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frontal and lateral views of the chest demonstrate normal cardiomediastinal silhouette. the lungs are clear. there is no pneumothorax, vascular congestion, or pleural effusion. a previously noted <num>-mm radiodensity projecting over the left upper lung is unchanged since <unk>, of doubtful clinical significance.
<unk>-year-old female with chest pain. question cardiomegaly.
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the lungs are grossly clear. there is no consolidation, effusion or edema. the cardiac silhouette is top-normal. no acute osseous abnormalities.
<unk>f with fever, headache, cough // evaluate for intrapulmonary process, infection, pneumonia
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an endotracheal tube is seen <num> cm above the level of the carina. an enteric feeding tube is seen coursing midline with tip out of field of view and side ports below the level of the diaphragm. diffuse heterogeneous opacities are seen throughout both lungs. no pneumothorax. heart size, mediastinal contour, and hila are unremarkable.
<unk>m with intubated transfer*** warning *** multiple patients with same last name! <unk> ett
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the cardiac, mediastinal and hilar contours appear unchanged including mild cardiac enlargement with a left ventricular configuration. an eventration of the right hemidiaphragm is unchanged. there is no definite pleural effusion or pneumothorax. the lungs appear clear view. there is a nodule or focus projecting over the mid portion of the thoracic spine. although, an artifact is suspected, it may be appropriate to perform further imaging to reassess.
fever.
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right internal jugular central venous catheter terminates at the cavoatrial junction. heart size is normal. cardiomediastinal silhouette and hilar contours are unremarkable. lung volumes are low but lungs are otherwise clear. pleural surfaces are clear without effusion or pneumothorax. there are no traumatic findings.
neck and bilateral wrists lacerations. evaluate for thoracic injury.
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the lungs are well-expanded and clear. no pleural effusion or pneumothorax. heart size, mediastinal contour, and hila are unremarkable. median sternotomy wires are intact. a prosthetic tricuspid valve is again noted.
<unk>m with cp/ sob. assess for etiology of chest pain.
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the cardiac, mediastinal and hilar contours are normal. lungs are clear. pulmonary vasculature is normal. no pleural effusion or pneumothorax is present. no acute osseous abnormalities demonstrated.
shortness of breath on exertion.
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moderate cardiomegaly is stable. mediastinal and hilar contours are unchanged. there is no pneumothorax or large pleural effusion. elevation of the right hemidiaphragm is chronic. slightly lower lung volumes than on the most recent prior study may account for bronchovascular crowding at the lung bases. no focal consolidation concerning for pneumonia is seen. there is no pulmonary edema.
hypoxia, query chf or pneumonia.
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mild persisting pulmonary edema. increasing retrocardiac opacity which may represent atelectasis and/or consolidation. no pleural effusion or pneumothorax identified. patient is status post prior median sternotomy and cardiac valve replacements.
<unk> year old man with chf, cad s/p cabg/mvr/avr/tr annuloplasty here with chf exacerbation. appears 'off' to family. ?new cough, stable crackles at bases but egophony on exam // ?infection, atelectasis
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et tube is <num> cm above the carina. lung volumes are slightly low. the heart is moderately enlarged. there is mild pulmonary vascular redistribution but no overt pulmonary edema. there is some increased opacity in the retrocardiac region but no definite infiltrate.
<unk> year old man with cerebellar biopsy and hypoxia on ventilator // infiltrates, pna, atelectasis
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portable semi-upright radiograph of the chest demonstrates low lung volumes which results in bronchovascular crowding. moderate bilateral pleural effusions with adjacent atelectasis are stable. there has been interval improvement in aeration of the bilateral upper lungs, consistent with improved pulmonary edema. cardiomediastinal and hilar contours are unchanged. the right-sided central line ends in the right atrium, in unchanged position. endotracheal tube ends <num> cm from the carina, and the cuff appears over-inflated.
<unk> year old woman with incarcerated hiatal hernia with septic shock s/p ex lap, reduction of hernia, subtotal colectomy for necrosis, diagphragmatic repair, ileostomy, fascial closure // interval progression
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ap and lateral views of the chest <unk> at <num> <num> are submitted.
<unk> year old woman with new hypoxia. metastatic peritoneal tumor. a/w vomiting/diarrhea // new infiltrate, pulm edema new infiltrate, pulm edema
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the lungs are well expanded. there is a small hazy opacity obscuring the left heart border which could reflect atelectasis or possibly a resolving pneumonia. cardiomediastinal silhouette is unremarkable. there is no pneumothorax or pleural effusion.
chest pain, previously diagnosed left-sided 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.
seizures.
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right port-a-cath terminates in lower svc. the lung volume is small. bilateral lower lobe atelectasis has increased slightly. otherwise the lungs are clear. no pleural effusions or pneumothorax. the cardiomediastinal silhouette is unchanged.
<unk> year old woman with sepsis now with cyanosis and increased o<num> requirement // eval for edema, pna
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again seen is an et tube, tip at the level of the mid clavicular heads, <num> cm from the carina. the ng tube tip extends beneath the diaphragm off the film. also again seen is a right ij line, tip overlying the mid svc. clips are again noted over the upper mediastinum. cardiomediastinal silhouette is unchanged. there is vascular plethora, diffuse vascular blurring, and minimal fluid in the minor fissure, consistent with chf. hazy opacity over both lung bases likely represents layering bilateral layering pleural effusions, with underlying collapse and/or consolidation. compared with <num> day earlier, the right hemidiaphragm is obscured, likely reflecting an increase in the right pleural effusion and underlying collapse and/or consolidation. otherwise, doubt significant interval change.
<unk> year old woman with pnemonia // acute process
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there is mild right basilar atelectasis. right internal jugular central venous catheter ends at or just below the cavoatrial junction. there is no focal consolidation. there is no pleural effusion or pneumothorax. there is a slight increase in density in the right paratracheal area which may represent mild bleeding from line placement. the heart size is normal.
right ij line placement, question pneumothorax.
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as compared to the prior study, lung volumes have decreased and there are persistent bilateral reticular airspace opacities as well as small to moderate bilateral pleural effusions. retrocardiac opacification likely represents atelectasis. however, dense consolidation can also exist at this location. the cardiac and mediastinal contours are stable.
aids and disseminated fungal infection with salmonella bacteremia. evaluate for pulmonary edema.
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portable ap chest radiograph demonstrates an left ij catheter terminating in the right atrium. the lungs are clear. there is mild cardiomegaly. there is no pleural effusion or pneumothorax.
aml <num> days out from a bone marrow transplant. pleuritic chest pain in the setting of neutropenia.
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moderate cardiomegaly is a stable. the aorta is tortuous. new retrocardiac opacities associated with small effusion, corresponds to pneumonia, given the clinical history. there is bronchial cuffing in the hila bilaterally. there is mild biapical pleural thickening. there is no pneumothorax. the osseous structures are unremarkable
<unk> year old woman with cirrhosis, worsening hyperbilirubinea, hemolysis, cough // eval for pna
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there is mild-to-moderate pulmonary edema. there are no focal consolidations. pleural effusions, if present, are trace. there is no pneumothorax. mild cardiomegaly is unchanged from the prior exam. the mediastinum is normal. the osseous structures are unremarkable.
cough. evaluate for pneumonia.
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the heart size is normal. the hilar and mediastinal contours are normal. the patient is status post cabg with a median sternotomy with intact wires. no focal consolidation concerning for infection is identified. there is no pleural effusion or pneumothorax. there has been substantial interval improvement of the mild bilateral pulmonary edema.
history of change in mental status. please evaluate.
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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 hiv p/w dyspnea, cough. // r/o pna, pcp <unk>: <unk>.
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et tube tip in satisfactory position approximately <num> cm above the carina. ng tube present, extending beneath diaphragm. the tip overlies the stomach. the sideport likely also overlies the stomach, but may lie just distal to the ge junction. a left ij central line tip overlies the proximal svc. no pneumothorax detected. again seen areextensive diffuse bilateral alveolar opacities and as well as increased retrocardiac density, obscuration of the left hemidiaphragm, and of the extreme lateral right hemidiaphragm. confluent biapical opacity again noted. the overall appearance is similar to the prior study, allowing for technical differences. the right hemidiaphragm is slightly better defined on today's examination, which could reflect very slight improvement at the right lung base. the possibility of bilateral small effusions cannot be excluded.
this is a <unk> f from <unk>, recent diagnosis of bilateral cryptogenic pneumonia, pmr, afib, nstemi last week, cath with <num>vd, schf (ef <unk>%), who initially presented with fever and respiratory distress to bi-n. // evaluate interval change
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the cardiomediastinal and hilar contours are within normal limits. the lungs are clear without focal consolidation, pleural effusion or pneumothorax.
<unk>f w/sob, please eval for pna, ptx // <unk>f w/sob, please eval for pna, ptx
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suboptimal lateral view due to the patient's overlying arm.skin folds overlie the chest bilaterally without definite pneumothorax. patchy left base opacity is seen which could be due to atelectasis and small pleural effusion although an underlying consolidation is not excluded. the right lung is grossly clear. cardiac and mediastinal silhouettes are stable. no overt pulmonary edema is seen.
history: <unk>f with chest pain during dialysis as well as back pain. // please assess for pneumonia, effusion.
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the heart continues to be enlarged with pulmonary edema. a cardiac device is in stable position with leads projecting over the right atrium and right ventricle. a superimposed infection cannot be excluded.
<unk> year old female with congestive heart failure and shortness of breath. evaluate for edema.
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there is a new left-sided pigtail catheter. there is a small left pneumothorax, smaller compared to the study from the prior day. the vasculature is slightly more prominent than on the prior study but there is no overt failure
<unk> year old man with left ptx s/p pigtail placement // eval for placement, ptx
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as compared to prior chest radiograph from <unk>, there is an opacification at the right lower lung base which does not appear to obscure the right cardiac border. there is prominence of the right perihilar region. the left lung is unchanged. no significant pleural effusion or pneumothorax is present. cardiac silhouette is mildly enlarged and stable. mediastinal contours are unchanged.
<unk>-year-old female patient with chest pain, shortness of breath, productive cough. study requested for evaluation of pneumonia and/or edema.
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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 fatigue, chest heaviness // ?opacity, fluid
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portable supine frontal view of the chest. a new left subclavian line ends at the confluence of the brachiocephalic veins. mild to moderate pulmonary edema is unchanged. the mediastinum is widened. the heart is mildly enlarged. blunting of the right costophrenic angle may represent a small pleural effusion. no pneumothorax is identified. there is no free air beneath the hemidiaphragms. no acute osseous abnormality is seen.
<unk> year old male with a new left subclavian line.
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frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and lungs which are slightly low in volume but clear. there is no pleural effusion or pneumothorax.
recent flu-like illness with ongoing symptoms and slightly coarse breath sounds at the bases. evaluate for pneumonia.
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pa and lateral views of the chest provided. port-a-cath resides over the right chest wall with catheter tip in the region of the right atrium or cavoatrial junction. there is extensive nodular metastasis noted bilaterally which is not significantly changed from the prior exam. there is blunting of the right cp angle suggesting a small right pleural effusion. no signs of pulmonary edema. difficult to exclude a subtle pneumonia. cardiomediastinal silhouette is stable. no pneumothorax. sclerotic appearance of the vertebrae is consistent with known underlying metastatic disease.
<unk>f with sob, metastatic breast cancer with known extensive pulmonary metastasis. // ?chf
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lung volumes are slightly increased compared with the immediate prior study with unchanged enlargement of the cardiac silhouette and moderate left and small right pleural effusions. subsegmental atelectasis in the right mid lung and left upper lung are unchanged, allowing for differences in projection. there is no focal consolidation or pneumothorax.
<unk> year old woman with shortness of breath abdominal evaluate effusion.
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a portable frontal chest radiograph demonstrates decreased pulmonary edema and bilateral moderate pleural effusions. retrocardiac atelectasis is unchanged, as is moderate cardiomegaly. there is no pneumothorax.
aortic stenosis and severe diastolic heart failure, with a new oxygen requirement. evaluate for progression of pulmonary edema or pleural effusion.
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upright and lateral chest radiographs demonstrate a right chest tube within the lower right chest. there is right sided subcutaneous emphysema which becomes superimposed upon the right lung apex which can be seen tracking up the right neck. no large pneumothorax is seen. there may be a small right pleural effusion. the heart and mediastinal contours are normal. upper right rib fractures better seen on ct.
<unk>-year-old male status post mvc with pneumothorax. please evaluate chest tube, pneumothorax.
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right-sided central venous catheter is again seen with tip at the ra/svc junction. the lungs are clear without focal consolidation, effusion, or pneumothorax. the left lung base calcified granulomas are again noted. there is no overt pulmonary edema. the cardiac silhouette is enlarged but stable. no acute osseous abnormalities.
<unk>m with presyncope, cough // evaluate for acute process
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there are bibasilar opacities, left greater than right suggestive of pleural effusions. the degree of pulmonary edema appears slightly worse. cardiac silhouette is difficult to assess given silhouetting on the left.
<unk>f with etoh cirrhosis, now <unk> <unk> edema, crackles at lung bases, hypotension // eval ? pulm edema, cardiomegaly, free air
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pa and lateral views of the chest. there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal and hilar contours are normal.
seizure, question pneumonia.
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no pneumothorax. trace right-sided pleural effusion. no acute focal consolidation. mild interstitial edema. the cardiopericardial silhouette is compared well.
<unk> year old woman with pleural effusion now s/p <unk>- asses for ptx/resid eff // s/p rt thoracentesis - ptx? residual effusion?
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mild cardiomegaly and pulmonary and mediastinal vasculature are chronically engorged. mild bilateral interstitial abnormality is partly result of prior episodes of edema or early edema today. . compared to <unk>, right basal consolidation or atelectasis has improved and previous pleural effusions have resolved. there is no pulmonary consolidation.
<unk>-year-old man status post liver transplant here with fever, evaluate for pneumonia
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. thoracic scoliosis is again seen.
history: <unk>f with c/o chest pain and sob // ? pna/
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the lungs are clear. there is no focal consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits. slight tortuosity of the descending thoracic aorta is noted as well as atherosclerotic calcifications at the arch. vertebroplasty changes and compression deformity of adjacent lower thoracic/ upper lumbar vertebral bodies are again noted. there is no free intraperitoneal air.
<unk>f with fever // ?pneumonia
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the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. stable tortuosity of the aorta is noted. the cardiomediastinal silhouette is otherwise normal.
cough, chest tightness, and malaise. 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. no subdiaphragmatic free air is present.
history: <unk>f with abdominal pain // evaluate for pneumonia
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the cardiomediastinal and hilar contours are stable with moderate cardiomegaly. there is no large pleural effusion or pneumothorax. the lungs are well expanded. again seen is a mass in the left lower lobe with a fiducial marker in place. metallic markers are also seen projecting in the soft tissues projecting over the right mid lung field. there is no new focal consolidation concerning for pneumonia.
<unk>f with painful and difficulty swallowing, on radiation for lung cancer.
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bibasilar atelectasis is unchanged.there is no focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
<unk> year old woman with <num> week of cough, sob // ?infiltrate
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heart size is normal. mediastinal and hilar contours are unremarkable. pulmonary vasculature is normal. low lung volumes are present with mild bibasilar atelectasis. no focal consolidation, pleural effusion or pneumothorax is seen. no acute osseous abnormality is visualized.
history: <unk>f with shortness of breath and fever
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in comparison to the prior radiograph on <unk>, there are new parenchymal opacities in the bilateral lung bases, most reflective of pulmonary edema. no pneumothorax. no large pleural effusion. heart size appears mildly enlarged.
<unk>-year-old male on hemodialysis, presenting with shortness of breath
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the lungs are well-expanded. no focal consolidation, edema, effusion, or pneumothorax. the previously described pulmonary nodules are better appreciated on the ct from <unk>. the heart is normal in size. prominence of the thoracic aorta with extensive calcifications are overall unchanged from <unk>. bilateral prominence of the pulmonary arteries might be consistent with pulmonary hypertension. moderate, left scoliosis of the thoracic spine is overall unchanged with associated distortion of the thoracic cage. incompletely visualized posterior fixation hardware in the upper lumbar spine is again noted. cervical spine anterior fixation hardware are noted.
<unk> year old woman with long history of smoking, now with rheumatoid arthritis, planned to start mtx. evaluate for evidence of ild or advanced copd.
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cardiomediastinal contours are stable with tortuous aorta and cardiac size is top-normal. aside from minimal atelectasis in the right base, the lungs are clear. there is no pneumothorax or pleural effusion. there are mild degenerative changes in the thoracic spine
<unk> year old man with etoh cirrhosis, rising bilirubin // assess for pneumonia
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right port-a-cath terminates in the low svc/ cavoatrial junction. there is blunting of the right costophrenic angle suggesting a small pleural effusion. right middle lobe atelectasis/scarring is seen. cardiac and mediastinal silhouettes are unremarkable. no overt pulmonary edema is seen.
history: <unk>f with cough, neutropenic fever // eval for pna
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pa and lateral views of the chest provided. from the prior exam there has been no significant change. there is right pneumothorax which is moderate in overall size without definite signs of tension. suture material projects over the right upper lung compatible with prior resection. left lung is clear. cardiomediastinal silhouette is normal and midline. bony structures are intact.
<unk> year old woman with h/o recurrent right pneumothorax s/p vats rul wedge and apical pneumonectomy <unk> and s/p right talc pleurodesis <unk> // ?progression of pneumothorax, worsening mediastinal shift
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there is prominence of the interstitial markings. tcardiomegaly or pleural effusions. the mediastinal silhouette and hila are normal. there are moderate atherosclerotic calcifications of the aortic arch. there is no focal lung consolidation. there is no pneumothorax.
<unk>-year-old with epigastric pain, please assess for acute process.
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a moderate left and small right pleural effusion are grossly unchanged. cardiomediastinal silhouette is overall unchanged. there is a background of mild pulmonary edema, similar to prior. there is no pneumothorax.
<unk>-year-old man with history a copd, with increased sob while walking tonight
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pa and lateral views of the chest demonstrate the low lung volumes, with bibasilar atelectasis, and mild elevation of the left hemidiaphragm, likely due to gaseous distension of the underlying colon. there is no pleural effusion, pneumothorax, pulmonary edema, or focal consolidation concerning for pneumonia. the cardiomediastinal silhouette is unremarkable. cholecystectomy clips project over the right upper quadrant.
<unk>-year-old female with chest pressure, cough and headache. evaluation for infectious process.
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the heart size is top normal. the hilar and mediastinal contours are within normal limits. there is no pneumothorax, focal consolidation, or pleural effusion. bibasilar linear opacities are most compatible with mild atelectasis. mild degenerative changes throughout the thoracolumbar spine are stable since <unk>.
cough and pain.
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frontal and lateral radiographs of the chest demonstrate well-expanded lungs. bibasilar atelectasis is more prominent on the right side. tiny right-sided pleural effusion. cardiomediastinal and hilar contours are unchanged. the thoracic aorta is tortuous. heart is top normal in size. no pneumothorax or consolidation. left pectoral port-a-cath ends in the cavoatrial junction. old left upper rib fractures are seen.
<unk>-year-old female with a history of glioblastoma. evaluate for positioning of the port-a-cath.
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compared to the prior study there is no significant interval change.
<unk> year old man s/p recent stemi c/b cardiogenic shock now with hcap and continued respiratory failure // interval change
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lung volumes are low compared to the previous study which accentuates the size of the cardiac silhouette which is top normal. the thoracic aorta is mildly tortuous. pulmonary vasculature is normal and the hilar contours are unremarkable. streaky opacities in the lung bases likely reflect areas of atelectasis, without focal consolidation. no pleural effusion or pneumothorax is visualized. partially imaged is cervical spinal fusion hardware. no acute osseous abnormality is detected. no free air is noted under the diaphragms.
history: <unk>m with abdominal pain, back pain for <num> weeks now with persistent abdominal pain, fever
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normal heart, lungs, pleural and mediastinal surfaces.
<unk>-year-old male with cough. evaluate for pneumonia.
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lung volumes are low leading to crowding of the bronchovascular structures. bibasilar and, in particular, right middle lobe airspace opacities are again noted. upper lungs are clear bilaterally. there is no evidence pneumothorax, pleural effusion, or pulmonary edema. the cardiomediastinal silhouette is unchanged.
history: <unk>m with cough // ? pna
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. there is bibasilar atelectasis with no evidence of focal consolidation to suggest pneumonia. there may be small bilateral pleural effusions. no pneumothorax.
<unk>f with lap wedge liver resection for ? liver mets, now pod<num>, // eval acute cardiopulm abnormality
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
history: <unk>m with chest pain
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there is interval increase in cardiomegaly with mild pulmonary vascular redistribution and alveolar infiltrates in both lower lungs. there likely also small bilateral pleural effusions.
postop day <num> from total knee replacement with new desaturations.
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compared with the prior radiograph, lung volumes are lower, causing crowding of bronchovascular structures. however, increased interstitial pulmonary lung markings bilaterally suggests mild central pulmonary vascular congestion. no focal consolidation or pleural effusions. no evidence of pneumothorax. heart size is unchanged. compression wedge deformities of <num> thoracic spinal vertebral bodies are unchanged since <unk>.
<unk>f with cough, dyspnea, right hip pain s/p fall. pneumonia?
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the lungs are symmetrically well-expanded and clear without focal consolidation, pleural effusion or pneumothorax. the pulmonary vasculature is not engorged. the cardiac silhouette is normal in size. the mediastinal and hilar contours are within normal limits. the pulmonary vasculature is not engorged. the trachea is midline. the visualized upper abdomen shows no free air beneath the right hemidiaphragm. no displaced fracture is seen.
chest pain, here to evaluate for acute cardiopulmonary process.
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the heart size is moderately enlarged, overall stable compared to the exam from <unk>; however, increased from the exam from <unk>. there is mild prominence of the pulmonary vasculature, however no definite pulmonary edema is identified. the hilar and mediastinal contours are unremarkable. post-radiation changes at the lung apices appear unchanged. no new focal consolidation concerning for infection is identified. there is no pleural effusion or pneumothorax. there appears to be interval improvement of the diffuse interstitial markings seen throughout the lungs. the visualized osseous structures are unremarkable. the bones demonstrate degenerative changes.
history of chf and shortness of breath with prior x-ray demonstrating interstitial markings. please evaluate for interstitial lung disease or chf or other explanation of shortness of breath.
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portable frontal chest radiographs shows increased opacity over the left lung base. this may be partially due to overlying soft tissue; however, it may be consolidation for an underlying infection or aspiration. the lung volumes are low. no pleural effusion or pneumothorax is identified. the heart size is normal. the mediastinal contours are unremarkable. there are chronic degenerative changes in the left shoulder.
worsening dementia. evaluation for infiltrate.
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lung volumes are low. a left-sided chest port place, with the tip in the lower svc. mild cardiomegaly is chronic. there is central pulmonary vasculature congestion and persistent, borderline interstitial pulmonary edema exaggerated by low lung volumes. linear bibasilar opacities are most consistent with atelectasis. more confluent right basilar opacity is somewhat improved since <unk>. small right pleural effusion has decreased compared to <unk>. the patient status post right mastectomy.
history: <unk>f with breast ca on chemo with weakness. r/o infection // ?pneumnoia
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the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>m with chest pain // chest pain
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partial clearing of retrocardiac opacity with minimal residual opacity remaining. stable tortuous aorta with mildly enlarged heart and moderate scoliosis. no new focal opacity, pleural effusion, pneumothorax or pulmonary edema. mediastinal contour and hila appear normal. no additional bony abnormality.
male with history of ischemic/nonischemic cardiomyopathy and copd. assess for retrocardiac density on previous radiograph.
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the lungs are clear. there is no evidence of pneumonia, pneumothorax, or pleural effusion. cardiac silhouette is normal in size. the aorta is tortuous.
<unk>f with weakness // infiltrate?
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cardiac silhouette size is normal. the mediastinal and hilar contours are unremarkable. the pulmonary vasculature is not engorged. previously noted rounded opacity in the left upper lobe has resolved. patchy opacities are noted in the both lower lobes, which may reflect atelectasis, however infection cannot be completely excluded. no pleural effusion or pneumothorax is present. there are no acute osseous abnormalities.
history: <unk>m with cough/congestion
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the lungs appear clear except for minimal streaky density consistent with subsegmental atelectasis or scarring. there is no pneumothorax. the heart appears large but cardiac size may be exaggerated by portable technique. the aorta is tortuous and calcified. mediastinal structures are otherwise unremarkable. there are degenerative changes in the spine. surgical clips are projected beneath the diaphragm.
evaluate for acute cardiopulmonary process
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lung volumes have improved since <unk>. no focal consolidation, effusion, edema, or pneumothorax. <num> mm, round opacity projecting over the right apex appears calcified, consistent with a calcified granuloma, unchanged since at least <unk>. enlarged cardiac silhouette is unchanged, corresponding to cardiomegaly on recent ct. the descending aorta is tortuous. aortic knob calcifications are mild. anterior compression deformity of the l<num> vertebral body is overall similar in appearance to the recent ct from <unk>. multilevel degenerative changes are otherwise again seen in the thoracic spine with prominent anterior osteophytes.
<unk>-year-old man presenting with chest pain; evaluate for acute process.
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unchanged cardiomegaly. the aorta is calcified, indicating atherosclerosis. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. again seen are reticular interstitial markings diffusely throughout the lungs, which likely represent chronic lung disease. unchanged hazy opacity in left lung base, likely representing pleural scarring or thickening. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. there are mild multilevel degenerative changes. mid thoracic dextroscoliosis is noted.
<unk>m with cough, concern for pneumonia based on productive cough and malaise/weakness. evaluate for acute cardiopulmonary process
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no focal consolidation, pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. the patient is status post median sternotomy and cabg. again, on the lateral view, there is a subtle rounded opacity projecting anterior to the cardiac silhouette which appears smaller in size and less conspicuous as compared to the prior study. however, as recommended on the prior study, this could be further assessed on a nonurgent chest ct.
history: <unk>m with stemi <unk> c/o chest pain // acute process in chest
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no focal consolidation is seen. there is no pleural effusion or pneumothorax. the cardiac silhouette is top-normal to mildly enlarged. mediastinal contours are unremarkable. no pulmonary edema is seen. old left lateral sixth rib and old right posterior seventh rib deformity may be from prior fractures.
history: <unk>m with pre-op request // eval pre-op
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pa and lateral views of the chest. no prior. linear opacity in the left mid lung likely due to atelectasis versus scarring. there is also blunting of the lateral costophrenic angle on the left, potentially due to scar. the lungs are otherwise clear. there are tiny metallic densities which project over the left hilum, not clearly seen on the lateral view but potentially in the posteriorly. there is a moderate lower thoracic dextroscoliosis. the cardiomediastinal contour which is grossly within normal limits. osseous and soft tissue structures are otherwise unremarkable.
<unk>-year-old male with altered mental status. question pneumonia.
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left base atelectasis is seen. no definite focal consolidation is seen. there is no pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are stable.
history: <unk>m with lightheadedness, visual changes // eval ? effusion, edema
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compared to radiograph from <num> hours, the iabp is no longer seen. there is no other significant interval change. mild pulmonary and mediastinal vascular congestion is unchanged as is moderate cardiomegaly. there is no large pleural effusion or pneumothorax.
recent left circumflex angioplasty.
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the left heart silhouette and hemidiaphragm are obscured, and a meniscus fluid level is at the left costophrenic angle. no other focal consolidation, pulmonary edema or pneumothorax is seen. the cardiac and mediastinal contours are normal. pigtail intra-abdominal drainage tube is seen within the left upper quadrant.
<unk>-year-old man with intra-abdominal abscess, sepsis. evaluate for pulmonary infiltrates, patient has cough.
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there has been hazy opacification at the left lung base compared to the right, which may be related to soft tissue attenuation. no definite focal consolidation concerning for pneumonia is seen. no pleural effusion or pneumothorax is present. the pulmonary vasculature is not engorged. there is a <num>-mm calcified nodule in the right lung base, which likely represents a calcified granuloma. the cardiac silhouette is normal in size. the mediastinal and hilar contours are within normal limits with mild tortuosity of the thoracic aorta. no acute osseous abnormality is detected.
epigastric pain, here to evaluate for pneumonia.
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a double-lumen right internal jugular central venous line terminates within the right atrium. a nasogastric tube terminates within the stomach. there has been interval removal of the previous left-sided cvl. as compared to the prior examination, lung volumes are decreased and there are increasing bibasilar opacities which likely reflect atelectasis. small right and moderate left pleural effusions have decreased in size from prior examination. the upper lung fields are grossly clear. the heart remains mildly enlarged and there is persistent, mild-moderate interstitial pulmonary edema.
<unk>m with recent icu admission for fungemia now presenting from gi suite with leukocytosis. endorses some mild abdominal pain ttp // intraabdominal process
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the heart is normal in size. prominence of the aortic arch and descending aorta is likely exacerbated by patient rotation. there is no pleural effusion or pneumothorax. lungs are well-expanded without focal consolidation concerning for pneumonia.
<unk>m with pmh copd, cad, pericarditis, tamponade, presenting with lue weakness/numbness, intermittent r sided chest pain, nausea/vomiting.
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the dual lead pacemaker is seen with the tip of <num> pacer leads projecting over the right atrium and right ventricle. the lung volumes are normal. normal size of the cardiac silhouette. normal hilar and mediastinal structures. no pneumonia, no pulmonary edema. no pleural effusions.
<unk> year old woman with icd eval placement // pre mri with icd
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frontal and lateral chest radiographs demonstrate an unchanged mildly enlarged cardiomediastinal silhouette. again seen are ill-defined reticular interstitial markings, compatible with mild pulmonary edema. opacity projecting over the lower thoracic spine on lateral view could represent a left lower lobe pneumonia. there are likely bilateral trace pleural effusions. no pneumothorax is appreciated.
evaluate for pneumonia in an immunocompromised patient with dizziness.
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frontal and lateral views of the chest were obtained. left-sided hemodialysis catheter terminates in the right atrium. heart size is normal and cardiomediastinal contours are stable. right-sided pleural effusion has decreased, now small to moderate in size. pulmonary vascular marking are prominent, consistent with mild edema. linear opacities in the right lung base are most consistent with atelectasis. no pneumothorax.
<unk> year old female with ams.
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in comparison to the study of several hours prior, lung volumes remain extremely low. cardiomediastinal silhouette is within normal limits. multiple bilateral rounded opacities have progressed compared to the prior study. there is no large effusion or pneumothorax.
history: <unk>f with fever and cough // eval for pna
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pa and lateral views of the chest. no prior. low lung volumes are seen. there is, however, diffusely indistinct pulmonary vascular markings seen bilaterally without frank confluent consolidation nor effusion. the cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unremarkable.
<unk>-year-old male with increased shortness of breath. rule out acute process.
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small amount of air is seen under the diaphragm, consistent with resolving pneumoperitoneum. bilateral predominantly perihilar opacities are largely unchanged since <unk>. small bilateral pleural effusions and moderate compressive atelectasis persists. the heart size is unchanged. the right picc line is again seen close to the caval atrial junction. median sternotomy wires are intact and aligned. multiple pleural plaques are again seen.
<unk> year old man with s/p cabg // eval ptx rt basilar vs free air
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cardiomediastinal contours are normal. bibasilar consolidations larger on the left side are consistent with pneumonia. there is no pneumothorax or pleural effusion. the osseous structures are unremarkable
<unk> year old woman with cough, dyspnea // ? cardiopulmonary disease, pneumonia
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the lungs are clear. the cardiomediastinal silhouette is normal. no acute osseous abnormalities identified, postoperative changes of left clavicular orif are noted with transfixing plate and screws.
<unk>m with fever // eval heart and lungs
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the lungs are clear and well expanded. there is no pleural effusion, pneumothorax or focal airspace consolidation. the cardiac and mediastinal contours are normal. the hilar structures are unremarkable.
hypoglycemia, evaluate for pneumonia.
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pacer leads terminates in right ventricle. the lungs are well expanded and clear. the hila and pulmonary vasculature are normal. no pleural effusions or pneumothorax. the cardiomediastinal silhouette is normal.
<unk> year old woman with new onset cough. eval for abnormality // <unk> year old woman with new onset cough. eval for abnormality
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there is increased left retrocardiac opacity as well as a nonspecific opacity in the left mid lung. there right basal atelectasis. the heart size is mildly enlarged, unchanged from prior. the mediastinal and hilar contours are unchanged in not enlarged. note is made of a persistent small left pleural effusion. there is no pneumothorax. right central catheter tip terminates in the right atrium. single chamber cardiac pacer projects over the heart.
<unk> year old woman with sob, leukocytosis. evaluate for pna.
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pa and lateral views of the chest. the lungs are clear. cardiomediastinal silhouette is normal. osseous structures are unremarkable.
<unk>-year-old female with fever and neutropenia.
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heart size is normal. the aortic knob is calcified. mediastinal and hilar contours are within normal limits. pulmonary vasculature is not engorged. patchy opacities in the lung bases likely reflect areas of atelectasis, and no focal consolidation is present. punctate calcifications are noted within the left lung, likely granulomas. no pleural effusion or pneumothorax is present. there are no acute osseous abnormalities.
history: <unk>f with cough productive of yellow sputum, chest pain
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lung volumes are relatively low. apparent elevation of the right hemidiaphragm with peaking laterally suggests a subpulmonic effusion. the lungs are otherwise clear. there is no left effusion. cardiac silhouette appears enlarged but not well assessed due to silhouetting on the right.
<unk>m w/sob, please eval for occult pna, pulm edema // <unk>m w/sob, please eval for occult pna, pulm edema