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pa and lateral views of the chest. the lungs are clear without consolidation or pneumothorax. the cardiomediastinal silhouette is normal. osseous structures demonstrate no acute osseous abnormality.
<unk>-year-old male with chest pain.
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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.
chest pain, evaluate for acute cardiopulmonary process.
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cardiac silhouette size is normal. the aorta is mildly unfolded. mediastinal and hilar contours are otherwise unremarkable. pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is identified. no acute osseous abnormality is detected.
history: <unk>m with chest pain after exertion
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lungs are well inflated and clear. the cardiomediastinal silhouette and hilar contours are within normal limits and stable. a tiny left apical pneumothorax is unchanged since <num> day prior. tiny right pleural effusion remains. subcutaneous emphysema at the left chest wall is unchanged. small amount of pneumoperitoneum.
<unk> year old man pod<unk> s/p thoracoabdominal esophagetomy with esophagojejunostomy. evaluate for interval change.
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small bilateral pleural effusions are present. hyperexpansion is moderate. there is no focal consolidation, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is within normal limits. there is diffuse demineralization.
<unk>f w/confusion, evaluate for occult pneumonia.
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the newly placed left pectoral dual-lead pacemaker device appears intact and in appropriate position with <num> lead terminating in the right atrium and the other in the right ventricle. streaky, linear opacities in the left lower lobe are more prominent, consistent with atelectasis. associated elevation of the left hemidiaphragm is unchanged. central pulmonary vascular congestion is moderate. the heart is moderately enlarged. the descending thoracic aorta is tortuous and/or ectatic. no pneumothorax, effusion, or focal consolidation to suggest focal pneumonia.
<unk> year old man with ppm placement <unk>; evalute ppm lead positioning.
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pa and lateral views of the chest. previously identified right upper lobe consolidation has resolved. there is however some subtle opacity at the right lung base seen as increased density in the posterior costophrenic angle. elsewhere the lungs are clear. there is no effusion. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormality detected.
<unk>-year-old female with fevers and chills and shortness of breath.
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the picc line tip has been pulled back an it is now in the proximal svc. the pacer device appearance is unchanged. the broken sternal wires again visualized. there is no focal infiltrate. there is blunting of both cp angles which may represent tiny effusions. the heart is mildly enlarged.
<unk> year old man with ivdu, mssa endocarditis on vanc/rifampin/nafcillin/fluconazole, w/ new fevers last night. // eval for pna vs septic emboli.
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portable ap chest radiograph demonstrates low lung volumes and perihilar vascular engorgement. a left-sided port-a-cath is in stable position. the cardiomediastinal silhouette is normal. there is no large pleural effusion or pneumothorax.
dyspnea, large volume ascites.
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postoperative cardiomediastinal silhouette and hilar contours are unremarkable and stable. <num> lead aicd device positioning is unchanged. several surgical clips project over the mediastinum and left hemi thorax. lungs are clear. no pleural effusion or pneumothorax.
chest pain.
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a right chest tube has been removed with a tiny residual pneumothorax identified. there is new consolidation in the left lung base. there are small bilateral pleural effusions. the cardiac and mediastinal contours are unchanged. obliquely oriented linear opacities project over the right hemithorax. while some may represent displaced rib fractures, others are thought to be external. a small amount of subcutaneous air along the right lateral chest wall persists. the bones are diffusely osteopenic which limits evaluation of the known compression fractures.
recent fall with a right pneumothorax. re-evaluate after chest tube removal.
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chest, pa and lateral. there is a possible small left pleural effusion and there are bilateral lower lobe opacities. the lungs are otherwise clear. the heart size is top normal or slightly enlarged. probable background hyperinflation. no chf. there is no pneumothorax.
dyspnea on exertion for one week, with recent exacerbation and elevated bnp.
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the lungs are clear. the cardiomediastinal silhouette is within normal limits. left chest wall dual lead pacing device is noted with tips in the right ventricular apex and right atrium. no acute osseous abnormalities.
<unk>m with weakness // please eval for any evidence of an infection
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cardiac size is top normal. the lungs are clear. there is no pneumothorax or pleural effusion.
<unk> year old woman with nstemi // cxr per acs protocol
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single portable view of the chest is compared to previous exam from <unk>. since prior, there has been interval resolution of the perihilar and bibasilar interstitial edema. the lungs are now clear without large confluent consolidation. cardiac silhouette is enlarged but stable in configuration when compared to prior. leftward tracheal deviation at the thoracic inlet is again noted, likely somewhat accentuated due to technique and positioning.
<unk>-year-old male with shortness of breath and hypoxia.
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mild pulmonary vascular congestion is present, and previously present mild pulmonary edema has resolved. there is no new focal opacity, pleural effusion or pneumothorax. the cardiac and mediastinal contours are stable.
<unk>-year-old woman with a history of chronic obstructive pulmonary disease and congestive heart failure presents from a nursing home. bibasilar crackles on exam.
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a peripheral opacity along the lower left lung has not significantly changed allowing for lower lung volumes on today's examination. there is an adjacent small left pleural effusion. the right lung is grossly clear. there is no right pleural effusion. there is no pneumothorax. the cardiomediastinal silhouette is unchanged.
<unk>-year-old woman with h/o asthma, sarcoidosis, lul lung resection and recurrent pneumonias who presented with pleuritic chest pain, fevers, and cxr and ct findings concerning for pneumonia. // please assess for interval change
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unchanged elevation of right hemidiaphragm and right mediastinal shift associated with previous surgical resection. surgical <unk> are seen in the lateral right mid lung. lungs are clear of consolidation, pleural effusion or pulmonary edema. heart size is normal.
<unk> year man with history of non-small cell lung cancer and esophageal cancer status post radiation surgery, now on chemotherapy with near cough. assess for pneumonia.
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since <unk>, right pleural effusion is increased, left pleural effusion is slightly decreased, pulmonary edema is improved. right hemodialysis catheter tip ends in the svc atrial junction. aortic stent graft appears unchanged. median sternotomy wires are intact and aligned. no pneumothorax. cardiomegaly is unchanged.
<unk> year old man with pleural effusion // eval
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the lungs are clear aside from minimal left-sided platelike atelectasis versus scarring. there is no evidence of pneumonia, effusion, or pulmonary edema. cardiac size is normal. hilar contours are unremarkable. no bony abnormalities are appreciated on this nondedicated film.
fall.
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left-sided port-a-cath terminates in the low svc without evidence of pneumothorax. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
history: <unk>m with fever and cough // r/o acute infectious process
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dual lead left-sided pacemaker is seen with leads extending the expected positions of the right atrium and right ventricle. the cardiac and mediastinal silhouettes are stable. mild basilar atelectasis without focal consolidation. bronchial wall thickening is likely present. there is no pleural effusion or pneumothorax.
history: <unk>f with left sided neglect ?infection // cxr eval for pnancct eval for ich
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pa and lateral radiographs of the chest demonstrate clear lungs and normal hilar and cardiomediastinal contours. right apical scarring is noted. there is no pneumothorax or pleural effusion. pulmonary vascularity is normal. surgical clips in the bilateral axilla are noted. there is no free air below the right hemidiaphragm.
right upper quadrant pain.
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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. the bony structures are unremarkable.
severe sharp pain.
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interval increase in the size of a right apical pneumothorax, now measuring up to <num> cm and without evidence of tension physiology. redemonstrated is significant pneumomediastinum and diffuse subcutaneous emphysema, essentially unchanged as compared to the prior examination. airspace opacity obscuring the right heart border likely correlates with the known right middle lobe collapse seen on recent chest ct. left basilar airspace opacities may represent atelectasis versus consolidation. a small right pleural effusion is unchanged. the cardiomediastinal silhouette is stable. no acute bony abnormality is detected.
known right pneumothorax and pneumomediastinum. evaluate for interval change.
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac silhouette is top-normal. slight prominence of the ap window may be positional, although underlying lymphadenopathy is not excluded.
history: <unk>m with sore throat, cough // eval for pna
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pa and lateral views of the chest show platelike perihilar atelectasis, right greater than left. no associated consolidation suggestive of pneumonia is seen and left basilar consolidation seen on the <unk> study has cleared. moderate cardiomegaly, severe changes in the shoulder joints, atherosclerotic plaque in the arch of the aorta and intact lower cervical fixation plate are unchanged findings.
<unk> year old woman with s/p <unk>'s <unk> from radiation proctitis / hemorrhagic ulcer (cervical ca s/p xrt/chemo), s/p ex-lap loa x<num> for sbo on <unk> and <unk>, now p/w sbo now with difficulty breathing // evaluate for pna
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the configuration of a dual-lead pacemaker/icd device, with leads terminating in the right atrium and ventricle, appears unchanged. the patient is status post coronary artery bypass graft surgery. the cardiac, mediastinal and hilar contours appear stable. the right costophrenic angle appears blunted, which suggests a small pleural effusion, potentially with associated atelectasis. however, when compared to the scout view from the prior ct, which is the most recent prior study, there has been no definite change. patchy retrocardiac opacity suggesting minor atelectasis also appears unchanged. predominantly peripheral interstitial changes which are more striking in the lower than upper lungs show no clear change. lung volumes are again low.
altered mental status.
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since earlier same-day chest radiograph, right chest tube is removed and there is a minimal small right apical pneumothorax. subcutaneous emphysema is unchanged. the heart size is normal. overall, the lungs are clear. mild bibasilar atelectasis is unchanged.
<unk> year old man s/p r vats thymectomy, discharged with chest tube/pneumostat for air leak. now d/c'd. // check interval change post pull film
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the ap single view of the chest demonstrates significant cardiac enlargement even considering possible of geometric distorsion as patient was examined in semi-upright position using ap views. in comparison with the next preceding portable chest examination of <unk>, the heart size has further increased. the pulmonary vasculature demonstrates now bilateral marked perivascular haze and distended vessels in comparison with the previous exam and is indicative of at least moderate degree of chf. observed is also a resected rib in the left hemithorax (probably <unk> <num>), finding which already was present on the preceding study. the diaphragms are relatively high positioned indicating poor inspirational effort and adding to crowded appearance of pulmonary vasculature. the lateral pleural sinuses, however, remain free of any major fluid accumulation. no pneumothorax is seen in the apical area.
<unk>-year-old female patient admitted with preseptal cellulitis with copd - multiple pneumonias and new delirium. evaluate for pneumonia.
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there has been interval resolution of multifocal consolidations. pulmonary vasculature is persistently prominent and heart size is mildly enlarged. increased density at the right lung base appears unchanged. the aorta is calcified.
<unk>-year-old female with syncope.
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pa lateral chest radiographs were obtained. there is bibasilar atelectasis related to low lung volumes. the cardiac silhouette remains moderately enlarged with pulmonary vascular congestion. there is blunting of the right costophrenic angle which may represent a trace pleural effusion. no pneumothorax is seen.
chest pain, rule out pneumothorax or pneumonia.
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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.
seizure.
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the enteric tube extends to at least the body of the stomach, with its distal tip not captured on the current study. right picc terminates near the low svc. endotracheal tube tip lies <num> cm above the carina. extensive multifocal pneumonia is unchanged. when interpreted in conjunction with the prior cta performed on <unk>, there are additional background groundglass opacities, which are not entirely explained by an infectious process. a drug reaction could be considered. there may be a small pleural effusion on the left. no pneumothorax. heart size is top-normal.
<unk> year old woman with pulmonary embolism, og tube placed // og tube placement
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cardiomediastinal contours are normal. low lung volumes accentuate the bronchovascular structures, especially at the lung bases. there are no focal areas of consolidation or pleural effusion.
<unk> year old man with cough for weeks and mild hemoptysis // r/o infiltrate or lung nodule
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pa and lateral views of the chest were reviewed. compared to the prior studies, the lung volumes have improved and the lungs are clear without evidence of vascular congestion, pleural effusion, or pneumothorax. the heart size is normal. spinal fixation hardware is unchanged. there are no concerning osseous or soft tissue lesions.
cough and fever.
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mild cardiomegaly, increased compared to <unk>. there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal and hilar contours are normal.
history: <unk>m with cough // ? pneumonia
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ng type tube and left chest tube remain visible. the tip of the ng tube lies at the level of the ge junction, probably just above it. a side-port, if present, overlies the lower esophagus. the cardiomediastinal silhouette is grossly unchanged. patchy opacity in the right cardiophrenic region is more pronounced, but could reflect the presence of the neo esophagus. the possibility of some associated atelectasis cannot be excluded. retro cardiac opacity is very slightly more pronounced than on the prior study. extreme left costophrenic angle is excluded from the film. small effusions would be difficult to exclude, but no gross effusion is identified. possible extremely tiny left apical pneumothorax.
<unk> year old man s/p thoracoabdominal esophagectomy and a eshopagojejnostomy // interval change
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the 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 previous sequestration lost to f/u.
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pa 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. there is no pulmonary edema. partially imaged upper abdomen is unremarkable.
epigastric pain.
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cardiac silhouette size remains mildly enlarged. the mediastinal and hilar contours are grossly unchanged. there is mild cephalization of pulmonary vascular markings suggestive of mild pulmonary vascular congestion, new in the interval. patchy opacities in the lung bases may reflect areas of atelectasis though infection is not excluded. no pleural effusion or pneumothorax is identified. there are no acute osseous abnormalities.
history: <unk>f with congestive heart failure status post fluids
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lung volumes are slightly low. there is minimal bibasilar atelectasis. no convincing evidence of pneumonia. the heart is not enlarged. the mediastinal and hilar contours are normal. there is no pulmonary edema. a <unk> implanted arrhythmia recorder is noted in the left chest wall.
syncope and bradycardia. rule out congestive heart failure.
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the lungs are relatively hyperinflated, which can be seen in chronic obstructive pulmonary disease. subtle rounded opacity projecting over the right lung base may relate to a nipple shadow which should be confirmed with repeat with nipple markers. otherwise, no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. the cardiac silhouette is not enlarged. aorta is calcified and tortuous. degenerative changes are seen at the acromioclavicular joints and right shoulder.
fever, cough, shortness of breath.
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pa and lateral views of the chest demonstrate the lungs are well expanded and clear. the heart is mildly enlarged. otherwise, the cardiomediastinal silhouette is unremarkable. multiple healed left rib fractures are noted. there is no pleural effusion, pulmonary edema, pneumothorax or focal consolidation. degenerative changes of the bilateral shoulders are again seen.
<unk>-year-old female with chest pain. evaluation for pneumonia.
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pa lateral images of the chest. the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable.
cough and fever.
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the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. mediastinal silhouette is normal. the heart size is at the upper limits of normal. there is no evidence of free air below the hemidiaphragms. a small amount of air is in the expected location of the stomach. the stomach is mostly fluid-filled.
epigastric pain radiating to the back.
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chest, pa and lateral. aside from left lower lobe atelectasis or scarring, the lungs are clear. lung volumes are low. the hilar and mediastinal contours are normal. there is no pneumothorax or pleural effusion. pulmonary vascularity is normal.
fever and chills.
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portable semi-upright radiograph of the chest demonstrates initial placement of the endotracheal tube into the right mainstem bronchus. the endotracheal tube was subsequently repositioned such that the tip ends <num> cm from the carina. there has been interval clearing of the right base, and new obliteration of the left hemi-diaphragm, consistent with pleural effusion and atelectasis. probably tiny left apical pneumothorax is stable.
<unk> year old woman with sepsis and hypoxia, now intubated // please evaluate position of ett
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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.
history: <unk>m with dyspnea
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again seen is a a right-sided indwelling catheter and left sided dual lead pacemaker, grossly unchanged. also again seen is a small left apical pneumothorax, unchanged. there is upper zone redistribution and mild vascular blurring, consistent with interstitial thickening. the small to moderate right pleural effusion with underlying right base collapse and/or consolidation is unchanged. patchy opacity at the left base is similar, though perhaps slightly more pronounced on the current film. there is increased obscuration left hemidiaphragm and blunting of left costophrenic angle.
<unk> year old woman with bilateral chest tubes, metastatic breast ca, please perform cxr at <unk> // eval for change in ptx, tubes, effusions, please perform cxr at <unk>
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. a streaky right lower lung opacification suggest minor atelectasis, but otherwise the lungs appear clear. there is no pleural effusion or pneumothorax. calcified chondroid matrix is partly visualized in the proximal right humerus consistent with an enchondroma.
dyspnea and gastrointestinal bleeding.
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low lung volumes are present. right-sided port-a-cath tip terminates in the low svc. heart size is top-normal. the aorta is mildly tortuous. the mediastinal and hilar contours are within normal limits. pulmonary vasculature is not engorged. patchy atelectasis is noted in the lung bases without focal consolidation. no large pleural effusion or pneumothorax is identified. no acute osseous abnormality is visualized.
history: <unk>m with metastatic pancreatic carcinoma with acute stroke symptoms, had cva recently
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patient status post coronary artery bypass graft. median sternotomy wires are intact. numerous surgical clips project over the mediastinum and around the heart. the heart is not enlarged. mediastinal hilar contours are normal. calcification and tortuosity of the thoracic aorta is re- demonstrated. there is no pleural effusion or pneumothorax. there is no pulmonary edema. the lungs are hyperexpanded with flattening of the hemidiaphragms as before.
<unk> year old man with pneumonia <unk> // compare to <unk> xray and assess for clearing
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pa and lateral views of the chest provided. patient is status post multilevel posterior spinal fusion without evidence of complication. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact.
<unk> year old woman with multiple myeloma. recent flu now with incrasing cough and respiratory congestion. r/o pneumonia. // r/o pneumonia. multiple myeloma on chemo. + flu now with worsening respiratory symptoms.
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there is a single lead pacemaker with the tip projecting over the expected location of the right ventricle. the heart is moderately enlarged. there is mild pulmonary vascular redistribution. there are no definite infiltrates. there is no pneumothorax
<unk> year old woman s/p single chamber ppm // r/o pneumo
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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.
history: <unk>m with <num> wk l cva region pain, rx for kidney stone treatment, negative labs and imaging
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the cardiomediastinal silhouette and pulmonary vasculature are not significantly changed since most recent examination. the iabp has been removed. there is progressed edema. the lungs are clear. no definite pleural effusion or pneumothorax is identified.
<unk> year old man with htn p/w stemi and cardiogenic shock // evaluate for pulmonary edema
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the lungs are clear of focal consolidation. the cardiomediastinal silhouette is within normal limits. no displaced fractures identified.
<unk>f with chest pain, dizziness // acute process
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the lungs are clear of consolidation effusion, or pulmonary vascular congestion. moderate hiatal hernia is again noted. the cardiomediastinal silhouette is otherwise unremarkable. no acute osseous abnormalities.
<unk>f with nausea, chest pain // eval for pna, chf
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heart size is normal. a vascular stent is again noted within the left brachiocephalic vein, and the previously noted dual lumen central venous catheter has been removed. the mediastinal and hilar contours are normal. pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is visualized. there are no acute osseous abnormalities.
fever.
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single portable view of the chest demonstrates severe cardiomegaly. extensive parenchymal opacities are similar to the prior study. these findings could certainly be seeming eosinophilic lung disease as well as pulmonary edema. no large pleural effusion is noted however small pleural effusions are difficult to exclude. consolidation in the left lower lobe in the retrocardiac region is likely due to atelectasis.
<unk> year old man with esrd, tuberous sclerosis on hd, rcc and eosinophilic lung disease with ams
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endotracheal tube terminates <num> cm above the carina. ng tube terminates within the esophagus above the diaphragm. right central catheter terminates in the lower svc. the heart size is moderately enlarged and prominence of the vascular pedicle is similar to prior. lungs are clear without focal consolidation, pleural effusion, or pneumothorax. subcutaneous gas along the right axilla and chest wall is similar or slightly more prominent than the radiographs <num> hours prior, and is new since <unk> at <time>.
history: <unk>m with intubated // eval eett
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endotracheal tube tip terminates approximately <num> cm from the carina. enteric tube tip is within the stomach. cardiac, mediastinal and hilar contours are normal. pulmonary vasculature is not engorged. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is present. no acute osseous abnormality is visualized.
<unk>m status post intubation, please confirm tube placement
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the cardiomediastinal and hilar contours are within normal limits. the lung fields are clear. there is no pneumothorax, fracture or dislocation. limited assessment of the abdomen is unremarkable.
history: <unk>m with chest pain sob // eval for shortness of breath pna?
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heart size is top normal. mediastinal and hilar contours are unremarkable. pulmonary vasculature is normal. no focal consolidation, pleural effusion or pneumothorax is present. there are no acute osseous abnormalities.
history: <unk>f with history of anemia presenting with one month of subjective fevers and productive cough // ?pneumonia
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the lungs are clear. the cardiomediastinal silhouette is within normal limits. chronic posttraumatic changes noted at the right shoulder.
<unk>m with l knee swelling pre op for i and d washout // preop for ortho surgery
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frontal and lateral radiographs of the chest demonstrate interval resolution of left pleural effusion with minimal residual pleural effusion. the lungs are hyperexpanded indicative of emphysema. post-radiation fibrotic changes of the left apex are again noted. surgical clips in the left axilla are also seen. the cardiac and mediastinal contours are unchanged.
recurrent left effusion.
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the right subclavian stent is unchanged since the prior study. compared to the prior study, there are increased diffuse interstitial lung markings, without other findings to suggest cardiogenic edema. for example, there are no pleural effusions or cardiomegaly. no focal consolidations or pneumothorax.
<unk> year old man with renal transplant postop from lower extremity reconstruction with fever. evaluate for pneumonia.
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the heart is mildly to moderately enlarged. there is no discrete focal consolidation, pleural effusion, or pneumothorax. mediastinal silhouette is within normal limits.
<unk>m pre-op xray for or tomorrow am. preoperative x-ray.
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ap upright and lateral views of the chest were provided demonstrating no focal consolidation, effusion, or pneumothorax. tiny surgical clips are seen projecting over the right chest wall. cardiomediastinal silhouette is normal. no acute osseous injury is seen. a coarse calcific density projecting over the left scapular neck is unchanged from prior exam and may reflect synovial osteochondromatosis.
<unk>f with patella fx, preop chest radiograph.
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there is no pleural effusion or pneumothorax. the lungs appear clear.
chest pain and shortness of breath.
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heart size is normal with mild tortuosity of the thoracic aorta. cardiomediastinal silhouette and hilar contours are unchanged. again seen are scattered increased reticular densities bilaterally slightly more prominent compared to <unk> compatible with known history of uip. there is no focal consolidation worrisome for pneumonia. there is no effusion or pneumothorax.
chronic cough and the known interstitial lung disease.
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lung volumes are very low and the film is somewhat underpenetrated. faint bibasilar opacities are similar to yesterday's study and may reflect mild atelectasis; however, pneumonia or aspiration cannot be completely excluded. the heart is mildly enlarged. the mediastinal and hilar contours are unremarkable. there is calcification of the aortic arch. there is no large pleural effusion or pneumothorax.
dyspnea and new tachypnea. evaluate for aspiration.
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frontal and lateral views of the chest. the lungs are clear. previously seen effusions have essentially resolved with perhaps minimal residual effusion on the left. streaky retrocardiac opacity most suggestive of atelectasis. the lungs are clear of consolidation. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified. coronary artery stents are identified.
<unk>-year-old male with fever, immunosuppressed.
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pa and lateral views of the chest. there is widespread, heterogeneous, non-confluent, bilateral opacities with lower lobe predominance. the extent of the distribution of the opacities has increased compared to prior study. the pulmonary vasculature is difficult to assess; however, does not appear enlarged. the heart is within normal limits. there is no pneumothorax. the cardiac and mediastinal and hilar contours are normal.
multifocal pneumonia with recurrent fever despite antibiotic treatment, evaluate for interval change.
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pa and lateral views of the chest provided. spinal catheters are noted. catheter projects over the right hemi thorax. the lungs are clear without focal consolidation, effusion or pneumothorax. the heart mediastinal contours are normal. bony structures are intact. no free air below the right hemidiaphragm.
<unk>f with shortness of breath // acute process?
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cardiomegaly and pulmonary edema again seen with no significant change. no pneumothorax. tracheostomy tube in place. left central line in mid to lower svc. right ij line in right innominate vein. ng tube in the stomach
<unk> year old woman with s/p mvr and cabg // hypoxia
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lung volumes are normal. there is no focal consolidation, pleural effusion or pneumothorax. cardiomediastinal contours are normal. no acute osseous abnormalities identified. no subdiaphragmatic free air.
<unk>-year-old female with history of ivdu, now presenting for evaluation after assault
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in comparison to the prior chest radiograph, all lines and tubes have been removed. the bilateral lung aeration has improved dramatically. there is a small left pleural effusion. there is a subtle right basilar opacity. heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. no pneumothorax is seen.
<unk> year old man with new dx pancreatic ca, massive gi bleed, being treated for ventilator assoc pna // eval for interval change
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cardiac and mediastinal silhouettes are stable. there is mild right base atelectasis without definite focal consolidation. no large pleural effusion or pneumothorax is seen. gastrostomy tube is noted overlying the left abdomen. surgical clips are again seen overlying the left lung apex.
history: <unk>m with agitation // eval pna
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there is interval development of patchy increased density at the left base concerning for pneumonia. there is minimal bibasilar scarring or subsegmental atelectasis as well. the heart and mediastinal structures are unchanged.
aspiration, pna
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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 woman with new dyspnea // r/o chf
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heart size is moderately enlarged. the mediastinal and hilar contours are grossly unremarkable. there is no overt pulmonary edema. patchy atelectasis is seen in the lung bases without definite consolidation. no pleural effusion or pneumothorax is present. there are no acute osseous abnormalities.
history: <unk>m with fever and cough
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lung volumes are normal. there is no focal consolidation, effusion, or pneumothorax. mediastinal and hilar contours are normal. heart size is normal.
<unk>m with slurred speech, weakness // ich, pna
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cardiac silhouette size is mildly enlarged but unchanged. aorta is mildly tortuous. widening of the mediastinal contour and prominence of the right paratracheal stripe is compatible with underlying lymphadenopathy. several scattered nodular opacities are noted within both lungs, most pronounced within the left upper lobe, not substantially changed from the prior radiograph. suture material is again demonstrated within the right lower lobe with adjacent opacity likely reflecting a combination of postsurgical scarring and atelectasis. blunting of the right costophrenic angle likely reflects a small pleural effusion, also unchanged. no new focal consolidation is seen. there are mild degenerative changes in the thoracic spine.
history: <unk>f with progressive mediastinal adenopathy and lung nodule presents with <num> day chest pain
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there is no focal consolidation, pleural effusion, or pneumothorax. mild left base atelectasis is seen. cardiac and mediastinal silhouettes are stable. aorta is mildly tortuous. no acute fractures are identified but bones appear diffusely demineralized. mild degenerative changes are noted throughout the thoracic spine.
transient confusion.
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the lungs are hypoinflated. patient is status post pleurx drain placement in the right lung with the tip seen in the mid to upper lateral lung and catheter placement in the left lung with the tip terminating in the left lung base, stable in position since prior exam. there is interval decrease in pleural effusions compared to the prior exam in <unk> with small residual effusions present bilaterally. irregularity of the bilateral hila and right heart border are compatible with known metastatic nodules and lymphadenopathy, better assessed on prior ct from <unk>. extensive mediastinal lymphadenopathy is unchanged. no new focal consolidation is identified. no pneumothorax. the heart size appears approximately stable compared to prior exams.
history: <unk>f with history of metastatic breast cancer, now receiving chemotherapy, with bilateral pleurx catheters // eval for pleural effusions
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there is a left-sided chest tube, which appears unchanged in orientation in comparison to the prior chest radiograph. there is a small amount of subcutaneous emphysema, but no evidence of pneumothorax. there is also small amount of left apical pleural thickening, which is likely postoperative. there is a small left-sided pleural effusion with compressive atelectasis, which is unchanged. the lungs are otherwise clear. heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. there are no acute osseous abnormalities. a g tube is seen projecting over the left upper abdomen.
<unk> year old man s/p vats left blebectomy, pleurodesis // check interval change
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pa and lateral views of the chest. there is subtle opacity at the left costophrenic angle with opacity also projecting in the posterior costophrenic sulcus on the lateral view. elsewhere, the lungs are clear. note is made of a fat pad at the right cardiophrenic angle similar to prior ct scan. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormality is identified.
<unk>-year-old female with dyspnea and fever.
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ap portable upright view of the chest. underpenetration limits assessment. left chest wall aicd is again noted with pacer lead extending into the right heart though the tip is poorly visualized. there is a right upper extremity picc line partially imaged, tip in the upper svc. cardiomegaly is unchanged. there is no overt evidence for pneumonia or edema. no large effusion or pneumothorax. bony structures are intact.
<unk>m with chf, sob // chf exacerbation?
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frontal and lateral views of the chest. the lungs are clear of consolidation, effusion, or pulmonary vascular congestion. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities detected.
<unk>-year-old female with weakness, sore throat and tongue pain for <num> week. question infection.
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single portable view of the chest. endotracheal tube is seen with tip approximately <num> cm from the carina. left-sided internal jugular line is seen with course projecting laterally and tip over the axillary region. enteric tube is seen passing below the diaphragm, although the tip is not clearly delineated and potentially off the inferior field of view. left-sided pleural catheter is identified at the lung base. there is dense retrocardiac opacity which could be due to any combination of effusion, consolidation or infection. elsewhere, there is mild pulmonary edema.
<unk>-year-old female with respiratory distress status post intubation and chest tube placement.
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ap upright and lateral views of the chest provided.e concerning for pneumonia with adjacent small left pleural effusion. the right lung appears clear. heart size appears grossly unchanged. mediastinal contour stable. bony structures are intact.
<unk>f with confusion, recent tavr // eval for infiltrate
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no focal consolidation, pleural effusion, or pneumothorax is seen. heart size is top normal. aortic tortuosity is noted; mediastinal contours are otherwise unremarkable.
<unk>-year-old female with chills and vomiting.
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lungs are clear bilaterally. heart is mildly enlarged. overall appearance of the chest is similar to prior study dated <unk>. probable calcified granuloma projects over the left midlung zone. the aorta is tortuous. mediastinal contours are unchanged. there is no pleural effusion or pneumothorax. no displaced rib fracture is identified. known proximal right humerus fracture is better evaluated on concurrent shoulder films.
<unk>f with s/p fall // fx?
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there is a new area of irregular, branching opacification in the right lower lobe, which may represent atelectasis or aspiration. the enteric tube and endotracheal tube are unchanged compared to the prior radiograph. low lung volumes along with the patient supine positioning likely account for apparent pulmonary vascular crowding. no pleural abnormalities detected. the heart and mediastinum are normal appearing.
status post motor vehicle accident now intubated. evaluate for pneumonia.
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there has been interval removal of the endotracheal tube. the ng tube is seen in appropriate positioning coursing below the diaphragm with the tip and side hole overlying the stomach. there is a right picc line terminating in the low svc. the lungs are otherwise clear. heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. no pneumothorax or pleural effusions are visualized.
<unk>f single car mvc, +etoh/marijuana, <unk> <unk> intubated sah w/ c<num> facet fx,right hemothorax s/p r pigtail // s/p ngt placement
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there is a moderate left pleural effusion that is mildly increased since <unk>. there is plate atelectasis in the mid left lung. opacification of the left lung parenchyma has resolved. there is pneumothorax. mild cardiomegaly is unchanged. there is no pulmonary vascular congestion.
evaluation of pleural effusion.
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et tube and enteric tube remain in standard position with tip of enteric tube off the film. cardiomediastinal and hilar contours are normal. the left lower lobe opacity remains stable compared to the radiographs from <unk> and likely represents aspiration or pneumonia. there is no pleural effusion or pneumothorax. no new focal consolidations are present. pulmonary vasculature is within normal limits.
admitted with small subarachnoid hemorrhage post mva, assess interval change.
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pa and lateral views of the chest demonstrate the lungs are well expanded and clear. the cardiomediastinal silhouette is unremarkable. there is no evidence of pleural effusion, pneumothorax or pulmonary edema. no focal opacification is identified within the lungs. aortic arch calcifications are present.
chest pain.