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the heart size, mediastinal, and hilar contours are normal. the lungs are clear without pleural effusion, focal consolidation, or pneumothorax.prior right anterolateral rib fractures are unchanged.
<unk> year old man with multiple myeloma with cough and sob. evaluate for pneumonia.
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ng tube is seen with tip projecting off the inferior field of view, side port is not clearly delineated but is certainly beyond the ge junction. large amount of gas-filled bowel is seen in the upper abdomen. there is lucency below the right and left hemidiaphragm, potentially within a gas-filled stomach on the left and potentially loops of colon on the right, however, the configuration is slightly different when compared to ct scan and repeat exam is recommended to exclude possibility of free intraperitoneal air given change in appearance. appearance of the lungs is unchanged and limited due to the severe scoliosis. no large confluent consolidation is identified. cardiomediastinal silhouette is stable as are the osseous and soft tissue structures notable for probable proximal left humeral fracture which appears old.
ng tube placement.
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frontal and lateral views of the chest were obtained. the patient is status post resection of a pancoast tumor with partial right lung and chest wall resection. rightward shift of the mediastinum and postoperative right lung volume loss is similar to prior, allowing for patient rotation with respect to the film. the heart size is normal. no focal consolidation, pleural effusion, or pneumothorax. a displaced fracture of the right clavicle is new since <unk>, but similar to <unk>. no new displaced rib fracture is present.
<unk>-year-old male status post fall with right chest wall tenderness. rule out rib fracture.
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an endotracheal tube is in satisfactory position approximately <num> cm from the carina. opacification of the left base is likely due to layering fluid from a moderate left pleural effusion, as well as atelectasis. there is a small right pleural effusion. no focal opacity is identified to suggest pneumonia. there is no pneumothorax. sternal wires are intact, consistent with a prior cabg. the cardiomediastinal silhouette is normal.
known intraparenchymal hemorrhage with worsening mental status. evaluate after intubation.
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compared to previous exam, there has been no significant interval change. again seen is volume loss in the right hemithorax with increased density in the right paratracheal region. some of this is likely due to post-radiation changes. there is no visualized pneumothorax on the current exam. right basilar pleurx catheter remains in place with some fluid within the major fissure, unchanged. the left lung remains grossly clear. cardiomediastinal silhouette is stable. stents again identified in the descending thoracic and upper abdominal aorta. no acute osseous abnormalities.
<unk>-year-old female with shortness of breath.
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the heart size is top normal. mediastinal and hilar contours are unchanged with tortuosity of the thoracic aorta again noted. low lung volumes cause mild crowding of the bronchovascular structures, though no overt pulmonary edema is seen. patchy bibasilar airspace opacities most likely reflect atelectasis but infection is not completely excluded. no pleural effusion or pneumothorax is clearly noted. there are no acute osseous abnormalities.
chills.
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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>. heart size remains normal. no configurational abnormality is present. thoracic aorta unchanged. the pulmonary vasculature is not congested. no signs of acute or chronic parenchymal infiltrates are present and the lateral and posterior pleural sinuses remain free. no pneumothorax in apical area. on previous examination identified minimal linear scar formations on the left lung base remain unchanged.
<unk>-year-old male patient with amiodarone. on amiodarone, evaluate for pulmonary toxicity.
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the heart size is normal. the mediastinal and hilar contours are within normal limits. the pulmonary vascularity is normal. lungs are clear. no pleural effusion or pneumothorax is present. no acute osseous abnormalities are detected. partially imaged is a right humeral head prosthesis.
mid thoracic paraspinal pain after moving heavy boxes.
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ap upright and lateral views of the chest provided.extensive spinal fusion hardware is again noted along with midline sternotomy wires. cardiomegaly is again noted with hilar congestion and mild to moderate pulmonary edema. no large effusion or pneumothorax seen. bony structures appear grossly intact.
<unk>m with hx chf, p/w dyspnea
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slight engorgement of the vasculature is present; however, there is no frank pulmonary edema. there is no evidence of pneumonia. no pleural effusion. cardiac size is normal. no free air.
chest pain.
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ap portable upright view of the chest. airspace consolidation in the left mid lung is concerning for pneumonia and is new from prior. right pleurx catheter is again noted. hilar prominence is unchanged and may reflect central congestion. cardiomediastinal silhouette is unchanged. no overt osseous abnormality.
<unk>f with cough, fevers, h/o multiple myeloma w/ pleurex catheter on r // ? pneumonia
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the cardiomediastinal silhouettes are stable and within normal limits. the bilateral hila are unremarkable. there is no pulmonary vascular congestion. subtle diffuse mild interstitial prominence may reflect some component of underlying mild chronic interstitial lung disease, however this is unchanged in appearance since <unk>. there is no focal lung consolidation. there is no pneumothorax or pleural effusion.
<unk>-year-old man with weakness, evaluate for pneumonia.
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since the chest radiographs obtained <unk>, there is new, mild cardiomegaly. lungs are fully expanded and clear without consolidations or effusions. heart size is normal. cardiomediastinal and hilar silhouettes are normal. pleural surfaces are normal.
<unk> year old man with cough // cough/ronchi
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a tracheostomy is in place,. a right-sided picc line tip overlies the distal svc, similar to prior. oral contrast is again noted in the gastric fundus -- as before, it projects above the level of the left hemidiaphragm. i doubt significant interval change. the cardiomediastinal silhouette appears stable. the pulmonary findings in both lungs are similar to the prior film. no free air seen beneath the diaphragms.
<unk>m s/p r thoracotomy, decortication, and mediastinal washout and ex-lap with abdominal washout for mediastinitis and abdominal fluid collections now also s/p ex-lap and drainage for colonic perforation. s/p pelvic collection drainage. patient is s/p trach/peg. patient also underwent ex lap/irrigation of abdomen/removal of jp drainx<num>, vac placement on <unk> and repeat vac placement on <unk>. // follow up
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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>-year-old man with severe epigastric pain for <num> hours. evaluate for pleural effusion or intraperitoneal free air.
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ap portable upright view of the chest. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact.
<unk>m with mild sob, tachycardia // eval for pulmonary edema
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the cardiac silhouette is again severely enlarged with globular appearance that may suggest some degree of pericardial effusion. extent of the heart size is difficult to evaluate in the presence of large bilateral pleural effusions which are similar in severity compared to prior exam, with adjacent bibasilar compressive atelectasis. there is increased central pulmonary vascular congestion with increased reticulations compatible with mild-to-moderate pulmonary edema. calcified right lung nodules indicate prior granulomatous disease. there is no pneumothorax.
increasing shortness of breath.
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cardiac silhouette size is top normal. mediastinal and hilar contours are unremarkable. pulmonary vasculature is normal. the lungs are clear. no pleural effusion or pneumothorax is seen. no acute osseous abnormality is identified.
history: <unk>f with chest pain, nausea, hematemesis
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cardiac, mediastinal and hilar contours are within normal limits. lungs are clear. pulmonary vasculature is normal. no focal consolidation, pleural effusion or pneumothorax is present. no acute osseous abnormality is identified.
history: <unk>f with non-productive cough
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frontal and lateral views of the chest. there is persistent right basilar opacity compatible with an effusion with possible underlying atelectasis. there is calcification of the pericardium as seen on prior. the left lung is clear. cardiac silhouette is unchanged.
<unk>-year-old male with shortness of breath and chest pain while lying flat.
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the heart size is normal. the hilar and mediastinal contours are normal. the lungs are clear without evidence of focal consolidations concerning for pneumonia. there is no pleural effusion or pneumothorax. the visualized osseous structures are unremarkable.
history of palpitation/fluttering, please evaluate for pneumonia.
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the cardiac, mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. small eventration of the anterior right hemidiaphragm appears unchanged. the lungs appear clear. there has been no significant change.
cough.
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lines and tubes: endotracheal tube terminates <num> cm above the carina as before. ekg leads overlie the chest wall. lungs: persistent low lung volumes with unchanged dense left retrocardiac opacity and diffuse lung haziness bilaterally with prominence of hilar vasculature. pleura: unchanged cardiomegaly with improving bilateral pleural effusions. mediastinum: there is no cardiomegaly. mediastinal silhouette is within normal limits. bony thorax: no interval change.
<unk> year old man with pneumonia and trach now with worsening respiratory status in setting of hypertension and agitation. // eval for flash pulm edema
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there is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is within normal limits.
history: <unk>f with syncope // eval
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the lungs are clear without focal consolidation suspicious for pneumonia. there is however nodular opacity on the lateral view projecting anteriorly, overlying the cardiac silhouette. cardiomediastinal silhouette itself is unremarkable. no acute osseous abnormalities.
<unk>f with dyspnea and r sided pleuritic cp // eval for pna, ptx
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right lung is well expanded and clear. mild atelectasis is present at the left base. normal cardiomediastinal and hilar silhouettes and pleural surfaces. impression minimal .
<unk>-year-old man <unk> postoperative day after left total knee. febrile and desaturating. assess for pleural effusion consolidation or atelectasis.
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mild interstitial pulmonary edema has slightly progressed. left moderate pleural effusion has also increased. right-sided pleural effusion with fluid tracking along the minor fissure is also slightly larger. moderate to severe cardiomegaly. prior median sternotomy and mvr. sternal wires are intact. dual lead pacemaker with the tips in similar position.
<unk>f with rheumatic heart disease s/p mechanical mvr, recent second redo-sternotomy with tvr tissue valve, afib, ppm placement in <unk>, presenting with dyspnea and chf. // interval change of pulm edema, signs of infection
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the tip of the endotracheal tube projects <num> cm from the carina. unchanged appearance of the left central line and right-sided picc and gastric tube which remains looped in the stomach. a left chest wall battery device with a cranially directed leads projecting over the left lateral neck is present. bilateral layering pleural effusions with adjacent atelectasis/consolidation. no pneumothorax identified. the size of the cardiac silhouette is within normal limits.
<unk> year old man with status, intubated, pna // ett adjusted, s/p bronch, serial exam
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the cardiomediastinal silhouette is normal. there is no pleural effusion or pneumothorax. there is no focal lung consolidation. there is no acute osseous abnormality.
<unk>-year-old woman with chest pain.
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pa and lateral views of the chest. no focal consolidation is seen. there is no pleural effusion or pneumothorax. the cardiomediastinal contours are normal.
syncopal episode with shaking, evaluate for intrathoracic abnormalities.
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heart size is normal. the aorta remains mildly tortuous. prominence of the main pulmonary artery suggests underlying pulmonary arterial hypertension. coarse interstitial opacities with bronchial wall thickening and diffuse bronchiectasis is re- demonstrated, with patchy bibasilar airspace opacities appearing more pronounced in the lung bases compared to the previous study. no pleural effusion or pneumothorax is seen. moderate multilevel degenerative changes are present with chronic bilateral rib deformities again noted. compression deformities of <unk> mid thoracic vertebral bodies appears slightly progressed compared to the previous ct.
history: <unk>f with pleuritic chest pain with history of copd // possible pneumonia vs. copd exacberation
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frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs. there is a focal consolidation in the left lower lobe, best seen on frontal view. there is no appreciable pleural effusion or pneumothorax. the visualized upper abdomen is unremarkable.
evaluate for pneumonia in a <unk>-year-old patient with shortness of breath.
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the lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen.
history: <unk>m with chest pain. evaluate for pneumothorax
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the lungs are clear of focal opacities concerning for infection. a <num> cm calcified structure projects over the descending aorta on the frontal view in the left hemithorax. this is likely a calcified lymph node. an additional calcified granuloma, sub-<num>-mm in size is also noted in the left hemithorax projecting underneath the sixth posterior rib. cardiac size and hilar contours are unremarkable. no pleural effusion or pneumothorax. no abdominal free air.
epigastric pain.
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the lungs are clear of focal opacities concerning for an infectious process. no pleural effusion or pneumothorax. the aorta is tortuous. cardiac silhouette is normal. no pulmonary edema.
chest pain and shortness of breath.
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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 identified.
history: <unk>m with left chest injury // r/o ptx
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pa and lateral views of the chest. left chest wall port-a-cath is again seen with the catheter tip projecting over the mid svc. there is increased density projecting over posterior costophrenic angle likely lateralizing to the left. the lungs are otherwise clear of focal consolidation or effusion. the cardiomediastinal silhouette is within normal limits. old healed right lateral rib fractures are identified.
<unk>-year-old male with fever and shortness of breath.
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in comparison with chest radiograph from <unk>, mild to moderate right effusion has improved and moderate left pleural effusion is minimally changed, if at all. left picc line terminates in the low svc. left retrocardiac opacity is probably unchanged. there is vascular engorgement with mild pulmonary edema. there is no other relevant change. upon review of prior studies, there is sufficient calcification in aortic valve to be hemodynamically significant.
<unk> year old woman with schizophrenia, diffuse large bcell lymphoma, decompensating overnight with hypotension // ? aspiration pneumonia, volume overload, ?pleural effusion
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peribronchial cuffing best appreciated on the lateral view suggests small airways disease. there is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. the cardiomediastinal contour is normal. the osseous structures and upper abdomen are unremarkable. minimal left base subsegmental atelectasis is noted. surgical clips project over the left upper quadrant.
<unk>m with wheezing evaluate for pneumonia.
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the lungs are clear. the cardiomediastinal silhouette is within normal limits. hypertrophic changes noted in the spine. surgical clips project over the upper abdomen.
<unk>m with right radius fx, needs or // eval preop
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heart size is top 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>f with shortness of breath
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the cardiomediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. lung volumes are normal, and there is no focal consolidation concerning for pneumonia. healed rib fractures of left posterolateral ribs <num> through <num> are noted.
<unk>m with doe // ro pna effusion
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there is no focal consolidation, pleural effusion or pneumothorax. there may be minimal pulmonary vascular congestion, without overt pulmonary edema. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities are identified.
<unk>-year-old male presenting for evaluation of shortness of breath, and leg/arm swelling
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the right picc line has been repositioned with tip at upper svc. the peritoneal free air is not visualized but the supine position may decrease the ability to detect free air on chest radiograph. the bilateral basilar atelectasis has improved. no new consolidation. no pleural effusion. no pneumothorax. the cardiomediastinal silhouette is unchanged and normal. no fractures.
<unk> year old man with epigastric free air; respiratory distress // ?interval change
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since <num> day prior, there is new mild pulmonary vascular congestion, but no over pulmonary edema. mild cardiomegaly is unchanged. small left pleural effusion is unchanged. left basilar atelectasis is unchanged to increased. right hilar opacities correspond to known hilar lymphadenopathy, better appreciated on ct chest dated <unk>. lungs are otherwise clear.
<unk> year old man with chest tube and hemothorax and hct drop on heparin gtt // /? worsening hemothorax
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pa and lateral chest radiographs demonstrate no focal consolidation, pleural effusion, or pneumothorax. there is no pulmonary vascular congestion or interstitial edema. the cardiomediastinal silhouette is normal.
shortness of breath and chest pressure.
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in comparison to the prior chest radiograph, the lung volumes remain low. persistent crowding of vessels at the bases bilaterally. the lungs are otherwise clear. cardiomediastinal contours are stable in appearance.
<unk> year old man with ? pna // please repeat given poor inspiration on prior film -- wbc <unk>
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left chest wall single lead aicd is in place. lungs are clear .no pneumothorax. . cardiac silhouette is normal this preliminary report was reviewed with dr. <unk>, <unk> radiologist.
<unk> year old man with recent chf symptoms // pulmonary edema?
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the left chest tube and pleural pigtail catheter are again present. several of the pigtail catheter sideholes appear to be external to the pleural space and correlation is recommended. there is persisting and extensive subcutaneous emphysema along the left chest wall and neck. no discrete pneumothorax is identified. since the prior exam the lucencies overlying the mediastinum or less conspicuous and attention on follow-up imaging is recommended. unchanged platelike atelectasis in the right midlung zone and left lung base. the size the cardiac silhouette is within normal limits.
<unk> year old man with recurrent pneumothoraces s/p chest tubes, weaning suction // interval change? pneumothorax?
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heart size is normal. the right heart border is not well seen; however, this is unchanged from prior exam and is likely due to mediastinal fat. the hilar contours are unremarkable. the lungs are clear. pleural surfaces are clear without effusion or pneumothorax.
fever, copd.
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there is new pulmonary vascular congestion without frank pulmonary edema. no focal consolidation, pleural effusion or pneumothorax identified. the size of the cardiac silhouette is enlarged but unchanged. calcification of the aortic arch is again noted. faintly visualized chain sutures project over the right lung apex.
<unk> year old woman with cp, sob, s/p <unk>cc ivf and <num> u prbc // evaluate for pulm edema after fluid and prbc administration
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the cardiac silhouette size is normal. atherosclerotic calcifications are noted at the aortic knob. mediastinal and hilar contours are unremarkable. pulmonary vasculature is normal. patchy opacities are noted in the lung bases, most suggestive of atelectasis given the linear appearance. no pleural effusion or pneumothorax is seen. no acute osseous abnormalities identified.
history: <unk>m with fever and cough
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no focal consolidation, pleural effusion, or pneumothorax is seen. heart and mediastinal contours are unchanged with known small fusiform ascending aortic aneurysm without change on conventional radiography and aortic knob calcifications.
<unk>-year-old male with hiv and paranoia.
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a left subclavian central line ends in the upper svc. a left pigtail catheter is unchanged in position. there is no residual pneumothorax. bilateral moderate pleural effusions are different in distribution due to patient positioning, but there has been no appreciable change in size. the mild pulmonary edema has improved. there is no new consolidation. the cardiomediastinal silhouette is normal.
status post pneumothorax after subclavian central line placement. evaluate for change.
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the lungs are clear. there is no pneumothorax. the heart and mediastinum are magnified by the projection. regional bones and soft tissues are unremarkable.
<unk> year old woman with chest pain // eval for acute cardiopulmonary processes
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lung volumes are low. elevation of left hemidiaphragm is unchanged. heart size is mildly enlarged, but potentially accentuated due to low lung volumes. mediastinal contour is similar. there is crowding of the bronchovascular structures with possible mild pulmonary vascular congestion, but without overt pulmonary edema. linear opacities within the left lung base likely reflect areas of atelectasis. no large pleural effusion is identified although the right costophrenic angle is excluded from the field of view. no pneumothorax is clearly seen.
history: <unk>f with dyspnea, hypoxia
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the lungs are well expanded and clear. mediastinal contours, hila, and cardiac silhouette are normal. no pleural effusion or pneumothorax.
<unk>f with fever, cancer, nausea // ? acute cardipulm process, ? pneumonia
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no focal consolidation, pleural effusion or pneumothorax identified. no evidence of pulmonary vascular congestion or pulmonary edema. unchanged left lower lung zone atelectasis. the size of the cardiac silhouette is enlarged.
<unk> year old man with volume overload on exam. new afib. // evidence of pulmonary vascular congestion.
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the lungs are well expanded and clear. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax.
<unk>-year-old female with shortness of breath on exertion. evaluate for infiltrate.
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the lungs are clear within the limitation from overlying soft tissues. there is no consolidation, effusion, or vascular congestion. the cardiomediastinal silhouette is within normal limits.
<unk>m with sob, known pes // eval for infilrate
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cardiomediastinal silhouette is unremarkable. irregularities at the pleural surface of the left lung base are from the earlier vats. there is a new opacity in left upper lobe which when compared to prior cts could be loculated fluid within the fissure again or a pneumonia. no effusion is seen in the dependent portions of the left lung at this time.
<unk>-year-old man with left parapneumonic effusion status post vats in <unk>. evaluate for recurrent effusion.
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the heart size is normal. the hilar and mediastinal contours are normal. there is no pleural effusion or pneumothorax. the lungs are well-expanded and clear. there is chronic eventration of the right hemidiaphragm.
<unk>-year-old female with pain in the left anterior chest on palpation, who presents for evaluation.
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portable ap upright chest film <unk> at <time> is submitted.
<unk> year old woman with new ng tube // confirm ng placement confirm ng placement
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there is a focal, poorly-defined mass in the right upper lobe measuring up to <num>-cm and a diffuse miliary pattern of micronodules throughout both lungs. the cardiomediastinal silhouette is normal. there is no evidence of effusion or pneumothorax. no acute osseous abnormalities are present.
cough, congestion. question pneumonia.
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pa and lateral views of the chest were provided demonstrating no focal consolidation, effusion, or pneumothorax. heart size appears normal. mediastinal contour is normal. bony structures appear intact. no free air below the right hemidiaphragm.
<unk>-year-old man with sudden onset left-sided chest pain. evaluate for cardiomegaly, pneumothorax.
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pa and lateral views of the chest. there is focal consolidation within the right lower lobe. elsewhere, the lungs are clear. there is no pneumothorax. nipple shadows are identified bilaterally projecting over the lower lungs. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormality is identified.
<unk>-year-old female with recently diagnosed right lower lobe non-small cell lung cancer with airway obstruction. admission for bronchoscopy. rule out post-obstructive pneumonia or pneumothorax.
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frontal and lateral views of the chest. relatively low lung volumes are seen. the lungs are clear without focal consolidation or effusion. the cardiomediastinal silhouette is within normal limits. no definite acute osseous abnormality identified.
<unk>-year-old male with fall and seizure.
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lobe volumes remain low. there is persistent mild bilateral hilar prominence. heart size is top normal. there is no focal consolidation or pneumothorax. trace bilateral pleural effusions are noted.
<unk>f with doe, sob lower leg edema, evaluate for pulmonary edema.
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there is a right-sided central catheter which terminates in the right atrium. right-sided pic line terminates at the mid svc. there is moderate cardiomegaly with evidence of mild-to-moderate pulmonary vascular congestion and mild bilateral pulmonary edema, overall slightly worse compared to the prior exam. small-to-moderate bilateral pleural effusions appear stable, however, may be redistributed. there is no pneumothorax.
history of dysphagia, dobbhoff placement, please evaluate.
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the heart is not enlarged. aorta is calcified and tortuous. the appearance is similar to <unk>. areas opacity at the right lung base extending to the level of the hilum, of uncertain etiology. immediately above this there is a small amount of platelike atelectasis at the right base. sharply defined linear lucency is seen at the right base, but the significance of this is unclear. doubt but cannot entirely exclude loculated hydro pneumothorax. there is mild prominence of vessels, but no chf. the left lung and remaining portion of the right lung is grossly clear, without focal infiltrate or consolidation. no gross left effusion. elsewhere, no pneumothorax identified.
<unk> year old gentleman with no relevant pmh who was transferred from <unk> for further work up of new severe transaminitis. ? of infiltrative disease // assess for acute process, enlarged mediastinum
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there is no evidence of pneumothorax. the cardiomediastinal contours are unchanged. left perihilar and lower lobe consolidation is increased with blunting and obscuration of the left costophrenic angle and hemidiaphragm, concerning for worsening pneumonia. the aorta remains tortuous. the superior trachea is deviated to the right by an enlarged thyroid, as seen on the preceding ct. the right lung is relatively clear with changes of severe emphysema.
cough and dyspnea, here to evaluate for acute cardiopulmonary process.
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the heart size is normal. the aorta is mildly tortuous and demonstrates aortic knob calcifications. the pulmonary vascularity is not engorged. the hilar contours are unchanged and within normal limits. small bilateral pleural effusions are present. no focal consolidation or pneumothorax is present. no acute osseous abnormalities are seen.
wheezing.
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the patient is status post coronary artery bypass graft surgery. the cardiac, mediastinal and hilar contours appear unchanged. trace pleural effusions are suspected. the chest is hyperinflated. there is mild peribronchial cuffing and a slight interstitial process.
fatigue. question pulmonary edema.
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multiple calcified mediastinal and perihilar lymph nodes are seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. there may be subtle reticular nodular opacities at the right upper lung and to a lesser extent in the left upper lung, which is nonspecific, but could be due to small airways infection or inflammation.
history: <unk>m with ?stroke // eval for acute process
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heart size is normal. cardiomediastinal silhouette is unremarkable. hilar contour is stable. lungs are clear without focal consolidation, effusion, or pneumothorax. no acute bony abnormality.
chest pain.
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a right internal jugular catheter is in-situ, the tip is in the distal svc. no pneumothorax seen. the cardiomediastinal contour is unchanged compared to the prior study. no blunting of the costophrenic angles to suggest a pleural effusion. no consolidation. no free air under the diaphragm.
<unk> year old woman with leukocytosis. // evaluate for pna.
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the lungs are clear of focal consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. tips is identified in the right upper quadrant.
<unk>m with hepatic encephaloatphy, worsening confusion // is there pneumonia?
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the heart size is top normal. the hilar and mediastinal contours are unremarkable. no focal consolidations, pneumothoraces, or pleural effusions are identified. the visualized osseous structures are unremarkable.
history of dka. rule out infection.
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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. mild degenerative changes are noted in the imaged thoracolumbar spine.
<unk>m with chest pain, please eval for mediastinal widening
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the lungs are moderately well expanded and clear. no pleural effusion or pneumothorax. heart size, mediastinal contour, and hila are unremarkable.
<unk>m with chest heaviness, cough. assess for pneumonia.
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there is bilateral interstitial thickening, worse at the bases, reflecting chronic interstitial lung disease, better characterized on the ct from <unk>. there are no focal consolidations. the cardiomediastinal silhouette stable. the pulmonary vasculature is normal. no pleural effusion or pneumothorax is seen.
<unk>-year-old female with cough and shortness of breath.
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the lungs are moderately well expanded. there is a moderate right pleural effusion with adjacent atelectasis, which has increased from prior exam. a small left pleural effusion with adjacent atelectasis is also seen, increased from prior exam. the lungs are otherwise clear. there is no pneumothorax. the cardiomediastinal silhouette is partially obscured by the opacities but appears to be stably enlarged.
<unk> year old man with s/p cabg // hemothorax
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a single calcified granuloma is noted at the right lung base. there are small bilateral pleural effusions. there is no focal opacity or pneumothorax. the cardiomediastinal silhouette is normal. there is no evidence of pulmonary vascular congestion. the bones appear diffusely sclerotic, new from the prior study.
worsening shortness of breath on exertion. evaluate for cardiopulmonary disease/infiltrate.
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single frontal view of the chest. ng tube terminates in the stomach with the side port at the level of the ge junction. right perihilar and base opacity has slightly increased since the prior exam and is consistent with a combination of right middle and right lower lobe collapse with an enlarging right pleural effusion. left perihilar consolidation has increased. no pneumothorax. cardiac borders are ill-defined but appear stable.
free air status post small bowel resection now with shortness of breath.
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et tube terminates at the proximal right mainstem bronchus. a transesophageal tube courses below the diaphragm and out of view. left internal jugular venous catheter terminates at the left brachiocephalic and svc confluence. lung volume remains low. bibasilar atelectasis is similar to before. there is no large pleural effusion. cardiomediastinal silhouette is stable. no pneumothorax is identified.
<unk> year old woman with necrotizing fasciitis of the lle now s/p debridement // please assess for interval change and verify ett, ogt placement
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new left pigtail drain is in place in the left lower hemithorax. previously seen small pleural effusions has decreased in size. parenchymal opacity within the left mid lung persists. the right lung is clear. no right pleural effusion. no pneumothorax. mediastinal and hilar contours are normal.
left pleural effusion status post pleurx catheter placement.
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streaky opacity projecting over the left lung base most likely represents atelectasis or overlap of structures, much less likely consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
<unk>f with acidosis eval for cardiopulm change // <unk>f with acidosis eval for cardiopulm change
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frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs which are without focal consolidation, pleural effusion, or pneumothorax. no radiopaque foreign body is seen. the visualized upper abdomen is unremarkable.
evaluate for foreign body in a patient with a food bolus in the esophagus.
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there is an abnormal density seen within the anterior mediastinum best viewed on the lateral radiograph seen immediately posterior to the sternum. lungs are well expanded and clear . there is no pleural effusion or pneumothorax. the cardiac silhouette is within normal limits.
<unk>-year-old female with increased seizure frequency. question if uri is the etiology.
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the lateral view it is slight suboptimal due to external artifact projecting over the posterior chest. there are relatively low lung volumes. no definite focal consolidation is seen. there is no pleural effusion or pneumothorax. the cardiac silhouette is top-normal to mildly enlarged. there may be minimal vascular congestion.
history: <unk>m with ams // r/o acute process
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portable single frontal chest radiograph was obtained. a left chest tube remains in place. an inferior pneumothorax is present on the left. persistent pneumopericardium and pneumopericardium are unchanged. a persistent left lower lobe opacity is again visualized. there is no pleural effusion.
patient status post fall with chest tube, eval pneumothorax.
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endotracheal tube appears in place with the tip in the lower trachea. right picc line is unchanged with the tip in the mid svc. enteric tube tip traverses to the stomach. the lungs appear hyperinflated consistent with patient's underlying emphysema. volume loss is again noted, particularly on the right with rightward shift of the mediastinum. since the prior study, there has been increased vascular congestion suggestive of heart failure. additionally, there is increased right basilar atelectasis. bilateral small pleural effusions appear stable. cardiac and mediastinal silhouette appears stable. levoscoliosis of the mid thoracic spine is again noted.
aspiration pneumonia, for interval change.
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there is chronic blunting of the right costophrenic angle along with right lateral pleural thickening, findings similar to the prior exam. this maybe related to the patient's previous loculated pleural effusion and pleurodesis. there is no evidence of pneumonia or pneumothorax. cardiac silhouette is normal in size. elevation of the right hemidiaphragm is unchanged.
history: <unk>m with chest pain
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as compared to prior chest radiograph from <unk>, there has been interval placement of a right pleural drain which enters at the base laterally and ascends to the level of the aortic knob. no appreciable pneumothorax is identified. the extent of ground glass opacity representing hemorrhage in the right lower lung is smaller. left lung is clear. cardiomediastinal silhouette is within normal limits. a fiducial marker is again seen in the right lower lung.
<unk> year old female patient with ptx after ir procedure. study requested for evaluation of interval change.
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the cardiac, mediastinal and hilar contours are normal. pulmonary vascularity is normal and the lungs are clear. no pleural effusion or pneumothorax is present. no acute osseous abnormalities visualized.
substernal chest pressure.
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diffuse ground-glass opacity throughout the left upper lung zone is thought to reflect changes from recent ablation. there is no pneumothorax. chain sutures are seen in the left upper lung. there is no pleural effusion. the cardiac and mediastinal contours are unchanged. there is a moderate size hiatal hernia.
recent ablation of the left lower lobe lesion. evaluate for pneumothorax.
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radiograph is centered at the diaphragm, including portions of the medial right lung, left lung, and upper abdomen. an enteric tube descends to the level of the gastroesophageal junction, then turns and ascends to the level of the midesophagus. increased, small left pleural effusion. otherwise, no significant change compared to <num> hours prior.
<unk> year old man s/p ngt placement // evaluate placement of ngt
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this is a limited evaluation due to respiratory motion. there are subtle opacities in the right mid and lower lung. there is persistent atelectasis at the left lung base. the cardiac silhouette remains enlarged, as before. a right upper extremity picc terminates in the mid svc, in unchanged position. there is no pleural effusion or pneumothorax.
<unk>-year-old male with altered mental status, evaluate for pneumonia.
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a single-lead pacemaker device appears unchanged with leads again terminating in the right ventricle in addition to epicardial leads. the heart is again enlarged. the cardiac, mediastinal and hilar contours appear unchanged. there is no pleural effusion or pneumothorax. the lungs appear clear. mild loss in height of two mid thoracic vertebral bodies appears unchanged. the bones appear demineralized.
dyspnea.
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a small amount of left basilar linear atelectasis is stable from the prior radiograph. there is no evidence of pneumonia or edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. calcification of the aortic arch is noted.
pleuritic chest pain and elevated d-dimer.