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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. a mild pectus excavatum deformity of the sternum is again noted. no free air below the right hemidiaphragm is seen.
<unk>m with sob ad cp pls eval ptx
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the lungs are well-expanded and clear. no pleural effusion or pneumothorax. heart size, mediastinal contour, and hila are unremarkable. limited assessment of the upper abdomen is within normal limits.
<unk>f with pain with deep breath, left sided chest wall pain. assess left sided chest-wall pain
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frontal radiograph of the chest demonstrates increased opacity at the left base concerning for larger pleural effusion. additionally, there is increased opacity at the left upper lobe with increased interstitial markings in the left upper lung concerning for pulmonary edema. continued left basilar atelectasis. the cardiac size is enlarged, but likely unchanged. no right pleural effusion is seen. no pneumothorax is appreciated.
complicated hospital course, now with diminished left lung sounds. evaluate for edema, effusion, infection.
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the lungs are clear without focal consolidation, pleural effusion or pneumothorax. there is no pulmonary edema. the heart is normal in size, and the mediastinal contours are normal.
<unk> year old female with tachycardia, palpitations and history of upper respiratory infection. please evaluate for pneumonia or effusion.
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exam is suboptimal due to underpenetration, or presumed secondary to patient body habitus. the cardiac silhouette is enlarged. the mediastinum is also widened however, given patient body habitus, this may be due to mediastinal lipomatosis. central pulmonary vascular congestion.
history: <unk>m with sob, concern for pna vs pe and dvt in rle u/s wt <num> lbs // history: <unk>m with sob, concern for pna vs pe and dvt in rle u/s wt <num> lbs
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there is a right large pneumothorax with complete collapse of the right lung. there is no mediastinal shift or flattening of the diaphragm to suggest tension. normal heart size. the left lung is clear.
history: <unk>m with cp // eval for cp
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the cardiac silhouette is enlarged but unchanged since prior examination. there are small bilateral pleural effusions. increased opacity at the right lung base could represent atelectasis, however underlying infection cannot be excluded. there is no evidence of frank pulmonary congestion. there is no pneumothorax. note is made of a hiatal hernia and mitral annular calcifications.
weight gain, shortness of breath, peripheral edema. rule out chf.
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the lungs are clear with no evidence of consolidation, effusion, or pneumothorax. cardiomediastinal silhouette is normal. no displaced rib fractures are seen. mild degenerative changes in the thoracic spine are present.
evaluation of patient with left-sided chest pain status post fall.
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single portable view of the chest was compared to previous exam from <unk>. the lungs are clear of focal consolidation. globular enlargement of the cardiac silhouette is again seen. osseous and soft tissue structures are unremarkable.
<unk>-year-old male with hypoxia, sickle cell disease.
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pa and lateral views of the chest. the lungs are clear without focal consolidation, effusion or pulmonary vascular congestion. there is no free intraperitoneal air below the diaphragm. cardiomediastinal silhouette is within normal limits. old healed right upper posterior right rib fractures are identified.
<unk>-year old male with recent nissen fundoscopy and chest pain. question free air.
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cardiac silhouette size is borderline enlarged but unchanged. mediastinal and hilar contours are normal. lungs are clear. pulmonary vasculature is normal. no pleural effusion or pneumothorax is demonstrated. no acute osseous abnormality is detected.
history: <unk>f with cough
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heart size is top normal. mediastinal and hilar contours are unremarkable. pulmonary vasculature is normal. lung volumes are low. there is minimal patchy opacity in the lung bases likely reflective of atelectasis. no focal consolidation, pleural effusion or pneumothorax is present. no acute osseous abnormality is identified.
history: <unk>f with shortness of breath
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monitoring and support equipment is unchanged in position compared to the prior study. extensive subcutaneous emphysema continues, limiting assessment of the lung parenchyma. bilateral ill-defined airspace opacities are grossly unchanged. no definite pneumothorax seen.
<unk> year old man with resp failure of uncertain etiology, intubated // interval change
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mild asymmetric likely pleural thickening right greater than left, has not substantially changed since <unk> and likely benign. the lungs are otherwise clear. the cardiomediastinal silhouette is unchanged. no pleural effusions or pneumothorax.
<unk> year old woman with persistent hyponatremia. // r/o mass
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lungs are clear of nodules, consolidation, pleural effusion or pulmonary edema, and the cardiac, mediastinal and hilar contours are normal.
<unk>-year-old woman with acute kidney injury, hives, and anemia. please evaluate for nodules concerning for vasculitis process.
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portable ap view of the chest. the endotracheal tube is again seen. right picc tip is in the mid svc. there is blunting of the bilateral costophrenic angles potentially due to effusions or scarring, unchanged. the lungs are hyperinflated. linear bibasilar opacities have not significantly changed. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities detected.
<unk>-year-old female with a prior hospitalization with question pneumonia now with green secretions. abdominal pain.
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right-sided port-a-cath tip terminates in the svc. the patient is status post median sternotomy and aortic valve replacement. moderate enlargement of cardiac silhouette persists. mediastinal and hilar contours are unchanged. there is persistent mild to moderate pulmonary edema, slightly improved compared to the prior study, superimposed on a background of chronic interstitial abnormality. there is a background of emphysema noted as well. small right pleural effusion appears relatively unchanged with chain sutures in the right lung base compatible prior resection. old fracture of the left posterior <num>th rib and partial resection of the right <num>th rib are again noted. widening of the left acromioclavicular joint is chronic and may be postsurgical.
hypoxia, on chemotherapy.
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mild enlargement of the cardiac silhouette is not substantially changed in the interval. the mediastinal and hilar contours are normal. pulmonary vasculature is not engorged. no focal consolidation, pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
history: <unk>f with cough, shortness of breath
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there is moderate pulmonary edema, but no pleural effusions or pneumothorax. heart size is top-normal, likely accentuated by the portable technique. sternal wires are intact. no obvious osseous abnormality.
history: <unk>f with acute dyspnea // eval for acute process
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compared to the prior study there is no significant interval change.
<unk> year old man with change in resp status // new or changing opafication, volume overload
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the cardiac silhouette is moderately enlarged. increased interstitial markings bilaterally most consistent with pulmonary edema. there may be small bilateral pleural effusions. no pneumothorax is seen. bibasilar opacities may be due to pleural effusions and atelectasis, underlying infection or aspiration is not excluded.
history: <unk>m with dyspnea, cough // eval for pna
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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 pleuritic back pain // ? ptx
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the heart is at the upper limits of normal size. the mediastinal and hilar contours appear within normal limits. there are no pleural effusions or pneumothorax. allowing for low lung volumes, the lungs appear clear. mild degenerative changes are again present throughout the thoracic spine.
fever and altered mental status.
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ap upright and lateral views of the chest provided. midline sternotomy wires are again seen. there is a similar overall pattern of moderate to severe pulmonary edema without significant change. small bilateral pleural effusions are noted. mild cardiomegaly is again seen. mediastinal contour is stable and normal. bony structures appear intact.
<unk>m with cp, sob // overload
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frontal and lateral chest radiographs demonstrate mild cardiomegaly and unchanged rightward deviation of the trachea by the aortic arch. the well-aerated lungs are clear without focal consolidation or pulmonary edema. there is no pleural effusion or pneumothorax. again seen is a large hiatal hernia.
shortness of breath on exertion. evaluate for chf or infiltrate.
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compared to the remote chest radiograph from <unk>, there is a new right pleural effusion which is moderate in size. underlying pneumonia cannot be excluded. the right upper and left lung are normal. the left heart border is unremarkable. visualized upper abdomen is normal. no osseous abnormality is seen. no pneumothorax.
history: <unk>f with chest pain. evaluate for pneumonia.
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compared with <unk> at <time> , subcutaneous emphysema in the right supraclavicular of the region may be more pronounced. again seen is a right ij sheath, with tip over proximal svc. note is made of a gap in tubing at the proximal edge of the sheath measuring <num> mm. on today's examination <num> small clips are seen in the right neck, away from the sheath and subcutaneous emphysema. in retrospect beaver present at the edge of the prior film. otherwise, i doubt significant interval change. cardiomediastinal silhouette and vascular plethora, with bibasilar atelectasis, is similar to the prior study. cardiomediastinal silhouette i doubt significant interval change. no pleural effusion seen on either side. no obvious pneumothorax detected.
<unk> year old man s/p evar // eval for pleural effusions
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lateral view is suboptimal. a large density projects over the lower mediastinum with splaying of the carina. the visualized aerated portions of lungs demonstrate no consolidation, pleural effusion, pneumothorax, or pulmonary edema. heart size is difficult to evaluate in the setting of this overlying density.
<unk>-year-old male with stroke.
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frontal and lateral views of the chest. the lungs remain clear. there is no effusion or pneumothorax. the cardiomediastinal silhouette is unchanged. no displaced fractures identified on these non dedicated views.
<unk>-year-old female with mvc and knee pain.
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heart size is mild to moderately enlarged. the aorta is diffusely calcified. mediastinal and hilar contours are unremarkable. pulmonary vasculature is not engorged. consolidative opacity within the right lung base is noted along with small bilateral pleural effusions, larger on the right. streaky opacity in the left lung base may reflect compressive atelectasis. ill-defined peripheral opacity within the left upper lobe may be an area of scarring. no acute osseous abnormalities detected.
history: <unk>f with dyspnea, lower extremity swelling, crackles bilateral lungs
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a left pectoral aicd is unchanged with two leads terminating in the right atrium and right ventricle, as before. the cardiac silhouette remains severely enlarged, compatible with known dilated cardiomyopathy. the mediastinal and hilar contours are unchanged. the lungs are clear without focal consolidation concerning for pneumonia, pleural effusion, or pneumothorax. no pulmonary vascular congestion or edema is noted.
history of idiopathic dilated cardiomyopathy, now with aicd firing, here to evaluate for acute pulmonary fluid overload.
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pa and lateral views of the chest provided. there is a large right pleural effusion with collapse of the right middle and lower lobes. underlying pneumonia difficult to exclude. left lung is clear. cardiomediastinal silhouette appears grossly unremarkable though the right heart border is obscured from view. bony structures are intact.
<unk>f with dyspnea // evidence of pulm effusion
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retrocardiac atelectasis is noted only on the frontal view. the lungs are otherwise clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
<unk> year old woman with ili, asthma // eval for acute intrathoracic process
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left pectoral dual lead pacemaker in situ with the tip seen in the right antrum and right ventricle. cardiomegaly unchanged. ng tube in situ coursing out of sight. no pleural effusion. no pulmonary edema. no pneumothorax. <num> mm wide oval density projecting over the peripheral aspect of the right lower lung and the anterior fifth rib is is most likely external.
<unk> year old man s/p tvr/cabg // interval change
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there is stable cardiomediastinal contour with tortuosity of the thoracic aorta. elevation of the right hemidiaphragm slightly increased from prior. linear opacities at both lung bases likely reflect atelectasis. no large pleural effusion or pneumothorax. no displaced rib fracture.
history: <unk>m with fall, brusing on left chest and hip // r/o fx, ptx
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severely enlarged left main pulmonary artery is unchanged since <unk>, documented by cta of the chest on <unk>. the cardiac silhouette is top normal size, but larger than in <unk>. no pulmonary vascular congestion or pulmonary edema is detected. the inspiratory lung volumes are slightly lower. within these limitations, there is no focal consolidation concerning for pneumonia, significant pleural effusion, or pneumothorax. the trachea is midline.
chest pain, here to evaluate for acute cardiopulmonary process.
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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.
right-sided numbness.
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pa and lateral views of the chest. the lungs are clear. the cardiomediastinal silhouette is normal. no acute osseous abnormality is identified.
<unk>-year-old female with chest tightness and palpitations.
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the patient is status post median sternotomy. increased opacity in the right infrahilar region seen on both the pa and lateral views may reflect an early/developing pneumonia. no pleural effusion or pneumothorax identified. the size of the cardiomediastinal silhouette is within normal limits.
<unk> year old man s/p heart transplant with tachycardia and leukocytosis // eval for pneumonia/pleural effusion
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a left-sided port-a-cath terminates at the cavoatrial junction. the cardiac and mediastinal silhouette appears stable. there appears to be a slight interval increase in the amount of pulmonary vascular congestion, with evidence of mild pulmonary edema. there is no acute focal consolidation concerning for pneumonia. there is a small left pleural effusion. no pneumothorax is identified.
history of weakness on chemotherapy. please rule out infiltrate.
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evaluation is limited by overlying trauma board and electronic device over the left lung base. heart size is top normal. the cardiomediastinal silhouette is otherwise unremarkable. lungs are grossly clear. there is no large pleural effusion or pneumothorax. the thoracic cage is grossly intact. the right hip joint space is well preserved. there is a displaced transverse fracture through the mid right femur with medial displacement of the distal fragment.
motor vehicle collision.
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moderate-to-large bilateral layering pleural effusions are improved from prior study with decrease in size of the cardiac silhouette and decreased engorgement of the pulmonary vasculature. associated bibasilar atelectasis is improved. a right internal jugular central venous catheter terminates in the mid to low svc, as does a left subclavian central venous catheter. an upper enteric tube is in place with the tip out of view; however, is coiled proximally in the hypopharynx. there is no pneumothorax.
necrotizing pancreatitis status post decompressive laparotomy.
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a portable frontal chest radiograph is somewhat difficult to evaluate secondary to blurring of the image, presumably related to patient motion. a tracheostomy terminates in the upper thoracic trachea. the right approach picc terminates in the mid svc. the exam is largely unchanged, with somewhat low lung volumes exaggerating the cardiac silhouette and bibasilar atelectasis. no new focal consolidation is identified. there is no appreciable pneumothorax or pleural effusion. the visualized upper abdomen is unremarkable.
history: <unk>m with trach, inc. sob // eval for consolidation
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there has been slight interval withdrawal of a left chest tube, which projects over the left upper lung. small to moderate effusion with an air-fluid level in the left lateral midlung is similar to the prior study. there is no focal consolidation or pulmonary edema. the right lung is clear. the right picc line terminates in the cavoatrial junction, unchanged.
<unk> year old woman s/p esoph divertic resection with post op leak evaluate interval change and evaluate for effusion.
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frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs without focal consolidation, pleural effusion, or pneumothorax.
<unk>f with paf presenting with chest tightness // please evaluate for volume overload
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linear right midlung opacity is likely due to atelectasis. increased opacity in the right paramediastinal region is likely due to consolidation within the azygos lobe. increased pleural based opacity in the right upper lung laterally is compatible with pleural-based based metastases seen on prior pet-ct. new blunting of the right lateral costophrenic angle on the frontal view may also be due to pleural based disease. irregular interstitial markings of the periphery of the left lung are better seen on prior ct. left chest wall port-a-cath seen with tip in the region of the low svc. cardiac silhouette is stable. enlarged right hilum is compatible with known malignant adenopathy. no visualized acute osseous abnormality. destruction of the anterior right upper ribs was better seen on prior ct.
<unk>f with weakness, confusion, cough // bleed?infiltrate
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a dual-lumen dialysis catheter tip terminates at the level of the cavoatrial junction. there is stable cardiomegaly. there are confluent alveolar opacities along the superior left lower lobe and posterior left upper lobe, as well as additional patchy opacities in the left lower lobe posterior basilar segment. there is no frank pulmonary edema. there are no pleural effusions or pneumothorax.
<unk>-year-old woman with cough for two to three weeks, hypoxemia and history of end-stage renal disease. study requested to rule out pneumonia.
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frontal and lateral radiographs of the chest demonstrate an area of consolidation in the right lower lobe concerning for pneumonia. the cardiomediastinal and hilar contours are unremarkable. there is no pneumothorax or pleural effusion.
<unk>-year-old man with history of cll and prior malignant effusion who is now in remission, who presents with two days of pleuritic chest pain. evaluate for pneumonia or pleural effusion.
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heart size is enlarged. there is mild interstitial edema. there are small bilateral pleural effusions. no focal consolidation or pneumothorax is detected on these views, although small posterobasilar consolidation may be obscured by pleural effusion.
<unk>-year-old male with history of diabetes, congestive heart failure, hypertension, and hyperlipidemia, now with chest pain, dyspnea, and elevated troponin.
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lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. the previously seen small left apical pneumothorax, right base consolidation and small right pleural effusion have resolved in the interval.
epilepsy with concern for aspiration.
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac silhouette is top-normal to mildly enlarged. mediastinal contours unremarkable. no pulmonary edema is seen.
history: <unk>f with chest discomfort, sob // rule out pna, pulmonary edema
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ap and lateral chest radiographs demonstrate no focal consolidation, pleural effusion, or pneumothorax. no rib fracture is identified. the visualized thoracic vertebral body heights and disc spaces are preserved.
the patient has multiple lacerations sustained in a domestic dispute. complaining of back pain.
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since the prior examination, there has been interval development of left upper lobe opacification. elevation of the right hemidiaphragm is stable with right basilar atelectasis. there are otherwise no new focal opacities. there are no pleural effusions or pneumothorax. the cardiomediastinal and hilar contours are stable, demonstrating borderline cardiomegaly. a right-approach port has been removed. pulmonary vascularity is normal.
<unk>-year-old female with history of breast cancer, now presenting with shortness of breath. evaluate for effusion.
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the lungs are well-expanded and clear. the cardiomediastinal and hilar contours are unremarkable. there is no pneumothorax, pleural effusion, or consolidation.
history: <unk>f with cough // cough
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extremely low lung volumes noted with secondary bronchovascular crowding. there is no obvious consolidation, effusion, or overt edema. cardiomediastinal silhouette is grossly unchanged. enteric tube seen with tip projecting over the left upper quadrant with side-port past the ge junction.
<unk>m with shortness of breath // pneumonia?
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there is mild diffuse interstitial prominence. no discrete focal consolidation, pleural effusion, or pneumothorax is detected. heart and mediastinal contours are within normal limits.
<unk>-year-old male with history of mi, now with chest pain and productive cough.
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frontal and lateral views of the chest were obtained. 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. evaluate for infiltrate.
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endotracheal tube terminates in appropriate position in the trachea. there is an enteric tube which terminates in the stomach. there is a right port-a-cath which terminates in the distal svc. there is a small left pleural effusion with adjacent atelectasis. there is also increased opacity in the left mid-lower lung zone, concerning for aspiration or infection. there is no focal consolidation or pneumothorax. the heart is normal in size. widening of the mediastinum may be due to extension of the pleural effusion.
<unk>-year-old female with intubation. evaluate for endotracheal tube placement.
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well-inflated lungs are clear. there are no pleural effusions or pneumothorax. the cardiomediastinal and hilar contours are normal. pulmonary vascularity is normal. no discrete nodules are appreciated.
<unk>-year-old male with testicular masses concerning for germ cell carcinoma. for evaluation of metastatic disease.
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low lung volumes cause bronchovascular crowding and bilateral atelectasis. allowing for this there is likely mild central pulmonary vascular congestion, similar to the prior study without overt pulmonary edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is within normal limits. a right picc terminates in the low svc. a <num> mm right lower lung nodule corresponds to a granuloma seen on recent chest ct.
<unk> year old man with chf, evaluate for interval change, volume overload?
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the cardiomediastinal and hilar contours are stable. there is no pneumothorax. there may be a small left pleural effusion. streaky bibasilar opacities likely representing atelectasis or scarring are similar to the prior exam. there is no new focal consolidation concerning for pneumonia. there is no pneumoperitoneum.
history: <unk>f with ruq pain likely cholangitis w/ r diaphragmatic insp pain, ? r axillary pain // r/o acute cp process, r pleural effusion
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the heart size remains mildly enlarged. the mediastinal contour is unchanged with mild unfolding of the thoracic aorta noted. there is no pulmonary vascular congestion. hilar contours are stable. again demonstrated are predominantly peripheral and basilar linear and interstitial opacities with a more focal opacity in the left lung base. no pleural effusion or pneumothorax is identified. there is no pulmonary vascular congestion. no acute osseous abnormalities are detected.
shortness of breath.
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the lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. cardiomediastinal silhouette is normal. no acute fractures are identified.
evaluation of patient with fever and headache.
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left-sided stimulator device is noted with lead coursing cephalad into the left neck. patient is status post thyroidectomy with clips noted about the lower neck. heart size is mildly enlarged, unchanged. mediastinal and hilar contours are within normal limits. pulmonary vasculature is not engorged. small bilateral pleural effusions, larger on the left, appears slightly increased in size compared to the previous radiograph. bibasilar opacities in the lungs likely reflect areas of compressive atelectasis. no pneumothorax is seen. moderate multilevel degenerative changes are noted in the thoracic spine.
history: <unk>f with dyspnea, history of congestive heart failure and pleural effusions
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the lung volumes are low, resulting in bronchovascular crowding. the lungs appear clear. cardiomediastinal and hilar contours are unremarkable. there is no pneumothorax, pleural effusion, or consolidation. clips are seen within the left axilla.
history: <unk>f with syncope, prolonged qt // pulm edema? cardiomegaly?
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there is no pleural effusion or pneumothorax. the lungs appear clear. bony structures are unremarkable.
productive cough. question pneumonia.
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the patient is status post median sternotomy and mitral valve replacement. status post sternotomy. the cardiac silhouette continues to be enlarged. there is mild chf. no pleural effusion or pneumothorax is noted.
<unk>-year-old female with right leg swelling and dyspnea. please assess for deep vein thrombosis and for pneumonia.
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the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>f with cough, sob. // pneumonia?
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frontal and lateral views of the chest were obtained. the heart size and cardiomediastinal contours are normal. lung volumes are low. small opacity obscuring the left posterior costophrenic angle could represent consolidation or effusion. no pneumothorax.
cirrhosis and edema. evaluate for cardiomegaly.
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the cardiomediastinal and hilar silhouettes are unremarkable. lung volumes are slightly low with mild left basilar atelectasis. no focal consolidation, pleural effusion, or pneumothorax. within the limitations of chest radiography, no evidence of osseous injury.
<unk>f with cp. evaluate for injury or other acute process.
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patient is status post median sternotomy and cabg. the heart size remains mildly enlarged. mediastinal and hilar contours are similar with tortuosity of the thoracic aorta again noted. coronary artery stent is also re- demonstrated. pulmonary vasculature is not engorged. lung volumes are low with minimal bibasilar atelectasis, but no focal consolidation. no pleural effusion or pneumothorax is identified. there are mild multilevel degenerative changes in the thoracic spine.
history: <unk>m with chest pain and dizziness
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subtle right infrahilar opacity is worrisome for pneumonia. recommend followup to resolution. slight prominence of the right hilum could relate to underlying associated mild lymphadenopathy. linear opacity in the medial right mid lung suggests subsegmental atelectasis/scarring. the left lung is clear. no pleural effusion or pneumothorax is seen. the heart is normal in size. mediastinal contours are grossly unremarkable.
history: <unk>f with cough/fever for several days concern for <unk> bacterial infection // evaluation for pna
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extensive consolidation in the left lung and increased hazy density at the left base that may represent overlying pleural fluid persist. the right lung is clear as before. the left heart border is obscured. visualized mediastinal contours appear stable. a left picc remains in place. a right internal jugular catheter is been withdrawn.
interval improvement
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chain sutures are seen within the right hilum with evidence of asymmetric volume loss in the right lung compatible with prior right upper lobe resection. diffuse interstitial opacities are compatible with chronic interstitial lung disease. small amount of pleural fluid is seen on the right. the heart size is mild to moderately enlarged. the aorta remains moderately tortuous. there is no pulmonary edema. calcified granuloma in the left mid lung field is unchanged. hazy opacity in the right lung base may reflect atelectasis or progression of known chronic interstitial lung disease. there is no pulmonary edema, pneumothorax, or left-sided pleural effusion.
shortness of breath for <num> days with hypoxia.
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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 shortness of breath
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small right pneumothorax is unchanged in appearance from the prior study. small pleural effusion is also seen on the right as on the recent prior. hazy right mid lung opacity likely corresponds to a small amount of expected hemorrhage surrounding the biopsied nodule. the left lung is clear. the patient's known multiple nodules are better seen on ct. there is no left effusion or pneumothorax. the heart is normal in size with normal cardiomediastinal silhouette.
small right upper lobe pneumothorax after lung biopsy, assess for resolution.
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ap and lateral views of the chest. mild left mid lung opacity is again seen and suggestive of scarring and presence on prior ct. ther is no large effusion. cardiac silhouette is enlarged but stable. aortic valve replacement is again seen. no acute osseous abnormalities detected.
<unk>-year-old female with syncope.
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ap portable upright view of the chest. lungs are clear though lucent and hyperinflated which likely reflect copd. a tiny clip projects over the right upper lung. scarring in the right lung apex appears slightly more conspicuous. no effusion or pneumothorax. no convincing evidence for pneumonia or edema. cardiomediastinal silhouette is normal. chronic left ribcage deformities noted.
<unk>m with copd p/w marked sob // eval for consolidation
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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 dyspnea, weakness // eval for pneumonia, pleural effusion
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widening of the aortic root is better appreciated on the ct from the same day. there are bilateral atelectatic changes, but no large effusion. there is no evidence of pneumonia.
<unk> year old man with aortic dissection s/p valve repair now with aortic abscess hypoxia // evidence of effusion? //<unk> year old man with aortic dissection s/p valve repair now with aortic abscess
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the bibasilar consolidations that were seen on the prior radiograph have largely resolved and there are only minimal residual opacities. there are no new areas of consolidation, pleural effusions or pneumothorax. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk> year old man with lingering fevers, diagnosed with pneumonia as an inpatient // ? pneumonia
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subtle left mid lung opacity persists which could be due to a small focus of pneumonia. patchy left base retrocardiac opacity likely represents atelectasis. no evidence of pneumonia is seen on the right. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable.
history: <unk>f with dyspnea, possible pna on ap // eval for pna
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there is a patchy opacity in the mid left lung field including the retrocardiac space that does not obscure the left hear border. bilateral bibasilar discoid atelectases are also noted. the remaining lung fields are clear otherwise. the cardiac size is top normal, but the cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax.
<unk>-year-old female with history of frequent pneumonia probably secondary to aspiration, esophageal dysmotility. now presenting with fever and shortness of breath. evaluate for evidence of pneumonia.
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pa and lateral chest radiographs were provided. there is a retrocardiac left lower lobe opacity with obscuration of the left hemidiaphragm which projects over the lower spine on the lateral view consistent with left lower lobe pneumonia. there is no pleural effusion or pneumothorax. streaky opacities at the right lung base are likely atelectasis. the cardiomediastinal silhouette is stable including a tortuous aorta. the bones are intact. the imaged upper abdomen is unremarkable.
<unk>-year-old man with history of pneumonia presenting with fever and cough. question pneumonia.
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the lungs are clear. there is no pneumothorax. the heart and mediastinum are within normal limits.
<unk> year old woman with cough, sore throat, pleuritic chest pain. // evaluate for infection.
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right internal jugular central venous catheter tip terminates at the svc/right atrial junction. low lung volumes are present. the heart size is mildly enlarged. mediastinal and hilar contours are unremarkable. minimal streaky bibasilar airspace opacities likely reflect atelectasis. no focal consolidation, pleural effusion or pneumothorax is present.
rectal bleeding.
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compared with the prior study, inspiratory volumes are lower. allowing for this, again seen is a small right effusion, with collapse and/or consolidation at the left base. the degree of right base atelectasis is more pronounced. also again seen is increased retrocardiac density, also more pronounced. there is upper zone redistribution, but no overt chf. no left-sided effusion. the cardiomediastinal silhouette is grossly similar. opacity overlying the right lung apex medially appears to relate to a mask or other device outside the the patient -- clinical correlation is requested to confirm this. no pneumothorax identified.
<unk> year old man with sob // ?pna
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single ap portable chest radiograph is compared to radiograph performed on the same date approximately <num> hours prior. a right breast prosthesis overlies the right lower lung somewhat limiting assessment. a small right pleural effusion is suspected. opacity in the left lower lung is concerning for effusion and probable compressive atelectasis though difficult to exclude pneumonia. the heart remains enlarged. there is mitral annular calcification. no overt signs of edema. chronic left rib deformities again noted as well as a right distal clavicle deformity. dextroscoliosis of the t-spine again noted.
<unk>f with hypoxia after fall // eval for effusion, pneumonia
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. compared to the prior chest radiograph performed <num> days prior the swan-ganz catheter is in similar position in the right descending pulmonary artery. retraction of <num> cm is recommended. cardiomegaly is stable. mild pulmonary vascular congestion is similar to the <unk> radiograph. no pneumothorax or pleural effusion.
<unk> year old man with decompensated chf with pa catheter just manipulated please assess location // evalute position of pa catheter
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both of the lower lung volumes seen on the current exam. retrocardiac opacity may be secondary to atelectasis. elsewhere the lungs are grossly clear. the cardiomediastinal silhouette is within normal limits given low inspiratory effort. degenerative changes noted at the acromioclavicular joints.
<unk>m with <num>xd severe <unk> epigastric pain w/ <num>x episodes of vomiting, hx of hernia repair w/ mesh // eval sbo, free air under diaphragm
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left-sided pacemaker device is re- demonstrated with leads terminating in the right atrium and right ventricle. mild enlargement of the cardiac silhouette is again noted. marked enlargement of the main pulmonary artery is similar. lung volumes are low compared to the previous study. there is crowding of the bronchovascular structures without overt pulmonary edema. patchy opacity within the right lung base likely reflects atelectasis. no pleural effusion or pneumothorax is present. there are mild degenerative changes noted in the thoracic spine.
history: <unk>f with cough
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compared to prior, there is mild decrease in lung volume, especially on the left likely from mild atelectasis. small pleural effusion on the right is possible. the heart appear mildly enlarged, accentuated due to decreased lung volumes. right-sided port appear unchanged from prior. aortic knob calcification is again seen, unchanged. no pneumoperitoneum is seen.
<unk> year old woman with uresectable cholangiocarcinoma and new onset ascites now s/p para with persistent ruq pain. assess for free air.
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the lungs are clear of focal consolidation. left apical scarring is noted as well as right midlung opacity which is also likely scarring. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>m with agitation // eval infiltrate
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since prior, there has been interval progression of bilateral parenchymal opacities, greater at the bases there are small bilateral effusions. . the and prior right picc is no longer visualized. the cardiomediastinal silhouette is stable noting median sternotomy wires and mediastinal clips. atherosclerotic calcifications seen at the arch.
<unk>m with s/p cabg, chf, paroxismal a-fib, presenting with leg swelling. // eval for acute process
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the heart size, mediastinum, and hilar contours are normal. bibasilar streaky opacity likely due to atelectasis. the lungs are otherwise clear without focal consolidation, pneumothorax, or pleural effusion.
<unk>m with acute l sided chest pain, abn ekg. eval ? ptx, mediastinal abnormalities
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the tip of the enteric tube now projects over the left upper quadrant likely within the gastric body. remaining findings are unchanged since <num> hour prior including the left hip basilar opacity concerning for aspiration/ atelectasis.
<unk> year old man with ng placed. evaluate ng tube placement.
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a single portable ap upright view of the chest was obtained. there is a moderate-sized left pleural effusion and adjacent compressive atelectasis; however, pneumonia is not excluded. rounded opacity along the right hilus may represent a mass. there is pulmonary vascular engorgement without pulmonary edema. severe dextroconvex thoracic scoliosis is noted. there is no left effusion or pneumothorax. deformity of the left humerus likely reflects sequelae of an old injury.
<unk>-year-old man with seizure, evaluate for pneumonia.
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patient is status post median sternotomy and cabg. lung volumes are low which accentuates the size of the cardiac silhouette which remains markedly enlarged. superior mediastinal widening is also likely due to low lung volumes, and is similar compared to the prior study. there is crowding of bronchovascular structures with mild pulmonary vascular congestion. patchy atelectasis is seen in the lung bases without focal consolidation. no large pleural effusion or pneumothorax is present. assessment of the left apex is somewhat obscured by external device. tracheostomy tube tip is in unchanged position.
<unk>m with brbpr, trach mask.
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underpenetration due to body habitus slightly limits assessment. allowing for this there is no convincing evidence of focal consolidation, pulmonary edema, or pneumothorax. a small right pleural effusion is possible.
<unk>f with fever of unknown origin, evaluate for pneumonia.
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two views of the chest again demonstrate increased retrocardiac opacity silhouetting the descending thoracic aorta. unfolding of the aorta is noted. heart size is mildly enlarged. otherwise, the cardiomediastinal contours are normal. no pleural effusion or pneumothorax.
cough and fever. evaluate for pneumonia.