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frontal and lateral chest radiographs demonstrate clear lungs without effusion or pneumothorax. the cardiac silhouette is normal in size, the mediastinal contours are normal. there is no intraperitoneal free air.
<unk>-year-old female with abdominal pain.
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there is an opacity in the lingula. the heart size, mediastinal and hilar contours are normal. no pleural effusion or pneumothorax.
history: <unk>m with fever // eval for infiltrate
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the trachea is central. the cardiomediastinal contour is normal. the heart is not enlarged. no consolidation, pneumothorax or pleural effusion seen. there is an apparent <num> mm nodule in the right lung base. degenerative changes in the thoracic spine.
history: <unk>m with chest discomfort // infection? mediastinum abnormal width?
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as compared to prior chest radiograph from <unk>, there has been no significant change. lung volumes remain low with crowding of the vascular structures. moderate cardiomegaly is unchanged. there is moderate to severe pulmonary edema with bilateral pleural effusions and bibasilar atelectasis. there is no pneumothorax.
<unk>-year-old female patient with aortic stenosis, volume overload. study requested for evaluation of pulmonary edema.
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the cardiac, mediastinal and hilar contours are unchanged. the heart size is normal. aorta is mildly unfolded. the pulmonary vascularity is normal. the lungs are clear. no pleural effusion or pneumothorax is present. there are no acute osseous abnormalities.
right upper quadrant pain.
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pa and lateral images of the chest demonstrate marked improvement in the vascular congestion seen on previous imaging. a small left pleural effusion is seen. there is an opacity, best seen on the lateral view, in the retrocardiac space which suggests a left lower lobe pneumonia or possibly atelectasis. there is no pleural effusion on the right. there is no pneumothorax. cardiomediastinal silhouette is unremarkable.
<unk>-year-old female with type <num> diabetes and hypoxemia.
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mild cardiomegaly is unchanged. mediastinal and hilar contours are similar. lungs are well expanded and clear. pulmonary vasculature is normal. no focal consolidation, pleural effusion or pneumothorax is present. diffuse sclerosis of the osseous structures is compatible with osseous metastases.
history: <unk>m with bacteremia. evaluating for source
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compared to chest radiographs from <unk>, bibasilar opacities have resolved. there is no focal consolidation, pleural effusion or pneumothorax. no central vascular congestion or overt pulmonary edema. mediastinum, hila and pleural surfaces are unremarkable. the cardiomediastinal silhouette is normal. posterior spinal fusion hardware is noted.
<unk> year old man with gnr sepsis and a new cough and fevers // r/o pneumonia
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relatively low lung volumes are noted. the lungs remain clear. right chest port-a-cath seen with catheter tip projecting over the upper right atrium. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. surgical clips seen in the upper abdomen.
<unk>f with cough, fever, neutropenia // eval for pneumonia
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newly placed endotracheal tube in appropriate position ending approximately <num> cm above the carina. since prior, diffuse centralized alveolar airspace opacities have increased. cardiac silhouette is stably enlarged. there is no pneumothorax. pleural effusion is small if any.
<unk> year old man post intubation, evaluate endotracheal tube placement.
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the patient is somewhat rotated in position. obscuration of the left hemidiaphragm and haziness of the left hemithorax are worrisome for a layering pleural effusion with overlying atelectasis. underlying consolidation not excluded. patchy right basilar opacity is seen, could be due to atelectasis, infection, aspiration, metastatic disease not excluded. there is prominence of the interstitial markings bilaterally, unclear whether related to fluid overload or chronic disease. the cardiac silhouette appears enlarged. the aorta likely tortuous. no pneumothorax is seen. the bones are diffusely osteopenic with suggestion of chronic deformities of several left-sided ribs, possibly due to prior trauma.
history: <unk>f with history of uterine cancer now with ams and hypotension // rule out infiltrate
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portable semi-upright radiograph of the chest demonstrates low lung volumes resulting in bronchovascular crowding. there is streaky opacity in the bilateral bases which has increased over the interval, and likely represents atelectasis. there is no pneumothorax, pleural effusion, or consolidation.
altered mental status. evaluate for pneumonia.
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there are vague opacities in the left mid and right lower lungs, which suggest pneumonia or potentially aspiration pneumonitis. the heart is probably at the upper limits of normal size. the mediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax.
altered mental status.
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the heart is normal in size. the mediastinal and hilar contours appear unchanged. there is no pleural effusion or pneumothorax. areas of minor scarring in the left lower lung, probably for the most part in the lingula, appear unchanged. projecting over the lateral left lung apex there is a small newly apparent nodular focus measuring about <num>-<num> mm, a potential lung nodule. no corresponding opacity is visible on the prior study.
weakness.
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there is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. the cardiomediastinal contour is normal.
<unk>m with pleuritic chest pain, evaluate for acute process.
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pa and lateral views of the chest provided. lungs are clear. cardiomediastinal and hilar contours are normal. there are no pleural effusions.
<unk> year old man with non-productive cough, hiv positive (last cd<num> greater than <num> in <unk>), evaluate for intrathoracic pathology to explain cough?
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moderate cardiomegaly is re- demonstrated. the mediastinal and hilar contours are unchanged. there is mild bibasilar atelectasis. no pulmonary edema, pleural effusion, or pneumothorax. no focal consolidations are noted.
history: <unk>f with htn, ckd with sob c/f pna // <unk>f with ckd, htn, c/f pna
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac silhouette is top-normal. mediastinal contours are unremarkable.
history: <unk>m with +ppd, asymptomatic // eval acute process
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lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. cardiac and mediastinal silhouettes are unremarkable. no pulmonary edema is seen.
lightheadedness, chest pain episodes for <num> days.
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the patient remains intubated, with the tip of the endotracheal tube positioned <num> cm from the level of the carina. an ng tube is in place, though the tip and side hole are not seen. there is interval improvement from <num>am in severe bilateral alveolar opacity, with small bilateral pleural effusions. the cardiac silhouette remains markedly enlarged reflecting known moderate pericardial effusion. a left internal jugular central venous catheter has been placed in the interim, the tip projects over the mid svc. there is no pneumothorax on this limited supine film.
<unk>-year-old female with history of left ij central venous catheter placement.
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the lungs are clear. there is no consolidation, effusion, or pneumothorax. cardiac silhouette is mildly enlarged as on prior. no displaced fractures identified. degenerative changes noted at the shoulders bilaterally.
<unk>m with fall // trauma eval
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single upright ap radiograph of the chest demonstrates a left basilar opacity with obscuration of the left hemidiaphragm. there are also diffuse peripheral interstitial opacities, greater on the right than the left. there is an unusual curvilinear lucency in the right upper quadrant of the abdomen, lateral to the liver, though no definite free air is noted under the diaphragm. the aorta is tortuous. the cardiac silhouette is not enlarged. no pneumothorax or pleural effusion. remote right sided rib fractures are noted. there is an acute distal left clavicular fracture.
fall with elevated white blood cell count. evaluate for pneumonia.
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enteric tube traverses the midline into the left upper quadrant, unchanged. left ij catheter tip projects over the expected region low svc, also unchanged. lung volumes remain low. opacification of the left lower lung reflects a combination of pleural effusion and atelectasis, however superimposed infection cannot be excluded in the appropriate clinical situation, overall unchanged from the prior exam. moderate pulmonary vascular congestion is also overall unchanged. no frank edema. cardiomediastinal silhouette is overall unchanged. no pneumothorax.
<unk> year old woman with worsening septic picture, heart failure ; assess for pneumonia, volume overload.
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no focal consolidation, pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are similar in appearance compared to <unk>. there may be minimal prominence of the main pulmonary artery. surgical clips are noted in the upper abdomen.
history: <unk>f with sob // infiltrate?
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the patient is rotated with endotracheal tube <num> cm above the carina and unchanged position of nasogastric tube. asymmetric, right greater than left, pulmonary opacities are in total unchanged allowing for differences in lung volumes. small right pleural effusion tracks along the minor fissure. cardiomediastinal silhouette is unchanged.
<unk>-year-old woman with possible aspiration pneumonia in the setting of uti and recent seizure, assess for resolution of right-sided aspiration.
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heart size is normal. cardiomediastinal silhouette and hilar contours are normal. there is trace left base atelectasis. blunting is seen posteriorly suggesting a small effusion. lungs are otherwise clear. pleural surfaces are clear without effusion or pneumothorax.
fever.
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the cardiac and mediastinal silhouettes are stable. left-sided aicd is stable in position. there is persistent chronic blunting of the right costophrenic angle. the lungs are clear. no pulmonary edema is seen. there is no pneumothorax. there has been no significant interval change since the prior study.
history: <unk>m with history of mi and chf, now in <unk> // please evaluate for effusion, pneumonia
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left nipple should not be mistaken for lung nodule. . the lungs are well inflated and clear. no pleural effusion or pneumothorax. heart size, mediastinal contour, and hila are unremarkable.
<unk>f with anxiety, mania. assess for pneumonia.
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pa and lateral chest radiographs. aside from mild vascular crowding at the lung bases, there is no focal consolidation, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is normal.
chest pain. evaluation for pneumonia.
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a single portable ap chest radiograph was obtained. the lungs are well inflated and clear. no focal consolidation, effusion, or pneumothorax is present. cardiac and mediastinal contours are normal. there is no evidence of chf.
<unk>-year-old man status post turp ? fluid overload.
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patient is slightly rotated to her left. there is mild right basal atelectasis. otherwise, the lungs appear clear. the cardiomediastinal silhouette appears grossly stable with an unfolded thoracic aorta again noted. no large effusion or pneumothorax. the imaged bony structures are intact.
<unk>f with weakness, falls // ?infection
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endotracheal tube terminates <num> cm from the carina. an enteric tube tip is within the stomach. heart size is mildly enlarged. the aortic knob is calcified. there is mild pulmonary vascular congestion with perihilar haziness. left basilar patchy opacity is noted, worrisome for aspiration. similar but much smaller opacity is also noted within the right lung base. no pleural effusion or pneumothorax is demonstrated. calcifications within the upper abdomen bilaterally correlate with staghorn calculi seen on ct.
history: <unk>f with ett, ogt in place // please eval tube position
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pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>m with chest pressure, sob, lightheaded after endoscopy on <unk>.
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the inspiratory lung volumes are appropriate. the lungs are clear without focal consolidation, pleural effusion or pneumothorax. the pulmonary vasculature is not engorged. the cardiomediastinal and hilar contours are within normal limits. no acute osseous abnormality is detected.
history: <unk>m with back and chest pain // ptx?
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single frontal chest radiograph demonstrates a right-sided subclavian venous catheter terminating at the cavoatrial junction. endotracheal tube terminates at the level of the clavicles. enteric catheter courses below the left hemidiaphragm terminating in the body of stomach. cardiomediastinal and hilar contours are unremarkable. left lung base opacification is poorly assessed given patient positioning, but may reflect combination of atelectasis and effusion. underlying infectious process cannot be excluded.
urosepsis. arrives on vent. please assess ett placement and left subclavian line placement.
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predominantly peripheral and basilar regions of increased interstitial markings appear stable compared to the prior exam and are likely secondary to fibrotic changes and bronchiectasis. no new focal consolidations concerning for pneumonia are identified. there is no pleural effusion or pneumothorax. the heart size is normal. the hilar and mediastinal contours are normal. there is significant amount of pneumoperitoneum consistent with patient's known perforated diverticulitis, better assessed on the recent ct abdomen pelvis performed on the same day.
history of chest pain. please evaluate for subdiaphragmatic free air. the patient has a history of perforated diverticulitis.
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lung volumes remain low, slightly worse from the prior exam. opacification in the right lung base with increased rightward shift of the mediastinum loss of the right hemidiaphragm and right heart border interval increase in atelectasis as well as a moderate right pleural effusion that has progressed despite the presence of a drain projecting over the right hemithorax. small left pleural effusion and is overall unchanged. unchanged retrocardiac opacity. moderate edema is worse from the prior exam. a left picc line is appropriately placed.
<unk> year old man with ett, pneumonia // interval change?
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cardiomediastinal silhouette and hilar contours are unremarkable. lungs are clear. pleural surfaces are clear without effusion or pneumothorax. no overt traumatic findings.
syncope with fall from standing.
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pa and lateral views of the chest. there is no focal consolidation, pleural effusion, or pneumothorax. the cardiomediastinal and hilar contours are normal.
persistent cough. evaluate for pneumonia.
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ap portable upright view of the chest. a prominent retrocardiac opacity corresponds with known hiatal hernia. lung volumes are low with mild bibasilar atelectasis. the cardiac silhouette appears unchanged. mediastinal contour is within normal limits. there is no convincing evidence of pneumonia, edema, large effusion or pneumothorax. the imaged osseous structures are intact. no free air below the right hemidiaphragm.
<unk>f with shortness of breath // shortness of breath
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the newly placed left internal jugular venous catheter tip projects over the expected region of the low svc. no focal pneumonia, pneumothorax, effusion, or edema. heart size is normal. mediastinum is not widened. overall, no significant change other than ij placement. lung volumes are low.
history: <unk>m with left ij cvl // eval line placement
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lungs are well-expanded and clear. the heart is not enlarged. the aorta is minimally tortuous. there is no pneumothorax, pleural effusion, or consolidation.
<unk>f with chest pain, dyspnea // ptx?
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lung volumes are low. the heart size is top normal with a left ventricular predominance. the mediastinal and hilar contours are unremarkable. streaky bibasilar airspace opacities could reflect atelectasis though infection cannot be excluded. there is no pleural effusion or pneumothorax. no acute osseous abnormalities are visualized.
asthma, shortness of breath and cough.
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the lung volumes are normal. normal size of the cardiac silhouette. normal hilar and mediastinal structures. . no pneumonia, no pulmonary edema. no pleural effusions.
<unk> year old man with poor mental status, difficulty swallowing. concern for aspiration. // concern for aspiration in setting of leukocytosis, difficulty clearing secretions.
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single portable view of the chest. no prior. there is engorgement of the pulmonary vasculature and indistinct pulmonary vascular markings seen bilaterally with parenchymal opacities at the lung bases. blunting of the left costophrenic angle may be due to a small effusion. cardiac silhouette is borderline enlarged for technique. atherosclerotic calcifications are noted at the arch. osseous and soft tissue structures are grossly unremarkable. surgical clips noted in the right upper quadrant suggesting prior cholecystectomy.
<unk>-year-old female with chest pain and nausea. question cardiac process.
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ap and lateral views of the chest. low inspiratory effort seen on the frontal view with secondary crowding of the bronchovascular markings and accentuation of the interstitial markings. there is no pleural effusion nor definite pulmonary vascular congestion. cardiomediastinal silhouette is within normal limits for technique. aorta is slightly tortuous. no acute osseous abnormality detected.
<unk>-year-old female with a positive troponin.
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normal heart size, mediastinal and hilar contours. no focal consolidation, pleural effusion or pneumothorax. there is stable biapical pleural scarring.
history: <unk>m with leukocytosis // eval for acute process
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mild cardiomegaly has been stable compared to the prior exams dated back to <unk>. note is made of mild pulmonary vascular congestion and mild pulmonary edema. bibasilar atelectasis is persistent. there is no large pleural effusion or pneumothorax. surgical hardware in the right proximal humerus, is incompletely evaluated.
history: <unk>f with cough // eval for pna
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the nasogastric tube is now seen with its tip terminating roughly <num> cm above the level of the carina. a right pleural effusion is noted, better evaluted on the recent ct examination. redemonstrated is a right picc terminating within the proximal right atrium. there is no evidence of consolidation, pneumothorax, or pulmonary edema. the heart size is normal. mediastinal and hilar contours are stable.
evaluate ng tube position.
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cardiac size is normal. the lungs are clear. there is no pneumothorax or pleural effusion.
<unk>m with cp // ? effusion
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pa and lateral chest views were obtained with patient in upright position. analysis is performed in direct comparison with the next preceding portable chest examination of <unk>. the heart size remains within normal limits. no configurational abnormalities are identified. the entire thoracic aorta is generally widened and moderately elongated, but there is no evidence of local contour abnormalities. a few wall calcifications are seen at the level of the arch. the pulmonary vasculature is not congested. no signs of acute or chronic pulmonary parenchymal infiltrates are present and the lateral and posterior pleural sinuses are free. no pneumothorax in the apical area. skeletal structures of the thorax grossly unremarkable. there exists, however, some metallic surgical hardware in the left humerus.
<unk>-year-old female patient with thrombocytosis, evaluate for pneumonia.
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in comparison to the most recent examination, a left-sided drain has been removed. there is a small left-sided basal pneumothorax. right-sided pleural effusion and basilar opacities seem to have progressed since recent examinations, particularly since <unk>. the cardiac silhouette is stably, mildly enlarged. no significant pulmonary vascular congestion is noted.
<unk> year old woman with s/p <unk> <unk> removal <unk> // interval change
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pa and lateral chest views were obtained with patient in upright position. analysis is performed in direct comparison with the next preceding similar chest examination of <unk>. heart size and appearance of thoracic aorta are unchanged. right-sided cardiac contour obliterated partly by the retrocardiac structure which is a component of the known neo-esophagus contours and existed already on a previous chest ct of <unk>. pulmonary vasculature is not congested and there are no signs of new acute pulmonary parenchymal infiltrates anywhere in the lungs. the lateral and posterior pleural sinuses are free from any fluid accumulation. no pneumothorax is present in the apical area. specifically, no suspicious densities are identified in the right lower lobe area where suspicious crackles were noted.
<unk>-year-old male patient with history of esophageal cancer and neo-esophagus operation. the patient has now crackles on right base. questionable infectious process in right lower lobe ?
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pa and lateral views of the chest. the lungs remain clear of consolidation. calcified pleural plaques seen at the right lung base. rounded density nodule projects over the left lung base on the frontal view. cardiomediastinal silhouette is within normal limits. no acute osseous abnormality detected. surgical clips seen in the left upper abdomen.
<unk>-year-old male with pointing to the neck and chest saying painful. hyperglycemia. dementia.
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pa and lateral views of the chest. the lungs are clear of consolidation, effusion, or pulmonary vascular congestion. cardiomegaly with left atrial enlargement again noted. dual lead pacing device is seen with leads in stable position. no acute osseous abnormality detected.
<unk>-year-old female with weakness, dizziness, presyncope.
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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.
chest pain.
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the lungs are clear. there is no focal consolidation, effusion, or edema. there is chronic blunting of the right lateral costophrenic angle, likely scarring. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>m w/sob, please eval for pna
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redemonstrated are multiple bilateral nodules of varying sizes, with a dominent retrocardiac nodule seen within the posterior left lower lobe. other nodules may be in the lungs and/or ribs as they overlie multiple ribs. no lobar consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. the heart size is normal. mediastinal contours are normal. no bony abnormality is detected.
history of prostate cancer and fevers, now with intermittent cough following recent travel to <unk>. followup for left upper lobe nodule seen on prior exam.
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a single frontal ap view of the chest shows new hazy opacification at the right base. in comparison to the prior exam, the lung volumes are lower. this may be accentuating the lung markings in the right base, and related to atelectasis, although in the proper clinical setting, a pneumonia cannot be excluded. the low lung volumes are also accentuating the heart size, which is moderately enlarged, and seems to be slightly larger than in the prior exam. there is no evidence of pleural effusion, pneumothorax, or pulmonary edema. surgical material is seen at the gastroesophageal junction, and unchanged from the prior exam.
history of asthma. shortness of breath and wheeze.
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single frontal image of the chest demonstrates low lung volumes, likely secondary to poor inspiration. there is increasing right basilar alveolar opacity and atelectasis. also seen is increasing left basilar opacity. in this clinical context, these findings are concerning for multifocal pneumonia. there is no pneumothorax. cardiomediastinal silhouette is unchanged. there are two pigtail catheters noted in the abdomen.
<unk>-year-old female with increasing oxygen requirement and cough.
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there is a new moderate-to-large right-sided pleural effusion with volume loss suggesting extensive coinciding parenchymal atelectasis, substantially increased since the prior studies. there is a persistent patchy left basilar opacity, but with general improvement in aeration of the left lower lobe and resolution of a small left-sided pleural effusion. there is no pneumothorax. a mild interstitial abnormality in each lung suggests mild fluid overload. post-operative changes are noted along the right chest wall including rib deformities, as seen previously.
cough, fever, and 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. there are fractures involving the left seventh and eighth posterior rib which appear mildly displaced. no free air below the right hemidiaphragm is seen.
<unk>f with pain s/p fall // rib fx?
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pa and lateral views of the chest provided. cardiomegaly is again noted with no focal consolidation, large effusion or pneumothorax. there is no convincing evidence for edema or congestion. bony structures are intact. no free air below the right hemidiaphragm.
<unk>m with chest pain x <num> days // ? acute cardiopulmonary process
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pa and lateral chest radiographs are limited by body habitus. despite this limitation, the lungs are well expanded and clear. there is no focal consolidation, effusion, or pneumothorax. cardiac and mediastinal contours are normal.
shortness of breath and chest pain.
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the right internal jugular central venous catheter and right picc both terminate in the mid to low svc. lung volumes are lower since the next most recent study. small left pleural effusion and adjacent atelectasis is unchanged. mild cardiomegaly is unchanged. there is no pneumothorax.
<unk>m hx of lumbar spinal stenosis s/p anterior and posterior lusion l<num>-s<num> found to have bilateral pulmonary emboli s/p embolectomy // post pull ct
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the lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen. left humeral head prosthesis is partially imaged.
<unk>m with dyspnea // eval heart and lungs
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the heart size, mediastinal, and hilar contours are normal. the tortuous aorta is unchanged, and slightly more calcified. the lungs are clear without pleural effusion, focal consolidation, or pneumothorax. significant degenerative change of the thoracic spine is noted.
<unk> year old woman with dyspnea. rule out mass.
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the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. mediastinal contour is slightly widened, but stable from prior exams, and likely due to a tortuous aorta an overlying vessels. the heart size is normal. there are multiple compression deformities in the lower thoracic and upper lumbar spine. one of the more prominent ones appears stable, while one exhibits a slight increase in the loss of height.
chest pain. evaluate for acute process.
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frontal and lateral views of the chest demonstrate an opacity in the left upper lobe. the right lung is clear. the cardiomediastinal and hilar contours are stable. there is no pleural effusion or pneumothorax. a lesion in the anterior third rib has been slowly sclerosing since <unk> and is almost certainly benign.
<unk> year old man with cough and fever, assess for pneumonia.
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pa and lateral views of the chest. there is focal opacity projecting at the right lung apex. associated volume loss is seen on the right. elsewhere, the lungs are clear. there is no effusion or pneumothorax. the cardiomediastinal silhouette is within normal limits. thoracic aorta is somewhat tortuous with atherosclerotic calcifications at the arch. no acute osseous abnormality is identified.
<unk>-year-old male with subjective fevers.
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the swan ganz catheter projects near the pulmonic valve. right picc terminates in mid to upper svc, unchanged from prior. left sided single-chamber icd is unchanged in position. there is stable moderate to severe cardiomegaly and mild increase in caliber of pulmonary vasculature without pulmonary edema.
<unk> year old man with chf and swan. please evaluate for acute changes and swan placement.
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single portable ap chest radiograph demonstrates obscuration of the left diaphragm. additional note is made of slight leftward deviation of the mediastinal structures reflective of volume loss within left hemithorax. a focal consolidation cannot be excluded. underlying left pleural effusion may also be present. heart is enlarged. patient is status post median sternotomy with intact wires. there is no pneumothorax.
<unk>-year-old male with dyspnea.
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frontal and lateral views of the chest are compared to previous exam from <unk>. the lungs are clear of focal consolidation, effusion, or pneumothorax. cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unremarkable.
<unk>-year-old male with chest pain and back pain. question widened pneumomediastinum, pneumothorax, or pneumonia.
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compared with <unk>, the left pleural effusion is markedly smaller, with some probable pleural fluid along the medial aspect of the lower left lung. a chest tube is in place at the left lung base. there is a probable tiny left apical pneumothorax. again seen is a spiculated opacity in the left suprahilar region, with surrounding hazy opacity in the left upper zone, consistent with known mass. the right lung is grossly clear, without chf, infiltrate, effusion, or pneumothorax. the mediastinum remains midline.
<unk> year old man with left loculated pleural effusion and spiculated lung mass now s/p diagnostic thoracentesis and chest tube. please assess for pneumothorax // assess for pneumothorax
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the lungs are relatively hyperinflated. no focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. <num> mm calcification projecting over the soft tissue adjacent to the superior lateral right humeral head suggests calcific tendinosis.
history: <unk>m with hyperglycemia // evaluate for pna
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the cardiac silhouette size is mildly enlarged. the aorta is mildly tortuous. mediastinal hilar contours are normal otherwise. pulmonary vasculature is normal. lungs are clear. no pleural effusion, focal consolidation or pneumothorax is present. there are no acute osseous abnormalities.
history: <unk>m with chest pain
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heart size is normal. the mediastinal contours are remarkable for a tortuous thoracic aorta. the pulmonary vasculature is normal. lungs are clear except for a subtle new opacity at the left lung base posteriorly overlying the spine on the lateral radiograph. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. asymmetrical degenerative changes at the first left costochondral junction appear unchanged.
<unk> year old man with cough for <num> weeks // r/o infiltrate
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the patient is somewhat rotated on today's study. lung volumes are unchanged. the cardiomediastinal contour is within normal limits. the previously demonstrated patchy retrocardiac opacities are not as clearly seen today. no consolidation, pneumothorax in. degenerative changes are noted in the thoracic spine.
<unk> year old man with ams and low grade fevers. // pna? other acute changes?
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et tube terminates approximately <num> cm from the carina. compared to chest radiograph from <unk> at <time>, there is mild increase in bilateral pleural effusion. there is left perihilar opacity that is slightly more confluent today compared to prior, possibly from atelectasis and worsening edema. the moderate to severe pulmonary edema is possibly worsening. the right upper lobe is clear. cardiomegaly is likely unchanged. the aortic knob calcification is unchanged.
<unk> year old man with chf and severe as, intubated prior to cath. please evaluate et tube place
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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. there is no evidence of free air.
status post lap chole, sharp abdominal pain. evaluate for free air.
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main pulmonary artery contour is again markedly enlarged. the cardiac, mediastinal and hilar contours appear unchanged. the heart is again moderately enlarged. there is probably a small pleural effusion on the left, although not well depicted, as well as a trace one on the right. background interstitial abnormality suggests mild vascular congestion but even more striking are confluent opacities in both lower lobes suggesting pneumonia in the appropriate setting, probably more extensive on the right than left, although not entirely specific.
confusion.
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a picc line terminates in the mid svc. small bilateral pleural effusions, right greater than left, with associated bibasilar atelectasis are unchanged since the study <num> days prior. there is no evidence of pneumonia. opacity in the ap window is unchanged and likely corresponds to known mediastinal lymphadenopathy. there is no evidence of pneumonia. there is no pneumothorax. the cardiomediastinal silhouette is unchanged. the heart is not enlarged.
b-cell lymphoma on chemotherapy, aspiration risk, new shortness of breath, temperature <num>, and altered mental status. healthcare associated pneumonia versus aspiration pneumonitis.
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patient is status post median sternotomy, cabg, with epicardial pacing leads noted projecting over the left heart border. severe cardiomegaly is relatively unchanged compared to the previous study. atherosclerotic calcifications are noted at the aortic knob. there is mild pulmonary vascular congestion, unchanged. small pleural effusions are likely similar. there is no pneumothorax. no focal consolidation is present. no acute osseous abnormality is present.
history: <unk>f with weakness, cough
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the heart is mildly enlarged, even allowing for technique. there is mild pulmonary edema. there is no focal consolidation, pleural effusion or pneumothorax.
history: <unk>m with etoh cirrhosis, pud, w/ hypotension, epig pain // eval ? perforation, intrathoracic process
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the previously noted left lower lung pneumonia is resolved. lungs are hyperinflated, suggestive of emphysema or small airways obstruction. the heart is mildly enlarged. multiple calcified granulomas are again identified. no pulmonary edema, pleural effusion, or pneumothorax.
<unk> year old man with lll pna on <unk>. // follow up document resolution.
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overlying support devices obscure the film. the patient is rotated. the endotracheal tube is seen at the level of the carina approaching the right mainstem bronchus and should be retracted. the nasogastric tube is coiled in the neck. the right lung is clear. the heart is likely within normal limits given rotation. there is a left retrocardiac opacity. the lungs are otherwise clear without pneumothorax.
<unk>m with s/p cardiac arrest // assess for tube placement, ptx
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frontal and lateral views of the chest. heart size and cardiomediastinal contours are normal. there is a mild diffuse interstitial abnormality consistent with mild emphysema as well as mild bibasilar atelectasis, but no focal consolidation, pleural effusion, or pneumothorax. no displaced rib fracture is appreciated.
status post fall.
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pa and lateral views of the chest provided. eventration of the right hemidiaphragm again noted. the lungs appear clear without focal consolidation, effusion or pneumothorax. the cardiomediastinal silhouette appears normal. bony structures appear intact. prominent anterior osteophytes in the thoracic spine likely account for prevertebral opacity.
<unk>m with cough, x-ray earlier today recommended another x-ray due to poor positioning on latera.
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compared to the prior radiograph from <unk>, there is worsened bilateral interstitial edema and pulmonary vascular congestion. moderate cardiomegaly is unchanged. no large pleural effusion is seen.
history: <unk>m with dyspnea. evaluate for pneumonia versus heart failure.
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subtle left base opacity is worrisome for pneumonia. the right lung is clear. no large pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with c/o left side cp with sob // ? pna
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the cardiomediastinal and hilar contours are stable. there is no pleural effusion or pneumothorax. there is no focal consolidation concerning for pneumonia. the pulmonary vasculature is within normal limits.
fevers and recent hospitalization.
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lung volumes are low, resulting in bronchovascular crowding. the cardiac silhouette is not enlarged. the hilar are unremarkable. there is no pneumothorax, pleural effusion, or consolidation.
history: <unk>m with chest and jaw pain lasting <num> minutes. // ?acute cardiopulmonary process
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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 left-sided chest pressure.
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single portable view of the chest is compared to previous exam from <unk>. exam is limited secondary to portable technique and patient body habitus. there is, however, no visualized large confluent consolidation. cardiomediastinal silhouette is within normal limits for technique. median sternotomy wires are noted.
<unk>-year-old female with recent upper respiratory tract infection and fever.
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there is no focal consolidation, pleural effusion or pneumothorax. the lateral view demonstrates an <num> mm wide lobulated opacity projecting over the lower portion of a mid thoracic vertebral body, which could be osteophytes or a lung nodule. the right hilus and adjacent mediastinal contours are somewhat distorted, possibly enlarged, and could be due to adenopathy. heart size is top-normal.
<unk>-year-old female with a history of left-sided breast cancer status post lumpectomy, now with a new left cerebellar mass concerning for metastatic disease
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frontal and lateral views of the chest were obtained. the lungs are hyperinflated. there is no focal consolidation, pleural effusion or pneumothorax. small focal opacity projects over the lateral right lower hemithorax, may represent overlapping structures, but further evaluation is recommended with shallow obliques to assess for possible pulmonary nodule. heart size is normal. mediastinal silhouette and hilar contours are normal.
cough and sputum.
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cardiac silhouette size is borderline enlarged. mild atherosclerotic calcifications are demonstrated at the aortic arch. mediastinal and hilar contours are unremarkable. minimal linear atelectasis is noted within the right upper lobe. patchy opacities in both lower lobes are minimal, and likely relate to areas of atelectasis. the right costophrenic angle is excluded from the field of view. there is minimal blunting of the left costophrenic angle which may be due to trace left pleural fluid. no pneumothorax or pulmonary vascular congestion is present. there are no acute osseous abnormalities.
history: <unk>f with chest pain
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ap portable upright view of the chest. an endotracheal tube terminates <num> cm above the carina. an orogastric tube terminates within the stomach. the lung volumes are low. again seen are widespread bilateral pulmonary opacities, with central vascular engorgement, overall worsened since the <unk> examination at <time>. there is no pneumothorax or pleural effusion.
<unk> year old woman with ett and ogt // evaluate position
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lung volumes are low with elevation of the right hemidiaphragm. no pleural effusion, no pneumothorax and the cardiomediastinal silhouette is normal. there is mild vascular prominence due to low lung volumes.
<unk>-year-old woman with seizures, please assess for acute process.
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frontal and lateral views of the chest show no pleural effusion, pneumothorax or focal airspace consolidation. the cardiac and mediastinal contours are normal. the hilar structures are unremarkable. the known ground-glass opacities are too small to be appreciated on this study.
right upper quadrant pain.