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ap portable upright view of the chest. an endotracheal tube is no longer visualized. the patient is post cabg. again seen are bilateral pulmonary opacities which are minimally changed since <unk>, reflecting known ards. there is no pneumothorax or large pleural effusion. the heart is mildly enlarged.
<unk> year old man with improving ards still intubated // interval change?
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the patient is status post median sternotomy and cabg. the heart size is mildly enlarged. the mediastinal and hilar contours are unremarkable. there is mild pulmonary edema, and small bilateral pleural effusions, the latter of which appear minimally increased compared to the prior exam. consolidative opacity in the retrocardiac region likely reflects compressive atelectasis though infection is difficult to exclude. no pneumothorax is identified.
congestive heart failure.
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frontal lateral radiographs of the chest. there are multiple irregular areas of consolidation which have worsened compared to prior radiograph. small nodules are seen in the left lung, and by virtue of their rapid appearance, are suggestive of infection with hematogenous spread. the heart, mediastinum, and hilar contours are unchanged. no pleural abnormality is detected.
worsening hypoxemia and dyspnea. evaluate for pneumonia.
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the lungs are clear of focal consolidation, pleural effusion or pneumothorax. the heart size is normal. the mediastinal contours are normal.
history: <unk>m with chest pressure // acute cardiopulm process
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there is persistent mild pulmonary edema and increased vascular congestion from <unk>. no pleural effusion, focal consolidation or pneumothorax is present. the inspiratory lung volumes are appropriate. the cardiac silhouette is mildly enlarged but stable. the mediastinal and hilar contours are unchanged. a right-sided stent is unchanged in position, presumably extending from the right subclavian vein into the superior vena cava. degenerative changes are again noted in the thoracic spine with right-sided bridging osteophytes.
<unk>-year-old female with fever and cough, here to evaluate for pneumonia.
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the heart is normal in size. radiodensity along the right hilum has increased in density when compared to examination from <unk>. however, it remains unchanged as compared to most recent examination from <unk>. the lungs are well expanded and clear. there are no pleural effusions or pneumothorax. visualized osseous structures are unremarkable.
<unk>-year old female patient with abnormality seen in right hilum in <unk>. study requested for interval evaluation.
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since prior, there has been interval resolution of the previously seen bilateral pleural effusions. the lungs are now clear. the cardiomediastinal silhouette is within normal limits. surgical clips noted within the lower neck on the right as well as in the upper abdomen. no acute osseous abnormalities identified.
<unk>f with chest pain // r/o acute process
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the cardiomediastinal and hilar contours are within normal limits. the lungs are well expanded and clear and there is no focal consolidation, pleural effusion or pneumothorax. there is no evidence of free air beneath the diaphragm.
sudden onset of abdominal pain. evaluate for free air under the diaphragm.
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heart size is normal. mediastinal and hilar contours are unchanged. lungs are clear without pleural effusion or pneumothorax. fractures of the left fifth through ninth posterior ribs appear acute. healing right-sided rib fractures again identified. significant bony callus identified.
<unk>m with pain, reports he was dx with rib fx <num> days ago. eval rib fxs, any pneumonia?
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moderate to large right pleural effusion with overlying atelectasis is seen, underlying consolidation not excluded. the left lung is grossly clear. no left pleural effusion is seen. there is no pneumothorax. cardiac mediastinal silhouettes are grossly stable given partially obscured by the right sided opacity.
history: <unk>f with fever, weakness, cough // infiltrate
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the patient is status post cabg with clips noted in the mediastinum. heart size is mildly to moderately enlarged. dense atherosclerotic calcifications are seen within the thoracic aorta. mild pulmonary edema is demonstrated with possible trace right pleural effusion. no focal consolidation or pneumothorax is present. moderate multilevel degenerative changes are noted in the thoracic spine.
history: <unk>m with lower extremity edema and shortness of breath
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enteric tube tip in the proximal stomach. endotracheal tube tip in good position. right ij introducer sheath. shallow inspiration. sternotomy. patchy bibasilar opacities, stable. shallow inspiration accentuates pulmonary vascularity and heart size. probable small left pleural effusion, similar.
<unk> year old man with increasing fio<num> post op aaa repair // eval for interval change
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lung volumes are low leading to crowding of the bronchovascular structures. interval increased airspace opacity at the left lung base may represent atelectasis versus pneumonia. no large pleural effusion or pneumothorax. tortuosity of the thoracic aorta and a dilated pulmonary conus are again noted.
history: <unk>f with sob // eval acute process
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low lung volumes are again seen accentuating mildly enlarged heart. there are aortic calcifications seen. right hemidiaphragm is elevated with associated lower lobe atelectasis and mild pleural effusion. no focal consolidation.
<unk>-year-old man with prostate cancer, chf with shortness breath, fever, chills, evaluate for pneumonia.
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portable ap chest radiograph. right-sided ij catheter and ngt are in stable position. multifocal consolidations and peribronchial consolidations involving the right lung have progressed from <num> hours prior. however, confluent opacification of the left lower lobe remains the worst site. there is no pneumothorax. the cardiomediastinal silhouette is not well delineated due to the consolidations.
alcohol withdrawal with multifocal pneumonia. evaluation for interval change.
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lungs are clear of consolidation, effusion or vascular congestion. biapical scarring is again noted. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified.
<unk>m with chest pain // eval or acute process
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endotracheal tube terminates approximately <num> cm above the level the carina. enteric tube courses just below the level of the diaphragm terminating at the ge junction/ possibly very proximal stomach. recommend advancement so that it is well within the stomach. there has been interval placement of right internal jugular central venous catheter terminating at the proximal svc without evidence of pneumothorax. no focal consolidation is seen. there is no pleural effusion. the cardiac and mediastinal silhouettes are stable.
history: <unk>m with cvl // eval cvl placement
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frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation or pneumothorax. hilar and mediastinal silhouettes are unremarkable. heart size is normal. linear opacity in the right lung likely represents atelectasis. there is no pulmonary edema. partially imaged upper abdomen is unremarkable.
shortness of breath.
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the lungs remain clear. the heart and mediastinal structures are unremarkable. the bony thorax is grossly intact.
congested cough, r/o pna
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the known left picc line tip is somewhat obscured, however it appears to terminate in the mid svc. lungs are clear without focal consolidation, pleural effusion, or pneumothorax. heart size is top normal.
<unk>f with picc for renal abscess. confirm picc placement, eval for pna.
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there are hazy bilateral upper lobe predominant opacities, left greater than right. based on a supine film there is no definite effusion or pneumothorax. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>m with overdose, sp narcan with vomiting // assess for aspiration
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the lungs are normally expanded and clear. the cardiomediastinal silhouette, hilar contours and pleural surfaces are normal. there is minimal atelectasis in the left mid lung. there is no pleural effusion or pneumothorax. no displaced fracture is seen. a partially imaged stent projects in the right upper quadrant.
history: <unk>f with fall from wheelchair, r orbital hematoma, r hand swelling, chest tenderness // eval for evidence of trauma
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a radiopaque device is seen within the mid-to-lower portion of the thoracic esophagus. there is no pneumomediastinum or pneumothorax. no pleural effusion is seen. the lungs are clear. the heart size is normal. the mediastinal contours are normal. there is no free air under the diaphragm.
sternal pressure, post-esophagogastroduodenoscopy. evaluate for effusion or free air under the diaphragm.
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there right upper lobe paramediastinal mass is again noted with subsequent volume loss in the right hemi thorax and superior elevation of right hilum. thickening of the right paratracheal stripe is compatible with known adenopathy. there is no new consolidation nor effusion. cardiac silhouette is within normal limits. no acute osseous abnormalities.
<unk>f with cough, eval pna // cough, eval pna
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mild cardiomegaly with left ventricular predominance is re- demonstrated. the aorta remains tortuous. right hilar lymphadenopathy is unchanged. mild increased interstitial opacities may suggest mild pulmonary vascular engorgement or shronic interstitial abnormality, similar to the previous study suggestive of mild interstitial edema. lungs remain hyperinflated compatible with underlying emphysema. linear opacities in the lung bases likely reflect areas of subsegmental atelectasis. no new focal consolidation, pleural effusion or pneumothorax is present. moderate multilevel degenerative changes are seen in the thoracic spine with anterior wedging of a vertebral body at the thoracolumbar junction, unchanged.
history: <unk>m with shortness of breath
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the lungs are well inflated and clear. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. there is no pleural effusion or pneumothorax.
<unk>-year-old woman with chest pain. evaluate for pneumonia.
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patient was examined in upright position using pa and lateral chest view projections. patient is mildly tilted towards the left on the frontal view. one observes now a total white out of the right hemithorax with only mild degree of mediastinal shift towards the left. considering patient's clinical history and radiographic evidence of several large right-sided pleural effusions treated with successful thoracocentesis (<unk> <unk> and <unk>) this most likely represents reaccumulation of the pleural effusion. the apparently massive pleural effusion obscures partially the central airways and the possibility of a centrally located right main bronchus narrowing or occlusion just distal to the carina cannot be excluded completely but is less likely the cause of the complete right-sided pulmonary white out. the left hemithorax does not show any evidence of acute infiltrates or pulmonary vascular congestive pattern. heart size and configuration appears unaltered.
<unk>-year-old woman with ethanol cirrhosis complicated by recurrent hepatic hydrothorax. now reaccumulated effusion and dyspnea. evaluate.
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pa and lateral views of the chest provided. a vague nodular opacity is seen in the right upper lung adjacent to the ekg electrode sticker. while this may represent a very tiny focus of pneumonia, followup to resolution is advised. lungs are otherwise clear. no pleural 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 hyperglycemia // r/o pneumonia
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the patient is status post coronary artery bypass graft surgery. the cardiac, mediastinal and hilar contours appear stable. the heart is at the upper limits of normal size. the lungs appear clear. there are no pleural effusions or pneumothorax.
cough and chills. history of cabg.
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lungs are well-expanded and clear. cardiomediastinal and hilar contours are unremarkable. there is no pneumothorax, pleural effusion, or consolidation.
<unk>m with afib and leg swelling // r/o acute process
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the lungs appear hyperinflated likely sequela of chronic pulmonary disease. the lungs are clear of focal consolidation, pleural effusion or pneumothorax. the heart size is normal. the mediastinal contours are normal.
<unk>-year-old man with influenza like illness hiv, cough.
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frontal and lateral views of the chest were performed. a left-sided pacemaker is noted with leads terminating in the right atrium and right ventricle. left humeral orthopedic hardware is partially imaged. there is no pleural effusion, pneumothorax or focal airspace consolidation. the cardiac silhouette remains moderately enlarged, similar to <unk>. there is unchanged mild pulmonary edema from the most recent study. aortic arch calcifications are re-demonstrated and the pulmonary arteries are enlarged. multilevel degenerative changes of the thoracic spine are noted.
fever, evaluate for pneumonia.
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et tube terminates <num> cm from the carina. an enteric tube has its tip in the distal stomach. lung volumes are low. there is a faint left retrocardiac opacity. there is no pleural effusion or pneumothorax. heart size is normal. the mediastinal and hilar contours are normal.
elective intubation for mri. evaluate for et tube position.
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heart size and cardiomediastinal contours are normal. linear opacity in the right lung base is consistent with atelectasis. no focal consolidation, pleural effusion, or pneumothorax.
history: <unk>f with confusion // ? pna
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the lungs are clear. the cardiac silhouette is normal in size. aorta is tortuous. no pleural effusion or pneumothorax. spinal rods in unchanged position.
history: <unk>m with severe upper back pain and sob // eval for pna, ptx, widened mediastinum
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pa and lateral chest radiographs demonstrate mild right lower lobe atelectasis. the lungs are otherwise clear without evidence of a pneumonia. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal.
cough, chills, and fever.
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the lungs are clear bilaterally. the mediastinal and hilar contours are within normal limits. pulmonary vasculature is normal. there is no pneumothorax or pleural effusion. visualized osseous structures demonstrate no acute abnormality.
<unk>-year-old male with chest pain.
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diffuse, rounded, multifocal opacities are seen, likely reflecting the patient's known metastatic renal cell carcinoma. there is no larger opacities with air bronchograms suggest a lobar pneumonia. no pleural effusion, pneumothorax, or pulmonary edema is identified. significant bilateral hilar lymphadenopathy is noted. the heart size is normal. mediastinal contours are otherwise normal.
metastatic rcc, now with productive cough.
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pa and lateral views of the chest provided. left chest wall aicd is noted with catheter extending into the region of the right atrium or right ventricle. lungs are clear. 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 icd, concern for cauda equina // needs pa and lateral films to evaluate icd placement by neuroradiology attending, please obtain stat
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on this single ap view, ill-defined, right perihilar opacity is present, either represent summation of soft tissue/vascular shadow or true parenchymal abnormality. heart size is normal, mediastinal and hilar contours are unremarkable. there is no pleural abnormality.
preop radiograph.
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all there is a diffuse reticular pattern evident within the right lung in the mid lower portions within appearance on the lateral film that suggests a chronic interstitial abnormality. while the fissures are thickened, there is not other definite evidence of pulmonary edema. there is small left pleural effusion and left basilar consolidation that could represent atelectasis, though pneumonia cannot be excluded. there is marked cardiomegaly. aortic arch calcifications indicate atherosclerosis. bones appear osteopenic but there are no definite concerning bone findings though the spine is not well seen.
history: <unk>f with wheezing, sob, weight gain // ? chf
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there is moderate to severe tracheal narrowing due to the enlarged thyroid seen on <unk>. 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 woman with chest pain, sobh/o cervical cancer // eval
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the cardiac silhouette is borderline enlarged. the central pulmonary vasculature appears mildly congested without pleural effusion or definite septal thickening. no definite focal consolidation is identified. vague retrocardiac opacity does not have a definite correlate on the lateral image. there is no pleural effusion or pneumothorax.
history: <unk>m with weakness // eval for infiltrate
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there is an increase in opacity involving the right lower lung, concerning for an infectious process. there is also mild bibasilar atelectasis. small bilateral pleural effusions are persistent. there is no evidence of a pneumothorax. no osseous abnormalities identified.
history: <unk>m with sob // <unk>;l for pna
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since <unk>, right basilar opacity appears worse but this may be attributable to supine positioning of patient and combination of layering pleural fluid and moderate basilar atelectasis. the left basilar opacity is present since at least <unk>, and may represent atelectasis or pneumonia. the heart size is unchanged. the tip of the ett is seen <num> cm above the carina. a right picc line is seen in the low svc.
<unk> year old man with hypoxemic respiratory failure // <unk> year old man with hypoxemic respiratory failure
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adenopathy in the right hilus and a posterior lung or pleural mass projecting on the lateral view over the pedicles of the lower thoracic spine are both new since <unk>. the posterior lesion is at least <num> x <num> cm. the mass at the lower pole the right hilus is nearly nearly <num> cm in greatest diameter and greater than normal density of the upper portion of the hilus may be due to additional lymph nodes there. <num> or <num> healed right anterior rib fracture should not be mistaken for additional lung nodules, although nodules that small might not be detected by conventional radiographs. mediastinal adenopathy is not apparent and there is no pleural effusion. heart size is normal.
<unk> year old man with <num> week cough, mostly nonproductive, diffuse wheezing. fever for a few days last week. no crackles or pleural rub. cigar smoker, no smoking during the past week. no known h/o asthma or copd. no cardiac history of symptoms. // r/o pneumonia r/o pneumonia
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a left subclavian picc line is present, at fall is a somewhat atypical course but appears to terminate in the upper/mid svc. no pneumothorax detected. there are low inspiratory volumes. there is upper zone redistribution and mild vascular plethora. there is bibasilar atelectasis. extreme right costophrenic angle excluded from the film. allowing for this, no gross effusion. heart size is at the upper limits of normal or slightly enlarged, appearing stable compared to the recent prior films. the appearance is likely accentuated by low lung volumes. mediastinal clips noted. review of omr indicates a history of sternal debridement in bilateral pectoralis flaps.
<unk> year old woman outside hospital transfer with picc. // confirm placement.
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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 seen.
fever, cough.
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the tip of the newly placed right picc line extends into the right atrium. this line may be withdrawn by no more than <num> cm to position it low in the svc. there is no pneumothorax. small to moderate bilateral layering pleural effusions and mild pulmonary edema are unchanged. the heart and mediastinum are within normal limits despite the projection.
<unk> year old woman with h/o cirrhosis, alcohol withdrawal, hypoxia; evaluate new picc line placement.
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the heart size is normal. the mediastinal and hilar contours are normal. lungs are clear. no pleural effusion or pneumothorax is present. the pulmonary vascularity is normal. the osseous structures are within normal limits.
cough and sputum production.
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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 chest examination of <unk>. moderate cardiac enlargement. the configuration indicates a prominence of the left ventricular contour to the left and posteriorly. left atrial enlargement mild. the thoracic aorta is of ordinary dimension but mildly elongated. no local contour abnormalities identified. the pulmonary vasculature is not congested. no signs of acute or chronic parenchymal infiltrates are present and the lateral and posterior pleural sinuses are free. there is moderate degree of demineralization of the vertebral bodies of the thoracic spine with moderate accentuation of the kyphotic curvature and mild degree of degenerative changes, but no evidence of vertebral body compression fracture exists. similar degree of degenerative changes existed already on the preceding examination of <unk>.
<unk>-year-old female patient with hypertension, hld, now with shortness of breath, evaluate for pneumonia.
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there are low lung volumes, but the lungs are clear. the heart is top-normal in size. there is no pneumothorax or pleural effusion.
<unk>-year-old female with weakness.
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the lungs are hyperexpanded consistent with copd. there is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. the cardiomediastinal silhouette is within normal limits. an accessed right pectoral port-a-cath catheter tip terminates at the cavoatrial junction.
<unk>f with abd pain, nausea, emesis, evaluate for acute abnormality
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the cardiomediastinal and hilar contours are normal. no focal pulmonary abnormality is identified to suggest pneumonia. there is a small right sided pleural effusion. there is no pneumothorax. a right subclavian port-a cath catheter terminates in the right atrium.
lethargy. evaluate for pneumonia.
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the lungs are clear aside from a stable linear area of opacity in the right lower lobe which may be related to scarring or atelectasis. there is no evidence of pneumonia, pneumothorax, or pleural effusion. cardiac silhouette is normal in size.
evaluate for acute process, fluid overload
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the right picc terminates in the mid svc. the lungs are clear. there is a stable <num> mm calcified nodule in the right midlung. multiple old rib fractures are present. the hilar and cardiomediastinal contours are normal. there is no pneumothorax. there is no pleural effusion. pulmonary vascularity is normal.
<unk>-year-old man status post picc placement. evaluate location of picc.
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no focal consolidation is seen. there may be a tiny pleural effusion. enlarged cardiac silhouette and mild pulmonary vascular prominence is again noted. no pneumothorax is detected.
<unk>-year-old female with sickle cell anemia and left-sided pain.
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biapical emphysema and adjacent parenchymal scarring unchanged. bronchial wall thickening is again demonstrated suggestive of chronic bronchitis. no pulmonary edema or acute consolidation. heart size is normal. no pleural effusions or pneumothorax.
<unk> year old woman smoker, s/p stent assisted coiling, s/p ?laryngospasm after extubation followed by bronchospasm, now at baseline respiratory function after treatment with albuterol. // ?pulmonary edema
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body habitus somewhat limits evaluation. a right picc line terminates in the upper svc. lung volumes are low. there is increased caliber of the pulmonary vessels without frank pulmonary edema. the cardiomediastinal silhouette, hilar contours, and pleural surfaces appear normal. there is no large pleural effusion or pneumothorax.
picc previously placed. confirm picc placement and position.
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. the lungs appear clear. there is no pleural effusion or pneumothorax. the bony structures are unremarkable.
chest wall pain status post motor vehicle collision.
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no pneumothorax or pleural effusion. right upper lobe mass is again demonstrated. minimal subsegmental atelectasis the lung bases. heart size is top normal.
<unk> year old woman with right ptx anfter lung biopsy // evaluate for interval change. please do at <num>pm. patient in rcu
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cardiac, mediastinal and hilar contours are normal. lungs are clear. pulmonary vasculature is normal. no pleural effusion or pneumothorax is seen. no acute osseous abnormalities are detected.
chest pain.
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a portable frontal chest radiograph demonstrates moderate cardiomegaly. there is vascular congestion and mild pulmonary and interstitial edema. no focal consolidation, pleural effusion, or pneumothorax is seen. the visualized upper abdomen is unremarkable.
shortness of breath and elevated bnp.
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frontal and lateral views of the chest demonstrate fully expanded and clear lungs. the cardiomediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. pectus excavatum deformity is noted.
<unk> year old man with hx of multiple myeloma with cough and green sputum, assess for pneumonia.
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the heart is moderately enlarged. there is a convex contour to the right upper mediastinum that is most often due to tortuosity of the great vessels, although not entirely specific. mild diffuse interstitial abnormality including prominence of upper zone pulmonary vascularity, which also appears indistinct, suggests mild pulmonary vascular congestion. patchy and medial left lower lung opacities suggest minor atelectasis. surgical clips project along the left axilla. moderate degenerative changes involve the right glenohumeral joint, which shows moderately large osteophytes.
stroke.
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pa and lateral views of the chest provided. there are perihilar opacities, right greater than left, appears new from prior radiograph of <unk> and may represent atypical pneumonia versus pulmonary edema. given history of malignancy, lymphadenopathy must be considered given this appearance. no pleural effusions or pneumothorax. osseous structures are intact. mild dextroscoliosis. no free air below the right hemidiaphragm is seen. the port-a-cath terminates in the mid svc. surgical clips are noted in the left axilla and right upper quadrant.
<unk>f with metastatic breast cancer, presenting for evaluation of chest pain // eval for pna
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lung volumes are low. the cardiac silhouette is mildly enlarged. reticular opacities are seen at the bilateral lung bases, not significantly changed since the prior examination, likely related to chronic lung disease. the basilar opacities are also noted, most likely representing atelectasis. no definite consolidation is seen. there is no large pleural effusion or pneumothorax.
history: <unk>m with l arm pain/chest pain // eval for structural process
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low lung volumes are present. there is moderate cardiomegaly which is relatively unchanged compared to the prior study. the aorta remains tortuous with calcification of the aortic knob again noted. mild pulmonary edema is new when compared to the prior study. no large pleural effusion or pneumothorax is identified. there are no acute osseous abnormalities. previously noted right picc has been removed.
chest pain and shortness of breath.
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portable supine chest film <unk> at <time> is submitted.
<unk> year old man with trach // interval change? interval change?
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pa and lateral views of the chest provided. midline sternotomy wires again noted. persistent small left pleural effusion with left basal atelectasis is not significantly changed from prior exam. a calcified granuloma projects over the right upper lung. there is no new consolidation. no signs of edema. cardiomediastinal silhouette is stable. bony structures are intact. tracheostomy poorly visualized.
<unk>m with trach and increased secretions/mucuous plugging // ? infectious process
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two views of the chest demonstrate a normal cardiomediastinal silhouette and well-aerated lungs which are clear. there is no focal consolidation, pleural effusion, or pneumothorax. no fracture is identified. the visualized upper abdomen is unremarkable.
right anterior rib pain.
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pa and lateral chest radiographs. the lungs are clear. there is no pulmonary nodule, pleural effusion, or pneumothorax. the cardiac, hilar, and mediastinal contours are normal. surgical clips at the level of the diaphragm are from prior nissen fundoplication .
history of melanoma. evaluation for intrathoracic metastasis.
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the lungs are well-expanded. the previously described subtle area of increased opacity in the left upper lobe has decreased in conspicuity over the interval. the cardiomediastinal and hilar contours are unchanged. there is no pneumothorax or pleural effusion.
history: <unk>f with fever // pna?
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two pa and <num> lateral chest radiograph were obtained. the lungs are well expanded and clear. there is no focal consolidation, effusion or pneumothorax. cardiac and mediastinal contours are normal.
palpitations.
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there is an ill-defined opacity occupying the left mid lung, corresponding to the area of concern on the most recent portable chest radiograph from <unk>. the right hemithorax remains clear. the cardiomediastinal and hilar contours are within normal limits. there is no pleural effusion or pneumothorax pain
history: <unk>m with chest pain this am // eval wedge shaped opacity l mid lung eval wedge shaped opacity l mid lung
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the ett terminates <num> cm above the carina. there is a right ij in the low svc. ng tube courses below the diaphragm, however the tip is not visualized. worsening bibasilar opacification in comparison to the prior chest radiograph. moderate interstitial pulmonary edema. unchanged small left pleural effusion. heart size is stable. the mediastinal and hilar contours are stable. no pneumothorax is seen. there are no acute osseous abnormalities.
<unk> year old man with aspiration event leading to respiratory distress, now with <num>-pressor shock // evaluate for developing pna
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as compared to chest radiograph from earlier today, right-sided picc has now been repositioned and is in the low svc. improved aeration of the lung bases likely related to better inspiratory effort. pulmonary vascular markings also appear less engorged. no effusion or pneumothorax.
<unk> year old woman with picc placement // eval picc repositioning post coil
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compared with prior radiographs on <unk>, previously seen small left pleural effusion has resolved.the lungs are clear without focal consolidation. no pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
<unk> year old woman with tiny l pleural effusion seen on cxr <unk> // f/u pleural effusion
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cardiac silhouette is upper limits of normal in size accompanied by pulmonary vascular congestion, new bronchial wall thickening and scattered interstitial opacities with lower lung predominance. minimal patchy opacities are also seen in both lung bases. no pleural effusion. bones are diffusely demineralized, and a compression deformity is observed in the upper lumbar spine, present since <unk> lateral chest radiograph. healed lateral right rib fractures are also noted.
<unk> year old woman with recent onset of cough. noted to have rales at lower lung fields bilat. // chf?
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no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. the cardiac silhouette is top-normal. the mediastinal silhouette is unremarkable. hilar contours are stable. no displaced fracture is seen. thoracolumbar scoliosis is partially imaged.
chest pain x.
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cardiac, mediastinal and hilar contours are normal. the pulmonary vasculature is normal. linear atelectasis is noted in both lung bases. no focal consolidation, pleural effusion or pneumothorax is seen. there is gaseous distention of the large bowel loops within the left upper quadrant of the abdomen. no acute osseous abnormalities are present.
fever, recent surgical procedure.
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the et tube is in the right mainstem bronchus. the ng tube passes into the expected area of the stomach. the lungs well expanded and clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable.
history: <unk>f with ett pls eval placement*** warning *** multiple patients with same last name! // history: <unk>f with ett pls eval placement
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pa and lateral views of the chest provided. a massive hernia with organoaxial gastric volvulus is again seen, which may predispose the patient to chronic aspiration. lungs are otherwise clear. severe scoliosis is again seen.
<unk> year old woman with cough
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there is poor inspiratory effort and low lung volumes. focal opacity at the left costophrenic angle is likely secondary to atelectasis. the heart size, mediastinal, and hilar contours are normal. the lungs are otherwise clear without pleural effusion, focal consolidation, or pneumothorax. colonic interposition between the right hemidiaphragm and the liver is identified. no free subdiaphragmatic air.
<unk>m with three day history of fever. please evaluate for pneumonia.
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ap and lateral views of the chest. exam is somewhat limited due to poor inspiratory effort and patient body habitus. the lungs are clear of large confluent consolidation or effusion. there is no definite pulmonary vascular congestion; however, there is crowding of the bronchovascular markings which could be due to poor inspiratory effort. cardiomediastinal silhouette is within normal limits. median sternotomy wires are identified.
<unk>-year-old female with chills. question pneumonia.
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there continues to be severe cardiomegaly and pulmonary vascular redistribution. there are dense infiltrates involving both lower lungs. the right-sided picc line and et tube are unchanged.
<unk> year old man with iph // interval changes
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portable semi-upright radiograph of the chest demonstrates low lung volumes, which results in bronchovascular crowding. the cardiomediastinal and hilar contours are unchanged. there is no pneumothorax, pleural effusion, or consolidation. no acute displaced rib fractures identified.
history: <unk>m with intoxication, mild hypoxia // evaluate for aspiration, trauma, acute process
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there is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the descending thoracic aorta is tortuous the cardiomediastinal silhouette is otherwise within normal limits.
<unk>m with ams // eval for pna
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heart size is normal. cardiomediastinal silhouette and hilar contours are normal. lungs are clear. pleural surfaces are clear without effusion or pneumothorax.
chest pain
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frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and hyperinflated lungs. retrocardiac bronchial wall thickening and air bronchograms are unchanged compared to <unk>, and likely represent chronic bronchitis. there is no focal consolidation, pleural effusion, or pneumothorax. apical pleural thickening is noted bilaterally. the visualized upper abdomen is unremarkable.
evaluate for pneumonia in a patient with fevers, chills, and <num> days of productive cough.
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pleural calcifications suggesting prior asbestos exposure are unchanged. there is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is within normal limits.
<unk>m with hypotension follow evaluate for pneumonia
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all lines and tubes are unchanged in position. there has been improvement in the multifocal opacities visualized on the prior examination, suggesting resolving ards. stable appearance of the cardiomediastinal silhouette. no pleural effusion. no pneumothorax.
<unk> year old man with <unk>, ards, hypoxia // interval change?
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low lung volumes are present. heart size is accentuated as a result appearing mildly enlarged, but unchanged. the aorta is slightly tortuous. crowding of bronchovascular structures is present without evidence for overt pulmonary edema. patchy opacities in the lung bases may reflect atelectasis. no pleural effusion or pneumothorax is present. there are moderate degenerative changes noted in the thoracic spine. multiple clips are seen in the upper abdomen.
history: <unk>f with hyperglycemia // eval for infectious process
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unremarkable mediastinal, hilar and cardiac contours. lungs are clear. no pleural effusion or pneumothorax.
epigastric pain, please evaluate for pneumothorax.
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compared with earlier the same day, the pigtail catheter has been removed. minimal irregularity of the lung edge at the right apex is noted, but no definite residual pneumothorax is identified. the lungs are otherwise grossly clear.
<unk> year old man s/p chest removal // eval interval change/ pneumothorax
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moderate severe cardiomegaly is stable. central catheter is in standard position. vascular congestion has improved. there is no pneumothorax. left pleural effusion is small. bibasilar atelectasis are larger on the left, improved from prior. there are mild degenerative changes in the thoracic spine. there are low lung volumes. several healed left rib fractures are again noted
<unk> year old man with multiple myeloma work up for auto transplant recent pna on local x-ray // pna
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frontal and lateral views of the chest. right chest wall port is again seen with catheter tip in the right atrium. again seen are bibasilar opacities, on the frontal worse on the left than on the right. on the lateral view, there is superimposed atelectasis in the right middle lobe. superiorly, the lungs are clear. cardiomediastinal silhouette is unchanged. known right hilar adenopathy was better seen on prior ct. surgical clips project over the right axilla. no acute osseous abnormalities detected.
<unk>-year-old male with lymphoma and fevers, altered mental status.
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no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. the cardiac silhouette is top-normal to mildly enlarged. the aorta is slightly tortuous. mild compression deformities of the mid thoracic spine are grossly stable.
dyspnea.
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the cardiac, mediastinal and hilar contours are normal. the pulmonary vascularity is normal. minimal patchy opacities are noted within both lung bases. these correlate to the ill-defined nodular and ground-glass opacities seen within the lung bases on the previous chest ct. no pleural effusion or pneumothorax is identified. no acute osseous abnormalities are seen.
cough, history of aids with cd<num> count less than <num>.
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the heart, mediastinum, pleural surfaces, hila and lungs are all normal.
chest pain.