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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 first time seizure
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pa and lateral views of the chest provided. cardiomegaly is re- demonstrated. there is mild hilar congestion and subtle interstitial pulmonary edema. small left pleural effusion is noted. no pneumothorax. mediastinal contour is stable. bony structures are intact. no free air below the right hemidiaphragm.
<unk>f with dilated cardiomyopathy // pulm edema?
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there is atelectasis at the left lung base. lungs are otherwise clear without consolidation, pleural effusion or pneumothorax. heart size is normal. no abnormal mediastinal widening.
history: <unk>f with cervical disc radiculopathy add-on to or today for discectomy // preoperative x-ray
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in comparison to the prior examination from a few hours prior there has been interval placement of an enteric tube which courses below the level of the diaphragm and likely terminates in the region of the stomach. there has also been interval placement of right ij line which ends in the upper svc. moderate edema is worsened. probable small pleural effusions.
<unk> year old woman with s/p central line placement and ng tube // et placement/ng placement
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a single portable ap supine view of the chest was obtained. the patient is status post left chest tube placement with decreased size of the left pneumothorax. a small right apical pneumothorax is also likely present. there are persistent bilateral areas of plate-like atelectasis. extensive pneumomediastinum with extension of the air into the superficial and deep soft tissues of the neck and retroperitoneal gas is unchanged. there is no large effusion. cardiomediastinal silhouette is stable.
<unk>-year-old man with chest tube placement.
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the lungs are clear of airspace or interstitial opacity. the cardiomediastinal silhouette is unremarkable. no pleural effusions or pneumothorax. no acute or aggressive osseus changes.
pruritus
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left-sided pacer is re- demonstrated with leads in unchanged positions in the right atrium and right ventricle. moderate cardiomegaly is again noted with dense mitral annular calcifications. atherosclerotic calcifications of the aortic arch are present with unchanged mediastinal and hilar contours. pulmonary vasculature is not engorged. a small left pleural effusion appears relatively unchanged with interval decrease in size of the small right pleural effusion. opacification in the left lung base is nonspecific and may reflect an and atelectasis but infection or aspiration is not excluded. no pneumothorax is present. dextroscoliosis of the thoracic spine with degenerative changes is re- demonstrated.
history: <unk>f with epigastric postprandial pain
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the cardiac, mediastinal and hilar contours are normal. lungs are clear and the pulmonary vascularity is normal. no pleural effusion or pneumothorax is present. no acute osseous abnormalities are detected.
shortness of breath.
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lung volumes are reduced. this accentuates the size of the cardiac silhouette which is mildly enlarged. crowding of the bronchovascular structures is also demonstrated, without overt pulmonary edema noted. the mediastinal contour is unremarkable. bibasilar patchy opacities may reflect atelectasis though infection is not excluded. there appears to be a trace left pleural effusion, and a small right pleural effusion cannot be excluded. no pneumothorax is seen. there are multiple clips demonstrated within the left upper quadrant of the abdomen.
coronary artery disease, dyspnea, crackles on exam, chf.
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the lungs are normally expanded except for mild atelectasis at the lung bases. opacities project over the spine on the lateral radiograph. the heart is slightly smaller since the study of <unk>, however there is still moderate cardiomegaly. there is no pleural effusion or pneumothorax. there is no pulmonary edema. mild rightward deviation of the trachea is likely secondary to known enlargement of the thyroid, left greater than right.
history: <unk>f with ams // eval for pna
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post-cabg changes are present in the form of sternotomy wires and mediastinal clips. rib resected changes are present in upper posterior lateral right rib. a coronary artery stent is present. the heart size is at the upper limits of normal. calcified atherosclerotic disease is seen at the aortic knob. the lungs are hyperexpanded but clear. there is no pleural effusion or pneumothorax. mild degenerative changes are present in the spine.
<unk>-year-old male with shortness of breath. patient has also had prior right upper lobectomy for cancer.
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ap portable upright view of the chest. overlying ekg leads are present somewhat limiting assessment. the heart appears top-normal in size. interstitial opacities are noted bilaterally which could reflect chronic lung disease i.e. fibrosis and/or interstitial pulmonary edema. please correlate clinically. no large effusion or pneumothorax. no focal opacity concerning for pneumonia. bony structures are intact
<unk>m with chest pain // eval for pna
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interval improvement in aeration of the lungs and pulmonary edema. left lower lung and retrocardiac opacity has since improved, likely representing atelectasis. slight increased opacity in the right lower lobe may reflect atelectasis or consolidation. moderate cardiomegaly persists. no pleural effusion or overt pulmonary edema. no change in the position of the ett, median sternal the wires, or right ij catheter sheath.
<unk> year old man with cad s/p cardiac arrest // s/p arrest, intubated
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an enteric catheter courses below the left hemidiaphragm and out of view. a swan-ganz catheter is likely positioned within the main pulmonary artery. an inferior, likely femoral approach, ecmo venous cannula terminates within the distal superior vena cava rather than right atrium. no definite arterial cannula is identified suggesting this is either <unk> <unk>-<unk> ecmo technique or there is renal arterial ecmo access. cardiomediastinal and hilar contours are not significantly changed compared to prior examination. there is stable if not slightly worsened pulmonary edema compared to <unk>, not an unexpected finding. however, there is a new retrocardiac opacification which may be due to a combination of edema, atelectasis and new small left pleural effusion.
<unk>-year-old woman with increasing hypoxia, intubated and on ecmo. assess for interval change.
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frontal and lateral views of the chest demonstrate stable mildly prominent cardiac silhouette, accentuated by low lung volumes. the mediastinal and hilar contours are otherwise unremarkable. the lungs are clear with the exception of trace if any bibasilar atelectasis. mild blunting of the left costophrenic angle may be related to presence of a pericardial fat pad. there is no pneumothorax or vascular congestion. minimal multilevel lower thoracic spondylosis is present.
<unk>-year-old male with substernal chest pain. question pneumonia or pneumothorax.
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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.
<unk>f with l jaw pain, lightheadedness, ekg changes // ptx? pulm edema?
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portable semi-erect chest radiograph <unk> at <num> is submitted.
<unk> year old man s/p lvad // eval for pna eval for pna
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pa and lateral chest views were obtained with patient in upright position. the heart size is at the upper limit of normal variation. the configuration suggests a prominence of the left ventricular contour, a finding which in conjunction with the moderately widened and elongated thoracic aorta suggests the possibility of systemic hypertension. there is, however, no evidence of pulmonary vascular congestion. there is a moderate widening of the superior mediastinum in the presence of a non-obstructed and non-deviating trachea. it raises the possibility of some thyroid enlargement or perhaps vascular prominence. otherwise, the parenchymal areas of the lung are free from any inflammatory abnormalities. the lung bases appear slightly hyperlucent and the low-positioned diaphragms are somewhat flattened. lateral and posterior pleural sinuses are free. the thoracic spine demonstrates moderate degree of degenerative changes in the form of osteophytic, sometimes bridging reactions mostly in the mid portion of the thoracic spine. no vertebral body depression fracture is identified. our records do not include a preceding chest examination available for comparison.
<unk>-year-old male patient with decreased breath sounds bibasilar, no cough, is there any chest lesion?
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ap upright portable radiograph of the chest demonstrates a mildly enlarged heart with mild pulmonary edema and mild bibasilar atelectasis. there is no pneumothorax or pleural effusion. there is a cardiac pacemaker in place, unchanged in position. there are numerous mediastinal surgical clips as well as sternal cerclage wires in place.
fever, hypoxia, and dyspnea.
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ap and lateral views of the chest are compared to previous exam from <unk>. the lungs are clear. there is no consolidation or effusion. cardiac silhouette again is top normal in size and the aorta is slightly tortuous. osseous and soft tissue structures are unchanged.
<unk>-year-old female with palpitations and chest pain.
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moderate cardiomegaly is a stable. pacer lead tip is in the right ventricle. there is no pneumothorax. bilateral effusions are small larger on the right side. the lungs are hyperinflated. there is mild kyphosis. the aorta is tortuous. there is no pulmonary edema. increasing opacities in the right base are likely increasing atelectasis
<unk> year old woman with l hip replacement, h/o dchf ?ild, afib w rvr, coming in w/ acute onset l hip pain. // interstitial lung disease? pulm edema?
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heart size is normal. cardiomediastinal silhouette and hilar contours are unremarkable. lungs are clear. there is no pleural effusion or pneumothorax.
fever and cough.
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interval placement of a nasogastric tube with its tip seen terminating in the expected location of the stomach in the left upper quadrant. the side port is at or just beyond the gastroesophageal junction. there is moderate cardiomegaly, small bilateral pleural effusions and areas of atelectasis at both lung bases largely unchanged when compared to radiograph obtained <num> hr prior.
<unk>-year-old female with a nasogastric tube replacement.
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the contour of the mediastinum suggests a tortuosity or mild dilatation of the ascending thoracic aa or. in all other respects the cardiomediastinal silhouette and pulmonary vasculature are normal. the lungs are clear. there is no pleural effusion or pneumothorax.
history: <unk>f with lower extremity weakness*** warning *** multiple patients with same last name! // ?mass
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portable semi erect ap chest radiograph demonstrates an endotracheal tube with its tip terminating <num> cm above the level of the carina in appropriate position. there is a feeding tube descending in an uncomplicated course to the distal esophagus, its tip out of view. a right internal jugular line is seen terminating at the level of the low superior vena cava. a left pectorally placed pacer/defibrillator is seen with its single lead intact terminating in the right ventricle. the heart size is top-normal. there is interval development of pulmonary edema as demonstrated by increased interstitial fluid with new right small pleural effusion. the left lung is grossly clear with no new focal consolidations.
<unk>-year-old male with subarachnoid hemorrhage. assess endotracheal tube.
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single portable view of the chest. the lungs are hyperinflated. linear bibasilar opacities are seen most suggestive of atelectasis or scar. there is blunting of the costophrenic angles potentially due to technique and overlying soft tissues although small effusions are also possible. superiorly, the lungs are clear of consolidation. there is no pulmonary vascular congestion. the cardiac silhouette is enlarged but stable in configuration. calcifications along the left aspect of the mediastinum, atherosclerotic in nature. no acute osseous abnormalities detected.
<unk>-year-old female copd with increased dyspnea.
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no focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. multiple old appearing lateral right-sided rib deformities are new since <unk>, but otherwise appear old, and involve at least the right lateral third, fourth, fifth, and sixth ribs, with possible overlying pleural thickening.
history: <unk>m with cp // eval for ptx
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frontal and lateral radiographs of the chest demonstrate hyperexpanded lungs. opacity in the left upper lung is stable from <unk>, and likely represents scar. the cardiomediastinal and hilar contours are unchanged. there is no pneumothorax, pleural effusion, or consolidation.
<unk> year old woman with dyspnea, ? pneumonia or pulmonary edema // <unk> year old woman with dyspnea, ? pneumonia or pulmonary edema
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frontal and lateral views of the chest. the lungs are clear of confluent consolidation. there is however a rounded opacity projecting over the right <num>nd rib anteriorly, not seen on prior. there are small bilateral pleural effusions. increased pulmonary vascular markings suggest mild interstitial edema, however, this is improved since prior. the cardiac silhouette is moderately enlarged, similar to prior. atherosclerotic calcifications again noted at the aortic arch. no acute osseous abnormality is identified.
<unk>-year-old female with residual aphasia and right hemiparesis status post chocking event.
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pa and lateral chest views have been obtained with patient in upright position. analysis is performed in direct comparison with the next preceding similar study dated <unk>. there exists no previous chest examination as of <unk>. there is moderate cardiac enlargement. the configuration indicates an additional prominence of the left atrial appendage on the frontal view suggestive of moderate enlargement of the left atrium (clinical nodes include evidence of atrial fibrillation). the thoracic aorta is mildly widened and elongated but does not show any local contour abnormality. the pulmonary vasculature demonstrates again an upper zone redistribution pattern, similar as seen on the examination one year ago. there is some mild blunting of the lateral pleural sinuses also visible in the posterior sinuses on the lateral view. acute parenchymal infiltrates cannot be identified and there is no evidence of pneumothorax in the apical area. a suspicious parenchymal infiltrate involving the left upper lobe lingula adjacent to the left lateral cardiac border cannot be seen anymore. comparison is extended to a chest examination of <unk>, at which time the heart size was slightly lesser than now. can also be observed that the pulmonary vasculature did not show the same degree of upper zone redistribution of the pulmonary circulation and the lateral pleural sinuses where completely free from any blunting at all.
<unk>-year-old male patient status post fall with right shoulder pain and history of right pleural effusion as of <unk>, is still there?
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a right-sided picc line terminates in the mid svc. a left basilar pigtail catheter remains in place. the patient is slightly rotated. bilateral airspace opacities have slightly increased. left basilar retrocardiac airspace opacification most likely due to atelectasis is unchanged since the most recent prior exam, and recurrent. a small left pleural effusion is unchanged.
<unk> year old man with trach/chronic hypercarbic respiratory failure here with suspected vap s/p chest tube placement, now to water seal // chest tube evaluation
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the cardiomediastinal and hilar contours are stable. there is no pleural effusion or pneumothorax. there is no lung nodule or mass. there is no focal consolidation concerning for pneumonia. pulmonary vasculature is within normal limits.
shortness of breath in a smoker with chest discomfort.
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ap portable supine view of the chest. feeding tube is again noted extending into the left upper abdomen. since the prior study, there is increasing opacity in the lower lungs, right greater than left. findings are concerning for potential aspiration or pneumonia. there is a small right pleural effusion. the cardiomediastinal silhouette is unchanged. bony structures appear grossly intact.
<unk>f with reported aspiration pneumonia, hypotensive and hypoxic
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frontal and lateral views of the chest were obtained. patient is slightly rotated with respect to film. the heart size and cardiomediastinal contours are normal. the lungs are clear. no focal consolidation, pleural effusion, or pneumothorax. no radiopaque foreign body. loose bodies in right shoulder redemonstrated.
<unk>-year-old male with cough.
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mild enlargement of the cardiac silhouette with a left ventricular predominance is re- demonstrated. the mediastinal contours are unremarkable with atherosclerotic calcifications noted at the aortic arch. the pulmonary vascularity is normal. the hilar contours are unremarkable. lungs are clear without focal consolidation, pleural effusion or pneumothorax. no acute osseous abnormalities visualized. clips are seen in the right upper quadrant of the abdomen.
left shoulder pain.
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pa and lateral views of the chest were provided. the lungs are clear. no effusion or pneumothorax seen. cardiomediastinal silhouette is stable. old left rib cage deformities are noted. no acute displaced fracture.
<unk>m with etoh abuse presenting with chest pain.
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pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the heart appears mildly enlarged with a left ventricular configuration. the mediastinal and hilar contours appear normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>f with chest pain, htn - eval for cardiopulmonary 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 definite acute osseous abnormalities. there is an age indeterminate anterior compression deformity of an upper lumbar vertebral body, new compared to <unk>.
history: <unk>f with cough x<num> month. evaluate for pneumonia
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upright ap and lateral views of the chest provided. midline sternotomy wires, prosthetic cardiac valve, and mediastinal clips are again noted. patient is slightly leftward rotated. the heart remains mildly enlarged. there is mild pulmonary edema with vague opacity in the right lower lung which may represent a superimposed pneumonia. a small right pleural effusion is present. no pneumothorax is seen. vascular calcifications seen. bony structures appear grossly intact.
<unk>f with abdominal pain, hx of pnas // r/o pna
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the patient is status post sternotomy and aortic valve replacement. the heart is at the upper limits of normal size. the mediastinal and hilar contours appear unchanged. left-sided pleural effusion has probably resolved or is at least not visible, while a small right-sided pleural effusion persists. the lungs appear clear. widespread sclerotic bony metastases are present.
weakness and history of prostate cancer.
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the endotracheal tube terminates less than <num> cm above the level of the carina, and appears to be heading towards the right mainstem bronchus. lung volumes are low resulting crowding of the bronchovascular structures. bilateral perihilar atelectasis is noted. there is no lobar consolidation, large pneumothorax, or pleural effusion identified. the cardiomediastinal silhouette is within normal limits.
history: <unk>f with seizures, intubated*** warning *** multiple patients with same last name! // eval for ett placement
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low bilateral lung volumes. there are persisting small bilateral pleural effusions with overlying atelectasis. no pneumothorax identified. a left pleural pigtail catheter is present.
<unk> year old man with pleural effusion and l sided chest tube now with tachycardia. // eval for pneumothorax
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pa and lateral chest radiograph demonstrates clear lungs bilaterally. cardiomediastinal and hilar contours are within normal limits. there is no pleural effusion, pneumothorax, or evidence of pulmonary edema. imaged osseous structures and upper abdomen are without an acute abnormality.
<unk>-year-old female with chest pain and shortness of breath.
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there is a subtle rounded opacity in the right apex and nodular opacities in the left upper lung zone. no pleural effusions or pneumothorax. the cardiomediastinal silhouette is normal. wedge deformities in the thoracic spine from prior fractures are better characterized on concurrent ct of the chest.
syncope.
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the heart size is within normal limits. the mediastinal and hilar contours are normal. again are seen diffuse areas of ground-glass opacities are similar to slightly improved in extent from prior exam. there is no large pleural effusion or pneumothorax. no pulmonary consolidation is present.
<unk>-year-old female with severe aortic stenosis and coronary artery disease, now with concern for pulmonary fibrosis versus volume overload; recent diuresis performed.
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previously seen left base opacity has resolved in the interval. subtle patchy opacity projecting over the anterior lower lung on the lateral view, not well appreciated on the frontal view, could represent a small focus of infection or atelectasis. no pleural effusion or pneumothorax is seen. cardiac and mediastinal silhouettes are unremarkable.
history: <unk>m with fever // eval for pneumonia
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the patient has had previous esophagectomy. in comparison to the radiograph of <num> days prior, there is a new moderate right pneumothorax. the right pleural effusion has increased. bibasilar subsegmental atelectasis is unchanged. mediastinal drains remain in place. radiopaque contrast from a recently performed barium esophagram opacifies partially imaged loops of colon in the upper abdomen. the heart and mediastinum are magnified by the projection. the followup radiograph shows no appreciable change in the moderate right pneumothorax, but a significant increase in moderate right pleural fluid.
<unk>m s/p <unk> mie <unk> for egj esophageal adc t<num>n<unk> s/p chemort // interval assesment; <unk>m s/p <unk> mie <unk> for egj esophageal adc t<num>n<unk> s/p chemort // please r/o pneumothorax
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the patient is status post cabg. the midline sternal wires are well aligned and intact. cabg clips are seen. lung volumes are slightly low. the cardiomediastinal silhouette and pulmonary vasculature is similar to the prior examination. there is no focal consolidation. there is no pleural effusion or pneumothorax. cardiac loop monitor seen within the subcutaneous tissues overlying the left chest wall. surgical clips in the right upper quadrant suggest prior cholecystectomy.
<unk>m with doe // pulmonary edema
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the patient is status post sternotomy. the heart is mild to moderately enlarged. there is upper zone redistribution of the pulmonary vascularity, which appears also prominent and indistinct suggesting mild pulmonary vascular congestion. otherwise, the lungs appear clear. there are no pleural effusions or pneumothorax.
chest tightness, shortness of breath.
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ap portable upright view of the chest. catheter projects over the heart. previously noted opacity in the right mid lung is decreased in conspicuity. retrocardiac opacity may represent a left lower lobe pneumonia versus atelectasis. small bilateral layering pleural effusions are noted. cardiomediastinal silhouette is stable. bony structures are intact.
<unk>f with cough, fevers // pna?
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heart size is top-normal. mediastinum is unremarkable. lungs are clear. there is no pleural effusion or pneumothorax.
history: <unk>f with days of cough and congestion with recent abx // ?pna or sinus infection
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sternotomy wires are intact. there is no focal consolidation, pleural effusion or pneumothorax. mild cardiomegaly is stable, otherwise the cardiomediastinal and hilar contours are normal.
<unk>f with weakness // eval for pna
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there are linear opacities in the right middle and both lower lobes consistent with atelectasis or scarring. the cardiomediastinal silhouette and hilar contours are normal. there is marked calcification of the aorta. the pleural surfaces are normal without effusion or pneumothorax. there is a significant dextroscoliosis and the bones are diffusely dimineralized.
multiple medical problems. evaluation for pneumonia.
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a left-sided pigtail catheter and left-sided chest tube are unchanged in appearance. a left-sided central venous catheter terminates in the upper to mid svc and is unchanged. an enteric tube ends below the field of view. an endotracheal tube ends <num> cm above the carina. the cardiomediastinal and hilar contours are within normal limits and stable. mild pulmonary edema has minimally decreased from the prior exam. bibasilar opacities are again seen, minimally improved from the prior study and may represent atelectasis however infection cannot be excluded. a vertical area of lucency paralleling the left lower thoracic vertebra is unchanged and represents a small to moderate anterior, medial left pneumothorax not significantly changed in size from the prior study.
<unk> year old man with pigtail placement yesterday, intubated, // ? ptx
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ap upright and lateral views of the chest provided. lung volumes are low which limits assessment. left upper extremity picc line terminates in the upper svc. right percutaneous nephrostomy tube is noted. clips in the right upper quadrant are present. there is elevation of the right hemidiaphragm. mild right basilar atelectasis noted. no convincing signs of pneumonia or overt chf. no large effusion or pneumothorax. the heart size appears mildly enlarged. mediastinal contour stable. bony structures are intact.
<unk>f with somnolence // eval pna
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low lung volumes. heart size is normal and unchanged. 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 man with <num> week of intermittent positional chest pain associated with dyspnea. evaluate for pneumothorax or infiltrate.
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<num> ap view of the chest. the endotracheal tube ends <num> cm above the carina. the enteric tube ends in the stomach in appropriate position. low lung volumes. there is mild right basilar atelectasis. no pleural effusion. no pneumothorax. the cardiomediastinal and hilar contours are unremarkable. there is an abnormally convex shape to the ap window.
evaluate for endotracheal tube placement.
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pa and lateral views of the chest provided. cardiomegaly is again noted. hilar congestion likely represents fluid overload with probable mild pulmonary edema. additionally, there are scattered asymmetric opacities within the lungs, right greater than left concerning for multifocal pneumonia. no large effusion or pneumothorax. bony structures intact.
<unk>m with fevers and body pain
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pa and lateral views of the chest. there is no focal consolidation. there is no pleural effusion or pneumothorax. the heart size is normal. there are normal cardiomediastinal contours.
<unk>-year-old man with chest pain, evaluate for pneumonia.
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the lungs are clear of focal consolidation, effusion, or pneumothorax. cardiac silhouette is enlarged. the cardiomediastinal silhouette is otherwise unremarkable. osseous and soft tissue structures are unremarkable.
<unk>-year-old female with chest pain radiating to the back. question dissection or pneumothorax.
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compared with the recent outside hospital radiograph, there has been no significant change in the bilateral pulmonary consolidations, concerning for pneumonia, given the patient's clinical history. large amount of subcutaneous emphysema is also unchanged. aortic arch is tortuous and calcified. surgical clips are identified in the region of the gastroesophageal junction. incidental note is also made of an unchanged wedge deformity of a lower thoracic/upper lumbar vertebral body.
<unk> year old woman with pna. pna status.
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the left chest tube is been removed. the right internal jugular catheter terminates in the right atrium svc junction. a pacemaker again is noted. left-sided pleural disease is present. there is perhaps a tiny left apical pneumothorax not thought to be of importance. the pulmonary vasculature appears improved when compared to the previous study. the heart is enlarged. the patient has median sternotomy closures and mediastinal clips consistent with coronary artery bypass graft. . the osseous structures are normal for age.
<unk> year old man s/p chest tube removal // r/o ptx
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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. bony structures are intact.
<unk>m with hx of etoh abuse, p/w agitation // eval pna
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the inspiratory lung volumes are appropriate. the lungs are clear without focal consolidation concerning for pneumonia. no significant pleural effusion or pneumothorax is detected. the pulmonary vasculature is not engorged. the cardiac silhouette is normal in size. the mediastinal and hilar contours are within normal limits. the trachea is midline. there is no free air beneath the right hemidiaphragm.
right arm pain, neck pain and leukocytosis, here to evaluate for acute pneumonia.
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<num> views of the chest show a left chest wall pacemaker generator with right atrial and ventricular leads, appropriately positioned. again noted is elevation of the left hemidiaphragm. the lungs are clear with no focal consolidation, pleural effusion, or pneumothorax. the cardiac and mediastinal contours are stable.
chest pain.
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in comparison to prior chest radiograph striated lucencies along supraclavicular region have decreased consistent with reduction of artifact from overlying external structures to the patient. . the lungs are well-expanded and clear. persistent right lateral costophrenic angle blunting. heart size, mediastinal contour, and hila are unremarkable.
<unk>m with abnl findings on cxr, ? artifcact. assess for pna, reconfirm findings
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this chest x-ray is read in conjunction with the ct of the chest performed on the same day. there are no focal opacities concerning for pneumonia. no pleural effusion or pneumothorax is seen. there is no pulmonary edema. the cardiac size is within normal limits. the aortic knob is calcified.
transient hypoxia.
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the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. the heart is normal in size with normal cardiomediastinal contours.
ms with worsening neuro symptoms. assess for pneumonia.
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pa and lateral views of the chest. the cardiomediastinal and hilar contours are normal. no focal consolidation, pleural effusions or a pneumothorax.
pain.
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cardiomediastinal contours are normal. the lungs are clear. there is no pneumothorax or pleural effusion. the osseous structures are unremarkable
<unk> year old man with history of right renal cell carcinoma s/p partial nephrectomy in <unk> with negative margins. this is part of routine surveillance. // evaluate for any mass or adenopathy suggestive of rcc recurrence.
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the lungs are somewhat low in volume. retrocardiac opacity is not well located on the lateral view but is concerning for left lower lobe pneumonia or aspiration. there is no pleural effusion or pneumothorax. the heart is normal in size with normal mediastinal and hilar contours.
altered mental status, assess for pneumonia.
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cardiomediastinal contours are normal. the lungs are clear. there is no pneumothorax or pleural effusion. the osseous structures are unremarkable the picc line has been removed
<unk> year old man with chills, elevated crp // r/o pna, infectious process
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hypoinflated lungs with vascular crowding. difficult to exclude mild pulmonary edema given low lung volumes. bibasilar atelectasis with retrocardiac left lower lobe opacity. top normal heart size. mediastinal contour and hila are otherwise unremarkable. limited assessment of the upper abdomen is unremarkable.
<unk> year old woman with hemoptysis, recent cta with ground glass opacity. assess for progression of findings or pneumonia.
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the lungs are hyperinflated. biapical scarring is again noted. the lungs are clear without focal consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>f with cough and fever // r/o acute infectious process
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portable ap chest radiograph. multifocal opacities consistent with pneumonia in the setting of mild pulmonary edema are slightly improved from <unk>. small bilateral pleural effusions are stable. there is no pneumothorax. mild cardiomegaly is unchanged.
multifocal pneumonia and pulmonary edema. evaluation for interval change after diuresis.
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there is mild pulmonary edema, otherwise the lungs are clear of focal consolidation, pleural effusion or pneumothorax. the heart is stable in size.
<unk>-year-old female who is anuric on hemodialysis presents with shortness of breath and hypotension after dialysis today. evaluate for volume overload.
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there is now a left-sided central venous catheter with tip projecting over the aortic arch. there is no pneumothorax. rig left basilar atelectasis is noted. azygos fissure is incidentally noted. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>f with hypotension // eval for line placement, pna
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the heart is mildly enlarged. the mediastinal and hilar contours appear within normal limits. there is no pleural effusion or pneumothorax. the lungs appear clear. the bony structures are unremarkable.
chest pain.
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no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. heart and mediastinal contours are within normal limits.
<unk>-year-old male with chest discomfort.
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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. moderate to severe degenerative changes of the left shoulder are not well assessed on this study. there appears to be joint space narrowing, marginal sclerosis, and hypertrophic changes at the inferior glenohumeral joint.
<unk> year old man with worsening left shoulder pain // please evaluate for any pulmonary edema
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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.
cough, fever and myalgia.
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there is a chronic diffuse interstitial abnormality that is not significantly changed compared to the prior radiograph from <unk> from <unk>. focal heterogeneous opacity in the left retrocardiac region has been seen on prior radiographs, possibly scarring/atelectasis, although infection is certainly possible. mild enlargement of the cardiac silhouette is not significantly changed. the mediastinal contours are normal. there are no definite pleural effusions. no pneumothorax is seen.
decreased breath sounds in the left within the mid lung. assess for worsening or effusion.
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lung volumes are normal. there is no consolidation. a nodular opacity projects over the left lung there is some entering <num> x <num> cm, which is new from <unk>. no correlate on the lateral view is identified, and this may represent a nipple shadow or something projecting over the skin. no evidence of pulmonary edema. cardiomediastinal contours are normal. surgical clips are noted along the right apex.
<unk> year old woman with bilat leg swelling // r/o chf
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moderate left pleural effusion and left lower lung volume loss reflected by increased retrocardiac density has minimally worsened since <unk>. heart size, mediastinal and hilar contours are unchanged. right lung is clear.
<unk>-year-old man with metastatic ureteral cancer, new fever, evaluate for interval change.
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the inspiratory lung volumes are slightly decreased from the most recent prior study. the lungs are otherwise symmetrically expanded and clear without focal consolidation concerning for pneumonia. no pleural effusion or pneumothorax is detected. mild biapical pleural thickening is noted. the pulmonary vasculature is not engorged and there is no overt pulmonary edema. the cardiac silhouette is normal in size allowing for slightly decreased lung volumes. the mediastinal and hilar contours are stable. the trachea is midline. there is no evidence of free air beneath the right hemidiaphragm.
cough and influenza like symptoms for the past week now with vomiting, here to evaluate for pneumonia or intra-abdominal free air.
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the patient is status post coronary artery bypass graft surgery. lines, tubes, and drains have been removed. the cardiac, mediastinal and hilar contours appear stable. slight residual blunting of the left costophrenic angle suggests a very small effusion. in the basal left lower lobe, there is a focal opacity. whether this may be residual improved atelectasis associated with fairly recent prior surgery or pneumonia is uncertain, but in general the lungs are much better aerated, including the left base.
fever. status post coronary bypass surgery.
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there is persistent marked rightward rotation. there has been interval re-expansion of the right right lung with decreased pneumothorax, now small. persistent opacification of the re- expanded right lung may represent consolidation, aspiration, re-expansion pulmonary edema. there is a small to moderate right pleural effusion and a trace left pleural effusion. a dobhoff tube terminates within the stomach. subcutaneous emphysema overlying the right chest wall and axilla is unchanged.
<unk> year old woman s/p and ptx with resp failure evaluate lungs lines tubes
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thoracic aorta structures. mediastinal contours are otherwise unremarkable. there is mild basilar atelectasis. lungs are clear. no pleural effusion or pneumothorax.
<unk> year old man with shortness of breath and pedal edema // ?chf
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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> year old woman with chest pain
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left-sided picc line tip terminates at the mid svc. the tip of an additional catheter is seen terminating in the axilla on the right. tracheostomy tube projects over the thoracic midline. as compared to prior chest radiograph from <unk>, there is a dense consolidation in the right lower lobe extending superiorly towards the minor fissure. there has been interval increase of the right sided pleural effusion. there is a right sided perihilar opacity which may occupy the superior segment of the right lower lobe. a persistent left-sided pleural effusion precludes the ability to see through the heart, cannot exclude retrocardial atelectasis. there is mild superimposed pulmonary edema. there is no pneumothorax.
<unk>-year-old female patient status post ascending aortic repair. study requested for evaluation of effusions.
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compared with prior radiographs on <unk>, the stomach and colon appear very distended. there is no significant interval change in the severe bilateral pulmonary opacities. no pneumothorax. cardiomegaly is unchanged. et tube, right picc, dobhoff tube, ivc filter, and vp shunt are unchanged.
<unk> year old woman with childhood brain avm s/p emolization and stroke with seizures and mental delay, intubated with blood from et tube // please assess for interval change
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ap upright and lateral views of the chest provided. chronic elevation of the right hemidiaphragm is again noted. clips project over the right upper quadrant. there is a stable appearance of the chest with scattered reticular and ground-glass opacities which appear grossly unchanged from a prior ct from <unk> suggesting a chronic inflammatory process. no large effusion or pneumothorax. an ivc filter projects over the upper abdomen. no pneumothorax. bony structures demineralized and intact.
<unk>f with body aches // eval for pneumonia
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pa and lateral chest radiographs demonstrate clear lungs. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal.
pain with deep inspiration.
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portable semi-erect chest radiograph <unk> at <time> is submitted.
<unk> year old woman s/p trach change over // eval positioning eval positioning
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cardiomediastinal contours are normal. the right lung is clear. there is no pneumothorax or right pleural effusion. there is mild elevation of the left hemidiaphragm unchanged from prior. opacities in the left lower hemithorax have markedly improved with residual probably scarring. blunting of the left costophrenic angles could represent a small effusion or pleural thickening. the osseous structures are unremarkable
<unk> year old man s/p vats decortication for empyema // ? residual infiltrate/effusion
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low lung volumes cause bronchovascular crowding and bibasilar atelectasis. there is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. the cardiomediastinal silhouette is notable for mild cardiomegaly.
<unk>f with n/v poor historian evaluate for pna
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the lungs are clear. the cardiomediastinal silhouette is within normal limits. tortuosity of the descending thoracic aorta is noted. hypertrophic changes are seen the spine.
<unk>m with <num> day history of productive cough and subjective fever // ? pneumonia
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median sternotomy wires are noted to be aligned and intact. a biventricular pacing system is seen with leads terminating in right atrium, right ventricle, and left anterior oblique marginal vein. additionally noted are wires from a prior right pacemaker. redemonstrated are stable interstitial markings, most prominent in the bilateral lung bases, and consistent with the patient's known interstitial lung disease. there is no focal consolidation, overt pleural effusion, pneumothorax, or pulmonary edema identified. the heart size is normal. the aorta is noted to be tortuous. mediastinal and hilar contours are otherwise unchanged.
persistent cough x<num> weeks, fevers, shortness of breath.
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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 <num> week of cough, s/p mcv collision <num> days ago with r knee pain
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left dual-chamber pacemaker is in left pectoral region with lead tip projecting over the right atrial appendage and right ventricular apex. bilateral reticular interstitial opacities. vascular engorgement, mediastinal vein dilataion, and cephalization with a moderately enlarged heart. mild bibasilar plate-like atelectasis. no pneumothorax or pleural effusion. no bony abnormality.
female with ischemic stroke and bradycardia despite having pacemaker. assess pacemaker location.