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there is no focal consolidation, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is normal. there is no pulmonary vascular congestion. the osseous structures are unremarkable.
<unk>-year-old woman with temporal lobe epilepsy,and seizures, evaluate for pneumonia.
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extensive cervicothoracic spinal fusion with pedicular screws and rods in situ. right-sided port-a-cath in situ with the tip in the mid svc. ecg leads on the chest. the heart size appears increased, but similar compared to prior. no pneumothorax. mild atelectatic changes seen in the bibasal areas (left more than right). the pleural based mass in the mid aspect of the right lung as well as extensive bony lesions were better appreciated on ct.
<unk> year old woman with component separation and vhr, intubated // assess interval change
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portable chest radiograph demonstrates persistent severe known pneumoperitoneum. there is unchanged appearing bilateral atelectasis of the lower lobes with small bilateral pleural effusions. there is decreased aeration of the left lower lobe which may represent worsening atelectasis versus infectious pneumonia in the appropriate clinical setting. there are no findings to suggest vascular congestion on this radiograph. there has been interval removal of a right-sided internal jugular catheter. no pneumothorax. there is a left sided picc seen terminating at the mid to low svc in constant position.
<unk>-year-old male with volume or overload and pneumonia. evaluate for change in vascular congestion.
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ap portable upright view of the chest. overlying ekg leads are present. severe background emphysema is evident with hyperinflation and lucent appearance of the chest with scattered areas of scarring. blunting of the cp angles bilaterally likely reflect small pleural effusions. the heart is mildly enlarged. mediastinal contour is normal. no convincing signs of pneumonia or edema. no pneumothorax. bony structures are intact.
<unk>f with severe copd, chronic pe p/w worsening dyspnea
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again seen are bilateral lower lobe, right greater than left, basal predominant opacities consistent with known bronchiectasis. there is persistent blunting of the right costophrenic angle. no left pleural effusion is seen. there is no evidence of pneumothorax. the cardiac and mediastinal silhouettes are stable. no evidence of pulmonary edema is seen.
history: <unk>m with sob, worsening hypoxia, ?flash pul edema // eval for pulmonary edema
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left-sided chest tubes have been removed since yesterday. a right-sided internal jugular catheter remains at the cavoatrial junction. no pneumothorax is identified. lung volumes are low. right hilar opacity has increased since <time> a.m. sternal wires are intact. moderate cardiomegaly is unchanged.
<unk>-year-old woman, status post cabg, status post chest tube removals.
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the heart appears mildly enlarged. there is some fullness to the right hilum on the ap view, although not necessarily abnormal. however, there is soft tissue fullness on the lateral view projecting over the anterior hilar region. fissures appear thickened. there is also some separation between the aortic arch and the trachea by about <num> cm. indistinct vasculature suggests pulmonary venous hypertension. there is no pleural effusion or pneumothorax. moderate anterior osteophytes are present along the lower thoracic spine.
fever. question 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. no displaced rib fracture is seen.
history: <unk>f with s/p mvc // rib fracture?
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the cardiac, mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. streaky basilar opacity, seen posteriorly on the lateral view, suggests minor atelectasis. otherwise, the lungs appear clear.
motor vehicle collision and possible seizure.
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compared with prior radiographs on <unk>, there is no significant change. again seen are low lung volumes with crowding at the hila. there is no focal consolidation to suggest pneumonia. there is no pleural effusion or pneumothorax. the mediastinal silhouette is unchanged.
<unk> year old man with ms, now with cough and rhonchi // eval for pneumonia
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the heart is mildly enlarged. the mediastinal and hilar contours appear unremarkable. there is no pleural effusion or pneumothorax. the lungs appear clear. the bony structures are unremarkable.
right-sided rib pain after trauma.
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portable frontal chest radiograph shows no pleural effusion, pneumothorax or focal airspace consolidation. changes of severe panlobular emphysema are again noted and are consistent with the patient's known history of alpha <num> antitrypsin deficiency. heart size is normal and smaller than prior. there is no evidence of pulmonary edema. streaky atelectasis/scarring is seen throughout both lungs. a left mediport catheter terminates in the ra/svc junction.
acute dyspnea, evaluate for pneumonia, edema or pleural effusion.
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the lungs are clear, the cardiomediastinal silhouette and hila are normal. there is no pleural effusion and no pneumothorax.
<unk>-year-old with right upper quadrant pain.
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a single frontal view of the chest demonstrates a spiculated lesion in the left upper lung zone with a fiducial seed. the lesion measures approximately <num> x <num> cm. it is not significantly changed in size since the recent ct of the chest. no new mass or consolidation is identified. there is no pulmonary edema, pleural effusion, or pneumothorax. the heart is moderately enlarged, unchanged from the prior exam. the mediastinal contours are normal. surgical clips project over the upper mediastinum, also unchanged from the prior exam.
history of lung cancer. new hypoxia.
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no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. the cardiac silhouette is mildly enlarged. the mediastinal contours are stable. no overt pulmonary edema is seen.
sinus tachycardia, unexplained.
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et tube terminates approximately <num> cm above the carina. the lung volumes are low. bilateral mild prominence of interstitial markings and cardiomegaly remain unchanged. no pleural effusions noted. ekg leads overlie the chest wall.
<unk> year old man with ett position // ett
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the lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. cardiomediastinal silhouette is normal. post-cabg changes are noted with intact median sternotomy wires. no acute fractures are identified.
evaluation of patient with dizziness.
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the cardiomediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. left upper lobe tubular peripheral opacity persists. there is no new focal consolidation concerning for pneumonia. surgical fixation devices overlying the neck are noted.
followup left upper lobe opacity.
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lungs are fully expanded and clear. no pleural abnormalities. heart size is normal. cardiomediastinal and hilar silhouettes are normal.
<unk>f with chest pressure.
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the cardiomediastinal silhouette is stable. aortic arch calcifications are re- demonstrated. the hila are unremarkable. diffuse interstitial prominence and bronchial wall thickening is again seen. in the right upper lobe, there is multifocal interstitial opacity better evaluated on prior chest ct from <unk>, likely relating to the mixed solid and ground-glass nodules seen on that study. pleural parenchymal scarring is seen in the lung apices. there is no focal lung consolidation. there is no pulmonary venous congestion or pulmonary edema. there is no pneumothorax or pleural effusion. lungs are hyperinflated.
<unk>f with pain, history of copd, evaluate for acute cardiopulmonary disease.
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the heart is of normal size with normal cardiomediastinal contours. the lungs are clear without focal or diffuse abnormality. no pleural effusion or pneumothorax. osseous structures are unremarkable. no radiopaque foreign body.
chest pain.
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there is a nodular opacity projecting adjacent to an ekg lead in the left upper lobe. the lungs appear otherwise clear. there is no pleural effusion or pneumothorax. mild leftward convex curvature centered along the mid thoracic spine with mild to moderate rightward convex curvature centered at the thoracolumbar junction including apparent mild loss and a lumbar vertebral body. the latter appearance, however, is probably unchanged since the prior lumbar spine radiographs.
pneumonia.
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pa and lateral views of the chest demonstrate prominent pulmonary vascular markings. the cardiomediastinal silhouette is normal. there is no focal consolidation, pleural effusion, or pneumothorax. there is an old fracture of the proximal humerus. there is a linear density in the left lung base that may represent an area of plate-like atelectasis.
fever with a history of hiv and abdominal pain. evaluate for infection.
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there has been placement of a left chest tube for a previously noted pneumothorax with no pneumothorax currently seen. bibasilar atelectasis is seen, and low lung volumes accentuate the pulmonary vasculature. median sternotomy wires are noted. the cardiac silhouette is unchanged in size.
right spontaneous pneumothorax, please evaluate for interval change.
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there is no focal consolidation, pleural effusion or pneumothorax. cardiomediastinal silhoutte is unremarkable. lung volumes are low. there are no acute skeletal abnormalities.
<unk>-year-old woman with probable consolidation seen in the upper lobe on ct neck, evaluate extensive consolidation.
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the heart size is normal, and the mediastinal silhouette is unchanged. there is no focal consolidations, pleural effusions or pneumothorax. postsurgical changes are noted within the right upper lobe, and there are chronic bilateral rib deformities.
<unk> year old male with weakness.
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the lungs are clear. the heart size is normal. the mediastinal contours are normal. there are no pleural effusions. no pneumothorax is seen.
cough, fever, and chest pain.
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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.
<unk> year old woman with <num> months of productive cough. exam notabel for upper airway congestion. h/o of travel to <unk> in <unk> // eval for cause of cough, active tb
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patient is status post median sternotomy, aortic and mitral valve replacement. moderate to severe cardiomegaly is unchanged. the mediastinal and hilar contours are similar with atherosclerotic calcifications noted at the aortic knob. mild pulmonary edema is demonstrated with trace bilateral pleural effusions. no focal consolidation or pneumothorax is present. atelectasis is seen in the lung bases. no acute osseous abnormality is detected.
history: <unk>m with copd and acute onset dyspnea
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frontal and lateral views of the chest. the lungs are clear of focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is within normal limits. dual lead pacing device is again noted. median sternotomy wires and mediastinal clips are seen. old healed right rib fractures are seen. there is a compression deformity of l<num> similar to ct lumbar spine from <unk>.
<unk>-year-old male with chest pain.
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the ett tube is appropriately positioned with tip approximately <num> cm from the carina. the right subclavian central venous catheter is unchanged in position, terminating in the lower svc. bilateral stable reduced lung volumes, more pronounced on the right. overall stable bilateral basilar sub-segmental atelectasis or scarring. no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. no cardiomegaly. stable appearance of the cardiomediastinal silhouette and hila.
<unk>-year-old man with on fungemia; evaluate for pulmonary consolidation.
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there is a biventricular pacemaker in the left chest wall with leads in the right atrium, right ventricle, and a third lead through the coronary sinus. there is no pneumothorax. left retrocardiac and right basilar opacities are likely atelectasis. there is mild improvement in pulmonary edema. cardiomediastinal silhouette is unchanged. there is no focal consolidation or pleural effusions.
<unk>-year-old woman with afib, cardiomyopathy, ef <unk>%, now status post biventricular aicd placement. evaluate lead placement.
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heart size is top normal. the mediastinal and hilar contours are unremarkable. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. no acute osseous abnormalities demonstrated.
history: <unk>m with dizziness
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heart is upper limits of normal in size. mediastinal and hilar contours are normal. lungs and pleural surfaces are clear.
<unk> year old woman with stroke // infection
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multifocal right greater than left parenchymal opacities persist with increased density at the right apex. large right-sided effusion has increased and the small left effusion is roughly unchanged. there is no pneumothorax. a right internal jugular central venous catheter, left internal jugular dialysis catheter, endotracheal tube, and upper enteric tube are unchanged in position.
hypoxia.
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there has been interval removal of the left-sided pleural pigtail catheter. an air-fluid level near the left apex indicates hydropneumothorax. there is no mediastinal shift or diaphragmatic flattening to suggest tension. there is residual small left pleural effusion with associated atelectasis. consolidation along the medial and lower left lung continues. the right lung is clear.
<unk>-year-old male with lung cancer and pleuritic chest pain after removal of chest tube.
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supportive and monitoring equipment is unchanged in appearance when compared the prior study. there are <num> right-sided chest drains common the more superiorly positioned and drain approximates an apical right pleural effusion, this drain appears be bent back on itself. persistent airspace opacity in the right lung base has actually improved compared to the prior study. the left lung appears grossly clear except note atelectasis in the left mid lung.
<unk> year old man s/p lvad // eval for hemothorax
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when compared to prior, previous left basilar opacity is essentially resolved. linear left basilar opacities likely scarring or atelectasis and pleural thickening are noted. elsewhere, lungs are clear. cardiomediastinal silhouette is within normal limits. old healed bilateral rib fractures are noted.
<unk>m with hx seizures, cough // acute intrathoracic process?
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surgical clips are noted in the cervical area. there is a new large upper right mediastinal mass obliterating the right peritracheal stripe. there also appears to be increased density to the left of the trachea, which is less prominent. the trachea is patent. heart size is normal. the hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there is a c-shaped radiodensity overlying the left lower lung, which is likely in the breast. there is no evidence of splenomegaly.
<unk> year old woman with cervical hodgkin's lymphoma // ? mediastinal disease
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ap and lateral chest radiograph demonstrates clear lungs. no focal consolidations are seen. a left chest port is identified with its tip in unchanged position at the cavoatrial junction. cardiomediastinal and hilar contours are stable. there is no pleural effusion or pneumothorax. no acute osseous abnormality is seen.
<unk>-year-old female with tracheomalacia presenting with increased secretions.
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frontal and lateral radiographs of the chest demonstrate normal heart size mediastinal and hilar contours. no focal consolidation, pleural effusion or pneumothorax. mild intersitial abnormality in the lower lobes. mild s-shaped scoliosis of the thoracic spine.
fever and cough, evaluate for pneumonia
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right chest tube and pigtail catheter are seen. right subcutaneous emphysema persists. right pleural effusion with underlying consolidation appears similar compared to prior. the left lung is clear. heart and mediastinal contours appear unchanged.
<unk>-year-old male with lung cancer and recurrent malignant pleural effusion.
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ap portable upright view of the chest. overlying ekg leads are present. lung volumes are low. patient rotated to the right. no focal consolidation, large effusion or pneumothorax. there is mild bibasilar atelectasis. no convincing signs of edema. the overall cardiomediastinal silhouette appears unchanged allowing for differences in positioning. bony structures are intact.
<unk>m with near syncope // eval infiltrate
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the lungs are well expanded. there is blunting of the right costophrenic angle which is unchanged compared with multiple prior exams. retrocardiac consolidations are noted in the left lung base with an associated pleural effusion which is new compared with prior exam. otherwise, the mediastinal and hilar contours appear stable. mild vascular congestion again seen. sternotomy wires are intact.
<unk>-year-old male with hypotension. evaluate for acute cardiothoracic process.
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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.
<unk> year old woman with hx mitochondrial myopathy, presenting with chest pain of unclear etiology. ischemic w/u negative // evaluate widened mediastinum, heart size
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the frontal and lateral radiographs of the chest were acquired. midline sternotomy wires are intact. surgical clips are noted throughout the left hemithorax. round opacities projecting over the area of the aortic root are thought to represent coronary artery markers. there is a diffuse interstitial abnormality that is more prominent in the lower lungs, possibly at least partially attributable to mild-to-moderate interstitial pulmonary edema. there is no focal consolidation. the heart is mildly enlarged. the mediastinal contours are normal. there are no pleural effusions. no pneumothorax is seen. the bones are probably demineralized.
weakness and dyspnea. evaluate for fluid overload or mediastinal widening.
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single portable view of the chest. no prior. lungs are clear. cardiomediastinal silhouette is within normal limits. there is no endotracheal tube identified. osseous and soft tissue structures are unremarkable.
<unk>-year-old female, status post intubation, chest pain.
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patient is status post median sternotomy and cabg. lung volumes are low. heart size is mildly enlarged. mediastinal and hilar contours are unremarkable. pulmonary vasculature is not engorged. linear bibasilar airspace opacities are in keeping with subsegmental atelectasis. no focal consolidation or pleural effusion is demonstrated. mild loss of height of the t<num> vertebral body is unchanged with mild degenerative changes within the imaged thoracic spine noted. minimal deformity of the right eighth lateral rib is suggestive of a nondisplaced fracture.
history: <unk>m with cough for <num> hours, recent fall with possible
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right subclavian access central venous catheter tip terminates in the distal svc. heart size is normal. cardiomediastinal silhouette and hilar contours are unremarkable. lungs are clear. pleural surfaces are clear without effusion or pneumothorax.
fever. evaluate for pneumonia.
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ap upright and lateral views of the chest were provided. lungs are clear without focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette appears normal. on the lateral view, a compression deformity is seen at the thoracolumbar junction, new from the <unk> exam though appears chronic. bilateral ac joint arthropathy is noted.
<unk>-year-old man with weakness, question cva versus postictal, question pneumonia, low seizure threshold.
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biapical pleural thickening, stable. subtle linear scarring bilateral upper lungs, stable since <unk>. mild degenerative changes thoracic spine. remainder normal.
<unk> year old man with sharp cp lasting seconds, h/o cad with stents. no cough or fever // please eval for chest abormality
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frontal and lateral views of the chest. the lungs are clear without focal consolidation, effusion or pneumothorax. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormality is identified.
<unk>-year-old female with left-sided chest pain.
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no significant change compared to the prior exam. the lungs are expanded and clear. there is no pleural effusion, pneumothorax, or focal consolidation. the cardiomediastinal silhouette, pulmonary vasculature, hila, and pleura are normal. there is no acute osseous abnormality.
<unk>-year-old man with a substance use disorder and depression; evaluate for tb with a homeless shelter.
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an ap and lateral view of the chest shows no focal airspace consolidation, pleural effusion, pulmonary edema, or pneumothorax. the right hemidiaphragm is mildly elevated, and unchanged from the prior exam. the patient is status post a median sternotomy and aortic valve replacement. the wires are intact. the cardiomediastinal silhouette is unchanged. a large osseous spur is noted at the right gleno-humeral joint and unchanged from prior exams.
intermittent chest pain.
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac, mediastinal, and hilar contours are unremarkable.
cough and fever for <num> month.
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et tube and transesophageal to have been removed. right internal jugular venous line terminates at mid svc. diffuse heterogeneous opacities in bilateral lungs appear similar to <unk>, and consistent with multifocal pneumonia. there is moderate pleural effusion on the right and small pleural effusion on the left. left apical pleural margin thickening is unchanged. cardiomediastinal silhouette is normal size.
<unk> year old woman with upper lobar scarring and l cavitary lesion now intubated for hypercarbic respiratory failure // eval pulm edema and ett placement
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the lungs are clear of consolidation, effusion, or pneumothorax. there is an <num>mm nodular opacity projecting over the right mid lung and the anterior right third and posterior right sixth ribs. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>m with cough and chest pain // eval for pneumonia and chf
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the cardiomediastinal silhouette and pulmonary vasculature are unremarkable. the lungs are clear. there is no pleural effusion or pneumothorax. percutaneous catheter is seen projecting over the midline upper abdomen.
history: <unk>m status post whipple's procedure presenting with fever, abdominal pain, nausea, vomiting, temperature to <num> today
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the heart is normal in size. the descending aorta shows mild unfolding. the arch is again partly calcified. the mediastinal and hilar contours appear unchanged. a streaky left infrahilar opacity suggests minor atelectasis or scarring. otherwise, the lungs appear clear. there is no evidence for pleural effusion or pneumothorax.
worsening shortness of breath. history of copd.
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the cardiac silhouette is enlarged. as compared to outside chest radiograph performed earlier today, there has been interval improvement of linear and hazy opacities involving the right hemi thorax. given the this rapid interval change, findings could be secondary to improving pulmonary edema. there still remains pulmonary vascular congestion and mild to moderate pulmonary edema, right worse than left, and this can be seen in the setting of asymmetric pulmonary edema. no large pleural effusion or pneumothorax is identified.
history: <unk>f with hypoxia // eval pulm edeam eval pulm edeam
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heart size is top normal. the aorta is mildly tortuous. the mediastinal and hilar contours otherwise are unremarkable. pulmonary vascularity is normal and the lungs are clear. no pleural effusion or pneumothorax is present. there is scarring within the lung apices. multilevel degenerative changes of the thoracic spine are present.
chest pain.
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there are low lung volumes. interstitial opacities are again seen, similar to prior exam and consistent with known chronic interstitial lung disease. no evidence of pulmonary edema is seen. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is stable.
history: <unk>f with dyspnea // presence of infiltrate, edema
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the cardiomediastinal and hilar contours are within normal limits. there is mild tortuosity of the descending aorta. there is no focal consolidation, pleural effusion or pneumothorax. note is made of the thyroidectomy clips.
status post trach fell out. rule out pneumonia.
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there is persistent mild elevation of the right hemidiaphragm. no definite focal consolidation is seen. there is no pleural effusion or pneumothorax. cardiac and mediastinal silhouettes are stable.
<unk>m w/ cough, st, fever. h/o abd surgery mild abd pain. evla for pneumonia or sbo. // <unk>m w/ cough, st, fever. h/o abd surgery mild abd pain. evla for pneumonia or sbo.
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single frontal view of the chest was obtained. new endotracheal tube terminates <num> cm above the carina. enteric tube is in similar position to prior, below the diaphragm, with the side port in the area of the ge junction. right lower lung atelectasis is similar to prior. diffuse opacities overlying both lungs are similar to <unk> and remain consistent with moderate right and large left pleural effusions. potential lung abnormality underlying the effusions cannot be assessed on this view. moderate cardiomegaly and mediastinal contours are stable.
<unk>-year-old male with retroperitoneal bleed and congestive heart failure, intubated for supraventricular tachycardia.
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nasogastric tube is coiled upon itself beginning at the level of the ge junction with tip not well seen, but possibly coiled superiorly to the level of the thoracic inlet. the lungs are otherwise relatively clear and unchanged from a recent compared examination. clips in the epigastrium are unchanged as is moderate cardiomegaly.
<unk>-year-old man with stroke and poor swallowing with self removal of nasogastric tube. assess nasogastric tube position.
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moderate cardiomegaly is stable. . the lungs are clear. there is no pneumothorax or pleural effusion. hardware in the right humerus is partially imaged
<unk> year old man with esrd and dm<num> // pre-op kidney/pancreas transplant surg: <unk> (kidney/pancreas tx)
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portable semi-upright radiograph of the chest demonstrates interval improvement in right lower lobe opacification. persistent right pleural effusion is moderate in size. left pleural effusion has decreased in size over the interval, and now is small. bilateral peribronchovascular infiltration has improved, but is persistent. nodular opacities are less confluent as compared to the prior radiograph. cardiomediastinal and hilar contours are unchanged. the fragment of the left-sided subclavian central venous line is in unchanged position. the right-sided central venous line is in unchanged position, with the tip ending at the mid svc. no pneumothorax.
<unk>-year-old female with resolving multifocal pneumonia, aortic regurgitation, atrial fibrillation, and new hypoxia and hypercapnia. evaluate for worsening of pulmonary edema.
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the heart is normal in size. the cardiac, mediastinal and hilar contours appear unchanged. relative lucency in the upper lungs is consistent with emphysema. the chest is mildly hyperinflated. streaky opacity in the lingula is most consistent with minor scarring or atelectasis. otherwise, the lungs appear clear.
right upper quadrant pain.
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the lungs are well expanded and clear. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. no rib fractures are identified, although this study is not tailored for assessment of the ribcage and has suboptimal sensitivity for detection of rib fractures.
<unk>-year-old male with seizure. evaluate for pneumonia or aspiration.
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the lungs are well expanded. a <num> mm nodular opacity in the left upper lung likely represents a granuloma or vessel en face. the lungs are otherwise clear. the cardiomediastinal silhouette, hilar contours, pleural surfaces are normal. there is no pleural effusion or pneumothorax.
fever, cough. evaluate for pneumonia.
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a bedside ap radiograph of the chest redemonstrates the multifocal opacities of which the right upper lobe lesion was biopsied. the scapula now overlies this site, which may obscure local hemorrhage at the biopsy site. there is no pneumothorax or pleural effusion. the aorta is stably tortuous but the hilar and cardiomediastinal contours are otherwise normal. pulmonary vascularity is normal.
cough immediately after right transbronchial biopsy. evaluate for pneumothorax.
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cardiomediastinal contours are normal. the lungs are clear. there is no pneumothorax or pleural effusion. there are mild degenerative changes in the thoracic spine and healed right rib fractures
<unk> year old woman with hx appendectomy, ct w ateletasis, hx tobacco and distant exposure to asbestos // any worrisome lesion?
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ap upright and lateral chest radiograph demonstrates a picc which terminates within the right atrium. this appears in stable position relative to prior study. cardiomediastinal and hilar contours are within normal limits. there is no evidence of pulmonary edema. there is no pleural effusion or pneumothorax. bilateral irregular opacities within the lungs appears slightly more conspicuous relative to prior exam performed <unk>. tips identified in the right upper quadrant.
<unk>f with coarse breath sounds, fever // pna?
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frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs which are clear. there is no pleural effusion or pneumothorax.
recent atrial fibrillation with rvr status post conversion, now with ongoing cough and right lower lobe rhonchi. evaluate for pneumonia.
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homogeneous opacification the left hemidiaphragm is consistent with a moderate size left pleural effusion which has mildly improved when compared to <unk> radiograph. blunting of the right costophrenic angle is consistent with a stable small right pleural effusion. left lower lung subsegmental atelectasis is also seen. the cardiomediastinal and hilar contours are stable. there is no pneumothorax or consolidation. median sternotomy wires are aligned and intact.
<unk> year old man with pleural effusion // eval
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the lungs remain hyperexpanded. the left apical scar is re- demonstrated, stable. no focal consolidation is seen peer there is no pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are stable.
history: <unk>m with f, ha, disorientation // ? acute infectious process
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frontal and lateral views of the chest demonstrate low lung volumes. there is no pleural effusion, focal consolidation or pneumothorax. hilar and mediastinal silhouettes are unremarkable. descending aorta appears tortuous. heart size is normal. there is no pulmonary edema. partially imaged upper abdomen is unremarkable.
cough and right-sided chest pain. assess for pneumonia.
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in comparison to the chest radiograph obtained approximately <num> hours prior, a small, right pleural effusion is now evident. small, left pleural effusion and adjacent atelectasis are unchanged. moderate cardiomegaly is unchanged, but mediastinal widening and pulmonary vascular congestion are improved. lungs are otherwise clear without focal consolidation. a right-sided ij central venous catheter terminates in the right atrium via. a left-sided ij central venous catheter terminates in mid svc. an et tube tip terminates <num> cm above the carina. an enteric tube passes subdiaphragmatically, but terminates outside the field of view.
<unk> year old man s/p cabg with unstable hct // eval for hemothorax
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pa and lateral views of the chest. one of the left chest tubes has been removed. the remaining chest tube is in unchanged position. cardiomediastinal and hilar contours are stable. elevation of the left hemidiaphragm is again seen. lungs are clear. there is no pneumothorax. in the left apex, there is likely fluid filling previous lumpectomy site. no pleural effusion.
lung cancer status post left upper lobectomy, evaluate for interval progression.
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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 pmhx dilated cardiomyopathy p/w sob/epigastric pain x<num>week. // ? consolidation. ? heart failure exacerbation
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chronic changes noted in the lungs compatible with honeycombing and bullous changes, particularly at the right lung apex. on the current exam, there is more dense opacity at the right upper lung raising the possibility of a superimposed infection. component of edema would be difficult to exclude. moderate cardiac enlargement and tortuosity of the descending thoracic aorta is again noted. prior right-sided central venous catheter is no longer visualized.
<unk>f with sob, right arm pain. // pna? ue dvt?
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widening mediastinum is unchanged patient has known mediastinal lymphadenopathy. cardiomegaly is a stable. pacer leads are in standard position. bibasilar opacities have resolved. small lung nodules were better seen in prior ct, are below the resolution of these radiograph. there are no new lung opacities, pneumothorax or pleural effusion. there are mild degenerative changes in the thoracic spine
pna <num> weeks ago // pls eval for resolve of pna
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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>f with intermittent chest pain
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear except for a linear focus of atelectasis or scar at the left base. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. the patient is status post prior median sternotomy and coronary bypass surgery.
asbestos surveillance
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cardiac, mediastinal and hilar contours are normal. bullous emphysematous changes are again seen at the upper lobes. pulmonary vasculature is not engorged. no focal consolidation, pleural effusion or pneumothorax is present. scarring within the right upper lobe is re- demonstrated with associated calcifications. no acute osseous abnormality is present.
history: <unk>f with shortness of breath
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lung volumes continue to be low, and previous moderate pulmonary edema continues to improve. the right lung has multiple nodular opacities at the lung bases. mild cardiomegaly continues with improving small bilateral pleural effusions. opacity at the right cardiophrenic angle is unchanged compared to radiographs from <unk>.
<unk>-year-old woman fluid overload, pulmonary edema, evaluate for interval change.
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since <unk>, a small right apical pneumothorax is slightly increased with right lower lung collapse and measures <num> cm from the apex. a loculated pleural effusion in the minor fissure is new and small right pleural effusion is also increased. the right pigtail catheter appears very low. the left lung is essentially clear. hyperinflated lungs are suggestive of emphysema. the heart size is stable. no pulmonary edema.
<unk> year old woman with pleural effusion now with chest tube // ?evaluate pneumothorax
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patchy opacities within the superior segment of the right lower lobe consistent with patient's known history of cryptococcal pneumonia are unchanged from the prior study. blunting of the left costophrenic angle is chronic and corresponds to minimal scarring on the chest ct. there is no pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is stable.
<unk>m with dyspnea, evaluate for acute cardiopulmonary process.
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compared to the prior study there has been no significant interval change.
check interval change.
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pa and lateral views of the chest were compared to previous exam from <unk>. when compared to prior, there has been interval worsening of the appearance of the lungs, more so on the right than on the left. there is persistent right upper lobe and now new right lower lobe opacities. indistinct vascular markings are seen throughout as well. small bilateral pleural effusions are also seen in addition to a large retrocardiac hiatal hernia. cardiomediastinal silhouette is stable as are the osseous and soft tissue structures.
<unk>-year-old male with fluid overload. please evaluate for acute process.
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ap single view of the chest has been obtained with patient in semi-upright position. comparison is made with the next preceding similar study obtained eight hours earlier during the same day. the patient remains intubated, the ett in unchanged position. no pneumothorax can be identified. similar as the most previously portable obtained chest films, the examination remains of limited quality in this apparently morbidly obese patient. only with the knowledge of a new tube placement and manipulation of image density is one able to identify portions of an og line overlying the left upper abdominal quadrant. thus, there is evidence that the line has reached below the diaphragm. position of side port cannot be evaluated.
<unk>-year-old male patient with respiratory failure, intubated, now with orogastric tube in place. evaluate position.
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pa and lateral views of the chest. there are diffuse mildly prominent interstitial markings. there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal and hilar contours are normal.
shortness of breath, history of rheumatoid arthritis on cyclophosphamide. evaluate for pneumonitis.
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there is no intraperitoneal free air. opacity within the right cp angle likely reflects atelectasis and a small pleural effusion. there is faint retrocardiac opacity. the lungs are otherwise clear. cardiac silhouette and mediastinal contours are normal. there is no pneumothorax. there is gaseous distention of the stomach and left colon.
<unk>-year-old female with crohn's disease flare and severe ileus, evaluate for free air.
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the cardiomediastinal silhouette and pulmonary vasculature are normal. the lungs are grossly clear. vague opacity in the bilateral bases may represent pneumonia. there is no pleural effusion or pneumothorax.
history: <unk>f with cough // eval for pna
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the lung volumes are somewhat low, accentuating lung markings.otherwise, the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. osseous structures are unremarkable.
<unk>f with crackles at right base. evaluate for pulmonary edema or pneumonia.
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similar to the recent examination, there is diffuse increase in interstitial markings bilaterally greater on the right than on the left. more prominent increasing confluence in the right mid lung is noted. septal lines are also more prominent on the current examination than on the prior study. there are enlarging bilateral pleural effusions as well. no pneumothorax is identified. the cardiac silhouette is stably enlarged. median sternotomy wires are aligned and intact. cabg clips are noted. a prosthetic pulmonic valve is noted, consistent with patient's history.
<unk>ym bicuspidaortic valve c/b acute infectious endocarditis and porcine valve replacement p/w new sob, cough, and myalgia // eval for interval change
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left basal atelectasis along with right basal atelectasis are relatively unchanged findings when compared to the prior x-rays and cts. there is no focal opacities suggestive of pneumonia. there is no overt pulmonary edema. there is no pleural effusion or pneumothorax. cardiomediastinal silhouette is normal in size.
dyspnea.
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frontal and lateral views of the chest were obtained. right middle lobe opacity is likely pneumonia. the remainder of the lungs are clear. there is no pleural effusion or pneumothorax. biapical thickening is noted. the cardiac silhouette is mildly enlarged. mediastinal silhouette and hilar contours are normal.
syncope.
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the lungs are well expanded and clear. the cardiomediastinal silhouette, hilar contours, and pleural surfaces pleural surfaces are normal. there is no pleural effusion or pneumothorax.
chest pain. evaluate for pneumonia.