edema on background of severe centrilobular emphysema. left lung is clear. there is no left pleural effusion. heart size is normal. sternotomy wires appear intact. patient is status post cabg. there is no pneumothorax.
patient with dyspnea.
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the lungs are clear. there is no effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified.
<unk>f with history of as s/p fall // r/o chf/pneumonia
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there has been interval placement of bilateral pigtail catheters and interval decrease in size of the bilateral pleural effusions. there is a small left apical pneumothorax, and no pneumothorax is seen on the right. the patient is status post median sternotomy, mitral valve replacement and cabg. there is no focal consolidation..
<unk> year old woman with bilateral pleural effusions status post bilateral pigtail placement. evaluate for pneumothorax.
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. the lungs appear clear. there are no pleural effusions or pneumothorax. bony structures are unremarkable. there is no evidence for radiopaque foreign body.
recently swallowed dime-size piece of glass.
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no significant interval change from the prior radiograph apart from a interval decrease in the amount of subcutaneous emphysema over the left chest wall.
<unk> year old woman with ptx s/p chest tube // please get xray at <unk> <unk> to look for interval change in ptx per ir
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an endotracheal tube terminates <num> cm above the carina. an orogastric tube terminates within the stomach. a left ij central venous catheter terminates at the mid svc. small bilateral pleural effusions are minimally changed since <unk>. bilateral ill-defined pulmonary opacities appear slightly improved since <unk>.
strep pneumonia.
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frontal and lateral radiographs of the chest demonstrate hyperinflated lungs with flattening of the diaphragms, consistent with patient's history of copd. otherwise, the lungs are clear with no focal opacity concerning for pneumonia. the cardiac and mediastinal contours are normal. no pleural effusion or pneumothorax is appreciated. again seen is symmetric bilateral apical pleural thickening, unchanged.
moderate copd with recent cough and cold symptoms. evaluate for pneumonia.
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left-sided picc remains in the distal svc <num> cm caudal to the carina. heart size is normal. cardiomediastinal silhouette and hilar contours are unchanged. lungs are clear. there is no pleural effusion or pneumothorax.
chest pain.
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the lungs are clear. cardiomediastinal and hilar contours are unremarkable. there is no evidence of pleural effusion or pneumothorax.
<unk>-year-old male with recent diagnosis of dvt. evaluate for presence of pneumonia or pneumothorax.
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the cardiac, mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. the lungs appear clear. surgical clips project along the lower mediastinum to the left of midline near the gastroesophageal junction. clips also project over the lateral right chest, possibly within the right axilla or breast.
new facial droop.
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compared with prior radiographs <unk>, there is no significant change. there is no focal consolidation, pleural effusion or pneumothorax. cardiomediastinal silhouette is unchanged. a right picc line terminates in the low svc.
<unk> year old man with multiple myeloma new fever // please eval for pneumonia
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pa and lateral views of the chest were obtained. the heart size is normal. the mediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. slight blunting of the left costophrenic angle is again noted, stable compared to the prior study. there is no focal consolidation concerning for pneumonia. mild degenerative changes of the thoracic spine and bilateral hips are noted.
intermittent epigastric pain.
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pa and lateral views of the chest. there is a moderate right pleural effusion which apepars slightly decreased in size compared to <unk>. there is adjacent right mid lung opacities which are likely atelectasis however pneumonia in this area cannot be ruled out. there is no left pleural effusion. there is no pneumothorax. difficult to accurately assess cardiac size due to right base opacity. mediastinal contours are grossly stable.
shortness of breath, hypoxia, cough, question pneumonia.
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ap portable view of the chest. pleural thickening, possibly calcified, which blunts the right costophrenic sulcus with mild right hemidiaphragm elevation is unchanged. there is a new small left pleural effusion. there is mild cardiomegaly and cephalization of vessels consistent with mild pulmonary vascular congestion. no definite consolidation suggestive of pneumonia. no pneumothorax.
altered mental status, leukocytosis, question pneumonia.
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et tube is in appropriate position. the right picc line ends in the lower svc. the ng tube extends below the diaphragm. there is no significant change in the bibasilar atelectasis and pleural effusions. there is no pneumothorax. the cardiomediastinal contours are normal.
multiple strokes found down with ards. evaluate ards/ventilatory associated pneumonia.
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the cardiac, mediastinal and hilar contours appear unchanged. a moderate hiatal hernia is again noted. the lungs appear clear. there is no pleural effusion or pneumothorax. severe rightward scoliosis centered along the mid thoracic spine appears similar.
ataxia and crackles.
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the cardiac, mediastinal and hilar contours appear unchanged. the heart is again borderline in size and again with a left ventricular configuration. there is patchy increased density and bronchial cuffing in each mid lung, suggesting airway inflammation, probably chronic. a trace pleural effusion is suspected on the right only. the bones are probably demineralized to some extent. there is no pneumothorax. an irregular contour to the sternum suggests a fracture, including a small displaced step-off appearance, new since the remote prior studies. there is no soft tissue density effacing the anterior clear space deep to the sternum.
trauma.
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the lungs are noted to be moderately hyper distended. no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. the cardiomediastinal silhouette is stable. the aorta is mildly tortuous, unchanged from the prior exam. no acute bony abnormality is detected.
fever and abdominal pain.
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there are low lung volumes, which accentuate the bronchovascular markings. given this, there is minor basilar atelectasis and right middle lobe atelectasis. no definite focal consolidation is seen. there is no pleural effusion or pneumothorax. the cardiac silhouette is top-normal. mediastinal contours are unremarkable. aortic knob calcification is seen. surgical clips are noted in the right upper quadrant.
history: <unk>m with hx cad s/p stent x<num>, p/w chest pain // eval for acute process
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lung volumes are low. heart size remains mildly enlarged but not substantially changed in the interval. slight widening of the superior mediastinum is felt to be due to low lung volumes. aortic knob remains distinct. patient is status post bilateral mastectomies and breast implants. new hazy opacifications are seen within the left lung with sparing of the left apex and left costophrenic angle, as well as the right mid and lower lung fields. it is unclear if these reflect true parenchymal abnormalities or the presence of the breast implants. pulmonary vasculature does not appear engorged. no pneumothorax or pleural effusion is identified.
history: <unk>f with hypotension, jaundice
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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 hx pe on coumadin p/w lightheadedness with sbp in <num>s // r/o chf, pneumonia
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again, there is mild interstitial edema, similar or very slightly improved from the prior exam. a right basilar consolidation has worsened, and is concerning for pneumonia. there is no new opacity. there are small bilateral pleural effusions. the effusion on the right is slightly larger than on the prior exam. the effusion on the left is similar. the mediastinal contours are normal. atherosclerotic calcifications are noted in the aortic arch and are unchanged. mild cardiomegaly is unchanged. redemonstrated is a single lead aicd with the tip in the right ventricle.
chf with crackles on exam. evaluate fluid status.
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the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>m with seizure // eval for pna
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right picc line tip is at the level of mid svc. ng tube tip is in the stomach. heart size and mediastinum are unchanged including mild cardiomegaly. bibasal atelectasis appear to be slightly more pronounced in particular in the left retrocardiac area.
<unk> year old woman with inc rr and low grade fevers // acute or infectious process
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frontal lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and lungs which are slightly low volume, but clear. there is no focal consolidation, pleural effusion, or pneumothorax.
dyspnea and chest pain. evaluate for infiltrate.
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the cardiac, mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. an interstitial abnormality has substantially improved, although there is still peribronchial cuffing which can be identified with a heterogeneous distribution, predominantly in the lower lungs, greater on the right than left, a fairly similar overall pattern to the prior study.
generalized weakness.
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the lungs are well expanded and clear. there is indistinctness of the right paratracheal stripe. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax.
<unk>-year-old male with alcohol intoxication, coughing with scattered rhonchi. evaluate for aspiration or an infiltrate.
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compared with the immediate prior study, there is significant improvement in bilateral pulmonary edema, now mild. there is a persistent opacification of the left lung base, likely due to a left pleural effusion. the right ij central venous catheter ends in the cavoatrial junction. the heart is stably enlarged.
<unk> year old woman with pea arrest // edema?
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frontal and lateral views of the chest were obtained. a right lower lobe opacity is new from <unk>. no other opacity is seen. there may be a small pleural effusion. no pneumothorax. heart size is normal. mediastinal silhouette is normal. pulmonary vasculature is more engorged than on the prior study. pacemaker leads end in the right atrium and right ventricle. median sternotomy wires are intact. a coronary artery stent is present. cement material is seen in the lower thoracic spine.
cough and dyspnea.
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there is no significant interval change compared to prior examination with re-demonstration of low lung volumes and associated bibasilar atelectasis. there is no focal consolidation worrisome for pneumonia. mild vascular congestion is unchanged. there is no large pleural effusion or pneumothorax.
myelodysplastic syndrome status post stem cell transplant with low blood pressures. evaluate for infectious process.
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the heart size continues to be moderately enlarged with prominence to the central vascularity. there is increased bilateral lower lobe opacity compatible with volume loss/infiltrate. there is less vascular plethora than on the study from the prior day.
rhonchi on exam. question pulmonary edema.
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compared with radiograph performed approximately <num> days ago there has been interval development of a right lower lobe opacity, with obscuration of the right heart border. there is a small amount of layering pleural effusion with some fluid within the minor fissure. on the left there is a small pleural effusion. a vague small opacity is seen in the left upper lung which appears new from prior. there is increased vascular congestion and interstitial markings bilaterally. right-sided central line ends in the right atrium as before. sternotomy wires are intact.
<unk>-year-old female with new hypoxia and chest pain.
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residual stellate left upper lobe opacity is most compatible with scarring. left mid lung granuloma is unchanged. otherwise, the lungs remain hyperexpanded compatible with chronic obstructive pulmonary disease without new opacity. there is no pleural effusion or pneumothorax. the heart is normal in size and cardiomediastinal contours.
<unk>-year-old with a history of left upper lobe opacity treated for pneumonia, assess for change.
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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 c/o cp // ? pna
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frontal and lateral chest radiographdemonstrates hypoinflated lungs with crowding of vasculature. no focal opacity. small right pleural effusion. small left pleural effusion is suspected, but no pneumothorax. the cardiomediastinal silhouette is enlarged. mediastinal contour, and hila are otherwise unremarkable. limited assessment of the upper abdomen is within normal limits.
ocps, left-sided pleuritic chest pain relieved by sitting forward. assess for effusion, pneumothorax, or pneumomediastinum.
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ap upright and lateral chest radiograph was obtained. the lungs are well expanded and clear aside from unchanged linear opacities in the bases bilaterally, consistent with scarring. there is no pleural effusion or pneumothorax. the heart is normal in size with normal cardiomediastinal contours.
shortness of breath, assess for pneumonia.
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as compared to radiograph two days prior, there is notable improvement in pulmonary edema, especially evident at the apices. however, bilateral lower lung opacities persist and are concerning for pneumonia. a small right pleural effusion is likely still present but incompletely evaluated on this frontal radiograph. moderate cardiomegaly is unchanged. there is no pneumothorax. tortuosity and calcification of the thoracic aorta is redemonstrated.
shortness of breath, congestive heart failure, now increased work of breathing. evaluate for interval change.
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et tube terminates <num> cm above the carina. right internal jugular central venous catheter tip projects over mid svc. sternotomy wires are intact. multiple surgical clips project over cardiac silhouette. left lung base consolidation is unchanged. left costophrenic angle is obscured, suggestive of small pleural effusion, decreased since prior. there is no pneumothorax. hilar and mediastinal silhouettes are unchanged. mild-to-moderate cardiomegaly persists. perihilar vascular congestion is noted.
assess for et tube placement.
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there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal silhouette is slightly enlarged. the imaged upper abdomen is unremarkable. the bones are intact.
<unk> year old woman with copd and bronchiectasis with lll opacity // eval lll opacity seen on previous films
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chest pa and lateral radiograph demonstrates unremarkable mediastinal, hilar and cardiac contours. bilateral low lung volumes evident with minimally increased retrocardiac opacification, likely atelectasis. no pneumothorax or pleural effusion evident.
fever, please evaluate for cardiopulmonary process.
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the heart size, mediastinal, and hilar contours are normal. the lungs are clear without pleural effusion, focal consolidation, or pneumothorax.
<unk> year old man with melanoma, receiving interferon treatment. minimally productive cough last few weeks.
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endotracheal tube tip is approximately <num> cm from the carina. enteric tube passes below the inferior field of view. low lung volumes are noted with crowding of the bronchovascular markings. vague opacity at the right lung base may be due to atelectasis. there is no large confluent consolidation. the cardiomediastinal silhouette is within normal limits for technique. no acute osseous abnormalities.
<unk> year old man with ett tube and resp arrest spls eval tube plac and for pna
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cardiac, mediastinal and hilar contours are normal. mild leftward deviation of the trachea at the level of the thoracic inlet with prominence of the right superior mediastinal contour may reflect a thyroid goiter, not substantially changed from prior. lungs are hyperinflated but clear without focal consolidation. no pulmonary vascular congestion or pneumothorax is present. blunting of the left costophrenic angle on the lateral view is compatible with a small pleural effusion. no acute osseous abnormalities detected.
<unk>m w/productive cough
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supine portable radiograph of the chest demonstrates interval increase in size of left apical pneumothorax since the prior study. the left pigtail pleural catheter is unchanged in position. gastric distention has decreased since the prior study. otherwise, the right lung is unchanged.
<unk>-year-old man with recent pneumothorax and chest tube placement.
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there is a decreased though persistent right-sided hydropneumothorax with interval incomplete reexpansion of the right lung. no significant mediastinal shift identified with unremarkable mediastinal, hilar, and cardiac contours. right lower lung opacifications may reflect combination of reexpansion edema and atelectasis. minimal left lung atelectasis noted.
patient with collapsed right in setting of a tension pneumothorax, status post thoracocentesis. please evaluate for interval change.
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cardiomediastinal silhouette is normal. there is no pleural effusion or pneumothorax. there is no focal lung consolidation.
<unk> year old man with cirrhosis, hcc here with fever, sirs, evaluate for pneumonia
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frontal and lateral views of the chest. linear opacities at the lung bases are most suggestive of atelectasis. elsewhere the lungs are clear. there is no pneumothorax or large effusion. the cardiomediastinal silhouette is within normal limits noting tortuosity of the descending thoracic aorta. no displaced fractures are identified. surgical clips seen in the right upper quadrant.
<unk>-year-old female with syncope.
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portable semi-erect chest radiograph <unk> at <time> is submitted.
<unk> year old man with dchf exacerbation and cough // interval change r/o consolidation interval change r/o consolidation
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cardiomediastinal silhouette is normal. there is no pleural effusion or pneumothorax. there is no focal lung consolidation.
<unk>-year-old man with anxiety, atrial fibrillation, and increasing coughing, evaluate for pneumonia.
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ap portable upright view of the chest. type of lung volumes are slightly low. there is mild bronchovascular crowding in the lower lungs, without convincing evidence for pneumonia or edema. the heart appears top-normal in size. mediastinal contour is normal. no signs of congestion or edema. bony structures are intact. no free air below the right hemidiaphragm.
<unk>m with agitation // evaluate for pneumonia
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frontal and lateral views of the chest. the heart size and cardiomediastinal contours are normal. the lungs are clear without focal consolidation, pleural effusion, or pneumothorax.
<unk>-year-old female with cough and fever.
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pa and lateral chest radiographs demonstrate low lung volumes. cardiomediastinal and hilar contours are stable relative to prior examination. there is no pulmonary edema. there is no pleural effusion or pneumothorax. no opacity convincing for pneumonia is identified. there is no air under the right hemidiaphragm.
history: <unk>m with chest pain // chest pain? pna?
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redemonstrated is moderate-to-large amount of free air in the peritoneal cavity, slightly increased compared to <unk>. lung volumes are low with mild secondary vascular congestion, but no pulmonary edema. cardiac and mediastinal silhouettes are stable. there is no pneumothorax. a right picc line ends at the mid-to-distal svc.
<unk>-year-old man with abdominal pain postop.
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a right double lumen hemodialysis line terminates in the lower right atrium, overall unchanged compared to the prior exam. left-sided pacemaker leads terminate in the right atrium and right ventricle unchanged in position compared to the prior exam. mild cardiomegaly is been stable compared to exams dated back to at least <unk>. the hilar and mediastinal contours are normal. obscuration of the left hemidiaphragm is concerning for a left lower lobe consolidation. there may be a small left pleural effusion. there is no evidence of a pneumothorax. the visualized osseous structures are unremarkable.
history: <unk>m with pmhx including copd, chf s/p aicd, cad, mi, ckd on hd, now with cough and sob // pleave eval for fluid overload, pneumonia.
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frontal and lateral chest radiographs demonstrate multiple intact sternotomy wires and a mitral valve replacement. moderate bilateral pleural effusions are persistent, right greater than left, but minimally decreased. bibasilar associated atelectasis is unchanged. the upper lungs are clear. the heart size remains normal.
status post mitral valve replacement and ascending aorta replacement. evaluate effusions.
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the lungs are well-expanded clear. no focal consolidation, effusion, edema, or pneumothorax. the heart is normal in size. the mediastinum is not widened. non specific air-fluid loops of bowel the imaged left upper abdomen. the stomach is moderately distended with ingested contents.
<unk>-year-old man presenting with fever of unknown origin. evaluate for consolidation
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the lungs are hyperinflated. there are coarse bilateral interstitial markings, most predominant in the periphery and the bases. this is consistent with the patient's history of emphysema related fibrosis. the interstital changes limit the evaluation of the underlying parenchyma, but there is no definite evidence of consolidations, edema, pleural effusion, or pneumothorax. the patient is status post a median sternotomy. the sternal wires are intact. the cardiomediastinal silhouette is normal.
shortness of breath.
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lungs are fully expanded and clear. no pleural abnormalities. heart size is top-normal. cardiomediastinal and hilar silhouettes are normal. median sternotomy wires are midline and intact.
<unk> year old woman with confusion.
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there are patchy ill-defined opacities above the minor fissure in the right lung and in the right lung base, as well as multiple patchy retrocardiac opacities in the left lung base. small bilateral pleural effusions are better assessed in the lateral view. moderate cardiomegaly is present. there is no pneumothorax.
<unk>-year-old male with cough.
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complete opacification of the left hemithorax persists without appreciable change. the moderate right pleural effusion is slightly larger since yesterday despite reported good drainage from the pleurx catheter. of note, the intrathoracic component of the catheter appears to be sharply kinked. the cardiomediastinal silhouette is nearly completely obscured by the bilateral opacities. there is no evidence of apical pneumothorax. a right picc line terminates in the mid svc.
recent respiratory failure, effusions, now with right pleurx in place, whiteout of the left lung likely from mucous plugging. please evaluate left lung atelectasis/mucous plugging and right lung effusion with pleurx in place.
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right lung asymmetry is unchanged and due to prior right upper lobectomy. unchanged right lung base opacity, likely due to right middle lobe parenchymal scarring. chronic bullous changes in the bilateral lower lobes, and right fourth rib healed fracture are stable, along with cardiomegaly and aortic atherosclerotic disease. no new focal consolidations concerning for pneumonia.
<unk> year old man with cough x <num>mo. ? pneumonia
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cardiac, mediastinal and hilar contours are normal. lungs are clear. pulmonary vasculature is normal. no pleural effusion or pneumothorax is present. there are no acute osseous abnormalities.
history: <unk>f with syncope, ekg abnormality
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the patient is status post median sternotomy. heart size is normal. mediastinal and hilar contours are unremarkable, and the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. no acute osseous abnormalities demonstrated.
dyspnea on exertion, arrythmia.
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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>m with fever, ha, cough, tonsillar exudates with sore throat. // please assess for possible pnuemonia versus other intrapulmonary process.
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multifocal bilateral heterogeneous lung opacities are again demonstrated, which were also evaluated on the recent ct dated <unk>. as compared to the ct, there has been apparent interval worsening of opacities particularly in the right upper lobe, right middle lobe and lingula. the opacities have a peribronchovascular predominance with a lesser subpleural distribution. associated bronchial dilation may reflect traction bronchiectasis or potentially reversible bronchial dilation. there is no significant pleural effusion or pneumothorax. cardiomediastinal silhouette is within normal limits.
<unk> year old man with aml and breast cancer, s/p allo transplant, with new/increased sob // <unk> year old man with aml and breast cancer, s/p allo transplant, with new/increased sob
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compared to the prior study, there appears to been interval improvement in the previously seen subsegmental atelectasis of the right upper lobe. density in the right peritracheal position on the current exam is thought to represent vascular structures, within the range of normal for technique. the right minor fissure is restored to normal position and thickness. there may be minimal linear atelectasis at the left base, but no consolidation or effusion is detected. there is mild upper zone redistribution, but no overt chf. no effusion. the ng tube tip overlies the stomach. the side port may lie immediately distal to the ge junction.
<unk> year old man with cirrhosis, intubated and rul collapse // ?interval improvement of rul collapse
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pa and lateral views of the chest were provided. there is no focal consolidation, effusion, or pneumothorax. the heart and mediastinal contours are normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen. a focal eventration of the right hemidiaphragm is noted.
<unk>-year-old man with shortness of breath, assess pleural effusion, known pancreatitis.
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pa frontal and lateral chest radiograph demonstrates new opacification within the left lower lobe concerning for pneumonia. the left upper lobe and right lung remains grossly clear. there is no large pleural effusion. there is no pneumothorax. cardiomediastinal and hilar contours are within normal limits. visualized osseous structures are unremarkable.
<unk>-year-old male with hiv and recent upper respiratory infection now with cough.
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the heart is again mildly enlarged. the cardiac, mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. the lungs appear clear.
chest pain.
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the cardiomediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. lungs are well-expanded and clear without focal consolidation concerning for pneumonia. pulmonary vasculature is within normal limits. there is no pneumoperitoneum.
history: <unk>m in mvc with loc, airbag deployment, ruq pain, right flank pain*** warning *** multiple patients with same last name! // any bleeding
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pa and lateral chest radiograph demonstrate top-normal heart size. new since prior examination, there is blunting of the right costophrenic angle consistent with a pleural effusion. no evidence of overt pulmonary edema. no focal opacity convincing for pneumonia is seen. hilar contours are within normal limits. no acute osseous abnormality is identified.
<unk>-year-old male with hyperglycemia. evaluate for infection.
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lungs are clear. there is no focal consolidation, effusion, or pneumothorax. heart size is normal. mediastinal and hilar contours are normal.
<unk> year old woman with fever, cough // ? infiltrate
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the lungs are moderately well inflated and clear. no pleural effusions. cardiomediastinal silhouette is unchanged. enteric tube tip terminates in the expected location of the stomach. there is a right-sided central venous catheter terminating in the distal svc. ekg leads overlie the chest wall. contrast opacifying the hepatic flexure, transverse colon and splenic flexure of the colon noted.
<unk> year old man with left mca stroke. ng for feedings // ng placement
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heart size and cardiomediastinal contours are normal. no chf, focal consolidation, pleural effusion, or pneumothorax. minimal of x curvature of the thoracic spine.
history: <unk>f with chest pain // eval for structural process
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moderate to severe cardiomegaly is re- demonstrated. the aorta is dilated and tortuous, unchanged. multiple calcified mediastinal and bilateral hilar lymph nodes are compatible with prior granulomatous infection. pulmonary vasculature is not engorged. minimal atelectasis is seen in the lung bases without focal consolidation. no pleural effusion or pneumothorax is detected. no acute osseous abnormality is visualized. clips are again noted within the midline lower neck.
history: <unk>f with cough
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ap upright and lateral chest radiographs. the lungs are well expanded and clear. there is no pleural effusion or pneumothorax though the extreme inferior aspect of the right costophrenic sulcus is excluded on the lateral view. the heart is normal in size with unchanged tortuous and slightly enlarged thoracic aortic contour.
shortness of breath.
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a linear right upper lung opacity is re- demonstrated, overall similar in appearance to <unk>. the lungs are hyperinflated but clear. the cardiomediastinal and hilar contours are within normal limits.
<unk>f w/weakness, please eval for occult pna // <unk>f w/weakness, please eval for occult pna
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left-sided pacer device is noted with leads terminating in the right atrium, right ventricle, and coronary sinus, unchanged. mild to moderate cardiomegaly is similar. dense atherosclerotic calcifications of the thoracic aorta are present. mild pulmonary edema is improved compared to the previous study. calcified pleural pleural plaques are re- demonstrated. no focal consolidation is noted. small bilateral pleural effusions are decreased compared to the prior study. no acute osseous abnormality is detected.
history: <unk>m with parkinsonian disorder, pacemaker, non responsive episode this morning, elevated troponin above baseline
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ap view of the chest. left-sided chest tube is been removed. the left minimal bibasilar atelectasis and likely small left pleural effusion unchanged. cardiomediastinal and hilar contours are unchanged. right lung is unchanged and unremarkable. possible lucency over the left upper paramediastinal area may represent a miniscule pneumothorax if any.
left lung biopsy common by for pneumothorax status post chest tube removal.
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pa and lateral views of the chest provided. cardiomegaly is moderate and appears increased from prior exam. there is no convincing evidence for pneumonia or edema. no large effusion or pneumothorax. the pulmonary hila appear minimally prominent and may reflect increased central pressures. imaged bony structures are intact. no free air below the right hemidiaphragm.
<unk>m with fever, cough, hiv // infiltrate?
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. heart size is top-normal. again seen are abandoned pacemaker leads which terminate in the right atrium and right ventricle.
history: <unk>f with dyspnea, leg swelling // ? acute cardipulm process
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lungs are relatively hyperinflated. biapical pleural based calcifications are unchanged. there is no focal consolidation, effusion, or edema. accentuation of the cardiac silhouette is likely due to portable technique. atherosclerotic calcifications seen at the aortic arch and descending thoracic aorta. no acute osseous abnormalities.
<unk>m with weakness and abdominal pain. // pneumonia?
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cardiac, mediastinal and hilar contours are normal. lungs are hyperinflated with attenuation of pulmonary vascular markings towards the upper lobes compatible with emphysema. pulmonary vascularity is not engorged. lungs are clear. no pleural effusion or pneumothorax is seen. no acute osseous abnormality is demonstrated. mild reduction in height anteriorly of a mid thoracic vertebral body is stable. cervical anterior fusion hardware is partially assessed.
fever.
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heart size is borderline enlarged, but normal. mediastinal and hilar contours are similar with widening of the inferior mediastinal contour compatible with known esophageal varices. pulmonary vasculature is normal. new focal opacity is seen projecting over the left mid lung field, which could reflect an area of infection. the right lung is clear. no pleural effusion or pneumothorax is identified. no acute osseous abnormality is detected.
history: <unk>m with one week of worsening shortness of breath with associated cough and chills
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new right upper lobe opacity adjacent to right paratracheal stripe. mild interval improvement in low lung volumes with mild right basilar atelectasis. clear left lung. no pleural effusion or pneumothorax. mild improvement in heart size with normal hila. vascular clips noted in thoracic inlet.
female status post open right partial nephrectomy with concern for pneumonia and unable to wean to room air. assess for acute process.
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lung volumes are low. patchy opacities in both lower lungs have decreased substantially leaving only streaky lingular opacities suggesting minor atelectasis in the lingula and along the right infrahilar zone. elsewhere the lungs remain clear. there is no pleural effusion or pneumothorax.
cough and fever.