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a left-sided port-a-cath is in stable position. low lung volumes are demonstrated, which may accentuate bronchovascular markings. a diffuse interstitial abnormality is present and is increased from the prior examination, consistent with mild pulmonary edema. no pneumothorax or pleural effusion.
history: <unk>m with shortness of breath. h/o copd // acute process?
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear except for unchanged biapical scarring. no pleural effusion or pneumothorax is seen. a new compression deformity is present in the mid thoracic spine at approximately the t<num> vertebral body level.
<unk> year old man with history of melanoma // please evaluate disease status
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no focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac silhouette is top-normal. mediastinal contours are unremarkable. there may be very minimal interstitial edema.
history: <unk>f with weakness // eval infiltrate
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the right internal jugular pulmonary arterial catheter has been withdrawn, now terminating in the right main pulmonary artery. the intra-aortic balloon pump has also been withdrawn now terminating <num> cm above the left mainstem bronchus and approximately <num>cm from the apex of the aortic arch. there is unchanged mild pulmonary edema. there is no definite pleural effusion. the cardiac silhouette remains moderate the enlarged. a mitral valve prosthesis is again noted.
intra-aortic balloon pump, evaluate.
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assessment of the thorax is slightly limited by patient rotation and low lung volumes. right internal jugular central venous catheter tip terminates in the upper svc. no pneumothorax. heart size remains mildly enlarged. the mediastinal and hilar contours are grossly unchanged. there is crowding of bronchovascular structures with possible mild pulmonary vascular congestion, but no overt pulmonary edema. patchy atelectasis is noted in the lung bases without focal consolidation. no pleural effusion or pneumothorax is present. multiple remote left-sided rib fractures are again noted, and spinal fusion hardware spanning the cervicothoracic junction as well as within the lumbar spine is incompletely assessed.
history: <unk>m with right internal jugular central line placement
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the patient is status post median sternotomy and cabg. heart size remains moderately enlarged. the aorta is tortuous, and demonstrates mild calcification. mediastinal and hilar contours otherwise are unremarkable. calcified pleural plaques are noted bilaterally. the lungs are hyperinflated with flattening of the diaphragms. linear opacities within the lung bases likely reflect scarring or chronic changes. no focal consolidation, pleural effusion or pneumothorax is identified. there are multilevel degenerative changes in the thoracic spine.
chest pain.
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single lead icd with lead tip in situ in the right ventricle. post cabg changes. transverse cardiomegaly. mild distention of the upper lobe pulmonary vessels suggests either fluid overload or early cardiac decompensation. bilateral pleural effusions (left larger than right) best seen on the lateral view. no left sided pneumothorax. the previously noted consolidation seen in the posterior basilar aspect of the left lower lobe is not clearly visualized on today's study, but may be obscured by the effusion. no subdiaphragmatic free air.
<unk> year old man with new single chamber icd // lead placement
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moderate to severe cardiomegaly is unchanged. the aortic knob remains calcified. mediastinal and hilar contours are similar. moderate size left pleural effusion appears minimally increased compared to the prior study. opacification of the left lung base likely is due to compressive atelectasis. mild pulmonary vascular congestion appears similar. trace right pleural effusion is relatively unchanged. no pneumothorax is identified.
generalized weakness.
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the lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen. remote left rib fracture is noted.
history: <unk>f with shortness of breath // eval for pna
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there is moderate partially loculated right pleural effusion, increased since prior. right basilar opacity, likely atelectasis, consider pneumonitis in the appropriate clinical setting. improved left perihilar, basilar opacity. tiny left pleural effusion or thickening, similar. thoracic curve. patient chin position obscures dilatation of the upper chest. heart is enlarged. catheter is projected over right lower chest. healing right lower lateral rib fracture.
<unk> year old woman with malignant effusion, s/p tpc // ? re-accumulation of effusion
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a right-sided picc line terminates in the superior vena cava, as before. a drainage catheter also projects over the right upper quadrant. the cardiac, mediastinal and hilar contours appear unchanged. there is no pleural effusion or pneumothorax. the lungs appear clear. mild relative elevation of the right hemidiaphragm is unchanged. mild degenerative changes are similar along the thoracic spine.
chest pain.
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cardiomediastinal contours are unchanged. the lungs are clear. there is no pneumothorax or pleural effusion.
<unk> year old man with grids/strips intracranial monitoring with increasing leukocytosis // pneumonia?
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the cardiac, mediastinal and hilar contours are normal. the lungs are clear. pulmonary vascularity is normal. no pleural effusions or pneumothoraces. no acute osseous abnormalities are present.
bilateral pitting edema.
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the lungs are clear. there is no evidence of pneumonia, pneumothorax, or pleural effusion. cardiac silhouette is normal in size.
<unk>f with right posterior rib pain pleurtic in nature // r/o posterior pna
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hyperexpansion of the lungs is again noted, compatible with known severe underlying copd. the hilar and pleural surfaces are unremarkable, and the heart size is normal. there is no pneumothorax, focal airspace opacity, or pulmonary edema. dense atherosclerotic calcifications in the aortic arch are again noted. slight eventration of the right hemidiaphragm is unchanged. osseous fusion of lower thoracic vertebral bodies and right eighth rib deformity related to prior surgery is unchanged.
<unk> year old man with gold ii copd which is stable, shortness of breath, crackles and increased leg edema // any infiltrates or edema
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heart size is mildly enlarged. the aorta is tortuous and demonstrates mild atherosclerotic calcifications. mediastinal and hilar contours are otherwise unremarkable. the pulmonary vasculature is normal. minimal subsegmental atelectasis is noted in the lung bases. no focal consolidation, pleural effusion or pneumothorax is present. multilevel degenerative changes are noted in the thoracic spine. marked degenerative changes are also seen involving both acromioclavicular joints.
history: <unk>f status post fall. poor historian.
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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. bony structures are intact. no free air below the right hemidiaphragm.
<unk>f with chest pain. evaluate for infectious process, effusion.
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left-sided port-a-cath tip is in the proximal right atrium. heart size is borderline enlarged. mediastinal and hilar contours are normal. known mediastinal lymphadenopathy is not well appreciated on these views. the pulmonary vascularity is not engorged. two dominant left lower lobe nodules appear unchanged, and are better delineated on the prior ct. other known pulmonary nodules seen on ct are not well assessed on the current exam. no pleural effusion, focal consolidation or pneumothorax is seen. no acute osseous abnormalities visualized.
lung cancer, dyspnea.
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an endotracheal tube is in unchanged position <num> cm from the carina. since the prior exam, the catheter in the right main stem bronchus has been removed. there is a new valve overlying the right hilum. its exact positioning is difficult to determine on this single ap view. a right chest tube is in unchanged position. since prior exam, the right apical pneumothorax is unchanged. there is increased linear consolidation in the right mid lung zone, likely due to increased atelectasis. the opacity at the right base is unchanged. there is likely a tiny right pleural effusion. the left lung is clear without an opacity. a small left pleural effusion is unchanged. there is no left pneumothorax. the cardiomediastinal silhouette is normal.
pneumothorax, status post valve placement by interventional pulmonology. evaluate for change.
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frontal and lateral views of the chest. there is minimal left basilar opacity at the left costophrenic angle likely due to atelectasis. there is no effusion and the lungs are otherwise clear. the cardiomediastinal silhouette is within normal limits. angulation of the left lateral ninth rib is compatible with fracture. lower thoracic dextroscoliosis is noted.
<unk>-year-old male with previous rib fracture with worsening left-sided chest pain. question pneumothorax.
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frontal and lateral radiographs of the chest demonstrate normal heart size, mediastinal and hilar contours. clear lungs. no pneumothorax or pleural effusion.
chest pain
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patchy right middle lobe opacity is worrisome for a subtle pneumonia. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with doe, sob, fevers // eval for pleural effusion, pneumothorax
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the lungs are clear. cardiomediastinal silhouette and hilar contours are unremarkable. no pleural effusion or pneumothorax.
<unk>-year-old man one month ago diagnosed with left lower lobe infiltrate, now status post course of antibiotics. question resolution.
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there are relatively low lung volumes. no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. no displaced fracture is seen.
chest pain techniquefrontal and lateral views of the chest.
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cardiac, mediastinal and hilar contours are normal. the pulmonary vascularity is normal. the lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
chest pain.
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interval placement of right-sided basilar pigtail catheter with interval decrease in size of the right pleural effusion and increased aeration overall in the right lung. there is persistent airspace consolidation in the right lower lung likely representing residual partial lower lobe collapse. no pneumothorax is appreciated. cardiac mediastinal contours are difficult to assess due to marked patient rotation on the current study, although the heart remains enlarged. overall, the left lung remains grossly clear. no pulmonary edema.
<unk> year old man with new right sided chest tube // r/o ptx
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a new central venous catheter terminates in the left brachiocephalic vein. there is no pneumothorax. otherwise, there has been no significant short-term change.
status post new central line placement.
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the cardiomediastinal and hilar contours are normal. there is mild atelectasis at the right lung base. there is no large pleural effusion, focal consolidation or pneumothorax.
fever, hypertension. evaluate for pneumonia.
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the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. moderate enlargement of the cardiac silhouette is stable.
cough and crackles at the left base.
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the lungs are poorly inflated. there are no new focal opacities. left retrocardial scarring versus atelectasis and right middle lobe scarring is unchanged. there is no pleural effusion or pneumothorax. a right-sided picc line is unchanged in position, ending in the upper svc versus the confluence of the brachiocephalic veins. the ng tube has been advanced in the interval and loops into the stomach with the tip likely around the pylorus. multiple punched out lytic lesions noted in both clavicles and in the scapula are consistent with known history of multiple myeloma.
<unk>-year-old female with multiple myeloma and ileus. evaluate for location of the tip of an ng tube recently placed.
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the heart size is normal. the hilar and mediastinal contours are normal. no focal consolidations concerning for pneumonia are identified. there is no pleural effusion, or pneumothorax.
<unk>f with palpitations triggered by cold air, since yesterday. left-sided upper lobe fine crackles. please evaluate.
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cardiac silhouette is borderline enlarged. there is no consolidation, pleural effusion, or pneumothorax. mediastinal and hilar silhouettes are normal size.
positive ppd <unk> year old woman with positive ppd // positive ppd
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single portable view of the chest. there are bibasilar opacities, right greater than left. superiorly the lungs are clear. cardiomediastinal silhouette is within normal limits. atherosclerotic calcifications noted at the aortic arch. no acute osseous abnormality detected.
<unk>-year-old female with altered mental status. question pneumonia.
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pa and lateral chest radiographs demonstrate a left perihilar, upper lobe consolidation. there is no pleural effusion or pneumothorax. the heart size is normal.
cough and fever. concern for pneumonia.
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frontal and lateral views of the chest. right chest wall port is again seen with catheter tip in the lower svc. left picc on prior is no longer visualized, and previously seen surgical drains are no longer seen. the lungs are clear without focal consolidation or large effusion. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormality is identified.
<unk>-year-old female with gastric cancer and pre-syncope.
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the lungs are clear without focal consolidation large effusion, or edema. the cardiomediastinal silhouette is within normal limits. deformity of a posterior right lower rib is compatible with prior fracture. chronic deformity of the right humeral head is noted. no acute osseous abnormalities.
<unk>f with asthma, cough // eval for pna
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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. no displaced fracture is seen. degenerative changes are seen along the spine.
chest pain.
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lordotic positioning. no lines or tubes identified. clinical correlation is requested. multiple ekg leads overlie the chest. there are very low inspiratory volumes. allowing for this, no definite cardiac enlargement. mild upper zone redistribution, without other evidence of chf. no focal infiltrate or effusion. no pneumothorax detected.
<unk> year old man with stemi // evaluate for line placement, consolidation, edema, effusion.
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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. there is no free air under the diaphragm.
<unk>f with epigastric and cp, rule out occult process.
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the cardiomediastinal and hilar contours are within normal limits. a subtle opacity at the right heart border likely represents crowding of vascular structures and atelectasis. there is no pneumothorax, fracture or dislocation. limited assessment of the abdomen is unremarkable.
history: <unk>f with cough, chest congestion/discomfort // r/o acute process
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single portable chest radiograph demonstrates unchanged examination with a stable moderate right apical pneumothorax. the right-sided presumed pericardial catheter is unchanged in position. the right-sided perihilar opacification is stable. there is, however, slightly decreased opacification of the right lung base.
lung cancer with myocardial, brain mets with pericardial effusion, status post bronchoscopy and subxiphoid pericardial window performed <unk>, assess for pneumothorax.
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the lungs appear relatively hyperinflated.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 frequent falls at home with malaise and fatigue // eval for sdh, pna
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when compared to prior, there has been no significant interval change. tracheostomy tube is again noted. bibasilar opacities are again seen. moderate cardiomegaly unchanged.
<unk>m with trach and ams // assess for pna
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ap upright and lateral views of the chest provided.overlying ekg leads are present. the lungs are clear bilaterally without focal consolidation, large effusion or pneumothorax. no signs of congestion or edema. cardiomediastinal silhouette is normal. bony structures are intact. no free air below the right hemidiaphragm.
<unk>f with l sided weakness after vomiting
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there is no focal consolidation, pleural effusion, or pneumothorax. linear opacities at the left base is likely atelectasis. cardiomediastinal silhouette is unchanged.
<unk>-year-old male with increased confusion, prior cva. question infiltrate.
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portable ap upright chest radiograph <unk> at <time> is submitted.
<unk> year old man with nash cirrhosis, pre-op for liver transplant // please rule out acute cardiopulm process surg: <unk> (liver transplant) please rule out acute cardiopulm process
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mild cardiomegaly is stable. right ij catheter tip is in the upper to mid svc. there is no evident pneumothorax. small bilateral effusions, adjacent atelectasis and atelectasis in the left perihilar region are unchanged. ng tube tip is out of view below the diaphragm
<unk>m hx of hbv cirrhosis, now s/p olt <unk>, p/w persistent n/v/diarrhea/poor po intake, possibly medication related. // post r ij cath placement
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re- demonstrated is a tracheostomy in unchanged location overlying the upper midline mediastinum near the thoracic inlet, unchanged in appearance since prior. a right sided vascular stent is unchanged in appearance and orientation. right hilar mediastinal clips are unchanged. the cardiomediastinal silhouettes are stable. known left hilar mass is not well appreciated on the current study. the right hilum is unremarkable. there is no focal lung consolidation. there is no pulmonary vascular congestion. there is no pneumothorax or pleural effusion.
<unk>m with hypoxia and weakness s/p tracheostomy, evaluate for pneumothorax, infiltrate, pneumonia.
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pa and lateral views of the chest provided. midline sternotomy wires and prosthetic aortic valve noted. 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 chest pain
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note is again made of basilar-predominant linear opacities consistent with patient's known interstitial lung disease. there is no new airspace opacity concerning for pneumonia. no pleural effusion or pneumothorax is seen. the cardiac silhouette is normal in size. the mediastinal contours are within normal limits and unchanged. trachea is midline. the visualized upper abdomen is unremarkable. there is a deformity at the right lateral eighth rib, which is unchanged from the prior study and may represent prior fracture.
fever and cough for the past two days ago, here to evaluate for pneumonia.
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suspected trace pleural unilateral pleural effusion is seen on lateral view only, probably on the left side. no focal consolidation or pneumothorax is detected. heart and mediastinal contours are within normal limits.
<unk>-year-old female with sudden onset of pleuritic chest pain.
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frontal and lateral radiographs of the chest. the heart size and mediastinal contours are normal. no focal consolidation, pleural effusion or pneumothorax is present. pulmonary vascularity is within normal limits.
fever and cough. evaluate for pneumonia.
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the patient has been intubated. an endotracheal tube terminates approximately <num> cm above the carina. an orogastric tube has been passed and terminates perhaps shortly beyond the gastroesophageal junction. findings associated with pulmonary edema appear not substantially changed. small bilateral pleural effusions persist.
status post endotracheal intubation.
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the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>f with syncope // pna?
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the cardiomediastinal silhouette and pulmonary vasculature are normal. no consolidation is identified. there is no pleural effusion or pneumothorax. there is moderate dextroscoliosis of the thoracic spine.
history: <unk>m with sob // pna?
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frontal and lateral views of the chest were obtained. the lungs are clear without focal opacity, consolidation, pleural effusion or pneumothorax. the aorta is tortuous. the heart size is normal. the hila and mediastinal contours are unchanged. aortic stent graft is seen in the abdomen.
vaginal cancer and weakness. evaluation for infection.
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cardiomediastinal contours are normal. the lungs are hyperinflated and clear. there is no pneumothorax or pleural effusion. the osseous structures are unremarkable
<unk> year old man with h/o pneumothorax (spontaneous) in <unk> // r/o r ptx
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low lung volumes are noted. the lungs are grossly clear. calcified granuloma seen in the left lower lobe medially is unchanged. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified.
<unk>m with ams, ? seroquel and klonopin od, apparent si // eval for consolidation
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the heart is mildly enlarged. mediastinal contours normal. there is no large pleural effusion or pneumothorax. there is no overt pulmonary edema. right lower lobe opacity corresponding to known lesion, has not significantly changed from prior.
<unk>f with shortness of breath, leg swelling, evaluate for volume overload..
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the size of the cardiomediastinal silhouette is enlarged but unchanged. interval apparent decrease in extent of the bilateral pleural effusions however there is persisting lower lobe atelectasis/consolidation, greater on the left. no pneumothorax identified. pulmonary vascular congestion is present. interval removal of the left picc line. the patient is status post tavr.
<unk> year old woman with hx severe as s/p tavr, w/ hypoxemia // please eval for consolidation vs. congestion
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frontal and lateral views of the chest. the lungs are clear of focal consolidation, effusion or pulmonary vascular congestion. the cardiomediastinal silhouette is within normal limits. atherosclerotic calcifications noted at the aortic arch. no acute osseous abnormality is identified. there is an accentuated kyphosis of the spine.
<unk>-year-old female with altered mental status.
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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 copd exac // eval for bronchitis/pna
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median sternotomy wires are well aligned and intact. lung volumes are low. there is persistent elevation of the right hemidiaphragm. again seen is left basilar atelectasis. there is minimal increase in the indistinctness of the pulmonary vasculature in comparison the prior examinations. possible septal lines are noted. there is no pleural effusion or pneumothorax.
<unk>m with sob // chf?
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a left-sided picc terminates in the proximal svc.there is diffuse increase in interstitial markings bilaterally which may be due to moderate pulmonary edema and/or atypical infection. a more focal opacity is seen in the lateral right lower lung, which could also relate to infection. there is prominent right apical thickening. no large pleural effusion or pneumothorax is seen. the cardiac silhouette is top-normal. the aorta is tortuous. the partially imaged humeral heads are high riding, which can be seen in rotator cuff disease.
history: <unk>m with weakness, l axillary rhonchi // eval for acute process
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stable cardiomegaly is seen with mild to moderate pulmonary edema. no pleural effusions, pneumothorax or focal consolidation is seen. median sternotomy wires are intact. a right upper mediastinal opacity and indentation of the trachea may reflect a goiter.
diastolic congestive heart failure with dyspnea.
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two views were obtained of the chest. the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. the heart is normal in size with normal cardiomediastinal contours.
reports shortness-of-breath with normal examination.
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a subcutaneous icd and a left hemodialysis catheter are unchanged in position. there is again seen, are are primarily lower lobe predominant dominance of the interstitial markings, similar to prior, but likely reflects chronic vascular congestion. no focal consolidation is seen. there is no pleural effusion or pneumothorax.
<unk> year old woman with esrd and persistent dysarthria, evaluate for cough, consolidation, or edema.
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pa and lateral radiographs of the chest demonstrate clear lungs and normal hilar and cardiomediastinal contours. there is no pneumothorax or pleural effusion. pulmonary vascularity is normal.
chest pain and increasing dyspnea on exertion. evaluate for pneumonia or other process.
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streaky left basilar opacity likely reflects atelectasis. the lungs are otherwise clear. there is no pneumothorax. again the aorta is tortuous, relatively stable from the prior exams. cardiac silhouette is stable in size. no obvious rib fractures noted. there is a mild compression of a mid thoracic vertebral body, not significantly changed from <unk>. screw within the right proximal humerus is noted. ivc filter is partially imaged.
<unk>-year-old female with fall. history of chronic subdurals. rule out trauma.
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left chest wall port catheter terminates over the right atrium. heart size and mediastinal contours are stable. there is moderate heterogeneous retrocardiac opacification which may represent atelectasis, however pneumonia is a possibility. mild linear opacification at the right lung base has the appearance of atelectasis. no pleural effusion or pneumothorax.
<unk>m with fever, sob // pna
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frontal and lateral radiographs of the chest demonstrate slight blunting at the right costophrenic angle. the cardiomediastinal and hilar contours are unremarkable. there is no pneumothorax, consolidation, or pleural effusion.
<unk>-year-old female with indeterminate quantiferon gold test. evaluate for latent tuberculosis.
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lung volumes are relatively low. the lungs are clear without consolidation, effusion, or edema. there is no pneumothorax. the cardiomediastinal silhouette is within normal limits given low lung volumes. no acute osseous abnormalities.
<unk>m <unk> exposed to smoke yesterday while fighting a fire, now with headache but no dyspnea // ?inhalation injury?
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cardiomediastinal contours are normal. the lungs are hyperinflated. the lungs are clear. there is minimal biapical pleural thickening. there is no pneumothorax or pleural effusion. the osseous structures are unremarkable
<unk> year old man with cough // rule out pneumonia
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the right chest tube has been removed. there is no pneumothorax. a radiopaque line is noted coursing vertically over the left lateral chest and is likely external to the patient. there is no focal consolidation or pleural effusion. cardiomediastinal silhouette is normal in size. radiopaque densities seen on the lateral view near the diaphragm likely represents surgical material from gastrectomy.
chest tube removal. evaluation for pneumothorax.
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no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. hyperinflated lungs with underlying emphysematous changes appear similar compared to prior. heart and mediastinal contours appear stable with calcified tortuous aorta. lung nodules seen on prior ct are not appreciated radiographically, but ct is more sensitive for small lung nodules.
<unk>-year-old female with history of lung cancer, congestive heart failure, and hypertension, now with unsteady gait and altered mental status.
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compared with most recent prior radiograph, there has been interval placement of an et tube which is in good position. a new right internal jugular introducer sheath is in expected position. the patient has undergone median sternotomy with wires and surgical clips noted overlying the mediastinum and upper abdomen. a right chest tube and a mediastinal drain are new with the previously seen right chest tube now in more horizontal position. air inclusions project over the region of the left costophrenic sinus. there has been interval improvement in left lower lung opacity and atelectasis of the right medial lung base. the heart size has decreased compared to prior. no pleural effusion or pneumothorax is present.
head injury and stab wound to chest. evaluate pneumothorax/hemothorax.
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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. there is no pulmonary edema. the imaged upper abdomen is unremarkable.
chest pain.
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lung volumes are low leading to crowding of the bronchovascular structures. atelectasis is noted at the right lung base and within the left retrocardiac space. otherwise, there is no evidence for lobar consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is within normal limits, allowing for technique and lung volumes.
history: <unk>m with profound diaphoresis // ? pna
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the lungs are well-expanded and clear. the cardiomediastinal hilar contours are unremarkable. there is no pneumothorax, pleural effusion, or consolidation. note is made of a small hiatal hernia.
<unk>f with hx of asthma and sarcoidosis p/w persistent cough.
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single portable view of the chest. right picc is identified . the tip is not clearly delineated however may be in the region of the superior svc. there are increased densities projecting over the anterior <num>nd ribs bilaterally. thought to be external in nature, potentially patient's hair. the lungs are otherwise clear. cardiomediastinal silhouette is stable.
<unk>-year-old female with picc which is not painful.
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left-sided port-a-cath tip terminates in the low svc. cardiac, mediastinal and hilar contours are unchanged, with the heart size within normal limits. pulmonary vasculature is not engorged. streaky atelectasis is noted in the lung bases without focal consolidation. no pleural effusion or pneumothorax is present. moderate multilevel degenerative changes are noted in the thoracic spine.
history: <unk>m with chest pain
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the lungs are well-expanded. right lung is clear. a heterogeneous retrocardiac opacity is noted. a well demarcated lentiform opacity within the left lower lobe is best seen on frontal view. no pleural effusion or pneumothorax. heart size, mediastinal contour, and hila are unremarkable.
<unk>m with ? syncopal episode/ams. assess for acute process, attn to pna
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the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable. median sternotomy wires and aortic and mitral valve replacements are noted.
history: <unk>f with chest pain fever // acute cardiopulmonary disease
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single portable view of the chest. enteric tube is seen coiled within the stomach, tip off the inferior field of view. the lungs are clear of focal consolidation. the cardiac silhouette is slightly enlarged, unchanged. no acute osseous abnormality detected noting degenerative changes at the right glenohumeral joint and possible post traumatic changes in the proximal left humerus, incompletely visualized.
<unk>-year-old female with nausea and vomiting. diabetic ketoacidosis. question pneumonia.
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pa and lateral views of the chest provided. faint platelike atelectasis is noted in the left lower lung. otherwise the lungs are clear. no pleural effusion or pneumothorax is seen. the cardiomediastinal silhouette is normal. bony structures are intact. a small calcific density abutting the right humeral head laterally may reflect tendinopathy.
<unk>f with l knee pain, chest pain s/p fall
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unremarkable mediastinal, hilar and cardiac contours. bibasilar opacifications evident more evident on the lateral view, potentially in the retrocardiac space. no pleural effusion or pneumothorax evident.
atraumatic right-sided chest pain with inspiration, shortness of breath, wheezing. please evaluate for acute process.
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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. again seen is dextroscoliosis of the thoracic spine, unchanged compared to the prior exam. mild atelectasis at the left lung base.
history of slurred speech, facial droop. please evaluate for stroke.
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there is a large hiatal hernia. there small bilateral pleural effusions, left greater than right. compared to the study from <num> days prior the right effusion is smaller. there is no pneumothorax.
<unk> year old woman with r pleural effusion s/p thoracentesis // ptx
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the lungs are clear. there is no consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>m with chest pain // eval for pna
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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 doe // eval for acute process
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compared with prior radiographs on <unk>, there has been interval worsening of the right upper lobe consolidation, pleural effusions and edema. there is no pneumothorax. cardiomediastinal silhouette is similar to prior. a dobhoff tube terminates in the stomach. a left picc line is stable in position.
<unk> year old man desatting acutely // eval for edema, effusions
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the lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. no acute fractures are identified.
evaluation of patient with fever.
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single portable view of the chest is compared to previous exam from <unk>. there is minimal increased right basilar opacity, potentially due to atelectasis given relatively lower lung volumes. left lung remains clear. lateral costophrenic angles are sharp. cardiomediastinal silhouette is stable as are the osseous and soft tissue structures.
<unk>-year-old male with substernal chest pain.
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there still diffuse increase in interstitial markings bilaterally consistent with chronic interstitial lung disease. no new focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are grossly stable.
history: <unk>m with cough // r/o acute process
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pa and lateral views of the chest are compared to previous exam from <unk>. since prior, tracheostomy tube is no longer seen. the lungs are clear. costophrenic angles are sharp. mild scarring vs. atelectasis in the left lower lobe noted. elevation of the right hemidiaphragm is stable. the cardiomediastinal silhouette is stable as are the osseous and soft tissue structures.
<unk>-year-old man with shortness of breath. question pneumonia.
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the heart is mild-to-moderately enlarged. fullness of the right paratracheal stripe may be due to underlying tortuous vessels. fullness of the right hilum is likely accentuated by low lung volumes. no pulmonary vascular congestion is present. no focal consolidation, pleural effusion or pneumothorax is seen. elevation of the right hemidiaphragm is noted. there are no acute osseous abnormalities.
cough and shortness of breath.
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pa and lateral views of the chest provided. midline sternotomy wires again noted. there is no focal consolidation, effusion, or pneumothorax. no signs of congestion or edema. the cardiomediastinal silhouette is normal. curvilinear calcification on the lateral view projecting over the heart likely represents mitral annular calcification. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>m with bp <unk> asymptomatic
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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> year old woman with intoxication, decreased breath sounds r base // eval for pna, aspiration
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compared to <num> day prior, pulmonary edema has increased, now moderate. possible small right pleural effusion. moderate cardiomegaly is unchanged. no new focal opacity.
<unk> year old man with low oxygen saturation (<unk>%) // please evaluate for interval change
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frontal and lateral views of the chest. relatively low lung volumes are seen. there is no confluent consolidation, effusion or pneumothorax. the cardiomediastinal silhouette is within normal limits. comminuted left clavicular fracture is as described on dedicated exam.
<unk>-year-old male with bicycle fall with pain in the left shoulder.