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MIMIC-CXR-JPG/2.0.0/files/p13166078/s52123886/4a0f690a-1d7ec38a-6b1d4765-c32910ec-caa37ff2.jpg
frontal and lateral views of the chest demonstrate low lung volumes without pleural effusion, focal consolidation or pneumothorax. hilar and mediastinal silhouettes are unremarkable. heart size is normal. patient is status post medial sternotomy. multiple sternotomy wires appear fractures, unchanged. there is no pulmonary edema. patient's known anterior mediastinal mass, is better assessed on ct chest of <unk>.
dyspnea.
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portable erect chest radiograph <unk> at <time> is submitted.
<unk> year old woman with desatting // ? pulm edema ? pulm edema
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lungs are clear. there is no pneumothorax. the heart and mediastinum are within normal limits. regional bones and soft tissues are unremarkable.
<unk> year old woman with cough and fevers; ?infiltrate
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the appearance of the lines and tubes are unchanged. there continues to be pulmonary edema with pulmonary vascular redistribution and hazy alveolar infiltrates right greater than left and small bilateral effusions. . however, the overall appearance has improved compared to the study from the prior day.
<unk> year old man with post-op hypoxia, hypotension // eval for pulmonary edema, effusion
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heart size is normal. coronary artery stents are re- demonstrated. mediastinal and hilar contours are within normal limits and unchanged. pulmonary vasculature is normal. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. multilevel degenerative changes are present within the thoracic spine with anterior osteophyte formation.
history: <unk>m with dyspnea
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right chest wall port is seen with catheter tip at the ra-svc junction. there are small bilateral pleural effusions which are new since prior. linear left basilar opacity seen on the frontal view may be due to atelectasis. superiorly, the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormality is identified. surgical clips seen in the mid upper abdomen similar to prior.
<unk>-year-old female with fever.
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portable ap upright chest film <unk> at <time> is submitted
<unk> year old man with desats // fluid overload? fluid overload?
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of note, the left costophrenic angle is not imaged on this study. a dobbhoff tube terminates within the proximal stomach. a metallic pin projects over the left upper quadrant/left hemidiaphragm. the cardiac silhouette is stable. the aorta is tortuous as before. multi focal pulmonary opacities with coarse reticular basilar lung opacities are again demonstrated and not significantly changed from the prior exam done on <unk>.
<unk> year old man with gbm s/p resection w/ dobhoff tube that has been dislodged. // eval dobhoff position.
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pa and lateral views of the chest. no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal and hilar contours are normal. there are degenerative changes with bridging osteophytes in the thoracic spine.
right-sided flank pain radiating to the sternum. unclear etiology. evaluate for fracture, masses or degenerative changes.
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cardiac size is moderately enlarged, accentuated by the projection. . the lungs are clear. there is no pneumothorax or pleural effusion. right healed clavicle fracture is noted
<unk> year old woman with o<num> dependence, pod<unk> s/p l tka // rule out acute pulmonary process
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heart size is enlarged. there is no pleural effusion or pneumothorax. there is increased opacity of the right lung bases, seen posteriorly on lateral view, which may represent a developing pneumonia. there is upper lobe redistribution of the vessels. there is no acute osseous abnormality.
<unk>m with hypoglycemia, malaise, evaluate for pneumonia..
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. subtle opacities involving the right upper lung and at the left base are similar to the prior examination the may represent indolent infection or possibly aspiration. no pleural effusion or pneumothorax is seen.
history: <unk>m with elevated wbc, syncope, ? infectious source // ? pneumonia
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there is no focal consolidation, pleural effusion, vascular congestion, or pneumothorax. there is no change from <unk>.
persistent cough.
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upright pa and left lateral radiographs of the chest demonstrate bibasilar bronchovascular crowding without evidence of focal consolidation on the lateral radiographs. no pleural effusion or pneumothorax is detected. the cardiomediastinal silhouette is stable and within normal limits. the pulmonary vasculature is not engorged.
<unk>-year-old female with lower extremity swelling, here to evaluate for pulmonary edema.
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. no pulmonary edema is seen.
history: <unk>f with herpes zoster and febrile. had seizure yesterday with worsening r sided weakness. // any e/o pna on cxr? any acute intracranial changes?
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small bilateral layering pleural effusions are stable.there are increased airspace opacities at the right lung base, which may be due to infection. there is no pneumothorax. the heart and mediastinum cannot be accurately assessed on this projection.
<unk> year old woman with l iph now with fever // pna?
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the cardiac, mediastinal and hilar contours appear unchanged. there is no pleural effusion or pneumothorax. the lungs appear clear. nodules mentioned in the prior ct report are not discernable on radiographs. streaky left basilar opacity suggests minimal atelectasis.
syncope and cough.
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heart size is mildly enlarged. the aorta is tortuous with mild atherosclerotic calcifications noted at the knob. pulmonary vasculature is not engorged. focal round opacity within the right lung base measuring approximately <num> x <num> cm is demonstrated along with a small to moderate size right pleural effusion. additional somewhat discrete opacity is noted within the anterior right upper lobe on the lateral view. left lung is clear. no pneumothorax is present. there are no acute osseous abnormalities.
history: <unk>m with cough and shortness of breath
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the lung volumes are noted. there is confluent opacity in the left lung base silhouetting the hemidiaphragm with additional patchy region slightly superior to the cardiac silhouette. elsewhere the lungs are clear. the cardiac silhouette is enlarged but likely exaggerated by low lung volumes. rightward tracheal deviation with increased soft tissue at the upper mediastinum is compatible with left-sided thyroid enlargement. no acute osseous abnormalities identified. impression
<unk>m with respiratory distress // eval for pna
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. the lungs appear clear. there are no pleural effusions or pneumothorax. bony structures are unremarkable.
cough; recent diagnosis of bronchitis, also complaining of chest pain.
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enteric tube tip is in the distal stomach. right ij introducer sheath tip in the mid svc. left port-a-cath in place tip in the low svc. catheter projected over mid chest. postoperative changes in the upper abdomen. shallow inspiration. probable small left pleural effusion. linear basilar atelectasis left lung. no pneumothorax. normal heart size, pulmonary vascularity.
<unk> year old woman s/p whipple, known lsc port, n/w rij cvl // rij cvl - confirm position
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lung volumes are low. there is no evidence of pneumonia or atelectasis. the heart is mildly enlarged and the aorta is tortuous. the hilar contours are normal. the pleural surfaces are normal without effusion or pneumothorax. there is an old rib fracture on the left, which appears healed.
chronic thromboembolic pulmonary hypertension. evaluation before lung scan.
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lung volumes are low. the heart size is normal. aorta remains unfolded, and the mediastinal and hilar contours are unchanged. the pulmonary vascularity is not engorged. minimal streaky opacity within the left lower lobe likely reflects atelectasis. there is no focal consolidation, large pleural effusion or pneumothorax identified. no acute osseous abnormalities detected.
new onset left-sided neglect, paresis and fever.
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chest, pa and lateral. the lungs are hyperexpanded, but clear. there is mediastinal and hilar enlargement, consistent with the patient's history of lymphoma. there is no pneumothorax or pleural effusion. pulmonary vascularity is normal. heart size is normal. there is a left chest wall port-a-cath terminating within the right atrium.
fever and cough in a patient with lymphoma, on chemotherapy.
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patient is status post median sternotomy. there relatively low lung volumes. bilateral perihilar opacities suggest pulmonary vascular engorgement. additional right upper to mid lung airspace opacity are worrisome for pneumonia. no large pleural effusion is seen although trace pleural effusion be difficult to exclude. no pneumothorax is seen. the cardiac and mediastinal silhouettes are stable.
history: <unk>m with sob // eval pneumonia vs chf
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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>m with left sided cp // pna?
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the heart is normal in size. the mediastinal and hilar contours appear unchanged. there is no pleural effusion or pneumothorax. the lungs appear hyperinflated. the lungs are clear. bony structures are unremarkable.
cough and subjective fever.
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left-sided dual-chamber pacemaker device is noted with leads terminating in unchanged positions in the right atrium and right ventricle. cardiac, mediastinal and hilar contours are normal. coronary artery stent is again seen. pulmonary vasculature is not engorged. no focal consolidation, pleural effusion or pneumothorax is present. right apical pleural thickening is unchanged. remote right-sided rib fracture is again noted. no acute osseous abnormalities seen.
history: <unk>m with chest pain
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heart size is normal. prominent right epicardial fat pad is re- demonstrated. mediastinal and hilar contours are unchanged. the pulmonary vasculature is normal. apart from subsegmental atelectasis in the lung bases, the lungs are clear. no focal consolidation, pleural effusion or pneumothorax is present. mild degenerative changes are noted in the imaged thoracolumbar spine.
history: <unk>f with weakness
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pa and lateral views of the chest. the lungs are clear of focal consolidation or effusion. the cardiomediastinal silhouette is normal. no acute osseous abnormalities.
<unk>-year-old female with cough. question pneumonia.
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portable semi-erect chest film <unk> at <time> is submitted.
<unk> year old woman with respiratory failure and bacterial meningitis // interval change interval change
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. multiple nodules project over the right mid to lower lung, <num> of which is likely calcified is unchanged from <unk>. the lower nodule projecting over the anterior right sixth rib could potentially represent a nipple shadow. the cardiac and mediastinal silhouettes are unremarkable. multiple surgical clips are again seen projecting over the right upper quadrant.
<unk>m with hx of afib // eval chest discomfort
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the endotracheal tube terminates in the mid trachea. a nasogastric tube courses below the hemidiaphragm, distal tip not visualized. there is no new consolidation or pleural effusion. a rounded opacity at the lateral left lung base is most likely due to overlapping soft tissue shadows. the heart and mediastinum are magnified by the projection.
<unk> year old man post-op still intubated // please confirm et tube and ng tube placements
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the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. left upper extremity vascular stent is noted.
<unk>m with <num> days diarrhea, weakness, recent renal xplant // eval ? infiltrate
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severe cardiomegaly is re- demonstrated. mediastinal and hilar contours are similar. mild pulmonary vascular congestion appears chronic. minimal blunting of the costophrenic angles on the lateral view suggests trace bilateral pleural effusions. no focal consolidation or pneumothorax is identified. there are no acute osseous abnormalities.
history: <unk>f with weakness, wheeze
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the heart is mild-to-moderately enlarged. upper mediastinal contours are stable. lung volumes are low and there is bibasilar atelectasis, but no focal consolidation, pleural effusion, or pneumothorax. compression deformity in the mid thoracic spine is similar to prior. pneumobilia in the right upper quadrant is incidentally noted.
<unk> year old woman with fever // ? pneumonia
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there is a left breast prosthesis. normal cardiomediastinal contours. normal hilar contours. incidental note is made of chilaiditi syndrome. lungs are clear. pleural surfaces are normal.
<unk>-year-old woman with a smoking history, now with cough. evaluate for a pulmonary lesion.
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the heart is mildly enlarged. the aorta is moderately tortuous. the pulmonary vasculature shows upper zone redistribution suggesting pulmonary venous hypertension, but no congestive heart failure. there is no pleural effusion or pneumothorax. moderate anterior osteophyte formation and mild narrowings among several mid thoracic interspaces are noted.
chest pain.
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the heart is normal in size, and cardiomediastinal contour is unchanged compared to the prior study. lungs are well expanded and clear bilaterally without focal consolidation, pleural effusion, or pneumothorax. there is no evidence of free air under the diaphragm. gastric bubble is noted on the left.
<unk>-year-old man with left upper quadrant and left lower quadrant pain, history of sbo, evaluate for acute cardiopulmonary disease or air under the diaphragm.
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compared with the earlier study, a new endotracheal tube terminates <num> cm above the carina. lobe lung volumes are re- demonstrated, with cardiomegaly, mild to moderate pulmonary edema, and persistent hilar congestion. no large pleural effusions or pneumothorax on this limited scan. a presumed enteric tube courses be low the left hemidiaphragm another view.
<unk>f with new endotracheal tube placement. evaluate tube position.
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pa and lateral chest radiographs again demonstrate mild cardiomegaly and small bilateral pleural effusions without pulmonary vascular congestion or other evidence of volume overload. the lungs are clear. there is mild hilar prominence likely reflective of the patient's known history of cll.
history of cll, one month of productive cough.
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the cardiomediastinal silhouette is normal. there is mild prominence of the central pulmonary vasculature without overt edema. the lungs are clear. there is no pleural effusion or pneumothorax.
<unk>m w/ worsening ble edema, +dm, c/f heart failure
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the lungs are well inflated and clear. the cardiomediastinal silhouette and hilar contours are normal. there is biapical scarring. no pleural effusion or pneumothorax is seen.
<unk>f with chest pain, evaluate for pneumonia.
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the moderate left pleural effusion is not appreciably changed following placement of a pigtail catheter. left lower lobe collapse is unchanged. there is no pneumothorax. the right lung remains clear. the heart and mediastinum are magnified by the projection.
<unk> year old man with cad, htn, presumed copd, recent diagnosis of massive splenomegaly and liver lesions, now confirmed to be adenoca of spleen with liver mets, p/w worsening abd pain, now s/p chest tube // s/p chest tube, r/o pneumo
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the lungs are clear, the cardiomediastinal silhouette is normal. there is no pleural effusion and no pneumothorax. no fractures are visualized on this chest radiograph.
<unk>-year-old man with fall.
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pa and lateral views of the chest provided. there is no focal consolidation or pneumothorax. there may be trace bilateral pleural effusions. there is mild bibasilar atelectasis. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen. sternal wires are intact. mediastinal surgical clips are similar to prior.
history: <unk>f with fever, cough // eval for pna
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the left pigtail catheter has been removed in the interim. the larger pleural drain has been retracted and now terminates in the subpulmonic space there is a kink again noted at the location of the side-port and repositioning is recommended. a moderate to large size pneumothorax is again noted. subcutaneous air is seen along the left chest wall and beneath the pectoralis muscle. the endotracheal tube terminates <num> cm above the carina. an enteric tube courses to the level of the ge junction could be safely advanced <num> cm for positioning within the stomach. bilateral dense consolidations are consistent with aspiration. a subacute left proximal humeral fracture and multiple chronic appearing rib fractures are again noted.
left chest tube pulled back, evaluate for pneumothorax.
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cardiomediastinal contours are normal. the lungs are clear. there is no pneumothorax or pleural effusion. the osseous structures are unremarkable no pneumothorax is identified
<unk>m s/p <unk>, + helmet, + loc, +etoh, r ptx, r adrenal hemorrhage small liver lac // change in ptx
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pa and lateral views of the chest provided. retrocardiac opacity consistent with small hiatal hernia. platelike left basal atelectasis noted. no signs of pneumonia or edema. no pleural effusion or pneumothorax. cardiomediastinal silhouette is unchanged. bony structures are intact.
<unk>m with hx pericarditis, known pleural effusion, with cp x<num>hr
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the lungs remain hyperinflated. there is persistent blunting of the posterior costophrenic angles, suggesting trace pleural effusions versus pleural thickening. no definite new focal consolidation is seen. interstitial markings appear chronic. no evidence of pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. evidence of dish is seen along the spine.
history: <unk>m with cellulitis // eval for pna
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mild bronchial wall thickening is noted without focal consolidation. there is no pleural effusion, pulmonary vascular congestion, or pneumothorax. the cardiomediastinal silhouette is normal.
<unk>-year-old female with cough and fever, evaluate for pneumonia.
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lung volumes are lower than in <unk>. linear bilateral opacities are unchanged from <unk>, consistent with scarring. mediastinal contours, hila and cardiac silhouette are stable from <unk>. no pneumothorax or pleural effusion. no osseous abnormality within the limits of plain radiography.
<unk>f with acute severe chest pain // rib fracture? dissection?
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low lung volumes cause bronchovascular crowding. there is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. the cardiomediastinal silhouette is normal. a moderate hiatal hernia is noted.
<unk>f with chest congestion, evaluate for pneumonia.
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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>. the previously persisting postoperative pleural densities have markedly improved, the diaphragm now in almost normal position with a small blunting density obscuring the lateral right pleural sinus, but not extending significantly in the posterior area. mild degree of pleural space thickening (less than <num> mm) remains along the right lateral chest wall and extends in the apical area. a vertically oriented density exists in the apical area of the right upper lobe and most likely represents scar formations after the apical blebectomy. no residual pneumothorax can be identified. heart size is normal, and mediastinal structures are unremarkable. left-sided hemithorax appears quite normal.
<unk>-year-old male patient, status post right-sided vats pleurodesis. evaluate for interval change and remaining pneumothorax.
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the lungs are clear without focal consolidation, effusion, or edema. moderate severe cardiomegaly is unchanged. tortuosity of the thoracic aorta is again noted. compression deformity of a lower thoracic vertebral body is unchanged.
<unk>f with recent pneumonia, cough // r/o pneumonia
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portable ap upright chest film <unk> at <time> is submitted.
<unk> year old woman with volume overload, now s/p hd and uf // ? interval change, especially pulmonary edema ? interval change, especially pulmonary edema
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mild enlargement of cardiac silhouette is unchanged. the mediastinal and hilar contours are relatively stable. there is mild pulmonary vascular congestion. small bilateral pleural effusions are noted with bibasilar airspace opacities likely reflecting atelectasis. no pneumothorax is seen. the lungs are hyperinflated with mild emphysematous changes again demonstrated. old left-sided rib fractures are again noted. there are mild degenerative changes in the imaged thoracic spine.
shortness of breath.
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there is asymmetric prominence of the interstitial markings, especially in the lower lung zones which although may be due to pulmonary edema, this finding may also be due to infection or another interstitial process. additionally, there are opacities projecting over the lower portion of the spine on the lateral view and thus a mass at the lower pole of either hilum cannot be excluded. there is mild cardiomegaly. no pneumothorax. osseous structures are intact.
possible pneumonia, limited on initial ap for infectious process.
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mild pulmonary edema is noted without pleural effusion. no focal consolidation is seen to suggest pneumonia. no pneumothorax. heart size remains mildly enlarged. thoracic aortic calcification is present. bony structures appear demineralized though intact with a chronic deformity of the left humeral neck.
<unk>f with mechanical fall and signs of volume overload.
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ap portable upright view of the chest. left chest wall port-a-cath is seen with catheter tip in the region of the low svc. overlying ekg leads are present. the lungs are clear without focal consolidation, large effusion or pneumothorax. no signs of congestion or edema. cardiomediastinal silhouette is unchanged. bony structures are intact. no free air below the right hemidiaphragm.
<unk>m with hypoxia // ? infiltrate, chf
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a single supine portable frontal radiograph of the chest demonstrates an et tube with the tip terminating <num> cm from the carina which needs to be retracted <num>-<num> cm for appropriate positioning. an orogastric tube is seen coursing below the diaphragm with the port in the expected location of the stomach. the inspiratory lung volumes are low. retrocardiac opacification obscuring the left hemidiaphragm and left heart border may represent a developing infiltrate or atelectasis. right base atelectsais is seen. no pleural effusion or pneumothorax. the cardiac silhouette is incompletely assessed but maybe mildly enlarged. the pulmonary vasculature is not engorged.
<unk>-year-old female with subarachnoid hemorrhage status post intubation, here to evaluate et tube position.
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the cardiomediastinal and hilar contours are within normal limits and stable. the lungs are clear. biapical scarring is re- demonstrated. no pleural effusion or pneumothorax is identified. a thoracic vertebral body compression deformity is stable from <unk>.
history: <unk>m with cp // eval for ptx
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there is a new right-sided central line with the distal lead tip in the proximal right atrium. bibasilar atelectasis is again seen. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is unchanged. imaged osseous structures are intact. distended loops of bowel in the upper abdomen are similar to prior.
history: <unk>f with s/p cvl // s/p cvl placement
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frontal and lateral chest radiographs demonstrate a heart which is again top normal in size and well-aerated lungs which are clear. no focal consolidation, pleural effusion, or pneumothorax is seen. there is again pleural thickening at the bilateral apices, as well as a nodular opacity projecting over the left upper lung, unchanged dating back to at least <unk>. old fractures of the right fifth and sixth ribs are also unchanged.
chest pain. evaluate for pneumothorax or pneumonia.
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the lungs are well-expanded. bibasilar atelectasis is mild. no focal consolidation, effusion, edema, or pneumothorax. the heart is moderately enlarged. median sternotomy wires appear intact. mediastinal clips are intact.
<unk>-year-old woman with shortness of breath. evaluate for consolidation.
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ap upright and lateral views of the chest provided. there is a layering right pleural effusion, small to moderate in size with associated compressive lower lobe atelectasis. difficult to exclude an underlying pneumonia. the left lung is clear. hila appear somewhat congested. no overt pulmonary edema. the heart is moderately enlarged. mediastinal contour is normal. imaged osseous structures appear intact.
<unk>m with hx chf // ?failure
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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, sob, and fevers // eval for pneumonia
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numerous bilateral rounded lesions are consistent with pulmonary nodules better evaluated on ct <unk>. the heart size is normal. there small bilateral pleural effusions. there is no pneumothorax. the osseous structures are unremarkable.
history: <unk>f with new hypoxia since being in ed, now febrile // blossoming pneumonia?
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the cardiomediastinal and hilar contours remain stable. median sternotomy wires and aortic valve replacement are noted. elevation of the right hemidiaphragm is new, and a small to moderate right pleural effusion is present, a component of which is likely subpulmonic. partial obscuration of the right hemidiaphragm likely reflects residual infection. small left pleural effusion is present. there is no pneumothorax.
shortness of breath, recent pneumonia.
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the patient is status post posterior spinal fusion extending from t<num> to l<num>, which is only partially visualized. surgical clips project over the upper abdomen. the distal tip of right picc ends in the mid svc. bilateral opacities at the lung bases could be consolidations or atelectasis due to subtotal inspiration. there is no pneumothorax or pleural effusion. there is no evidence of fracture or dislocation.
history: <unk>m with picc line // picc line placement
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right ij central venous line ends in the low svc. no pleural effusion or pneumothorax. right hilar opacity projecting over the right hilum likely represents known lesion in the superior segment of the right lower lobe. bibasilar atelectasis. heart size is normal.
status post biopsy, evaluate for pneumothorax.
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bilateral hazy opacification and interstitial prominence is most consistent with mild-to-moderate pulmonary edema. no large effusion is present. there is no pneumothorax. the cardiac size is mildly enlarged.
asthma exacerbation.
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the lungs are hyperinflated but clear of consolidation. linear opacity in the right mid to upper lung is compatible with scarring as well as changes of the posterior right ribs which are chronic. blunting of the right lateral posterior costophrenic angle is chronic, potentially due to scarring or trace effusion. blunting of the left posterior costophrenic angle suggests small pleural effusion. cardiomediastinal silhouette is within normal limits. prominent retrocardiac opacity on the right is compatible with a neo esophagus. no acute osseous abnormalities.
<unk>m with dyspnea and cough // r/o acute process
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the heart remains moderately enlarged. the mediastinal contours are unchanged. there is moderate pulmonary edema, similar compared to the prior exam, with a small to moderate left pleural effusion, also relatively unchanged. probable small right pleural effusion is likely present. no pneumothorax is identified. left basilar opacification likely reflects compressive atelectasis. there is no pneumothorax or acute osseous abnormality.
hypoglycemia.
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. the lungs appear clear aside from streaky right basilar opacity most likely due to atelectasis. the lungs are hyperinflated. bony structures are unremarkable.
persistent hiccups.
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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 hx cad, hld, presenting w/ r sided weakness and decreased sensation
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lung volumes are reduced. the heart size is mild to moderately enlarged but unchanged. the aorta remains tortuous. hilar contours are normal. there is no pulmonary vascular congestion. streaky opacities in the lung bases likely reflect atelectasis. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
stroke history, tachycardia.
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frontal and lateral views of the chest. et and enteric tubes are no longer visualized. the lungs are hyperinflated but clear of consolidation, effusion, or pulmonary vascular congestion. cardiomediastinal silhouette is stable. median sternotomy wires again noted. no acute osseous abnormalities detected.
<unk>-year-old male with shortness of breath.
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the heart size is normal. cardiomediastinal silhouette and hilar contours are unremarkable. a new focal consolidation in the left lung base is worrisome for pneumonia. there is no pleural effusion or pneumothorax.
two weeks of cough and fever. repeat examination due to persistent symptoms.
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increased opacity in the left lower lobe with air bronchograms and silhouetting of the descending aorta is consistent with infection. no effusion, edema, or pneumothorax. there is mild left lower lobe atelectasis. the cardiomediastinal silhouette is unchanged. no acute ossoues abnormality.
<unk> year old man with renal failure, cough, fevers x <num> week. evaluate for infiltrates in the lungs.
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the lungs are symmetrically well expanded and well aerated without focal consolidation concerning for pneumonia. no pleural effusion or pneumothorax is seen. mild biapical scarring is noted. the pulmonary vasculature is not engorged. the cardiomediastinal and hilar contours are within normal limits. no acute osseous abnormality is identified.
left shoulder and jaw pain, here to evaluate for acute cardiopulmonary process.
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compared to prior chest x-ray, there has been no significant interval change. vague opacity projecting over the left lung base laterally is unchanged. on the lateral view, there is more conspicuous opacity over the posterior costophrenic angle which correlates with regions of mucous plugging and tree-in-<unk> opacities the right lung base on prior chest ct. there is no new consolidation. the cardiomediastinal silhouette is within normal limits.
<unk>m h/o mds <unk>/p mud x<num> for failed graft on <unk> and <unk> complicated further by cgvhd of skin, lungs and presumed gut, recent stenotrophomonas pneumonia and recent pancreatitis s/p sphincterotomy, discharged yesterday from the hospital presents with weakness, diff ambulating on stairs/ difficulty managing at home. c/o weakness and generalized body pain. // please assess for interval change
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portable upright chest film <unk> at <time> is submitted.
<unk> year old woman with respiratory distrees, s/p cervical spine fusion // fluid overload fluid overload
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assessment is limited by patient rotation and positioning. heart size is mildly enlarged with a left ventricular predominance. the aorta is diffusely calcified. mediastinal and hilar contours are grossly unchanged. pulmonary vasculature is not engorged. patchy left basilar opacity may reflect atelectasis though infection is not excluded in the correct clinical setting. no pleural effusion or pneumothorax is present. calcification projecting over the to right apex is unchanged. extensive degenerative changes are again demonstrated in the right shoulder.
history: <unk>f with hip dislocation // pre-op
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non-displaced fracture of the right anterolateral <num>th rib in close proximity to the skin marker and point of tenderness. there is no pneumothorax. the cardiomediastinal silhouette and hila are normal. there is no pleural effusion and no pneumothorax.
<unk>-year-old woman with right-sided rib pain. please assess for fracture.
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the patient is status post sternotomy. the cardiac, mediastinal and hilar contours appear unchanged. there is improvement in lung volumes with better aeration of the lung bases. there is no definite pleural effusion or pneumothorax although given technique small residual persistent pleural effusions would to be difficult to detect.
syncope.
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a power injectable right chest wall port-a-cath is present with the tip extending to the distal svc. a new opacity projects over the peripheral left mid lung zone likely related to the recent rfa. no pneumothorax identified. no pleural effusion. the right lung is clear. the size the cardiac silhouette is unchanged.
<unk> year old woman with aml // s/p l rfa today, with worsening pleuritic chest pain, evaluate for pneumothorax
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frontal and lateral views of the chest were obtained. the lungs are well expanded aside from mild linear bibasilar atelectasis. there is no focal consolidation, pleural effusion or pneumothorax. heart size is normal. mediastinal silhouette and hilar contours are normal. cervical spinal hardware is incompletely evaluated on this study.
cough.
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compared to the prior study there has been interval improvement in the pulmonary edema. there continues to be volume loss/ consolidation at the bases with small effusions right greater than left. the tracheostomy tube and and right ij cordis are unchanged. the ng tube tip is off the film, at least in the stomach
<unk> year old woman with respiratory failure // eval for worsening edema, consolidation
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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. prominent anterior spurs noted throughout the mid to lower t-spine. no free air below the right hemidiaphragm is seen.
<unk>m with hiccups/fever and uri s/s- r/o pna
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increased retrocardiac density is again noted corresponding to left lower lobe opacity on the lateral view. it is slightly improved from the previous study. there is no pleural effusion or pneumothorax. the heart size is top normal with normal cardiomediastinal silhouette.
crackles on exam. assess for pneumonia.
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patient is status post median sternotomy. bibasilar opacities persist which may be due to atelectasis and scarring. no definite new focal consolidation is seen although would be difficult to exclude on the left. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. multiple old right-sided rib deformities are again seen.
history: <unk>f w pmh of cad, aortic dissection w repair, htn presents to the ed s/p fall. // does she have any pulmonary infiltrates?
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the lungs are clear. the cardiomediastinal silhouette is within normal limits. left surgical neck humerus fracture is better seen on dedicated shoulder films. there is chronic deformity of the proximal right humerus which is likely from prior fracture as well as partially visualized plate with transfixing screws in the distal right humerus.
<unk>m with left shoulder injury s/p fall // ? fracture
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cardiac silhouette size remains mildly enlarged. mediastinal and hilar contours are unremarkable. the pulmonary vasculature is not engorged. no focal consolidation, pleural effusion or pneumothorax is present. minimal atelectasis is seen in the lung bases. a screw projects over the right humeral head. there are mild to moderate multilevel degenerative changes noted in the thoracic spine.
history: <unk>f with new oxygen requirement // pneumonia? acute process?
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the lungs are well-expanded and clear. no focal consolidation, edema, effusion, or pneumothorax. the heart is normal in size. the mediastinum is not widened. the hila and pleura are unremarkable. the partially visualized upper abdomen is unremarkable. no acute osseous abnormality.
<unk>-year-old man with shortness of breath and chest pain. evaluate for pneumonia and pneumothorax.
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frontal and lateral radiographs of the chest demonstrate intact median sternotomy wires. compared to the prior radiograph, there is improved inspiratory volumes. the cardiac contour is normal. the mediastinal contours are normal aside from a slightly tortuous descending aorta. the lungs are clear with no focal opacity. no pneumothorax or pleural effusion is seen.
status post avr, with one week of persistent cough and intermittent wheezing. evaluate cardiopulmonary architecture.
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a moderate right pleural effusion is unchanged. a right-sided pigtail catheter is in stable position, now above the meniscus of the effusion. a right-sided picc line terminates at the cavoatrial junction. left basal atelectasis is mild. the upper lungs are clear. there is no new consolidation, effusion or pneumothorax. no new abnormal cardiac or mediastinal contour.
<unk>-year-old man with empyema.
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the lungs are well-expanded and clear. no focal consolidation, effusion, edema, or pneumothorax. the heart is moderately enlarged. no acute osseous abnormality.
<unk>-year-old man with htn, d/v with lll rales. evaluate for pneumonia.
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the patient's severe cardiomegaly has been waxing and waning and today is again enlarged. the biggest change since prior radiograph is the substantial increase in pulmonary edema evidence by bilateral diffuse interstitial opacities and hilar engorgement. these findings are not accompanied by any significant pleural effusion. there is no pneumothorax. a biventricular pacemaker battery pack is in unchanged position. one lead leading to the left ventricle is in unchanged position; the other lead in the is off the view of this film.
shortness of breath.
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patient is status post median sternotomy, tricuspid valve replacement, and cabg. moderate enlargement of cardiac silhouette is unchanged. there is mild pulmonary edema, similar to that seen on the prior examination. linear and patchy opacification in the right lung base is compatible with atelectasis and/or scarring, with a small right pleural effusion and right lateral pleural thickening appearing unchanged. there is no pneumothorax. no acute osseous abnormalities detected.
history: <unk>f with past medical history of congestive heart failure presents with symptoms of volume overload as well as productive cough, shortness breath, chest pain