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heart size is top-normal. the aorta is unfolded. mediastinal and hilar contours are otherwise within normal limits. pulmonary vasculature is not engorged. apart from minimal atelectasis in the lung bases, the lungs are clear. no focal consolidation, pleural effusion or pneumothorax is present. no acute osseous abnormality is visualized.
history: <unk>f with nausea, vomiting, dizziness
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lung volumes are low. this results in crowding of the bronchovascular structures. there may be mild pulmonary vascular congestion. the heart size is borderline enlarged. the mediastinal and hilar contours are relatively unremarkable. innumerable nodules are demonstrated in both lungs, more pronounced in the left upper and lower lung fields compatible with metastatic disease. no new focal consolidation, pleural effusion or pneumothorax is seen, with chronic elevation of right hemidiaphragm again seen. the patient is status post right lower lobectomy. rib deformities within the right hemithorax is compatible with prior postsurgical changes.
dyspnea and history of lung cancer.
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ap view of the chest. mediastinal clips are seen. there are low lung volumes. the evaluation of the heart is difficult due to low lung volumes. no definite focal consolidation is seen. assessment for pleural effusions is noted. right shoulder degenerative changes.
crackles and pedal edema. evaluate for pulmonary edema.
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there is a small left pneumothorax. left chest tube is in place. cardiomediastinal contours are midline. the pulmonary arteries are prominent. right port a cath tip is in the cavoatrial junction. there is moderate vascular congestion. opacity in the periphery of the left lung could be atelectasis or hemorrhage.
<unk> year old man with l vats decortication // ptx, effusion
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the cardiomediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. lungs are well-expanded without focal consolidation concerning for pneumonia. the upper abdomen is unremarkable.
<unk>f with tachypnea.
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apparent increase in cardiac size may be due to technique as pulmonary edema has slightly improved since yesterday. right basilar atelectasis not significantly changed. no focal consolidation. normal hila, mediastinum and pleural surfaces.
hiv, idiopathic cardiomyopathy, asthma presents with shortness of breath and hypoxia requiring bipap and nebs. evaluate for pneumonia, pulmonary edema, hyperinflation.
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extensive multifocal parenchymal opacities have increased in the left lower lung, but are otherwise decreased in extent. there is a small left pleural effusion, slightly increased. there is no pneumothorax. the cardiomediastinal silhouette is stable. a right picc terminates in the distal svc.
<unk> year old man with cryptogenic organizing pneumonia, severe mr with worsening hypoxia, evaluate for interval change.
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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.
<unk>m with cough, leg swelling // ?pulm edema
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the heart size is normal. the mediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. the lungs are well expanded. small opacity in the retrocardiac space on the lateral view may correspond to mild left basilar atelectasis on the frontal view. previously noted pulmonary edema has resolved. there has been interval placement of a femoral approach dialysis catheter, terminating near the ivc ra junction.
<unk>m with diaphoresis and syncope // eval pna
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cardiac silhouette size is normal. the aorta is tortuous. the mediastinal and hilar contours otherwise are unremarkable. pulmonary vasculature is normal. apart from subsegmental atelectasis within the right middle lobe, the lungs are clear without focal consolidation, pleural effusion or pneumothorax. rounded opacity projecting over the distal clavicle could reflect a bone island or area of heterotopic ossification.
chest pain.
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severe cardiomegaly stable. improved bilateral pulmonary edema. large bilateral pleural effusions stable. bibasilar atelectasis unchanged. left retrocardiac consolidation unchanged, likely atelectasis but cannot exclude pneumonia, correlate clinically. no pneumothorax. right hd catheter terminates in the upper right atrium. et tube <num> cm above the carina. ng tube traverses beyond the diaphragm and beyond the inferior margins of this film, all likely in the stomach.
<unk> year old man with copd, intubated and sedated with marked agitation undergoing work-up // interval change in pna
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frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs which are clear. there is no pleural effusion or pneumothorax. a zone of slightly increased density at the anterolateral aspect of the <unk>, <unk>, and <unk> right ribs with minimal cortical irregularities could represent incomplete fractures.
cough and fever x <num> days. evaluate for pneumonia.
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the lungs are clear without focal consolidation, effusion, or pneumothorax. cardiomediastinal silhouette is within normal limits. hypertrophic changes again noted in the spine.
<unk>m with chest pain // eval for cardiopulmonary process
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there is no pneumothorax, pneumomediastinum, or deep cervical air. recommend repeat pa and lateral radiographs of the chest to verify these findings. the lungs are well expanded. there is no evidence of acute cardiac or pulmonary process. cardiomediastinal silhouette is unremarkable.
<unk>-year-old male with esophageal stricture, now status post esophageal dilation and kenalog injection, requiring assessment for pneumomediastinum and pneumothorax.
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ap upright and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>f with fall // preop
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pa and lateral radiographs through the chest were obtained. the lungs are clear bilaterally. no focal consolidation is identified. the cardiomediastinal and hilar contours are within normal limits. heart size is within normal limits. there is no pleural effusion or pneumothorax. visualized osseous structures are without acute abnormalities.
<unk>-year-old female with cough.
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no focal consolidation, pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. there is stable linear scarring/ atelectasis at the left lung base. old left-sided rib fractures including the posterior left fourth through sixth ribs again seen.
history: <unk>m with substance abuse, presenting with ams, leukocytosis // eval for possible aspiration pna
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right-sided port-a-cath is seen, placed in the interval since the prior study, distal aspect not well seen on the frontal view of the frontal view, but in combination with the lateral view, likely terminates in the distal svc. the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. no pulmonary edema is seen. no displaced fracture seen.
chest pain.
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compared to the prior study there is no significant interval change.
<unk> year old woman with flash pulmonary edema on bipap, diuresing // interval change
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the lungs are clear without focal consolidation, effusion, or overt pulmonary edema. the cardiomediastinal silhouette is stable, within normal limits for technique. no acute osseous abnormalities.
<unk>m with morbid obesity and sle presenting with chest tightness/sob. // cardiopulmonary abnormality?
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the cardiac, mediastinal and hilar contours are unremarkable with the heart size top-normal. lungs are clear. pulmonary vascularity is normal. no pleural effusion or pneumothorax is present. there are mild degenerative changes in the thoracic spine.
recent syncope.
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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. the visualized osseous structures are unremarkable. partially visualized is a gastrojejunostomy tube within the abdomen.
history of fever. please evaluate for pneumonia.
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the lungs are clear where not obscured by overlying leads and wires. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>m with increase in seizures // ? acute cardipulm process
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the heart size is normal. aorta is mildly unfolded and demonstrates scattered calcifications. the hilar contours are normal. pulmonary vascularity is normal. the lungs are clear. no focal consolidation, pleural effusion or pneumothorax is present. there are no acute osseous abnormalities. mild s-shaped scoliosis of the thoracic spine is present.
chest pain.
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small left pleural effusion and mild basal atelectasis are unchanged. the lungs are without consolidation. cardiomediastinal silhouette remains stable at the upper limits of normal. <unk> denote prior upper abdominal surgery.
chest pain.
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the lungs are mildly hypoinflated with crowding of vasculature. new right lower lobe opacity is present. no pleural effusion or pneumothorax. heart size, mediastinal contour, and hila are unremarkable. right ij cvl tip projects over the upper svc. limited assessment of the osseous structures are notable for findings suggestive of dish including multilevel degenerative changes, anterior flowing osteophytes, and subchondral sclerosis with disc space narrowing.
<unk>f with chest pain. assess for acute cardiopulmonary process.
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compared to the prior study, there is no significant change in the moderate left pleural effusion on for differences in positioning. retrocardiac opacity likely reflects a combination of the effusion and atelectasis although superimposed infection is also possible in the correct clinical setting. stable heart size and mediastinal contours. right lung is clear.
<unk> with cirrhosis // evaluate for pneumonia
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cardiomediastinal contours are a stable. increasing opacities in the left lower lung are likely infectious in etiology. the upper lungs are clear. there is no pneumothorax or pleural effusion.
<unk> year old woman with liver transpland and new hyperglycemia, w/u for infectious trigger // evaluate for pneumonia
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cardiomediastinal silhouette is normal. there is no pleural effusion or pneumothorax. there is left basilar atelectasis, as demonstrated on prior ct. there is no focal lung consolidation concerning for pneumonia.
<unk>-year-old woman with asthma presenting with worsening shortness of breath, evaluate for pneumonia
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single portable supine chest radiograph is provided. endotracheal tube is <num> cm above the carina. nasogastric tube is coiled within the oropharynx. no significant change in the appearance of the lungs with bilateral pulmonary opacities and central vascular engorgement consistent with pulmonary edema. layering effusions are stable.
status post abdominal surgery. new nasogastric tube evaluate placement.
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low lung volumes bilaterally. probable mild left basilar atelectasis. there is blunting of the left costophrenic angle. cardiomediastinal silhouette is unchanged. there is no pneumothorax.
<unk> year old woman with hx cranipharyngeoma s/p resection and panhypopituitarism with ams, likely multifactorial. // rule out infection
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the cardiac silhouette size is normal. the mediastinal and hilar contours are unchanged, without evidence of hilar lymphadenopathy. again demonstrated are bi apical linear opacities suggestive of scarring with architectural distortion, unchanged. no focal consolidation, pleural effusion or pneumothorax is identified. aeration of the lung bases appears improved compared to the prior chest radiograph. no acute osseous abnormalities are seen.
hiatal hernia, gastroesophageal reflux disease, cough with foreign body sensation. possible prior sarcoidosis.
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there is a slightly suboptimal and inspiratory effort leading to crowding of the pulmonary bronchovascular structures. no consolidation, pneumothorax or pleural effusion seen. the visualized bony structures are unremarkable in appearance.
<unk> year old man with tia // r/o infection
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the heart size, mediastinal, and hilar contours are normal. the lungs are clear without pleural effusion, focal consolidation, or pneumothorax.within the limitations of chest radiography, no evidence of right rib fracture.
<unk>m with right chest wall pain after lifting furniture. evaluate for pneumothorax or right-sided rib fracture.
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the lungs are well inflated with minimally increased interstitial markings, chronic in nature. no focal consolidation is identified. the cardiac silhouette is top normal but unchanged. there is no pleural effusion or pneumothorax. visualized upper abdomen is unremarkable. single fractured sternotomy wire is unchanged. surgical clips project over the mediastinum.
<unk> year old woman with cough, fever and egonphony on exam, evaluate for pneumonia.
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the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>f with cough // pna?
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ap portable upright view of the chest. lung volumes are low. there is minimal basal atelectasis without convincing evidence for pneumonia edema effusion or pneumothorax. heart size cannot be assessed given low lung volumes. mediastinal contour stable. bony structures are intact. no free air seen below the right hemidiaphragm.
<unk>m with gastroperesis
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study is slightly limited by patient rotation. heart size is mildly enlarged, unchanged. atherosclerotic calcifications are again noted at the aortic knob. mediastinal and hilar contours are unremarkable. the pulmonary vasculature is not engorged. no focal consolidation, pleural effusion or pneumothorax is noted. focal bilateral diaphragmatic contour irregularities again likely reflect localized diaphragmatic defects, unchanged. remote left-sided rib fracture is present. no acute osseous abnormalities seen.
history: <unk>f with dizziness and nausea
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the opacity projecting over the right lateral mid upper hemi thorax persists but is less conspicuous compared to the prior radiograph concern like compared to the prior chest ct in <unk>. no pneumothorax, effusion, edema, or new focal consolidation is identified. the heart is normal in size. the mediastinal and thoracic aorta contours are similar to the prior exam. there is minimal levoconvex scoliosis of the thoracolumbar spine.
<unk>-year-old woman with sudden change in mental status.
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pa and lateral views of the chest were reviewed. compared to the most recent prior study of <unk>, minimal increase in radiographic denisty and subtle loss of vessel contours in the left lower lob could represent developing pneumonia. there is no pulmonary edema, vascular congestion, pleural effusion or pneumothorax. the heart size is normal and calcification of the aortic knob is unchanged.
upper respiratory infection.
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the heart is normal in size. there is slight unfolding and calcification along the thoracic aorta. the mediastinal and hilar contours appear within normal limits. the lungs appear clear. there is no pleural effusion or pneumothorax. there are nondisplaced posterolateral fractures involving the left sixth and seventh ribs, of uncertain acuity.
status post fall with malaise.
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the cardiac, mediastinal and hilar contours are normal. subsegmental atelectasis in the left lung base is present. lungs are otherwise clear. no focal consolidation, pleural effusion or pneumothorax is present. partially imaged is a left ureteral stent.
shortness of breath and fever.
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frontal and lateral chest radiographs demonstrate interval removal of a right subclavian catheter. the heart, lungs, mediastinum, hila, and pleural surfaces are normal.
transplant workup.
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pa and lateral chest radiographs were obtained. the lungs are well expanded and clear. there is no focal consolidation, effusion, or pneumothorax. cardiac and mediastinal contours are normal. there is no displaced rib fracture.
bruising on chest after mvc.
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right hemidiaphragm is elevated, with low lung volume on the right. there is no focal consolidation, pleural effusion or pneumothorax. a small linear opacity at the right lung base most likely represents atelectasis. no mediastinal widening. right heart border is obscured by the right hemidiaphragm.
<unk>-year-old male with acute onset chest pain and shortness of breath
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there has been interval placement of a right internal jugular central venous catheter, terminating at the cavoatrial junction, without evidence of pneumothorax. lung volumes remain low and are without focal consolidation. previously seen right midline is no longer seen and may have been removed in the interval. cardiac and mediastinal silhouettes are stable. right upper quadrant biliary stents are noted.
history: <unk>m with fevers, s/p central line placement // please confirm placement of central line
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pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>f with cough // acute process?
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left base opacity could be due to atelectasis versus consolidation due to infection or aspiration. additional left base subsegmental atelectasis is seen. there is mild right mid lower lung atelectasis. no large pleural effusion is seen. there is no evidence of pneumothorax. the cardiac silhouette is top-normal. the aorta is somewhat tortuous. there may be some mild right perihilar peribronchial wall thickening.
history: <unk>m with post op dyspnea // r/o pna
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the patient is status post median sternotomy and mitral valve replacement. the cardiac silhouette is moderate to severely enlarged but unchanged. the mediastinal contours are stable with continued dilatation of the azygos vein. there is mild pulmonary edema, slightly improved compared to the previous exam. no pleural effusion or pneumothorax is clearly identified. there are no acute osseous abnormalities.
congestive heart failure.
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a right internal jugular central line ends at the superior atriocaval junction. a tracheostomy tube is <num> cm from the carina. a feeding tube is in the stomach with the tip out of view. sternotomy wires and valve hardware are intact. the pulmonary edema has decreased from the prior study. there is stable mild vascular engorgement. hazy opacification at the left base likely represents atelectasis. the cardiomediastinal silhouette has a normal postoperative appearance. there is no pneumothorax or pleural effusion.
congestion.
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lungs: the lungs are well inflated. there is no consolidation. pleura: no pleural effusion is seen. heart: the heart is not enlarged. mediastinum and hila: there is no mediastinal mass. osseous structures: minimal old dextroscoliosis is present. other findings: none
history: <unk>f with r sided rib pain after diving into water // eval fracture, pneumothorax, other acute process
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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.
history: <unk>f with cough.fever // r/p pna
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pa and lateral views of the chest provided. right chest wall port-a-cath again seen with catheter tip in the region of the low svc. there is subtle retrocardiac opacity seen on the lateral projection which could represent mild atelectasis. there is no convincing evidence for pneumonia, effusion or pneumothorax. cardiomediastinal silhouette is stable. bony structures are intact.
<unk>m with lethargy // eval for pna
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single ap portable view of the chest demonstrates clear lungs. low lung volumes somewhat accentuates the cardiac size. no pleural effusion or edema. bones are intact.
<unk>-year-old male with shortness of breath. question cardiomegaly.
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compared to the prior study, there are low lung volumes, accentuating the pulmonary vasculature and cardiac contour. new bibasilar atelectasis with evidence of mild fluid overload. no pleural effusion or pneumothorax. tip of the endotracheal tube is above the superior margin of the clavicles, <num> cm from the carina.
<unk> year old man with retropharyngeal abscess/intubated. evaluate for interval change.
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the lungs are grossly clear. the cardiomediastinal silhouette is within normal limits for technique. endotracheal tube tip is <num> cm from the carina. enteric tube tip passes below the inferior field of view.
<unk>m with intubated transfer // eval for ett
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heart size is normal with mild tortuosity of the thoracic aorta. hilar contours are unremarkable. lungs are clear. most pleural surfaces are normal except for posterior thickening probably due to healed left posterolateral rib fractures. midthoracic disc space narrowing is due to chronic disc degeneration.
vertigo.
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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.
<unk> year old man with cough since last week, low o<num> sat // evaluate for pneumonia
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frontal and lateral chest radiographs demonstrate similar appearance to sternal reconstruction. there is elevation of the left hemidiaphragm, with a small left pleural effusion. there is no pneumothorax. the pulmonary vasculature is normal. the lungs are notable for retrocardiac atelectasis. the pulmonary vasculature is normal. a lap band is partially visualized.
<unk>-year-old female, status post cabg, evaluate for effusion.
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the lungs are well inflated with mild vascular congestion. trace right pleural effusion noted. no left pleural effusion. no pneumothorax. mild cardiomegaly is noted. mediastinal contour and hila are otherwise unremarkable. aortic arch calcifications are present.
<unk>f with chest pain. assess for infiltrate, widened mediastinum
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frontal and lateral views of the chest. thoracolumbar spinal fusion construct appears stable with bilateral vertical rods, multiple pedicle screws, and intervertebral disc spacers. heart size and cardiomediastinal contours are normal. lungs are clear without focal consolidation, pleural effusion, or pneumothorax. chronic right-sided rib fractures are better assessed on the prior exam.
multiple myeloma and cough.
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the is vague opacity seen overlying the spine only on the lateral view which contains some suggestion of air-bronchograms. the pleural, cardiac, mediastinal and hilar structures are normal.
cough, evaluate for pneumonia.
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cardiomediastinal contours are within normal limits. lungs and pleural surfaces are clear.
<unk> year old woman with increasing seizure frequency // tox/metabolic workup for seizure
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the heart is mildly enlarged. the mediastinal and hilar contours appear unchanged. the lungs appear clear. there is no pleural effusion or pneumothorax. the lungs appear hyperinflated.
atrial fibrillation and lower extremity edema.
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pa and lateral views of the chest provided. previously noted picc line has been removed. the lungs appear clear without focal consolidation, effusion or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>f with fever, history of cml.
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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 study of <unk>. mild cardiac enlargement is present. no typical configurational abnormality is seen. the thoracic aorta is of ordinary dimension but demonstrates a mild degree of elongation. no local contour abnormalities are present. 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. no pneumothorax in the apical area. skeletal structures of the thorax grossly unremarkable and unchanged.
palpitations.
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dual lead left-sided aicd is stable in position. there is prominence of the central pulmonary vasculature. subtle prominence of the interstitial markings could relate to mild fluid overload, although atypical infection is not excluded. no lobar consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable.
<unk> year old man with fever after zpak // check pna
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the ett is <num>. cm above the carina. the ng tube tip is off the film, at least in the stomach. the right ij line tip is in the svc. there continues to be a small infiltrate in the right lower lobe, however this is improved in appearance compared to the study from <num> days previous. extreme left cp angle as on the film.
intubation.
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frontal and lateral views of the chest were obtained. the lungs are well expanded. a new right lower lobe opacity is likely a right lower lobe pneumonia given the provided history. there is no pleural effusion or pneumothorax. heart size is normal. mediastinal silhouette and hilar contours are normal.
<unk>-year-old woman with cough, wheeze and fever.
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lung volumes are low. bilateral pulmonary opacities most likely due to moderate pulmonary edema. there is no pneumothorax or pleural effusions. the cardiac mediastinal silhouette is top-normal, unchanged from the prior exam. the visualized number abdomen is unremarkable. the bones are intact.
history: <unk>f with chest pressure // evaluate for fluid overload, acute process
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in comparison with study of <unk>, there is some increasing opacification at the left base consistent with clinical impression of pneumonia. some atelectatic changes persist on the right in the lower lungs. no evidence of vascular congestion.
vap.
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there is no consolidation, pleural effusion or pneumothorax. three nodular radiodensities in the left mid and lower lungs are unchanged from <unk>, and may represent calcified granulomas. mild cardiomegaly is unchanged. no acute osseous abnormalities are identified.
history: <unk>m with history of as, htn, cad presenting with left sided pleuritic chest pain // infiltrate
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there is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is within normal limits. the aorta is partially calcified.
<unk> year old woman with sob, smoking history // r/o chf, mass
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retrocardiac opacity is increasing. the left diaphragmatic contour remains blunted. aortic arch calcifications are similar. no new consolidation or pneumothorax is present. mild thoracolumbar scoliosis is unchanged.
<unk>-year-old woman status post mvc, evaluate for change.
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apparent increased opacity at the lateral aspect of the left lung base is less apparent on the current exam and is likely due to overlying soft tissues in combination with prominent pericardial fat which obscures the left costophrenic angle. the appearance has not dramatically changed since prior portable film from <unk>. old thoracolumbar compression deformities again seen as well as a hiatal hernia.
<unk>f with reduced o<num> sat. previous study with poor effort // characterization for consolidation. emphasize respiratory effort
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portable semi-upright radiograph of the chest demonstrates blunting of the left costophrenic angle but with good visualization of the left hemi-diaphragm, which may represent pleural-pericardial adhesions. there is a small amount of streaky atelectasis in the right base. the cardiomediastinal and hilar contours are unchanged. there is no pneumothorax.
<unk> year old woman with hx of cad s/p mi, stroke, who presents with chest pain and headache. // eval for pulmonary edema
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lung volumes are extremely low which leads to bronchovascular crowding. there is bibasilar atelectasis and vascular congestion. there may be patchy opacity in the right mid lung, which could be related to vascular congestion but cannot exclude consolidation in the appropriate clinical setting. the heart is top-normal in size. there is no pneumothorax or definite pleural effusion.
<unk>-year-old man with history of asthma and wheezing, evaluate for pneumonia.
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there areas of bilateral lower lobe atelectasis. slight blunting of the left posterior costophrenic angle could be due to a trace pleural effusion. left basilar opacity, retrocardiac, could be due to atelectasis however infectious process is not excluded in the appropriate clinical setting. no pneumothorax is seen. the cardiac silhouette is top-normal to mildly enlarged. mediastinal contours are unremarkable.
history: <unk>m with chest pain // eval for pna
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the heart size is enlarged, slightly increased from prior exam. sternotomy wires and mediastinal clips are compatible with prior chest surgery. the lungs are clear of lobar consolidation, and there is no radiographic evidence of large pulmonary metastases. there is no pleural effusion or pneumothorax.
<unk>-year-old male with history of malignancy, unclear as to specific subtype.
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pa and lateral views of the chest. no radiopaque foreign bodies identified. the lungs are clear. there is no focal consolidation, pleural effusion, or pneumothorax. the cardiomediastinal and hilar contours are normal.
swallowed retainer. evaluate for foreign body.
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a right picc line is present with tip in the right brachiocephalic vein. mild cardiomegaly is present. the mediastinal contours are stable calcifications of the aortic knob. there is no pleural effusion or pneumothorax. paucity of interstitial markings is consistent with emphysema. there is new hazy opacification of the left upper lobe and lingula, concerning for an infectious process. surgical clips, cbd stent, and aortic stent graft are noted in the upper abdomen.
<unk>f with ams, hypotension // ? chf, infiltrate
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there has been interval improvement of the large left pleural effusion and bilateral pulmonary edema. the small right pleural effusion is stable. again, the cardiac silhouette is enlarged, however, obscured by the left pleural effusion. the tracheostomy tube is in place. the left pic line terminates in the mid svc. there is no pneumothorax. the right displaced shoulder fracture is unchanged.
<unk>-year-old female with mdr pneumonia and pleural effusions who presents for evaluation of interval change status post diuresis.
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pa and lateral views of the chest. no prior. the lungs are clear of consolidation. there is no effusion or pneumothorax. the cardiomediastinal silhouette is normal. osseous and soft tissue structures are unremarkable.
<unk>-year-old male with acute onset of pleuritic chest pain and pain with inspiration.
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a large left pleural effusion is stable in size. parenchymal opacity at the base of the left lung likely reflects compressive atelectasis. there is minimal atelectasis at the base of the right lung. no pneumothorax. no right effusion. biapical pleural thickening is re- demonstrated. the hilar contours are unchanged. the aorta is heavily calcified as before.
<unk> year old man with pleural effusion.
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portable semi-erect chest radiograph <unk> at <time> is submitted.
<unk> year old woman with pleural effusion s/p drainage // please evaluate effusion please evaluate effusion
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the heart size is normal. the mediastinal and hilar contours are within normal limits. there are streaky opacities in the lung bases. no focal consolidation, pleural effusion or pneumothorax is present. there are no acute osseous abnormalities noted.
bradycardia, syncope.
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the cardiomediastinal silhouette and pulmonary vasculature are unremarkable. surgical clips are seen in the upper right hemithorax. there is evidence of prior right thoracotomy. there is no focal consolidation. no pleural effusion or pneumothorax is present. no definite acute rib fracture is identified.
history: <unk>f with chest wall pain // evaluate for injury, acute process
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ap portable upright view of the chest. the heart size is normal. the hilar mediastinal contours remain within normal limits. this is small left and moderate right pleural effusion, both unchanged since <unk>. linear bibasilar opacities reflect adjacent compressive atelectasis. there is no pneumothorax. the central pulmonary vessels are not engorged. mild pulmonary edema seen on the <unk> study appears improved
<unk> year old man with afib with rvr and pneumonia, possible fluid overload // <unk> year old man with afib with rvr and pneumonia, possible fluid overload
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pa and lateral views of the chest were reviewed. compared to the most recent prior, on the frontal view, the costophrenic angles are sharper, however, on the lateral view the bilateral pleural effusion appear relatively unchanged. the lungs are clear without focal consolidation, pulmonary edema or pneumothorax. cardiac and mediastinal contours are stable.
evaluation of pleural effusion in patient with dyspnea and wheezing.
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densities projecting over the right anterior second rib are grossly unchanged from <unk>. lungs are otherwise clear. the cardiomediastinal silhouette is unremarkable.
<unk>f w/ cp. ?ptx or widened mediastinum
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tip of the et tube is above the upper margin of the clavicles, no less <unk> <num> cm above the carina an should be advanced <num> cm for more secure placement. right internal jugular line ends at the origin of the svc. esophageal drainage tube is traceable to the upper stomach and passes out of view. mild interstitial edema has improved since <unk>. heart size is normal. there is no pneumothorax.
<unk> year old man with ams // ogt placement
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left chest wall dual lead pacing device is again noted. the lungs are clear without consolidation, effusion, or vascular congestion. cardiac silhouette is enlarged, unchanged. no acute osseous abnormalities.
<unk>f with hypotension // eval for pneumonia
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lung volumes are normal. there is an opacity in the right middle lung slightly obscuring the right heart border neck corresponds to a opacity projecting over the heart on lateral views. a small round well demarcated opacity is seen in left upper lung projecting over the inferior border of the sixth posterior rib. the cardiomediastinal hilar contours are normal. possible small right pleural effusion. otherwise remaining pleural surfaces are normal.
<unk> year old woman with hx ra with chest pain // pna vs ptx
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there are bibasilar opacities right greater than left concerning for pneumonia particularly in the right lower lung.no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. irregularity in the left posterior eighth rib is noted without definite fracture line, correspond with clinical site of pain.
<unk> year old woman with cough, left anterior chest wall pain // r/o infiltrate, r/o rib fx
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heart size is moderately enlarged. mediastinal and hilar contours are similar. mild pulmonary edema is not substantially changed in the interval. no pleural effusion, focal consolidation or pneumothorax is visualized. there are no acute osseous abnormalities.
history: <unk>m with cardiomyopathy, dvt, now with <num> day history of pleuritic right chest pain, cough
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frontal and lateral views of the chest. the lungs remain clear. the cardiomediastinal silhouette is within normal limits. biapical scarring is again seen. no acute osseous abnormality is identified. surgical clips in the neck likely related to prior thyroid surgery.
<unk>-year-old female with cough.
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the course of a right-sided picc line is difficult to visualize but it probably terminates, as before, at the cavoatrial junction. the patient is status post sternotomy and probably coronary artery bypass graft surgery. the cardiac, mediastinal and hilar contours appear stable. hazy opacification of each lung is consistent with pulmonary edema, probably somewhat worse than on the prior study, although increased blurring may be due to differences in technique to some extent. in particular, in the left mid lung, there is a more conspicuous opacity, but this may be due to rotation compared to the prior study. pleural effusions are difficult to exclude. there is no pneumothorax.
hypoxemia and dyspnea.
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lung volumes are reduced with consolidation on the left base air bronchograms for left lower lobe collapse. there is left pleural effusion. there is no pneumothorax. the heart size is still enlarged. there is new spinal hardware. moderate bowel air distension.
<unk> year old man with h/o small ptx and tachypnea.
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portable ap chest radiograph demonstrates a dobbhoff tube with its tip in the stomach. the lungs are clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal.
new ng tube. evaluation of position.
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ap upright and lateral views the chest were provided. mild basal atelectasis noted. subtle gas-filled retrocardiac opacity is most compatible with a small hiatal hernia. no large effusion or pneumothorax. heart is top-normal in size. mediastinal contour is stable and normal. mild to moderate atherosclerotic calcification of the aorta noted. imaged osseous structures are intact.
<unk>-year-old woman presenting with increased lethargy over the past <num> days, ?syncope while eating today, dysarthria at <num>pm now resolved.