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ap chest radiograph. intitial radiographs show the right-sided picc tip in the left subclavian vein. however, the second set of images show it located in the right axillary vein. there is no pneumothorax. the lungs are clear and there is no pleural effusion. the heart is mildly enlarged.
evaluation of right-sided picc placement.
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there are low lung volumes. left base opacity is again seen which could be due to pleural effusion and overlying atelectasis, consolidation due to pneumonia or/ and aspiration not excluded. pulmonary vascular congestion persists. the patient is status post median sternotomy and aortic valve replacement. cardiac and mediastinal silhouettes are stable.
history: <unk>m with dyspnea // eval for worsening pulm edema
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a single frontal portable radiograph of the chest was acquired. suture chain is again seen throughout the right hemithorax. there is minimal right upper lung scarring. the lungs are otherwise clear. there are no pleural effusions. no pneumothorax is seen. the heart size is normal. the mediastinal contours are within normal limits.
chest pain. evaluate for widening of the mediastinum.
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right-sided dual-lumen central venous catheter tip terminates at the junction of the svc and right atrium, unchanged. mild cardiomegaly is similar. mediastinal and hilar contours are within normal limits. the pulmonary vasculature is not engorged. calcified granuloma in the left lower lobe is re- demonstrated. no focal consolidation, pleural effusion or pneumothorax is present. no acute osseous abnormality is detected.
history: <unk>m with bacteremia
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the lungs are fully expanded and clear. previously seen retrocardiac opacity on lateral view has resolved. there is no pleural abnormality. the cardiomediastinal silhouette is unremarkable. severe right convex scoliosis is stable.
<unk> year old man with recent multifocal pna, reassess // reassessment of multifocal pna
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two frontal images of the chest were obtained. there are chest tubes seen bilaterally at the lung bases. there has been interval increase of left-sided basilar opacity. the right basilar opacity is unchanged. there is no pneumothorax or other complication seen. cardiomediastinal silhouette is unchanged.
<unk>-year-old male with bilateral pleural effusions, now status post bilateral chest tube placement.
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given differences in positioning and technique, there has been no significant interval change. bibasilar opacities are most likely due to superimposed soft tissue structures and overlying material. superiorly the lungs are clear. the cardiomediastinal silhouette is stable. leftward deviation of the trachea at the thoracic inlet is suggestive of underlying right-sided thyroid enlargement. calcification suggesting intra-articular bodies project over the glenohumeral joints.
<unk>f with confusion // infiltrate?
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the lungs are hypoinflated with crowding of vasculature and mild pulmonary edema. heterogeneous opacity within the right lower lobe noted. no left pleural effusion. small right pleural effusion. no pneumothorax. persistent severe cardiomegaly is accentuated due to low lung volumes. mediastinal contour and hila are otherwise unremarkable.
<unk>f with resp distress. assess for pneumonia or pulmonary edema.
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pa and lateral views of the chest. the lungs, heart, mediastinum, hilum, and pleural surfaces are normal. there is no evidence of pneumonia. no pulmonary vascular congestion or pulmonary edema.
persistent cough, shortness of breath, rule out infiltrate or chf.
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the heart is at the upper limits of normal size. the mediastinal contours are unremarkable. each hilum moderate shows perhaps minimal congestion and upper zone vessels appear plump although well-defined in contours. a very mild interstitial prominence is discernible in the lower lungs. there is suspicion for very small pleural effusions, probably bilateral. mild new elevation of the left hemidiaphragm is accompanied by streaky opacities suggesting minor atelectasis. sclerotic endplate changes along the thoracic spine suggest renal osteodystrophy, present before.
shortness of breath.
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portable semi-upright chest radiograph <unk> at <time> is submitted.
<unk> year old woman with copd // interval change interval change
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ap upright and lateral views the chest were provided. acute mildly displaced fractures of the left sixth and seventh lateral arch noted. no pneumothorax or effusion. no focal consolidation or edema. cardiomediastinal silhouette is normal.
<unk>m with l rib pain s/p mechanical fall
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pa and lateral views of the chest provided. there is a port-a-cath residing over the left chest wall with catheter seen extending into the region of the svc though the tip is obscured from view due to the pacemaker leads which appear in unchanged position. portions of the chest are somewhat obscured due to overlying pacemaker. however, allowing for this, the lungs are clear. cardiomediastinal silhouette is stable. no pleural effusion or pneumothorax. no signs of congestion or edema. bony structures are intact. no free air below the right hemidiaphragm.
<unk>f with cough, <num> weeks.
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the lungs are clear. the heart is normal in size. the mediastinal contours are normal. there are no pleural effusions. no pneumothorax is seen.
possible left internal jugular occlusion. assess for evidence of a pancoast tumor. also assess for acute cardiac or pulmonary process.
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compared to yesterday's study there is no significant change in moderate partially loculated right pleural effusion. persistent minimal left perihilar opacity could reflect resolving edema. severe cardiomegaly is unchanged. there is no pneumothorax.the aortic arch is heavily calcified.
<unk> year old woman with critical as, diastolic heart failure, s/p catheterization and tavr workup, c/b lcx dissection // interval change
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there is mildly enlarged and the cardiac silhouette. a prosthetic aortic valve is noted. the median sternotomy wires appear intact. no focal consolidation, pleural effusion or pneumothorax. fusion hardware is partially imaged in the lower cervical spine.
history: <unk>m with intermittent dyspnea and abdominal pain // eval infiltrate
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upright frontal view of the chest is limited by patient rotation. within this limitation, there is no acute intrathoracic process. the mediastinal, pleural and pulmonary structures are unremarkable. there is no pleural effusion or pneumothorax identified. calcifications are noted within the aortic arch. degenerative changes of the cervical spine and clips overlying the left neck are seen.
altered mental status.
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when compared to priors, there has been no significant interval change. moderate to large right pleural effusion is again seen. linear underlying parenchymal opacities may be due to atelectasis versus scarring although underlying consolidation or lesion is not excluded. left lung remains clear. cardiac silhouette is unchanged. hypertrophic changes are noted in the spine.
<unk>m with shortness of breath // eval for infiltrate
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substantial interval increase and loculated right-sided pleural effusion which is now large with near complete opacification of the right lung. the left lung remains clear. mild mediastinal shift to the left.
<unk> year old man with shortness of breath and pleural effusion // evaluate pleural effusion
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ap view of the chest is reviewed. tracheostomy tube is seen in standard position. there is a right picc line with tip terminating in the distal svc. the cardiomediastinal and hilar contours are unremarkable. the previously seen left retrocardiac opacity has improved; however, there is still mild blunting of the left costophrenic angle. there is increased opacification of the right lung base. additionally there are small scattered opacities in the left mid lung zone. the gj tube is again seen.
hypotension.
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lungs appear relatively hyperinflated, suggesting chronic obstructive pulmonary disease. no focal consolidation is seen. there is no pleural effusion or pneumothorax. the aorta is tortuous. the cardiac silhouette is top-normal to mildly enlarged. previously noted aneurysmal dilatation of the descending thoracic aorta is better assessed on ct.
history: <unk>f with sob // presence of infiltrate, ptx
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lung volumes are normal. there is no focal consolidation, effusion, or pneumothorax. there is no central vascular congestion or overt pulmonary edema. mediastinal and hilar contours are normal. heart size normal.
<unk>f with palpitations, light-headedness, dizziness, headaches. // concern for new onset palpitations
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a trauma board slightly limits evaluation of this radiograph. the endotracheal tube is low lying, terminating <num> cm above the level of the carina. a new enteric catheter courses below the level of the diaphragm and out of the field of view inferiorly. there has been interval placement of a right subclavian central venous catheter, ending near the superior cavoatrial junction. the exam is otherwise unchanged compared to the prior radiographs from <num> minutes ago. there is no evidence of a pneumothorax.
status post cardiac arrest with new subclavian central venous catheter. assess catheter position and evaluate for pneumothorax.
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ap upright radiograph through the chest demonstrates intact median sternotomy wires. surgical clips project over the left upper mediastinal border. an enteric tube descends in the thorax in a uncomplicated course, its tip which projects over the left upper quadrant in the presumed location of the gastric lumen. heart size is normal. hilar and mediastinal contours are within normal limits. no opacity convincing for pneumonia is present. streaky opacity at the left lung base is most consistent with atelectasis. there is no pleural effusion or pneumothorax.
history: <unk>m with gastric volvulus // confirm ng tube placement
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no focal consolidation. there are small bilateral pleural effusions seen best on the lateral view. no pneumothorax identified. the size the cardiomediastinal silhouette is within normal limits. degenerative changes of both acromioclavicular joints.
<unk> year old man with fever post op // atelectasis? pna?
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no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. heart and mediastinal contours are within normal limits. no pneumomediastinum is detected.
<unk>-year-old female with vomiting of trace blood.
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cardiac, mediastinal, and hilar contours are within normal limits. there is a consolidation in the basal left lower lobe, similar in location but smaller than on <unk>. there may be another small consolidation in the anterior basal right lower lobe. there is no evidence for pulmonary edema or pleural effusion. there is no pneumothorax. there are degenerative changes in the thoracic spine.
cough and fever in a patient with multiple myeloma.
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pa and lateral chest radiographs demonstrate consolidation of the left lower lobe. there is no pleural effusion or pneumothorax. the cardiomediastinal is normal.
dyspnea, cough and crackles on exam. evaluate for pneumonia.
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heart size is mildly enlarged, unchanged. the mediastinal and hilar contours are similar with tortuosity of thoracic aorta again noted. the pulmonary vasculature is normal. lungs are clear. no pleural effusion, focal consolidation, or pneumothorax is identified. no definite acute osseous abnormality is identified.
<unk> year old woman with hypertension and chest pain // assess for etiology of chest pain
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the cardiomediastinal and hilar contours are within normal limits. there are small bilateral pleural effusions, best seen on lateral view. there is no definite focal consolidation suggestive of pneumonia. there is no pneumothorax. subtle opacities over the lower lungs relate to breast implants.
left chest pain for several hours. evaluate pneumonia, effusion.
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the lungs are clear without focal consolidation. previously question opacity projecting over the posterior right sixth rib is no not appreciated on the current study and may have been artifact or overlap of structures. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with alcohol cirrhosis c/b varices, encephalopathy, presenting from rehab for worsening ams. // radiology recommened <unk> degree shallow oblique view for further evaluation of possible pneumonia
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the tip of the left picc now follows an abnormal opacities are essentially unchanged, but there is no evidence of midline shift. no new focal opacity. increased and more conspicuous appearing left basilar opacities. small left pleural effusion is plausible. mild cardiomegaly and prominent pulmonary arteries are unchanged.
<unk> year old woman with hypoxemic respiratory failure s/p trach now with concern for left lower lobe atelectasis. // please ensure proper positioning (as much as possible) to assess for left lower lobe collapse
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a small right apical pneumothorax is unchanged. infiltrate just above the right major fissure is similar. this is unchanged since yesterday and remains slightly improved since <unk>. elevation of the right hemidiaphragm is unchanged. note is made of an ultrasound from yesterday showing only a tiny pleural effusion. the left lung is clear. cardiac contours are normal. a right-sided picc line tip terminates in the upper svc.
<unk>-year-old man with all post-vats biopsy of purulent pleural nodules.
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the patient is status post cabg with sternotomy sutures midline and intact. there is stable severe cardiomegaly. there is minimal central pulmonary vascular congestion with mild bronchial cuffing suggesting an element of pulmonary edema. there is interval increase in size of left lung opacification, likely a combination of increasing left effusion and left lower lobe collapse, though superimposed pneumonia is not excluded. there is interval increase in still small right pleural effusion. faint right lower lobe opacification likely reflects combination of edema and low lung volumes.
status post four-vessel cabg, presents with dyspnea and chest pain. assess for infiltrate, pleural effusion or pulmonary edema.
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the lungs are clear. cardiac size is normal. hilar and mediastinal contours are normal. no pleural effusion of pneumothorax is seen.
dyspnea on exertion, chest pain. evaluate for pulmonary edema.
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the cardiomediastinal and hilar contours are normal. there is no pleural effusion pneumothorax. the lungs are expanded clear without focal consolidation concerning for pneumonia. known right rib fractures are better assessed on recent chest ct. the upper abdomen is unremarkable.
<unk>f with cp and sob s/p rib fractures.
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the endotracheal tube terminates <num> cm above the carina. the right ij central venous catheter is near the cavoatrial junction. there is interval enlargement of the cardiac silhouette. perihilar and interstitial opacities have also increased with increased airspace opacification of the lower lobes. small bilateral pleural effusions are likely present. no pneumothorax.
<unk> year old man with respiratory distress // please evaluate for pulmonary edema, infectious process
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surgical clips are again seen at the left chest wall. there is no focal pulmonary opacity, pleural effusion, or evidence of pneumothorax. cardiac and mediastinal silhouettes appear within normal limits. osseous structure are unremarkable.
shortness of breath and cough. evaluate for pneumonia.
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frontal and lateral views of the chest were obtained. the lungs are well expanded and clear without focal consolidation, pleural effusion or pneumothorax. heart size is normal. mediastinal silhouette and hilar contours are normal. the nodular opacity seen on the prior study is not visualized today.
flu-like symptoms.
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there are low inspiratory volumes. the cardiomediastinal silhouette is prominent, but unchanged. there is upper zone redistribution am mild vascular plethora, also unchanged. minimal patchy opacity at both lung bases. in the setting of low lung volumes, this most likely represents atelectasis. no definite consolidation. no gross effusion.
<unk> year old woman with fevers, s/p vp shunt removal, evd placement // ?infiltrate
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bilateral low lung volumes. linear opacities in bilateral bases likely atelectasis. increased haziness in bilateral lower base suggestive of aspiration. cardiomediastinal silhouette is unchanged. there is no pneumothorax or large pleural effusions.
<unk> year old woman with new seizures. // infectious workup for new seizure.
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a tracheostomy tube is in place. there are low inspiratory volumes. again seen are somewhat patchy densities at both lung bases. at the right base, the opacity is slightly more confluent. at the left base, there may be slightly improved aeration. doubt overt chf. no gross effusion. no pneumothorax detected. prominent patchy osteopenia noted in both proximal humeri.
<unk> year old woman with als s/p trach admitted with pna // please assess for interval change
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pa and lateral views of the chest provided. stable elevation of the right hemidiaphragm is noted. subtle poorly defined opacity is noted in the left lung most notable in the left upper lung which could represent pneumonia. no large effusion or pneumothorax is seen. the cardiomediastinal silhouette is stable. bony structures are intact.
<unk>f with dyspnea, low amb sats, night sweats, chills
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the patient is status post median sternotomy and cabg. a right internal jugular central venous catheter tip terminates in the mid/low svc. heart size remains mild to moderately enlarged. mediastinal and hilar contours are normal. no pulmonary edema is demonstrated. there is minimal atelectasis in the right lung base. no focal consolidation, or pneumothorax is identified. minimal blunting of the costophrenic angles bilaterally suggests trace bilateral pleural effusions.
history: <unk>m with low hematocrit need for central line
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the lungs are hyperexpanded consistent with advanced emphysema. there is slight assymetry of the hemithoraces, smaller on the right, unchanged compared with <unk>. the heart is not enlarged. the hilar and mediastinal contours are probably unchanged. there is a subtle increase in patchy opacification along the upper right lung compared to the prior exam. opacity at the right base and midzone is improved. there is no frank consolidation and there is no pleural effusion or pneumothorax. no chf. the visualized osseous structures are grossly unremarkable. tubing noted in the left upper quadrant, ? g-tube.
history of dyspnea and productive cough. please evaluate for infiltrate.
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the heart size and mediastinal contours are stable. no focal consolidation, pleural effusion or pneumothorax is present. atelectasis at the left base is unchanged.
<unk> year old man with persistent cough // r/o infiltrate
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pa and lateral views of the chest. linear right upper lung opacity is compatible with scarring/ resection. small bilateral effusions have not significantly changed in size noting that they are now seen laterally at the costophrenic angles on the frontal view, more so when compared to prior. there is no definite new focal consolidation. cardiomediastinal silhouette is within normal limits. no acute osseous abnormality is detected.
<unk>-year-old female with atrial fibrillation status post recent cardioversion with dizziness and lightheadedness for <num> days. elevated white blood cell count.
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extensive lobar right upper lobe and left lower lobe opacifications are stable. mediastinal contours heart size are unchanged. support lines are stable.
<unk>f w/acutely worsening respiratory status, please eval for interval change //
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frontal and lateral radiographs of the chest demonstrate well expanded clear lungs. the cardiomediastinal and hilar contours are unchanged. there is no pneumothorax, pleural effusion, or consolidation.
altered mental status.
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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>m with chest pain
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cardiac silhouette size is normal. mediastinal and hilar contours are unchanged and within normal limits. pulmonary vasculature is normal. no focal consolidation, pleural effusion or pneumothorax is demonstrated. no acute osseous abnormality is detected.
history: <unk>f with <num> week of cough, shortness of breath
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mediastinal contour is unchanged. heart size is normal. there is no pneumothorax or pleural effusion. there is mild vascular congestion but no focal consolidation.
<unk>-year-old woman with shortness breath evaluate for pneumonia
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cardiomediastinal silhouette is within normal limits. lung volumes have increased. lungs are clear. there is no pleural effusion or pneumothorax. note is made of a displaced fracture through the proximal third of the right clavicle.
<unk> year old man with cough for <num> days with localized wheezes and ronchi right ll // r/o pneumonia
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there is patchy opacification and bronchial wall thickening at the left base, localized to the left lower lobe on the lateral, concerning for an early or developing bronchopneumonia. no pulmonary edema. stable appearance of the cardiomediastinal silhouette. no pleural effusion. no pneumothorax. gaseous distention of bowel loops is persistent.
<unk>m with productive cough x<num> days and ams. // ?pneumonia
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the heart and mediastinal contours are largely obscured by diffuse pulmonary opacities. the costophrenic angles appear sharp likely signifying no pleural effusion and there is no pneumothorax.
<unk>-year-old male with acute onset of shortness of breath after smoking crack.
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the heart size is normal. the hilar and mediastinal contours are stable. the mild bilateral pulmonary edema is stable compared to the prior exam. there are no pleural effusions, or evidence of a pneumothorax. there appears to be an interval increase in the left lower lobe atelectasis, however no other new focal consolidations are seen. again seen are post-surgical changes related to the sternotomy wires and cabg.
<unk> y/o m with recent ct demonstrating ischemia of the bowel, who presents for evaluation of free air. hx of abdominal pn.
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status post median sternotomy. chest tubes project over both hemithoraces. low bilateral lung volumes with bibasilar and mid lung atelectasis. no pneumothorax identified. a small amount of pneumomediastinum, likely post operative. the size of the cardiomediastinal silhouette is enlarged and may be secondary to the low inspiratory lung volumes and post surgical changes.
<unk> year old woman s/p thymectomy via median sternotomy // evaluate tube position
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compared to the prior study there is no significant interval change.
asthma question bronchitis question pulmonary edema.
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lungs are clear without focal consolidation. no pleural effusion or pneumothorax seen. the cardiac and mediastinal silhouettes are stable and unremarkable. no displaced fracture is seen.
chest pain.
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chest, pa and lateral. there is little interval change from the prior study. the lungs are hyperinflated but clear. cardiac size is top-normal. the thoracic aorta is unfolded in configuration. there is no pneumothorax. there is minimal pleural scarring at the left base. pulmonary vascularity is normal.
<unk>-year-old woman with gallstone pancreatitis. for preoperative evaluation.
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low lung volumes results in bronchovascular crowding. cardiomediastinal hilar contours are unchanged. the aorta is markedly tortuous. there is no pneumothorax, pleural effusion, or consolidation.
history: <unk>m with worsening drug rash and lip swelling, also has shortness of breath. // patient complaining of shortness of breath, please evaluate.
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the lungs are hyperinflated. there are no focal opacities suggestive of pneumonia. cavitary lesion with adjacent scarring is seen in the right upper lobe periphery, unchanged from <unk>. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. mild pectus excavatum is redemonstrated.
<unk>-year-old female with chest pain. evaluate for pneumonia.
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lung volumes are noted to be mildly low. no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. mild bibasilar atelectasis is noted. the heart size is normal. mediastinal contours are normal. redemonstrated are multiple right-sided healed rib fractures. surgical clips are noted within the left upper quadrant.
chest pain.
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cardiomediastinal contours are normal. lungs and pleural surfaces are clear. mild elevation of left hemidiaphragm is probably related to adjacent distension of the stomach and splenic flexure. lucency below the left hemidiaphragm is likely related to air within the stomach.
<unk> year old man with <unk> swelling // ?vascular congestion, cardiomegaly
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portable single frontal chest radiograph was obtained with the patient in upright position. compared to study from <unk>, there has been no significant interval change. again seen is the right upper lobe opacity with associated volume loss. there are persistent bilateral pulmonary nodules as well as multifocal consolidation. bilateral pleural effusions are unchanged. no pneumothorax is seen. there is persistent pneumoperitoneum.
patient with renal cell carcinoma metastatic to the lung, admitted for right upper lung pneumonia, now with volume overload.
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there is no consolidation, pleural effusion, or pneumothorax. cardiomediastinal and hilar silhouettes are normal size.
history: <unk>m with dyspnea, cough, sputum // ? pneumonia
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there is continued opacification of the right base. it is not significantly worsened since the prior exam. this may be due to a combination of pleural effusion, atelectasis, and aspiration. in the proper clinical setting, pneumonia cannot be excluded. there is a stable moderate right pleural effusion. there is a small left pleural effusion. no new consolidation is identified. there is no pulmonary edema or pneumothorax. the cardiomediastinal silhouette is normal. an esophageal stent is unchanged in position. a drain is present overlying the mid abdomen.
cough and dyspnea.
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pa and lateral views of the chest provided. low lung volumes limits assessment. there is mild left basal atelectasis. otherwise, the lungs appear clear without evidence of pneumonia or chf. no large effusion or pneumothorax is seen. the cardiomediastinal silhouette is normal. no displaced rib fractures are seen. no free air below the right hemidiaphragm is seen.
<unk>m with tender left lower ribs
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the lungs are clear bilaterally. no evidence of focal consolidations, pleural effusions, or pneumothorax. the heart and mediastinum are within normal limits. no osseous abnormalities.
<unk> year old woman with cough, fatigue // r/o pna.
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sternotomy, with valve replacement. increased heart size,, similar. pulmonary vascularity is increased, similar. mild interstitial prominence, suggest edema, more apparent. there are mild bilateral pleural effusions, more prominent since prior. mild bibasilar opacities, likely atelectasis, consider pneumonia if clinically appropriate
<unk> year old man s/p left bka revision now with leukocytosis // eval for infection
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pa and lateral radiographs demonstrate clear lungs with no evidence of bronchovascular congestion. the heart size is normal and the hilar and mediastinal contours are within normal limits. no pleural effusion or pneumothorax. height loss of a lower thoracic vertebral body is unchanged.
syncope or seizures. evaluate for cardiomegaly, edema, and effusions.
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stable hyperinflation consistent with emphysema. interval improvement of the bibasilar consolidations, with remaining minimal consolidation at the left base. the lungs are otherwise clear. no new focal consolidation. no pleural effusion or pneumothorax. slight tortuosity of the descending aorta. the cardiomediastinal silhouette, hila, and pleura are normal. no acute osseous abnormality. stable dextro-convex scoliosis of the thoracic spine.
<unk>-year-old man with recent chest x-ray demonstrating bibasilar consolidation and probable pneumonia. symptomatically improved after antibiotics, check for clearing of the consolidation.
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there is increased opacity of the left base with air bronchograms which is suspicious pneumonia. the atelectasis at the right base is stable. the pulmonary edema is mildly increased the monitoring devices are still in place and unchanged in position.
<unk> year old man with concern for new pna
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the lungs are well inflated. hazy parahilar densities seen is well as a right basilar infiltrate. the pulmonary vasculature is increased when compared to the previous examination. the heart size is enlarged. aortic arch calcification is present. the descending aorta is prominent in size. it is not changed from the previous study.. the osseous structures are normal for age.
<unk> year old woman with esrd // r/o infection/ malignancy pre kidney transplant
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ap portable upright view of the chest. overlying ekg leads are present. tiny clips in the right axilla noted. a vascular stent in the left upper arm noted. the calcified vascular stent in the right upper arm noted. a dialysis catheter extends superiorly from the ivc with its tip at the level of the svc/ cavoatrial junction. cardiomediastinal contour is unchanged. no focal consolidation, large effusion or pneumothorax. there may be mild central venous congestion. no overt edema. bony structures appear intact.
<unk>f with dyspnea, hypotension
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mild cardiomegaly as well as widened mediastinum is present, likely from the tortous aorta. the aortic valve is calcified. the lungs are clear of focal opacities concerning for pneumonia. there is no evidence of edema. no pleural effusion or pneumothorax. costochondral calcifications are noted diffusely.
<unk>-year-old man with new onset afib. question chf.
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pa and lateral chest radiograph demonstrates clear lungs bilaterally. cardiomediastinal and hilar contours are within normal limits. there is no evidence of pulmonary edema, pleural effusion, or pneumothorax. no evidence of free air is seen beneath the diaphragms. hardware in the neck is unchanged.
<unk> year old man with severe abdominal pain s/p egd // evaluate lungs and free air under diaphragm
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lung volumes are low. moderate cardiomegaly is noted, not substantially changed in the interval. the mediastinal contour is similar. mild pulmonary vascular congestion is demonstrated with perihilar haziness. retrocardiac focal opacity may reflect an area of pneumonia. mild atelectasis is also demonstrated in the right lung base. there may be a small left pleural effusion. no pneumothorax is identified.
history: <unk>m with shortness of breath, altered mental status, productive cough
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ap semi upright and lateral views of the chest provided. patient is known to have extensive calcified pleural plaque which in part accounts for areas of increased opacity projecting over the lungs. also noted is severe emphysema with areas of scarring better assessed on prior ct. there is no large effusion or pneumothorax. overall pattern of pulmonary opacity appears unchanged. cardiomediastinal silhouette is on changed and within normal limits. bony structures are intact. no free air below the right hemidiaphragm.
<unk>m with ams // ? infectious process
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compared with the prior chest radiograph, lungs continue to be clear without focal consolidation concerning for pneumonia. no pleural effusion or pneumothorax. the left-sided port-a-cath terminates at the cavoatrial junction.
<unk>m with pancreatic cancer on chemotherapy with new fever. evaluate for pneumonia.
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frontal and lateral radiographs of the chest were acquired. the lungs are clear. the heart size is normal. the mediastinal contours are normal. there are no pleural effusions. no pneumothorax is seen.
chest tightness with past medical history positive for hypertension. of note, the chest tightness has been occurring intermittently for the past month.
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lung volumes are normal. the cardiomediastinal and hilar contours are normal and unchanged. no hilar surfaces are normal. the pleural surfaces are normal. chronic deformities of the posteriolateral <unk> - <unk> right ribs could be undergoing incomplete fusion. a region of indeterminate opacity is seen medially to the rib defects.
<unk> year old man with chest pain. he was involved in a motor vehicle accident in <unk>. // any pathology in the chest that may cause chest pain?
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the new nasogastric tube courses below the left hemidiaphragm with tip projecting in the left upper quadrant in the region of the stomach. mild cardiomegaly is unchanged. lung volumes are lower causing bronchovascular crowding, but no new focal consolidation or pleural effusion. no pneumothorax. right cervical rib is incidentally noted.
<unk>f with sbo s/p ngt placement. evaluate for ng tube placement.
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mild bibasilar opacities may be due to atelectasis or aspiration, infection not entirely excluded. no pleural effusion or pneumothorax is seen. the lungs are hyperinflated with flattening of the diaphragms consistent with copd. relative lucency involving the upper lobes consistent with patient's known pulmonary emphysema. the cardiac and mediastinal silhouettes are stable and unremarkable. there is stable mild anterior wedging of a lower thoracic vertebral body.
recent hypoxia.
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a right port-a-cath ends in the low svc, as before. heterogeneous opacities in the right mid to lower lung are not significantly changed compared to the prior radiograph from <unk>. additional nodular opacities in the left lower lobe are also unchanged. there is no new focal consolidation. the heart size is normal. the mediastinal contours are unchanged. there are no pleural effusions. no pneumothorax is seen.
lymphoma with increasing cough. assess for abnormality.
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the lungs are well expanded with unchanged mildly prominent diffuse interstitial markings. there is no mediastinal widening, pleural effusion, or pneumothorax. mild cardiomegaly is stable. no displaced rib fracture or new vertebral fracture is identified. anterior wedging of a thoracic vertebra is stable. left chest wall dual lead pacemaker appears unchanged with intact wires and leads terminating in the right atrium and right ventricle. endovascular aortic valve repair appears unchanged.
<unk> year old woman with pain to right rib cage for about <num> week since in a bus with seatbelt that pulled against her tightly // ?abnormality
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pa and lateral views of the chest provided. there is mild blunting of the left cp angle consistent with pleural effusion, small. there is mild left basal atelectasis. right lung is clear. the heart size is normal. in this patient with lymphoma, mediastinal configuration appears unchanged. no bony abnormalities.
<unk>m with lymphom and fever during active chemotherapy // eval for pna
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pa and lateral chest radiograph demonstrates clear lungs bilaterally. no focal consolidation is identified. heart size is top-normal. no evidence of overt pulmonary edema. there is no pleural effusion. osseous structures are without acute abnormality.
<unk>-year-old male with altered mental status.
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pa and lateral views of the chest provided. extensive fibrosis is again noted consistent with known i ld, not significantly changed from the prior chest radiographs and ct dated <unk>. difficult to evaluate for a superimposed pneumonia though no new dense consolidation is identified. no large effusion or pneumothorax. the cardiomediastinal silhouette appears grossly unchanged. the trachea is deviated to the right at the level of the superior mediastinum though this is unchanged. bony structures appear intact.
<unk>f with history of interstitial lung disease, poor historian reports with <num> days of cough and epigastric pain lll crackles on exam // r/o pneumonia
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large intra-abdominal free air. lung volumes are low without focal consolidation. relative crowding of the interstitial markings and bronchovascular structures likely secondary to low lung volumes. cardiomediastinal silhouette is normal. there is no pneumothorax or pleural effusion. no acute osseous abnormalities seen.
<unk>m with recent hernia repair, with altered mental status, evaluate for pneumonia..
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the cardiomediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. the lungs are well expanded. the previously seen focal area of increased density at the right lung base has improved; however, there is vague, more diffuse, subtle increased density at the right lung base, which may reflect an ongoing infectious process. the left lung is essentially clear. multiple healed rib fractures of the left upper posterior ribs are again noted as well as chronic abnormalities of the right posterior rib <num>. the upper abdomen is unremarkable.
<unk>-year-old male with dementia, acute mental status change and possible syncope with fall.
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the patient is status post median sternotomy and cabg. left-sided dual-chamber pacemaker device is noted with leads terminating in right atrium <unk> <unk> ventricle. the lungs are clear and the pulmonary vasculature is normal. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
chest pain.
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since <unk>:<num> previous right middle and lower lobe collapse have improved revealing a small right pleural effusion which is probably unchanged. if there is any pneumothorax it is very small. left lung is essentially clear aside from minimal relative pulmonary vascular engorgement. cardiomediastinal silhouette is normal
<unk> year old woman with follow up film // follow up
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the endotracheal tube in the low trachea approximately <num> cm from the carina. a nasogastric tube can be traced to the mid chest, but cannot be traced further. the lung volumes are low. there is vascular engorgement and diffuse bilateral interstitial opacities, most consistent with moderate pulmonary edema. there is no definite pleural effusion. there is no pneumothorax. the mediastinal contour is widened, which may be due to technique, although acute aortic dissection is a consideration. the heart size is mildly enlarged.
evaluate after intubation.
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the cardiac, mediastinal and hilar contours appear stable. the heart is normal in size. there is similar mild elevation of the right hemidiaphragm, associated with a small anterior eventration. the lungs appear clear. there are no pleural effusions or pneumothorax.
cough and congestion.
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cardiomediastinal silhouette and hilar contours are unremarkable. lungs are clear. pleural surfaces are clear without effusion or pneumothorax.
left anterior chest pain.
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the left apical pneumothorax is unchanged with no evidence of tension. a loculated retrosternal collection with an air-fluid level is noted, which was not clearly seen on prior exams as they were done portably, not fully upright and with no lateral view. there is no focal consolidation. bilateral trace pleural effusions are present. the cardiomediastinal silhouette is unchanged. median sternotomy wires are intact.
status post cabg, evaluate for pneumonia.
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ap portable semi upright view of the chest. the relative increase in left mid - upper lung ground-glass opacity likely reflects layering pleural fluid. the volume of left pleural effusion appears increased since the pet-ct. left basal consolidation may also be increased and could reflect increasing atelectasis versus pneumonia. right lung grossly clear and known pulmonary nodules cannot be clearly visualized. no definite signs of superimposed pneumonia on the right. no convincing signs of edema.
<unk>f with dypsnea, metastatic bladder cancer.
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since the most recent prior study, there has been interval increase in the right pleural effusion, now large, with resultant atelectasis in the right lung. the left lung is unremarkable, and there is no left pleural effusion. there is no pneumothorax. the visualized cardiomediastinal contours are stable, with the right cardiac and lower mediastinal contours obscured by the large effusion. a new lucency projecting over the right upper mediastinum is concerning for a distended esophagus.the upper abdomen is unremarkable in appearance.
<unk> year old man with r hepatic hydrothorax // evaluate for interval change in hepatic hydrothorax
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with dyspnea // acute process