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the lungs are clear. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is within normal limits. no displaced fractures identified.
<unk>m with chest pain s/p mvc with strike to chest // eval for ptx, grossly apparent sternal fx
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the heart size is normal. the hilar and mediastinal contours are unremarkable. again seen are bilateral atelectatic changes as well as evidence of a mild right-sided pleural effusion. there is also evidence of bilateral pulmonary venous congestion. there are some new focal opacities in the left lower lung base. although this most likely may represent atelectasis, in the appropriate clinical setting, this may represent early consolidation. there is no evidence of pneumothorax. the visualized osseous structures are unremarkable.
<unk>-year-old female with a history of multiple myeloma, who presents for evaluation of right-sided pain and shortness of breath.
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pa and lateral images of the chest. there are low lung volumes, with associated bronchovascular crowding. there is mild pulmonary vascular congestion, improved from prior exam. the lungs are otherwise clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable.
history of pneumonia, now with fever.
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there are low lung volumes, with persistent moderate cardiomegaly. a left chest wall pulse generator with <num> leads terminating in the right atrium and right ventricle are unchanged. bibasilar atelectasis is noted, along with a left pleural effusion. infrahilar hazy right opacity increased since the prior is worrisome for pneumonia.
history: <unk>m with esrd, cough, wheezing // eval for pneumonia
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as compared to prior chest radiograph, there has been interval increase in a now large right pleural effusion. lung volumes are decreased. the left lung is essentially clear. cardiomediastinal silhouette cannot be assessed. there is no pneumothorax.
altered mental status, history of cirrhosis. question pleural effusion.
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cardiac, mediastinal and hilar contours are normal. the pulmonary vasculature is normal. the lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. mild degenerative changes are noted in the thoracic spine.
head strike, fall, syncope.
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the patient is status post median sternotomy and cabg. mild to moderate cardiomegaly is unchanged with left ventricular predominance. the aorta demonstrates diffuse atherosclerotic calcifications. lung volumes are low with crowding of bronchovascular structures. no overt pulmonary edema is present. minimal atelectasis is noted in the lung bases without focal consolidation. no pleural effusion or pneumothorax is present. clips are noted in the right upper quadrant of the abdomen. moderate degenerative changes are seen in the imaged thoracolumbar spine with unchanged compression deformity of a vertebral body at the thoracolumbar junction.
history: <unk>f with chest pain
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median sternotomy wires are intact. mild cardiomegaly may be minimally increased. mediastinal and hilar contours are normal. the lungs are hyperinflated but clear. there is no pulmonary edema. there is no pleural effusion or pneumothorax. degenerative changes in the thoracic spine are re- demonstrated.
<unk> year old woman with new productive cough // effusion/ vascular congestion/ pneumonia/ aspiration?
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there is been interval placement of a right hemodialysis catheter in the internal jugular vein with the tip in the lower svc. a right picc line is in unchanged position in the low svc. left transvenous pacemaker with leads in the expected position of the right atrium and right ventricle is unchanged. bibasilar opacities, left greater than right are likely related to pleural effusion and associated atelectasis and are slightly worse when compared to the prior study. the cardiomediastinal silhouette is stably enlarged. no focal consolidation or pneumothorax is present.
patient with chf, copd and recent pneumonia as well as renal failure now getting dialysis who has new leukocytosis, question pneumonia.
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lung volumes are low. there is no focal consolidation, pleural effusion or pneumothorax. cardiomediastinal silhouette is within normal limits, accounting for patient rotation. no acute osseous abnormalities are identified. there is a large amount of pneumoperitoneum, better evaluated on the ct abdomen and pelvis performed on the same date. left-sided subclavian line terminates in the upper svc.
history: <unk>m with abdominal pain // eval for free air
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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. vascular catheter is unchanged in position.
<unk> year old man s/p metastatic colon adenoca, p/w colovesicular fistula, s/p lap sigmoidectomy, end colostomy // please evaluate for pneumonia or other cause of elevated white blood cell count
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heart size is slightly enlarged. mediastinal contours are unremarkable. there is no pleural effusion or pneumothorax. the lungs are well expanded with increasing ground glass hazy density in the left mid lung zone, sequela of treated breast cancer, as characterized on the prior chest ct from <unk>. there is no new focal consolidation concerning for pneumonia.
<unk>-year-old female with nausea, rule out pneumonia.
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the heart size appears mildly enlarged. opacity within the right cardiomediastinal contour likely reflects prominent epicardial fat and is unchanged from the prior radiograph from <unk>. aortic knob calcifications are noted. the mediastinal and hilar contours are otherwise unremarkable. there is no pulmonary vascular congestion. no focal consolidation, pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. partially imaged are clips within the right neck.
syncope.
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the chest radiograph is limited by suboptimal patient positioning and rotation. lungs are hyperinflated with heterogeneous bibasilar opacities, right greater than left. there is no pleural effusion or pneumothorax. mild cardiomegaly is noted with numerous mediastinal surgical clips and intact sternal wires. linear opacities projecting over the left lung are likely due to underlying scarring with suspected deformities of the anterior ribs as well, potentially due to remote prior trauma or surgery.
<unk>m with fatigue. evaluate for pneumonia or chf.
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the heart size is normal. the hilar and mediastinal contours are normal. the lungs are clear without evidence of focal consolidations concerning for pneumonia. there is no pleural effusion or pneumothorax. right-sided ij appears to terminate in the low svc. enteric tube appears to extend below the diaphragm, with a coil at the junction. the tip of the tube appears to be within the fundus of the stomach.
history of ng tube. please evaluate for position.
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the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>f with several weeks of headache, generalized weakness, and intermittent chest discomfort // rule out focal consolidation
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there are relatively low lung volumes. left mid lung linear atelectasis/scarring is seen. there is no focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac silhouette is mildly enlarged. the aorta is calcified and tortuous. while there may be minimal central pulmonary vascular engorgement. there is no overt pulmonary edema. no displaced fracture is seen.
chest pain.
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pa and lateral views of the chest provided. dual pacemaker leads are in appropriate positions. there is no pneumothorax. the clear. cardiomediastinal and hilar contours are normal. pulmonary vasculature is normal. there are no pleural effusions.
<unk> year old man with av block s/p dual-chamber pacemaker via l cephalic vein
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pa and lateral views of the chest provided. midline sternotomy wires are again noted. the lungs appear clear. no signs of pneumonia or edema. there is a tiny residual left pleural effusion. no pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>m with cirrhosis, rectal ca with abd distention, oliguria
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ap portable upright view of the chest. multiple overlying ekg leads limit the assessment. the heart is markedly enlarged as on prior. bilateral ground-glass opacities likely reflect pulmonary edema though superimposed pneumonia difficult to exclude. no large effusions or pneumothorax seen. bony structures appear intact.
<unk>f with cough, tachycardia // eval for pneumonia
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. degenerative changes are noted along the spine.
history: <unk>m with fever and maliase *** warning *** multiple patients with same last name! // eval for pna
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single ap portable chest radiograph is compared to radiograph dated <unk>. relative to prior examination, a right pleural effusion has increased as well as a likely small left pleural effusion. heart size is enlarged though similar in appearance to prior examination. no overt pulmonary edema is present. a right large bore central venous catheter is identified, its tip which terminates within the expected location of the right atrium. patient is status post median sternotomy, wires which appear intact. no acute osseous abnormality is detected.
<unk>-year-old male with dyspnea and effusion on ultrasound.
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cardiac, mediastinal and hilar contours are normal. lungs are clear. pulmonary vascularity is normal. no pleural effusion or pneumothorax is seen. no acute osseous abnormalities are identified.
head cold, shortness of breath.
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the lungs are clear without focal consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified. anterior cervical fixation hardware is visualized.
<unk> year old woman with chest pressure, headache, and lightheadedness. // acs workup. r/o pna
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no focal consolidation, pleural effusion or pneumothorax identified. in the size the cardiomediastinal silhouette is within normal limits. interval removal of the left picc line.
<unk> year old woman with recurrent endocarditis septic emboli // pna or abscess
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cardiomediastinal contours are normal. the lungs are clear. there is no pneumothorax. tiny pleural effusions are better seen in the concurrent abdomen ct. there are mild degenerative changes in the thoracic spine. catheter projects in the right upper quadrant of the abdomen. right port a cath tip is in the cavoatrial junction.
<unk> yo male with ampullary adenocarcinoma s/p whipple with disease recurrence now on cycle <unk>, day <unk> of cap/ox, itp on weekly romiplostin who presents with one day of fever and gnr and gpc // source of infection. lungs?
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there is a prominent right cardiophrenic fat pad. cardiomediastinal and hilar contours appear stable. heart size is normal. emphysematous changes are noted. no overt pulmonary edema is identified. no opacity convincing for pneumonia is seen. no large pleural effusion is identified. osseous structures demonstrates no acute abnormality.
<unk>-year-old female with history of atrial fibrillation and hypoxia.
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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 unchanged. an accessed right pectoral chest wall port catheter tip terminates in the low svc. suture anchors are noted projecting over bilateral humeral heads.
<unk>m with fever, neutropenia, evaluate for acute process
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the cardiomediastinal silhouette and hilar silhouettes and pleural surfaces are normal. the aortic contour is stable. no focal consolidation, pleural effusion or pneumothorax. osteophytes of the thoracic spine are small.
<unk>f with back pain. evaluate for acute process.
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heart size and mediastinum unremarkable. port-a-cath catheter tip terminates at the level of superior svc. lungs are clear. there is no pleural effusion or pneumothorax.
chest radiograph
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there is a moderate right pleural effusion resulting in obscuration of the right heart border. there is, however, evidence of at least mild-to-moderate cardiomegaly as well as pulmonary vascular congestion, and moderate to severe bilateral pulmonary edema.there is a small left pleural effusion as well as an adjacent focal consolidation. there is no evidence of pneumothorax.
history of new afib, question of pneumonia, please evaluate.
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the cardiac, mediastinal and hilar contours appear stable. there is unchanged cardiomegaly and enlargement of the main pulmonary artery contour. the lungs appear clear. there are no pleural effusions or pneumothorax.
tachycardia.
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a single ap portable radiograph of the chest was acquired. the endotracheal tube is appropriately positioned, ending <num> cm above the level of the carina. an enteric catheter courses below the level of the diaphragm and out of the field of view inferiorly. the lungs are clear. the heart size is normal. the mediastinal contours are normal. there are no pleural effusions. no pneumothorax is seen. the bony thorax is grossly intact.
status post mvc and intubation. assess for traumatic injury or infiltrate.
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frontal and lateral views of the chest were obtained. heart size and cardiomediastinal contours are stable. the lungs are hyperinflated, consistent with emphysematous change. there is minimal bibasilar linear opacities consistent with atelectasis or scarring. no consolidation, pleural effusion, or pneumothorax. chronic appearing left rib fractures are similar to prior.
<unk>-year-old male with general malaise.
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compared to the prior study there is no significant interval change.
<unk> year old man po<num> cabg // evaluate for effusion
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pa and lateral views of the chest. no prior. the lungs are clear. there is no effusion or pneumothorax. cardiomediastinal silhouette is normal. osseous and soft tissue structures are unremarkable.
<unk>-year-old female with chest pain.
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the lungs are clear without focal consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits. hiatal hernia is noted. no acute osseous abnormalities.
<unk>f with shortness of breath x <num> weeks // eval for chf/pneumonia
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mild pulmonary edema. no pleural effusions. moderate cardiomegaly. prior median sternotomy with intact sternal wires and cabg. right-sided port terminates at the cavoatrial junction.
<unk> year old woman with chf // eval chf
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the appearance of the right lung is significantly improved from the prior study. there is a small right pleural effusion seen and persistent opacity at the right base. the left lung is also better appearing with some persistent retrocardiac opacity and left lower lobe atelectasis. left pleural effusion is also improved. the cardiomediastinal and hilar contours are grossly unchanged. there is no pneumothorax.
evaluate for interval change.
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frontal and lateral radiographs of the chest demonstrate slight interval increase in interstitial markings, consistent with mild interstitial pulmonary edema. small left apical pneumothorax and small left pleural effusion are unchanged. cardiomediastinal and hilar contours are unchanged.
<unk> year old woman with rib fractures and left apical pneumothorax s/p chest tube removal <unk> // evaluate for stability vs progression of pneumothorax and pleural effusion.
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there has been interval placement of a left-sided chest drain with the pigtail formed over the expected region of the pleural space. there is no pneumothorax. there is marked improvement in the left pleural effusion with improved but persisting residual retrocardiac atelectasis. otherwise, the cardiomediastinal contours appear normal. a right-sided picc tip terminates in the svc.
<unk>-year-old female who is in need of left-sided chest drain.
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patchy lingular opacity at the lateral left lung base may relate to atelectasis and scarring although developing pneumonia is not excluded. the right lung is clear. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with pleuritic cp, hx of pna. // pna?
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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>. chest findings are now within normal limits. the previously identified fluid tracking in the major fissures has disappeared and the previously identified right-sided picc line has been removed.
<unk>-year-old female patient with acute lymphatic leukemia, pre-bone marrow transplant chest examination.
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pa and lateral views of the chest are made to previous exam from <unk>. the lungs are clear. cardiomediastinal silhouette is normal. osseous and soft tissue structures are unremarkable.
<unk>-year-old male with ankle fracture, preop.
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the cardiomediastinal silhouette is normal. there is new crowded appearance of the pulmonary vasculature with hazy infiltrate in the right lower lobe posterior segment consistent with early pneumonia. the previously suspected nodular infiltrate in the right mid lung is not identified on this exam; however, recommend followup exam to ensure resolution of current opacity and further evaluate previously seen nodular infiltrate. no pleural effusions or pneumothorax are present. there is no pulmonary vascular congestion. skeletal structures of the thorax are grossly within normal limits.
dyspnea on exertion. question pulmonary edema.
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pa and lateral views of the chest provided. the lungs are hyperinflated and diaphragms flattened. a linear scar at the left lung base is unchanged. otherwise, lungs are grossly clear. no pleural effusion or pneumothorax. biapical pleural and parenchymal scarring is unchanged hilar contours are normal. a hiatal hernia is noted.
<unk> year old woman with ongoing cough // evaluate for pneumonia
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patient is status post right thoracentesis. no pneumothorax. significant decrease in right pleural effusion with similar appearance of the left pleural effusion. there is residual linear atelectasis of the right mid lung. left basilar atelectasis again noted. cardio mediastinal silhouette is unchanged.
<unk> year old woman with malignant pleural effusion // s/p thoracentesis; r/o ptx
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the lungs are clear without consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits. s-shaped thoracic scoliosis is noted. no acute osseous abnormalities.
<unk>f with dry cough x <num> week // ? active pulmonary disease
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stable mild cardiomegaly. lung volumes are slightly lower on this exam compared to the prior. a moderate left, loculated, pleural effusion may be slightly smaller. there is no evidence of pneumothorax. there is no evidence of focal consolidation in either lung. there are multiple loose bodies seen adjacent to the left glenohumeral joint.
<unk> year old woman with follow up film // f/u
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the tip of the endotracheal tube projects towards the right mainstem bronchus and should be retracted. kinking of the right internal jugular sheath is again noted. left pleural effusion and left lower lobe atelectasis have increased since the prior study. small right pleural effusion is likely. heart size and mediastinal contours are within normal limits. right lower lobe pneumonia has worsened since the prior radiograph.
<unk> year old man with intubated, gib s/p colloid resuscitation, consolidation on ct, on vanc and cef, still spiking fevers // eval worsening pna, pulm edema
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the lungs are clear. the cardiomediastinal silhouette is within normal limits. median sternotomy wires are again noted with fractures of the superior most wires. no acute osseous abnormalities identified.
<unk>m with fever // eval infiltrate
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ap and lateral views of the chest. left chest wall dual lead pacing device is seen unchanged in position. the lungs are clear. there is no effusion or pulmonary vascular congestion. the cardiomediastinal silhouette is unchanged and within normal limits. median sternotomy wires and mediastinal clips again noted. no acute osseous abnormalities.
<unk>-year-old female with altered mental status.
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heart size is normal. the aorta is tortuous and demonstrates diffuse atherosclerotic calcifications. diffuse increased interstitial markings are re- demonstrated, more pronounced at the lung bases, but not substantially changed from the previous exam. pulmonary vasculature is not engorged. no focal consolidation, pleural effusion or pneumothorax is visualized. there are no acute osseous abnormalities.
history: <unk>f with altered mental status
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the lungs are hyperinflated, suggestive of emphysema. an ill defined right infrahilar opacity abutting the right cardiac sillhouette without obscuring it is not seen in the lateral view. no other focal opacities are identified. biapical pleuro-parenchymal scarring is present. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. no rib fractures are seen.
<unk>-year-old female with fall and rib pain. evaluate for rib fracture.
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the lungs are well expanded. there is a patchy opacity in the right lung base concerning for infectious process. cardiomediastinal silhouette is unremarkable. there is no pneumothorax or pleural effusion. visualized osseous structures are unremarkable.
cough.
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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.
<unk> year old man with sob, persistent cough, and dysphagia // ?pneumonia
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pa and lateral chest radiographs demonstrate no focal consolidation, pleural effusion, or pneumothorax. the heart size is top normal. the cardiac, hilar, and mediastinal contours are normal.
history of hepatitis c cirrhosis and chest pain for approximately two days.
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heart size is normal. mediastinal and hilar contours are unchanged, and known enlarged ap window lymph node is not well visualized on the current examination. pulmonary vasculature is not engorged. emphysematous changes are again noted with lung hyperinflation. previously demonstrated spiculated nodule in the right upper lobe is also better appreciated on the prior ct examinations. no focal consolidation, pleural effusion or pneumothorax is present. no acute osseous abnormality is visualized.
history: <unk>f with shortness of breath, wheezing, tachycardia // evaluate for pneumonia
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the cardiomediastinal and hilar contours are within normal limits. lung volumes are slightly low. the lungs are clear without focal consolidation, pleural effusion or pneumothorax.
history: <unk>f with tachypnea // ?pneumonia
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portable frontal radiograph of the chest demonstrates normal heart size, mediastinal and hilar contours. no focal consolidation, pleural effusion or pneumothorax.
status post bicycle accident with fevers. evaluate for pneumonia.
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frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs which are clear. there is no focal consolidation, pleural effusion, or pneumothorax. the visualized upper abdomen is unremarkable.
chest pain.
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there is a streaky opacity projecting over the left mid lung, probably in the lingula, which is suggestive of atelectasis, but which could potentially represent an early focus of pneumonia. there is no pleural effusion or pneumothorax. small osteophytes are noted along the thoracic spine.
question septic emboli or pneumonia.
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the lung volumes are low. the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal.
cough for three weeks. evaluate for pneumonia.
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lung volumes are low compared to the previous study. mild enlargement of the cardiac silhouette is re- demonstrated and exaggerated due to the presence of low lung volumes. crowding of the bronchovascular structures is re- demonstrated without overt pulmonary edema. atherosclerotic calcifications are noted throughout the aorta. the mediastinal contours are similar. elevation of the right hemidiaphragm is chronic. patchy opacities within the left lung base may reflect atelectasis but infection cannot be completely excluded. no pleural effusion or pneumothorax is present. there are no acute osseous abnormalities.
history: <unk>m with malaise, on immunosuppresion
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frontal and lateral views of the chest. there are multi focal bilateral regions a consolidation scattered throughout the lungs bilaterally which have a somewhat rounded configuration. there is no effusion. the cardiomediastinal silhouette is normal. no acute osseous abnormalities detected.
<unk>-year-old male with likely septic emboli on outside hospital chest x-ray.
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ill defined opacity in the right lower lobe, best seen on the lateral view, could represent pneumonia. the cardiomediastinal silhouette is unremarkable. no pleural effusions or pneumothorax. no acute or aggressive osseus changes.
<unk> year old man with increased sob. // pneumonia/infiltrates
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lung volumes remain low. right pleural effusion and right basilar atelectasis are similar. a pigtail catheter overlies the right mid-lung. cardiomegally is unchanged.
<unk>-year-old male with chest tube placement with tracking of abdominal fluid into the pleural space.
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bilateral patchy pulmonary opacities appear slightly increased as compared to the prior study, particularly in the left lower lobe. patchy opacities involve the mid to lower lungs bilaterally. no large pleural effusion or pneumothorax is seen. cardiac and mediastinal silhouettes are unremarkable. there is gaseous distention of partially imaged bowel.
history: <unk>m with hypoxia // pna?
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the lungs are clear without focal consolidation, effusion, or vascular congestion. cardiac silhouette is top normal in size. hypertrophic changes are noted in the spine. no displaced rib fractures identified.
<unk>f with l flank pain // evidence of mass or fracture
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frontal and lateral chest radiograph demonstrates symmetrically well expanded and clear lungs.no pleural effusion or pneumothorax. heart size, mediastinal contour, and hila are unremarkable. limited assessment of the upper abdomen is within normal limits.
respiratory distress with stridor. assess for foreign body.
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lung volumes remain persistently low postoperatively with associated prominent bibasilar atelectasis. the patient is status post cabg with median sternotomy wires in place and mediastinum does not appear widened. cardiac silhouette is difficult to evaluate due to obfuscation by low lung volumes and atelectasis. there has been interval removal of a left-sided chest tube without evidence of pneumothorax. there is no large pleural effusion. a right internal jugular central venous catheter remains at the level of the upper-to-mid svc.
recent cabg, status post removal of chest tube.
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frontal and lateral views of the chest were obtained. the lungs are well expanded and clear without focal consolidation, pleural effusion or pneumothorax. heart size is normal. the mediastinal silhouette is stable with mild aortic tortuosity. hilar contours are normal.
<num> weeks of fatigue.
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pa and lateral views of the chest were obtained. heart is normal size, and cardiomediastinal silhouette is unremarkable. lung volumes are low limiting assessment for edema. there is no focal consolidation, pleural effusion, or pneumothorax.
<unk>-year-old man with shortness of breath after exposure, evaluate for pulmonary edema.
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cardiomediastinal and hilar contours are normal. lungs demonstrate stable hyperinflation without paucity of the upper lung zones to suggest copd. lungs are clear. no pleural effusion or pneumothorax evident.
persistent cough, assess for interstitial lung disease, mass, or any subtle evidence of endobronchial lesion.
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ap chest radiograph demonstrates a right internal jugular catheter terminating in the low svc. there is no focal consolidation, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is normal. vertebral fixation devices are again noted.
recent stem cell transplant. neutropenic fever.
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the extreme upper edge of the right and left chest is excluded from the film. an et tube is present, tip approximately <num> cm above the carina, at the level of the mid clavicular heads. a right ij central line is present, tip overlying cavoatrial junction. no pneumothorax detected. heart size is at the upper limits of normal, not significantly changed. innumerable small, irregular opacities are seen throughout both lungs, with a somewhat peripheral distribution. in addition, there appear to be slightly coarsened interstitial markings diffusely in both lungs. these are similar, but, on the left, slightly more pronounced. no obvious cavitation is appreciated. no left pleural effusion. the right lower chest is excluded from the film, but no gross right effusion is seen.
<unk> year old man with intubation in the setting of endocarditis // pls evaluate tube position
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the cardiac, mediastinal and hilar contours appear unchanged. there is new blunting of the right costophrenic sulcus suggesting a very small effusion. on the left, a trace effusion with atelectasis is suspected. the lungs appear otherwise clear. mild thoracolumbar spinal degenerative changes are present. there is no definite fracture.
right-sided rib pain after a fall with nasal pain and swelling.
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a right-sided port-a-cath terminates at the cavoatrial junction. the cardiomediastinal and hilar contours are within normal limits. the heart is minimally enlarged. lung volumes are somewhat low which accentuates bronchovascular markings. there is no focal consolidation, pleural effusion or pneumothorax.
<unk> year old man with metastatic adenoca, recurrent sbo, preop for exploratory laparoscopy/laparotomy
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the lungs are symmetrically well expanded and well aerated without focal consolidation, pleural effusion or pneumothorax. the pulmonary vasculature is not engorged. the cardiac, mediastinal and hilar contours are within normal limits. the trachea is midline. no acute osseous abnormality is detected.
upper abdominal pain, here to evaluate for pneumonia.
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ap single view of the chest has been obtained with patient in upright position. the heart size is within normal limits. no configurational abnormality is identified. unremarkable appearance of thoracic aorta. the pulmonary vasculature is not congested. no signs of acute parenchymal infiltrates are present and the lateral pleural sinuses are free. no evidence of pneumothorax in the apical area. skeletal structures of the thorax grossly unremarkable. multiple contorted wires and lines are overlying the right hemithorax and shoulder area. they must be external. our records include a previous chest examination dated <unk>. this examination demonstrated a small left-sided pleural effusion and basal pulmonary changes suggestive of atelectasis. on the present examination, no residuals are seen.
<unk>-year-old female patient with dka, evaluate for consolidation.
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opacity projects over the bilateral costophrenic angles due to overlying soft tissue. no definite focal consolidation is seen. there is no large pleural effusion or pneumothorax. the cardiac silhouette is mild to moderately enlarged. mediastinal contours are unremarkable. while there may be some mild central pulmonary vascular engorgement no overt pulmonary edema is seen.
history: <unk>f with dyspnea // eval for pulm edema
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bilateral atelectasis is mild. an approximately <num> x <num>-cm lobulated opacity projecting over the left apex is new since <unk> and has a mass-like appearance. no pleural effusion, pneumothorax, or edema. the heart is top-normal in size, unchanged. no acute osseous abnormality. biapical pleural thickening is worse on the left.
<unk>-year-old woman with a right breast mass and fever. evaluate for an acute cardiopulmonary process.
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portable semi upright frontal view of the chest. overlying support wires obscure the image. tracheostomy tube and a left ventricular peritoneal shunt are in unchanged position. the cardiac and mediastinal contours are normal. the lung volumes are low; however, there is no consolidation or collapse. no pleural effusion or pneumothorax.
tbi now non-verbal at baseline and s/p trach and peg who presented with an aspiration event and dyspnea. evaluation for aspiration pneumonia and pneumonitis.
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in comparison to the prior study, bibasilar opacities have substantially improved. a small right pleural effusion appears smaller. no pleural effusion is appreciated on the left. there is no pneumothorax. cardiomediastinal silhouette is stable.
<unk> year old woman with cerebral palsy admitted with hypothermia and concern for aspiration pneumonia // please evaluate for any acute process
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there are relatively low lung volumes. the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
history: <unk>m with ams // eval for pna
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the cardiomediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. lungs are well-expanded and clear without focal consolidation concerning for pneumonia. pulmonary vasculature is within normal limits. the upper abdomen is unremarkable.
history: <unk>m with cp, dyspnea // evidence of pneumothorax
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. previously noted pulmonary nodules seen on ct are not well visualized on the current radiograph. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
history: <unk>m with <num> weeks of intermittent chest pain // any evidence of pneumonia, rib fracture, or other pathology?
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac cardiac silhouette is top-normal in size. mediastinal hilar contours are unremarkable.
history: <unk>f with palpitations, presyncope, chest heaviness // eval ? effusion, cardiomegaly, mediastinal abnormalities
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the lungs are relatively hyperinflated, but without focal consolidation. no pleural effusion or pneumothorax is seen. the aorta is tortuous. the cardiac silhouette is top-normal to mildly enlarged.
history: <unk>f with ? syncope // ? consolidation
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increased heart size, pulmonary vascularity, more prominent compared the prior exam. there is new small right pleural effusion. mildly prominent interstitial markings peripherally, suggest edema. there are surgical clips in the upper abdomen.
<unk> year old man with systolic chf, cad, diabetes type <num> presenting with orthopnea and weight gain, concerning for chf exacerbation // please assess for pulmonary edema or pleural effusion
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a tracheostomy tube terminates <num> cm above the carina. lung volumes are slightly diminished, resulting in crowding of the bronchovascular structures. opacity at the left lung base could reflect pneumonia or atelectasis. no pleural effusion or pneumothorax. heart is normal size. the appearance of the mediastinum is stable, with unfolded aorta. an old healed right clavicular fracture is noted.
fever and cough. evaluate for pneumonia.
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multiple portable chest radiographs demonstrates a enteric tube seen coursing in the anticipated course of the left main bronchus and airway. subsequent radiographs demonstrates repositioning of the enteric tube in appropriate position within the gastric lumen. cardiomediastinal and hilar contours are stable. low lung volumes are noted. atelectatic changes at the left lung base are constant.
<unk> year old man with new dobhoff tube. this is for <num>-step dobhoff. // evaluate dobhoff placement.
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there is no focal consolidation, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is stable. evaluation for pleural effusion is somewhat limited in the setting of soft tissue attenuation obscuring bilateral costophrenic angles.
<unk>m with chest pain, evaluate for pneumonia or pneumothorax.
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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 bibasilar crackles // pulmonary edema?
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there are bibasilar opacities, left greater than right which have the appearance of atelectasis. superiorly, the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>m with hiv, ivdu, here w/ pericarditis // cardiomegaly?
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single portable semi-erect chest radiograph was obtained. since the prior exam at <time> a.m., rightward mediastinal shift has significantly increased. there is increased atelectasis in the right middle lobe and partial collapse of the right lower lobe. a vague opacity projecting over the bronchus intermedius may represent a mucus plug. a tracheostomy tube is in stable position. an enteric catheter extends inferiorly off the edge of the film. the left lung is clear.
<unk>-year-old man with new hypoxia.
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the lungs are clear. there is no focal consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk> year old man with ?mercury poisoning and chest tightness // r/o evidence of pneumonitis
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there is mild unfolding of the thoracic aorta. the cardiac, mediastinal and hilar contours appear unchanged. there is no pleural effusion or pneumothorax. the lungs are hyperinflated. the lung fields appear clear. moderate anterior osteophytes are noted along the mid to lower thoracic spine. findings are similar to the prior examination.
confusion.
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pa and lateral views of the chest provided. lungs are hyperinflated with upper lobe lucency suggesting emphysema. 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 w/ persistent cough x<unk> y acutely exacerbated in the past few days pls r/o pneumonia
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the cardiac silhouette is normal in size. the thoracic aorta remains mildly prominent but similar in contour compared to the prior study. there is no pulmonary vascular congestion or frank pulmonary edema. again noted in the right hemithorax is a centrally located spiculated mass in the right infrahilar region, which appears slightly decreased in overall size from the most recent prior chest radiograph, measuring approximately <num> cm (previously <num> cm). there is no focal consolidation concerning for pneumonia. left lower lobe atelectasis has improved from the prior study. no significant pleural effusion or pneumothorax is detected. the trachea is midline. the visualized upper abdomen is unremarkable.
non-small cell lung cancer, currently on chemotherapy, now with fever of unknown origin, here to evaluate for pneumonia.