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overall lung volumes are low.the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stably enlarged.
<unk>f with recurrent seizures on keppra concerning for underlying cause
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the patient is status post median sternotomy and prosthetic aortic valve. heart size remains mildly enlarged. the mediastinal and hilar contours worse similar. pulmonary vasculature is normal. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is present. multiple sclerotic foci are again noted within the osseous structures compatible with known metastatic disease.
history: <unk>m with hematuria, altered mental status
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the lung volume is small. the left lower lobe consolidation has improved. no pulmonary edema or pulmonary venous congestion. small left pleural effusion and atelectasis are unchanged. right lower lobe atelectasis is unchanged. moderate cardiomegaly is unchanged. mediastinal silhouette is unchanged.
<unk> year old man with lll pneumonia and new increased oxygen requirement // please evaluate for fluid overload vs worsening of pneumonia
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low lung volumes cause bronchovascular crowding and bibasilar atelectasis. small lung nodules consistent with metastasis are better seen on prior ct. there is probably mild vascular congestion. if any there are small bilateral pleural effusions. bibasilar airspace opacities best appreciated on the lateral view represent atelectasis. the cardiomediastinal silhouette is stable with moderate cardiomegaly and tortuous aorta.
<unk>m with shortness of breath evaluate for infectious process.
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the lungs are well expanded. several punctate calcified nodular opacities are seen scattered in the right lung corresponding to findings on ct examination. lungs are otherwise clear. mediastinal contour, hila, and cardiac silhouette are normal. no pleural effusion or pneumothorax.
<unk>f <num> days s/p physical fight // r/o internal bleed/internal process
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heart size is normal. the cardiomediastinal silhouette and hilar contours are unremarkable. there is mild bibasilar atelectasis with linear lingular atelectasis. lungs are otherwise clear. there is no large pleural effusion or pneumothorax.
shortness of breath.
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large right pleural effusion is not significantly changed from the most recent prior study. small left pleural effusion is slightly larger with partial collapse of the left lower lobe is similar. the cardiomediastinal and hilar contours are stable with more appropriate midline position of the mediastinum. et tube, right internal jugular line, and right port-a-cath are in unchanged and standard positions. a dobhoff tube is present, with tip terminating in the proximal stomach. a right catheter projects over the lower chest, and an additional drain is seen projecting over the right upper quadrant. the epidural infusion catheter has been removed.
<unk> year old woman s/p liver resection who remains intubated // interval change
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heart size is normal. the aorta is tortuous. the mediastinal and hilar contours are unchanged. pulmonary vasculature is not engorged. punctate calcification in the lung bases along with coarse reticular opacities are again noted, potentially due to chronic aspiration. increased retrocardiac patchy opacity may reflect atelectasis, without focal consolidation. no pleural effusion or pneumothorax is present. scarring within the lung apices is unchanged.
history: <unk>m with altered mental status x<num> day
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single portable view of the chest is compared to plain film from <unk> and chest ct from <unk>. new compared to prior, however, is a left basilar opacity which silhouettes the hemidiaphragm, potentially related to interval development of pneumonia. there is a possible underlying effusion and left upper lung region of consolidation again seen. surgical chain sutures project over left upper lobe. right lung is essentially clear. cardiomediastinal silhouette is unchanged. hypertrophic changes in the spine and likely post-surgical changes seen at the right acromion and right humeral head.
<unk>-year-old man, bronchoscopy with biopsy of the left upper lobe, now with fever and rigor.
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heart size is mildly enlarged, slightly enlarged compared to the previous radiograph. the mediastinal contour is unchanged. enlargement of the hila bilaterally is compatible with underlying pulmonary arterial hypertension. there is no pulmonary edema. lungs are hyperinflated with marked emphysematous changes again noted. increased interstitial markings are noted along the periphery and lung bases suggestive of a mild chronic interstitial abnormality. patchy opacities the lung bases may reflect areas of atelectasis, though infection is not excluded in the correct clinical setting. no large pleural effusion or pneumothorax is seen.
history: <unk>m with pulmonary hypertension with worsening hypoxia, concern for worsening pulmonary hypertension, chf exacerbation, cor pulmonale
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there is volume loss in both lower lobes with increased opacity at the right base. while some of this is due to volume loss, superimposed infection is likely. the upper lungs are clear.
worsening aa gradient and shortness of breath.
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heart size remains mildly enlarged with a left ventricular predominance. the mediastinal and hilar contours are unremarkable. pulmonary vasculature is normal. no focal consolidation, pleural effusion or pneumothorax is present. elevation of the right hemidiaphragm is unchanged. calcified granuloma in the left upper lung field is unchanged. there is minimal atelectasis in the retrocardiac region. no pleural effusion or pneumothorax is present. no acute osseous abnormality is identified.
history: <unk>m with confusion
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pa and lateral chest films were obtained with patient in upright position. analysis is performed in direct comparison with the next preceding similar study of <unk>. the heart size remains unchanged and is within normal limits. rather prominent general dilatation and elongation of the thoracic aorta. multiple focal wall calcifications most prominent in the aortic arch remain unchanged. no new contour abnormalities have developed. the pulmonary vasculature is not congested. there is no evidence of significant left atrial enlargement as can be judged on the lateral view. the on previous examination seen postoperative scar formations in the right lower lobe area have further regressed including the local thickenings of the pleura along the lower right lateral chest wall. there is no evidence of any pleural effusion accumulating in either lateral or posterior pleural sinuses. no pneumothorax is seen in the apical area on the frontal view. comparison is extended to the preoperative pa and lateral chest examination of <unk>. comparison of cardiac structures and pulmonary vasculature does not indicate that the patient has developed significant chf symptoms.
<unk>-year-old male patient with shortness of breath for six months, status post right lung wedge resection, evaluate for postoperative changes such as effusion.
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frontal and lateral radiographs of the chest demonstrate a large right pleural effusion with adjacent atelectasis and likely collapse of the right middle and lower lobes. no left pleural effusion is seen. the remainder of the aerated lung is clear. cardiac and mediastinal contours appear normal. no pneumothorax is seen.
right-sided pain and shortness of breath with cough and pleural effusion noted on right upper quadrant ultrasound. evaluate for infiltrate or effusion.
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again seen are bilateral loculated pleural effusions, consistent with prior ct in <unk>. median sternotomy wires and surgical clips are noted. ill-defined opacities at the right base are unchanged from multiple priors and most likely represent atelectasis. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is within normal limits.
history of hiv and new shortness of breath.
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study is limited by patient rotation. cardiac silhouette size appears perhaps borderline enlarged. the mediastinal contours grossly unchanged. focal consolidative opacity in the right lung base is new. additional patchy opacity is seen in the left lung base. no large pleural effusion or pneumothorax is present. mild pulmonary vascular congestion is demonstrated.
history: <unk>m with shortness of breath
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there is possible trace pleural effusion on the right in the posterior costophrenic angle versus possible atelectasis. there are streaky retrocardiac opacities, probably due to minor atelectasis or airway inflammation, perhaps slightly increased. mild rightward convex curvature is centered along the mid thoracic spine.
hiv, cough and fever.
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there is mild cardiomegaly. pulmonary vascular congestion is mild. the aorta is unfolded and the aortic knob is calcified. there are bibasilar opacities. no pleural effusion or pneumothorax.
<unk>m from osh with splenic rupture <unk> babesiosis s/p <num>l ivf, <num>prbc, <unk>ffp, <num> plts, mid-low <num>s spo<num>. evaluate for pulmonary edema.
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again noted are mildly hyperinflated lungs. the cardiomediastinal silhouette and pulmonary vasculature are unremarkable and unchanged since the most recent examination. there is no definite consolidation. no pneumothorax or pleural effusion is noted. chronic changes are noted at the lung bases.
history: <unk>f with cough and sob // pna?
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single portable view of the chest. no prior. the patient is slightly rotated towards the right. the lungs are grossly clear given the low inspiratory effort. cardiomediastinal silhouette is grossly within normal limits. there is slight deviation of the trachea at the thoracic inlet to the right, potentially due to underlying thyroid nodular enlargement. cardiomediastinal silhouette is unremarkable.
<unk>-year-old female with syncope and hypotension. chest pain.
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac silhouette is top normal. the mediastinal and hilar contours are unremarkable. no displaced fracture is seen.
chest pain.
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the cardiac, mediastinal and hilar contours appear unchanged. the lungs appear clear. there is no pleural effusion or pneumothorax. bony structures are unremarkable. no free air is identified.
near syncope and cough.
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there is mild cardiomegaly, with prominence of the right atrium. the hilar and mediastinal contours are normal. this study is limited due to extensive overlying soft tissue; however, no definite focal consolidations concerning for infection are identified. there is mild bibasilar atelectasis. there is no large pleural effusion or pneumothorax. visualized osseous structures are unremarkable.
history of palpitations, shortness of breath. please evaluate for acute process.
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new from prior exams is consolidation at the lateral aspect of the left long. subpleural reticular opacities were better seen on prior chest ct. known pleural-based density in the left lower lobe is seen on the lateral view is a spiculated density projecting over the lower thoracic pedicles. there is no pleural effusion. the right lung is clear. cardiomediastinal silhouette is unchanged. median sternotomy wires are again noted.
<unk>m with chills and cough // eval for pneumonia, chf
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status post left mastectomy with implant. surgical clips in the right axilla are seen. no abnormalities within the soft tissue of the left axilla.. normal lung volumes. no consolidation. no pleural effusion. no pneumothorax. cardiomediastinal borders and hilar structures are normal.
<unk> year old woman s/p l mastectomy has had intermittent discomfort l axilla x <unk> year // cause of l axillary discomfort?
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frontal and lateral views of the chest. the lungs are clear. there is no consolidation, effusion or pneumothorax. the cardiomediastinal silhouette is normal. no displaced fractures identified on this non-dedicated examination.
<unk>-year-old man with chest pain with tenderness to palpation, status post mvc. question pneumothorax.
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the endotracheal tube sits <num> cm above the carina. an endogastric tube courses inferiorly towards the stomach. clips project over the left hemi-abdomen. there has been interval extension of the previously described thoracic fusion hardware. the heart size is stable given positioning and technique. the right mediastinal contours are exaggerated by patient's rotation to the right. the lung volumes are low with a small-to-moderate right pleural effusion and underlying atelectasis. retrocardiac atelectasis is also seen. mild pulmonary vascular congestion is present. there is no large pneumothorax.
<unk>-year-old male status post c<num>-t<num> extension of posterior fusion from c<num>-c<num> anterior discectomy and fusion.
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the cardiomediastinal and hilar contours are within normal limits. lungs are well expanded and clear. there is no focal consolidation, pleural effusion or pneumothorax.
<unk>-year-old woman with cough. question lesion.
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cardiomediastinal silhouette is normal. there is no pleural effusion or pneumothorax. there is no focal lung consolidation. there is no displaced rib fracture.
<unk>m trauma with, evaluate for injury.
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an ng tube is present with the tip in the stomach. the lungs are clear without a consolidation or edema. there is no pleural effusion or pneumothorax. note, the left costophrenic angle is not included in the field of view. the cardiomediastinal silhouette is normal. there is no free intraperitoneal air. the air-filled dilated loops of bowel are better evaluated on the recent ct of the abdomen and pelvis.
volvulus and new ng tube. evaluate placement.
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frontal and lateral views of the chest. prior right pic is no longer visualized. the lungs are clear of focal consolidation, effusion, or pulmonary vascular congestion. of note, the right posterior costophrenic angle is excluded from the field of view. cardiomediastinal silhouette is within normal limits. old right lateral rib fractures are noted. no acute osseous abnormality is seen.
<unk>-year-old male with fever and diabetes.
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pa and lateral chest views were obtained with patient in upright position. the heart size is within normal limits. no configurational abnormality is identified. thoracic aorta unremarkable. no mediastinal abnormalities are seen. the pulmonary vasculature is normal. no signs of acute or chronic parenchymal infiltrates are present and the lateral and posterior pleural sinuses are free. there is moderate degree of degenerative changes seen in the thoracic spine, mostly in the mid portion in the form of osteophytic, sometimes bridging processes, but there is no evidence of any significant vertebral body compression fracture. our records do not include a preceding chest examination available for comparison.
<unk>-year-old male patient with reported abnormality of lungs on chiropractor's films. assess for lung lesion.
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there is moderate to severe pulmonary edema. there is are modearte to large bilateral pleural effusions. dense calcifications are seen within the aorta. assessment of the cardiac silhouette is limited given the diffuse parenchymal abnormality.
shortness of breath. evaluate for an infiltrate.
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an ecmo catheter is in-situ. a swan-ganz catheter is in-situ, the tip terminates in the proximal right pulmonary artery. a nasogastric tube terminates in the stomach. there is persistent enlargement of the cardiac silhouette with prominence of the bilateral hila. lung volumes are consequently low. unchanged left basilar atelectasis. no pneumothorax seen. surgical clips and a vascular stent is seen in the right axilla.
<unk> year old woman with ecmo // eval for effusions/lines
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lungs are clear, the cardiomediastinal silhouette and hila are normal. there is no pleural effusion and no pneumothorax.
<unk>-year-old with multiple pneumonias in the past.
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the cardiomediastinal silhouette is normal. there is no consolidation, pleural abnormality, or edema.
history of hiv, with cough and upper respiratory infection symptoms.
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since the most recent prior radiograph, there is stable moderate cardiomegaly and development of a small right pleural effusion. there is no focal consolidation or pneumothorax. the lungs appear better expanded than on the prior radiograph. multiple left-sided rib fractures seen on outside hospital ct torso are not clearly seen on this radiograph.
<unk>-year-old man with rib fractures, no pneumothorax on ct scan yesterday, question pneumothorax.
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multiple old healed rib fractures are again noted. focal linear scarring in the lingula with otherwise clear lungs. unremarkable cardiomediastinal silhouette. no pneumothorax. postsurgical changes noted at the right glenohumeral joint. no pleural effusion.
history: <unk>m with r hip periprosthetic fracture impending or tomorrow // preop cxr for hip repair
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lungs are well expanded. there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. imaged upper abdomen is unremarkable.
<unk>-year-old man with fevers and cough for four days. evaluate for pneumonia.
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there is slight leftward patient rotation on the ap view. allowing for this, the cardiomediastinal silhouette is stable, with top-normal heart size. the bilateral hila are normal. the lungs are clear. there is no pulmonary vascular congestion. there is no pneumothorax or pleural effusion. dish related changes of the t-spine noted.
a <unk>-year-old man with syncope, fever, and vomiting, evaluate for evidence of pneumonia or aspiration.
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the patient is status post sternotomy and coronary artery bypass graft surgery. the cardiac, mediastinal and hilar contours appear unchanged. similar mild relative elevation of the right hemidiaphragm is present. streaky right basilar opacity suggests minor atelectasis or scarring. elsewhere, the lungs remain clear. there is no pleural effusion or pneumothorax. small anterior osteophytes are present along the lower thoracic spine.
altered mental status.
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ap single view of the chest has been obtained with patient in sitting semi-upright position. the heart size is normal. no configurational abnormality is seen. thoracic aorta mildly widened and elongated, but no local contour abnormalities or wall calcifications are present. the pulmonary vasculature is not congested. no signs of acute or chronic parenchymal infiltrates are seen and the lateral pleural sinuses are free. no evidence of pneumothorax in the apical area. skeletal structures grossly unremarkable. our records do not include a previous chest examination available for comparison.
<unk>-year-old female patient with stroke, questionable pneumonia.
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lungs are well-expanded and clear. cardiomediastinal and hilar contours are unremarkable. there is no pneumothorax, pleural effusion, or consolidation. an air-fluid level is seen within the stomach. prominent loops of small bowel project over the left upper quadrant. nasogastric tube courses into the stomach and out of the field of view.
history: <unk>m with sbo, s/p ng tube // pre-op, ng tube placement
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frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation or pneumothorax. hilar and mediastinal silhouettes are unremarkable. heart size is normal. there is no pulmonary edema.
chest pain.
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compared to the prior study there is no significant interval change.
<unk> <unk>-speaking woman with pmhx cad s/p inferior nstemi (<unk>, medically managed), dm, dchf (ef <unk>% <unk>), pafib not on anticoagulation and transfusion dependent anemia presenting from rehab with worsening <unk>. // please evaluate for pna, interval change in vascular congestion
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right upper lobe consolidation has cleared. cardiomediastinal contours are stable. no pleural effusion or acute skeletal findings.
<unk> year old man with recent pneumonia. // follow up
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lungs are grossly clear. cardiomediastinal silhouette is within normal limits for technique and projection. median sternotomy wires are intact. mediastinal clips are noted. no acute osseous abnormalities.
<unk>m with chest pain, dyspnea, hypotension // eval for acute process
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the heart is upper limits normal in size. the lungs are clear without infiltrate or effusion. the bony thorax is normal.
pre-op for past.
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upright ap 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 l tib/fib fracture // pre-op. eval tib/fib fracture.
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there is a right port-a-cath with the tip in the cavoatrial junction. there is a pacemaker overlying the left chest with leads in the right atrium and right ventricle, which appears unchanged in comparison to the prior radiograph. the left pleural effusion has improved, however there is a residual small amount of pleural fluid. the left retrocardiac opacity has also improved. the right lung is clear. heart size is stable. the mediastinal and hilar contours are stable. the pulmonary vasculature is normal. no pneumothorax is seen. there are no acute osseous abnormalities.
<unk> year old man with a history of primary effusion lymphoma. please evaluate for change in size of effusion, now after <num> cycles of mini-chop. // <unk> year old man with a history of primary effusion lymphoma. please evaluate for change in size of effusion, now after <num> cycles of mini-chop.
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the lung volumes are low which causes crowding of the bronchovascular structures. otherwise, the lungs are clear without focal opacity, pulmonary edema, pleural effusion or pneumothorax. the cardiac size is top normal. there is no free air beneath the right hemidiaphragm.
history: <unk>f with chest pain, shortness of breath // r/o chf, pneumonia
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there is a new right-sided pleural effusion. vague opacities in the right lower lung are also seen and appear new as well compared with <unk>. there are also increased opacities projecting over the heart in the left. there is no left-sided effusion. previous drainage has been removed. a left-sided picc ends in the lower svc. an accessory azygos fissure is redemonstrated. clips from bilateral mastectomies are present.
<unk>-year-old female with history of bilateral mastectomy now with fever.
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the lungs remain clear. there is no focal consolidation, effusion, or edema. cardiomegaly is stable. no acute osseous abnormalities. surgical clips in the right upper quadrant suggest prior cholecystectomy.
<unk>f with new onset afib // eval for acute process
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the lungs are low in volume giving the appearance of bronchovascular crowding and limiting assessment for pneumonia or pulmonary edema. trace pleural effusions would also be difficult to exclude. the heart is likely stably enlarged with normal cardiomediastinal contours. no pneumothorax is seen.
weight gain and fatigue with dyspnea on exertion.
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there is no focal consolidation, pleural effusion, or pneumothorax. mild cardiomegaly is unchanged. there is no pulmonary vascular congestion. the cardiac and hilar and mediastinal contours are within normal limits.
cough and subjective fever. significant cardiac history.
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in comparison to the prior radiograph, there is now increased partial collapse of the right middle lobe and worsening atelectasis/collapse of the right lower lobe. hazy opacity in the right middle lung zone and prominence of the fissures suggest increased pleural fluid; however, it is difficult to quantify due to the atelectasis. cardiomediastinal silhouette is difficult to evaluate also due to atelectasis. the left lung is clear. there is no pneumothorax or acute skeletal abnormalities.
<unk>-year-old man with shortness of breath, history of cirrhosis, ascites, and pleural effusion. assess for hydrothorax, pleural effusion.
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the lungs are clear. there is no effusion, pneumothorax, or edema. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>m with chest pain, abnormal ekg // eval heart and lungs
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left-sided dual lead pacer device is again seen, unchanged in position. the cardiac and mediastinal silhouettes are stable with the cardiac silhouette enlarged. no large pleural effusion or pneumothorax is seen. no definite focal consolidation. no overt pulmonary edema.
history: <unk>f with chf with sob // eval pulm edema
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cardiac silhouette remains enlarged, unchanged from prior exam. global heterogeneous opacities with a peripheral predilection are worse compared to <unk> with an appearance suggestive of eosinophilic pneumonia. there is no pneumothorax.
likely crack pneumonitis versus copd flare or pneumonia with decreased o<num> saturations.
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pacemaker is unchanged in position. aortic arch calcifications are re- demonstrated. right juxta hilar opacity, which could be projectional due to lordotic positioning, but is infection cannot be excluded. cardiomediastinal silhouette is largely unchanged. a supradiaphragmatic descending aortic aneurysm appears unchanged. left basilar pleural parenchymal scarring is unchanged. note is made of prior right mastectomy and axillary lymph node dissection; diffuse skeletal metastases are again demonstrated
<unk> year old woman with cough // eval for pna. post mastectomy with history metastatic disease to the spine.
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single semi erect ap radiograph demonstrates clear lungs bilaterally. cardiomediastinal and hilar contours are within normal limits. there is no pleural effusion or pneumothorax. visualized osseous structures are without an acute abnormality.
<unk>-year-old female with weakness.
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there has been little interval change from the prior exam. the patient is status post median sternotomy and cabg. the cardiac and mediastinal contours remain unchanged. there is persistent mild pulmonary edema with streaky bibasilar atelectasis. small bilateral pleural effusions demonstrated on the previous exam are not well assessed on the current frontal view. there is no pneumothorax.
history: <unk>m with worsening tachypnea
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cardiomegaly is a stable. there are minimal and bibasilar atelectasis. the upper lungs are clear. the lungs are hyperinflated. there is no pneumothorax or pleural effusion.
<unk> year old man with hx of paroxysmal afib with new sob and tachypnia // ? pulmonary edema
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the lungs are well expanded and clear. hila and cardiomediastinal contours and pleural surfaces are normal. azygos lobe noted incidentally, a normal variant. no osseous abnormality within the limits of plain radiography.
<unk>m with chest pain and left arm pain (more like soreness) since earlier tonight.
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mild pulmonary vascular congestion has worsened, now with decreased transparency of the lungs. mild cardiomegaly is unchanged. no focal consolidation concerning for pneumonia.
<unk>f with sickle crisis, now wheezing on exam after significant ivf. assess for volume overload or pneumonia.
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pa and lateral chest radiographs were provided. there is no focal consolidation, pleural effusion, or pneumothorax. cardiomediastinal silhouette is normal. there are no displaced fractures.
<unk>-year-old male with rib pain after fall, rule out fracture.
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lower lung volumes are seen on the current exam. there are however new progressive parenchymal opacities, most confluent at the right lung base with air bronchograms. additional parenchymal opacities regions seen in the bilateral perihilar regions suspicious for pulmonary edema. moderate cardiac enlargement is similar to prior. tracheostomy tube is again noted. no acute osseous abnormalities.
<unk>m with worsening sob, productive sputum from trach // eval for consolidation
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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.
history: <unk>m with cough and chest pain // ?pneumonia
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heart size is normal. the aorta is tortuous. mediastinal and hilar contours are unchanged. pulmonary vasculature is normal. lungs are chronically hyperinflated with flattening of the diaphragms. minimal blunting of the left costophrenic angle is likely due to pleural thickening or scarring and is unchanged. no focal consolidation, pleural effusion or pneumothorax is seen. numerous clips are again noted in the left upper quadrant of the abdomen.
history: <unk>m with asthma exacerbation
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cardiomediastinal contours are normal. the lungs are well-expanded and clear.
<unk> year old woman with chronic cough // chronic cough
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right lung apical known lucent lesion is again noted. prominent pulmonary vasculature with increased interstitial markings appears minimally improved compared to prior with persistent alveolar densities in bilateral lower lobes. no pleural effusion or pneumothorax is seen. cardiomegaly persists. aortic calcification is seen.
<unk>-year-old male with diabetes mellitus and hyperglycemia.
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the cardiac, mediastinal and hilar contours appear unchanged. the lung volumes remain low. there are persistent patchy opacities in the lower lungs, but somewhat better aerated and expanded, suggesting partial resolution of what is probably, at least predominantly, atelectasis. background prominence of pulmonary vascularity with indistinct vessels suggests fluid overload. a curvilinear shadow continues to project over the right upper lung. lung markings are clearly seen beyond it, but it is difficult to entirely exclude the possibility of a pneumothorax involving partial retraction of the right upper lobe, although doubted. there is no free air.
follow-up of abnormal radiograph. patient with abdominal pain.
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the heart size is top normal. mediastinal and hilar contours are unremarkable. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are mild degenerative changes in the thoracic spine.
lower extremity swelling and shortness of breath.
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the lungs are normally expanded and clear. there are streaky linear lucencies projecting over the neck, mediastinum, and along the cardiac border concerning for pneumomediastinum. there is no pleural effusion or pneumothorax.
pleuritic chest pain. evaluate for pneumothorax.
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a small hiatal hernia is re- demonstrated. diffuse chronic airways disease is stable from prior, with widespread bronchiectasis and centrilobular nodules. a focal consolidation at the right lung base may represent aspiration or infection. the cardiomediastinal silhouette is unremarkable.
history: <unk>f with cp/sob this evening; ekg reassuring, prior hx of bronchiectesis // eval ? infiltrates
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endotracheal tube, nasogastric tube and right chest tube are in unchanged positions. since the previous examination, without interval operative procedure, massive interval increase in right lateral chest wall and anterior chest wall subcutaneous air accompanies a new small-to-moderate right pneumothorax inferiorly and laterally. the cardiomediastinum is stably enlarged with unchanged mild vascular congestion.
<unk>-year-old man status post tracheobronchoplasty with chest pain and shortness of breath. assess for effusion and worsening edema.
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increased opacity in the right infrahilar region likely represents a summation of pulmonary vasculature and posterior rib densities. there is no focal consolidation, pleural effusion, or pneumothorax. the cardiac, hilar and mediastinal contours are normal.
history: <unk>m with chest pain and fever. evaluate for pneumonia
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the lungs are clear focal consolidation or effusion. prominence of the pulmonary arteries is compatible patient's known history of pulmonary hypertension. degree of cardiomegaly is unchanged. no acute osseous abnormalities identified.
<unk>m with h/o pulm htn w/ worsening dyspnea // acute process?
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pa and lateral views of the chest were obtained. lungs are clear bilaterally with no evidence of focal consolidation or congestive heart failure. no pleural effusions or pneumothorax. the cardiomediastinal silhouette is normal. there are no bony abnormalities. no free air below the right hemidiaphragm.
evaluation for pulmonary edema, pleural effusion, heart borders, consolidation and atelectasis in a <unk>-year-old man with a history of congestive heart failure with increased shortness of breath.
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frontal and lateral radiographs of the chest again demonstrate a right chest wall port with the catheter terminating in the superior portion of the svc, unchanged. compared to the prior radiograph, there is a new asymmetric airspace opacity at the left base, likely representing a pneumonia. there is also mild opacification at the right base compared to the prior study. no pleural effusion or pneumothorax is seen.
cough. evaluate for pneumonia on the left in an immunocompromised patient.
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frontal and lateral chest radiographdemonstrates well expanded lungs with mild equalization of blood flow.no pleural effusion or pneumothorax. mild cardiomegaly is noted. mediastinum contour and hila are unremarkable.
shortness of breath. assess for acute process.
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the lungs are clear and the lung volumes are normal. there is no pleural effusion, pneumothorax or focal airspace consolidation. heart is normal size. the mediastinal and hilar contours are unremarkable.
seizure. evaluate for pneumonia.
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the cardiac silhouette size is normal. mediastinal and hilar contours are unremarkable. linear opacities in both lung bases likely reflect subsegmental atelectasis. there is no focal consolidation, pleural effusion or pneumothorax. no pulmonary vascular congestion is seen. there are no acute osseous abnormalities.
right chest pain on antiinflammatory agents, question pneumonia.
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stable, small-moderate right pleural effusion. a left pleural effusion is unchanged. otherwise, the lungs are grossly clear. moderate-severe cardiomegaly is unchanged. the aortic arch is heavily calcified, and deviates the trachea to the right to a stable degree. left pectoral pacemaker is noted with a single intact lead in unchanged position. dextroscoliosis is noted centered in the thoracic spine.
<unk> year old woman with s chf bleeding duodenal ulcer // eval pulm edema chf
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a single ap upright view of the chest was obtained. severe cardiomegaly is unchanged. diffuse bilateral opacities with perihilar predominance, compatible with mild pulmonary edema, increased compared to the prior examination. small pleural effusions are possible. cardiomediastinal contour is unchanged. calcifications are again noted in the aortic arch. there is no pneumothorax.
<unk>-year-old woman with shortness of breath, evaluate for pneumonia versus effusion.
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ap and lateral views of the chest are compared to prior from <unk>. right chest wall port is seen with catheter tip in stable position in the distal svc. again low lung volumes are seen. there is no large confluent consolidation and costophrenic angles are sharp. the cardiomediastinal silhouette remains stable. osseous and soft tissue structures are grossly unremarkable, noting hypertrophic changes in the spine.
<unk>-year-old male with new onset of lethargy and weakness as well as cough. rule out pneumonia.
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. coronary artery stenting noted on the lateral view.
history: <unk>m with chest pain shortness of breath // eval for pan
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left lung base pigtail is unchanged. there is no evidence of pneumothorax. lung volume is still low for bibasilar atelectasis, larger to the left. heart size is unchanged and still moderately enlarged. there is no pneumothorax or pleural effusion.
worsening of left-sided effusion.
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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 dm, hyperglycemia for <num> weeks with constitutional review of symptoms, possible positive urinalysis, wbc <unk>-><unk> after ciprofloxacin started <unk>.
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low lung volumes cause bronchovascular crowding and linear bibasilar atelectasis. there is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. the cardiomediastinal silhouette is normal.
<unk>m with generalized weakness, evaluate for pneumonia
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the heart continues to be enlarged with enlarged pulmonary arteries bilaterally. there is no overt pulmonary edema. no focal consolidation, pleural effusion or pneumothorax is noted. the patient is status post median sternotomy, and a cardiac device has its leads projecting over the right atrium and right ventricle.
<unk>-year-old female with chest pain. evaluate for acute process.
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pa and lateral views of the chest provided. lung volumes are low limiting assessment. lower lung atelectasis with bronchovascular crowding noted. there is no convincing evidence for pneumonia, edema, effusion or pneumothorax. the cardiomediastinal silhouette appears stable. bony structures are intact. no free air below the right hemidiaphragm.
<unk>f with t<num>dm, found down with hypoglycemia
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left-sided dual-lumen large better terminating in the right atrium is similar in appearance. the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. partially imaged stenting is noted in the right axilla.
hypotension.
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frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation or pneumothorax. hilar and mediastinal silhouettes are unchanged. extensive aortic arch calcifications are noted. heart size is normal. there is no pulmonary edema. imaged upper abdomen is unremarkable. mild compression deformity of the superior endplate of mid thoracic vertebral body is stable.
patient with chest pain. assess for pneumonia.
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single ap upright portable chest radiograph demonstrates clear lungs bilaterally. cardiomediastinal and hilar contours appear within normal limits. there is no pneumothorax or large pleural effusion. no overt pulmonary edema. no air under the right hemidiaphragm is identified. osseous structures demonstrate no acute abnormality.
<unk>-year-old male with shortness of breath and hypoxia.
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. previously demonstrated nodular opacity within the left lung base is no longer present. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
history: <unk>f with shortness of breath
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portable ap chest radiograph. the lungs are clear, though hyperinflated. there is no focal consolidation, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is normal.
respiratory distress.
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portable semi-erect chest radiograph <unk> at <time> is submitted.
<unk> yo male with etoh cirrhosis (childs c) c/b grade <num> varices, prior sbp, hepatic encephalopathy, recurrent hydrothorax on transplant list, t<num>dm c/b neuropathy, htn, presenting with bloating and abdominal discomfort, worsening resp status // eval effusion, pulm edema eval effusion, pulm edema
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the cardiac silhouette size remains mildly enlarged, unchanged. the aortic knob is calcified. the mediastinal and hilar contours are within normal limits. the pulmonary vascularity is normal. no focal consolidation, pleural effusion or pneumothorax is detected. minimal peripheral linear opacity within the left mid lung field may reflect an area of subsegmental atelectasis. no acute osseous abnormalities are seen. old right <unk> posterior rib fracture is again noted.
diabetes, coronary artery disease, hypertension with hyperkalemia and elevated white count.
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lung volumes are low with mild streaky opacities in the lung bases likely reflective of atelectasis. no focal consolidation is seen. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities including no displaced rib fractures.
history: <unk>f with right rib pain