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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 thoracic spine.
history: <unk>m with history of ich on pradaxa here with confusion.
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right chest wall port-a-cath is noted. catheter tip is not clearly delineated. the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified.
<unk>m with renal trans, immunosuppressed and persistent fever // please eval for infectious process
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the heart is perhaps mildly enlarged. the lung volumes appear low. allowing for technique, the mediastinal and hilar contours appear within normal limits. there is no pleural effusion or pneumothorax. the lungs appear clear. multilevel osteophytes are noted throughout the mid-to-lower thoracic spine.
altered mental status. question pneumonia.
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the lungs are clear however mildly underinflated. there is no consolidation or pleural effusion. no pneumothorax. there is mild cardiomegaly. mediastinal contours are normal. there is no osseous abnormality.
history: <unk>m with asthma, cough, body aches. // pneumonia?
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the cardiac silhouette is markedly enlarged, not changed since the prior examination. aortic and mitral valve replacements are noted. the pulmonary vasculature is unremarkable. no definite consolidation is noted. again noted is indistinctness of the right costophrenic angle. median sternotomy wires are intact and well aligned. the visualized bones show no significant abnormalities.
<unk>f with dyspnea // acute process
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a left chest wall power injectable port-a-cath is present, the tip extending to the distal svc. no focal consolidation, pleural effusion or pneumothorax identified. the size of the cardiac silhouette is within normal limits. there is calcification of the aortic arch.degenerative changes of the thoracic spine are noted.
<unk> year old woman with aml // fever and neutropenia, evaluate for pna
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single portable view of the chest. the lungs are clear where not obscured by overlying cardiac leads. degree of cardiomegaly is unchanged. no acute displaced fractures identified.
<unk>-year-old female with fall and confusion.
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the patient is tilted towards the right. the lungs are hyperinflated. patchy opacities at the right lung base likely reflect atelectasis. otherwise, no focal consolidations. no pulmonary edema. the aorta is tortuous. stable cardiomegaly. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
history: <unk>m with parkinsonism, r sided weakness x <num> day, prior hx recrudescence in setting of infection // eval ? infiltrate
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there is elevation of the right hemidiaphragm as on prior. focal left basilar opacity posteriorly is grossly unchanged given differences in technique compared to prior ct scan. the lungs are otherwise clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormality is identified. surgical clips seen in the upper abdomen.
<unk>m with generalized weakness // ?infection
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pa and lateral views of the chest. the lungs are clear. cardiomediastinal silhouette is normal. no acute osseous abnormality. no free air below the diaphragm.
<unk>-year-old female with epigastric and chest pain.
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frontal and lateral chest radiograph demonstrates clear lungs. flattening of the hemidiaphrams suggests hyperinflation. there is no focal consolidation concerning for pneumonia. there is no pleural effusion. there is a tortuous or dilated aorta, allowing for changes in patient positioning, which appears stable since <unk>. heart size is top normal. no pneumothorax.
<unk>-year-old male with cough and decreased breath sounds on the left. evaluate for pneumonia.
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there is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. cardiomediastinal contours are within normal limits. no free air seen below the right hemidiaphragm.
<unk>m with tia symptoms // eval for infiltrate
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there is no focal consolidation, pleural effusion or pneumothorax. left retrocardiac opacity most likely represents atelectasis. there is central bronchial wall thickening which is a nonspecific finding but raises the possibility of small airways disease. cardiomediastinal contours are within normal limits. no pulmonary edema or pneumothorax. no pleural effusions. no acute osseous abnormalities identified. specifically, no displaced rib fractures seen. however, if this is of clinical concern, a dedicated rib series should be considered.
history: <unk>m s/p assault, main problem is l orbital fracture but has some tenderness // acute intrathoracic process?
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the lungs are free of focal consolidations, pleural effusions or pneumothorax. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities are identified.
<unk> year old man with history of motor vehicle accident <num> days ago with worsening left lower chest pain // please evaluate for left-sided rib fracture
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a left-sided dual-chamber pacemaker device is noted with leads terminating in the right atrium and right ventricle. mild enlargement of the cardiac silhouette is unchanged. the mediastinal and hilar contours are within normal limits. there is mild elevation of the left hemidiaphragm, similar compared to the previous study, with mild adjacent left basilar opacity likely reflective of atelectasis. remainder of the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is present. pulmonary vasculature is normal. no acute osseous abnormality is seen
history: <unk>m with shortness of breath
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the cardiac silhouette is normal in size. lungs are well expanded and clear. there is no focal consolidation, pleural effusion or pneumothorax.
history: <unk>m with cough, dyspnea, fever // eval for pneumonia
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a left port-a-cath terminating at the cavoatrial junction is unchanged in position. the previously noted opacity overlying the right upper lung field is no longer seen. there is no lobar consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is unchanged. numerous surgical clips are seen overlying the abdomen.
history: <unk>f with fever // eval for pna
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. the cardiac silhouette remains mildly enlarged. the aorta is calcified. thoracic scoliosis is again noted.
history: <unk>f with dizziness // evidence of bleed/infection
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pa and lateral views of the chest. the lungs are clear. small left pleural effusion is identified. osseous structures are unremarkable.
<unk>-year-old female with nonalcoholic steatohepatitis with hepatic encephalopathy presents with confusion.
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supine portable chest radiograph was obtained. the lungs are clear. there is no pleural effusion or pneumothorax. the heart is normal in size with tortuous aortic contour. multiple right rib fractures and left clavicular fracture are chronic.
fall with cervical spine fracture.
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pa and lateral views of the chest were reviewed and compared to the prior studies. left lingular consolidation has markedly improved since <unk>. the right lung is clear. normal heart, pleural and mediastinal surfaces.
evaluation for resolution of slowly clearing pneumonia.
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the cardiac, mediastinal and hilar contours are within normal limits. the lungs are clear and the pulmonary vascularity is normal. no pleural effusion or pneumothorax is present. no acute osseous abnormalities are seen.
chest pain and cold symptoms.
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cardiomediastinal silhouette and hilar contours are normal. biapical pleural and parenchymal scarring is unchanged. the lungs are otherwise clear. there is no pleural effusion or pneumothorax.
history of left pneumothorax, now with recurrent left thoracic pain.
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the cardiac silhouette is mildly enlarged without vascular congestion or edema. mediastinal silhouette and hilar contours are unremarkable. lungs are clear without focal consolidation worrisome for pneumonia. there is no pleural effusion or pneumothorax. a left humeral head replacement is incompletely imaged.
trauma and fall.
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lung volumes are low. the heart size is mildly enlarged but unchanged. the aorta remains tortuous. the pulmonary vascularity is normal. no focal consolidation, pleural effusion or pneumothorax is present. there are multilevel degenerative changes in the thoracic spine.
right hip pain.
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pa and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs which are clear. there is no pleural effusion or pneumothorax. a rounded calcific density projecting just medial to the left glenoid is unchanged. a compression deformity of a lower thoracic vertebral body is of unclear chronicity, new since <unk> but without recent imaging available for comparison.
shortness of breath. evaluate for pneumonia.
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pulmonary hyperinflation is longstanding. there is slight blunting of the costophrenic angles, suggestive of trace pleural effusions. linear opacities at the lung bases are longstanding either persistent subsegmental atelectasis or scarring. hilar and mediastinal silhouettes are unremarkable. heart is normal in size. the patient is status post median sternotomy. multiple surgical clips project over cardiac and mediastinal silhouettes. no pneumothorax.
chest pain.
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heart size is normal. mediastinal and hilar contours are normal. lungs are clear and the pulmonary vascularity is normal. no pleural effusion or pneumothorax is present. there are no acute osseous abnormalities.
fever.
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there is a moderate left-sided pleural effusion with associated opacity, probably due to atelectasis. similar but less striking findings are present on the right with a small effusion. there is new prominence of the pulmonary vascularity, which appears mildly distended and indistinct suggesting mild vascular congestion. the heart is again mildly enlarged. the aortic arch is calcified.
shortness of breath.
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chest, pa and lateral. the lungs are clear. the hilar and cardiomediastinal contours are normal. there is no pneumothorax or pleural effusion. pulmonary vascularity is normal.
leukocytosis.
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frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation or pneumothorax. hilar and mediastinal silhouette appear unremarkable. heart size is normal. there is no pulmonary edema. biapical pleural thickening/scarring is noted.
dyspnea.
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the heart is top-normal in size. the the mediastinum and hilar contours are unremarkable. the lungs are well expanded and clear. no pleural abnormality is seen.
<unk> year old woman with cough x <num> weeks, fine crackles lll. evaluate for pneumonia.
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pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. pectus excavatum deformity of the sternum is noted. no free air below the right hemidiaphragm is seen.
<unk>f with fever andd leukopenia // role out pneumonia
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<num> portable ap views of the chest. the lungs are hyperinflated as on prior with coarse interstitial markings suggestive of chronic underlying lung disease. more focal opacities projecting over the left lung are compatible with callus formation from interval, healing rib fractures involving the posterior left <unk> <unk> and <num>th ribs. the cardiomediastinal silhouette is within normal limits. no definite acute osseous abnormality.
<unk>-year-old male with shortness of breath.
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cardiomediastinal contours are within normal limits. lungs are severely hyperinflated consistent with known emphysema. there are no focal areas of consolidation or pleural effusion.
<unk> year old man with chronic intermitt cough, abn pfts // copd
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no focal consolidation is seen. there is no pleural effusion or pneumothorax. cardiac and mediastinal silhouettes are unremarkable. lateral right eighth rib fracture, old, again seen. additional rib fractures better assessed on preceding chest ct.
history: <unk>f with s/p fall // ?fracture or bleed
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compared to the prior chest radiograph, bilateral lower lobe opacities have completely resolved. the lungs are clear without focal opacity, pulmonary edema, pleural effusion or pneumothorax. the heart size is normal. the aorta is tortuous.
<unk> year old woman with cough and shortness of breath for <num> weeks // rule out pneumonia
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low lung volumes. no acute focal consolidation. the cardiac silhouette is within normal limits. no significant effusions or pneumothorax.
<unk> year old man with chronic cough, polyarthropathy due to pseudogout and sepsis, now on abx. // evidence of infectious etiology?
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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.
sharp left axillary pain.
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no chf, focal consolidation, pleural effusion or pneumothorax. there is no pulmonary edema. the heart is normal in size, and the mediastinal contours are within normal limits. mild left convex curvature of the upper thoracic spine is incidentally noted.
<unk>-year-old male with shortness of breath. evaluate for acute process. review of omr indicates a history of ulcerative colitis.
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the heart is normal. the hilar and mediastinal contours are normal. in comparison to prior examination, there has been interval decrease of the right sided pneumothorax. there is elevation of the right hemidiaphragm. the left lung is clear. rib fractures are seen bilaterally, likely related to post surgical changes.
<unk>-year-old female patient with right upper lobectomy. study requested for interval change.
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the lungs remain hyperinflated. right greater than left basilar linear opacities, likely due to scarring, are grossly stable. there is persistent slight blunting of the right costophrenic angle. no definite focal consolidation is seen. no large pleural effusion. no definite evidence of pneumothorax. the cardiac and mediastinal silhouettes are stable. the patient is status post median sternotomy and cabg.
history: <unk>m with palpitations // eval for ptx
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a frontal supine view of the chest was obtained portably. low lung volumes result in bronchovascular crowding. right basilar linear opacity may represent atelectasis or pneumonia. the remainder of the lungs is clear. no pneumothorax or pleural effusion. heart size is normal allowing for patient position and technique. mediastinal silhouette and hilar contours are within normal limits.
hypothermia with seizure.
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the cardiac, mediastinal and hilar contours are within normal limits. pulmonary vascularity is normal. lungs are clear. no pleural effusion or pneumothorax is present. there are no acute osseous abnormalities.
chest pain.
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portable semi-erect chest film <unk> at <time> is submitted.
<unk> year old man with hypoxemic respiratory failure thought to be possible aspiration pna and contribution from sickle cell disease, increased secretions from ett. // evaluate for interval change evaluate for interval change
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable and unremarkable. no overt pulmonary edema is seen. multiple bilateral small calcified pulmonary nodules are again seen, consistent with calcified granulomas.
cad and <unk> now chest pain
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pa and lateral views of the chest are compared to previous exam from <unk>. lungs are clear of focal consolidation or effusion. cardiomediastinal silhouette is normal. surgical clips seen at the superior mediastinum on the left are again noted. the osseous and soft tissue structures are unremarkable.
<unk>-year-old female with weakness. question pneumonia.
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mild hyperlucency of the lung apices may reflect copd. heart is top normal. the mediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. there is no focal airspace consolidation to suggest pneumonia.
history: <unk>f with thrombocytpenia, anemia // evaluate for acute process
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left chest wall dual lead pacing device is again noted. the lungs are grossly clear. there is no pneumothorax. the cardiomediastinal silhouette is stable. .
<unk>m with chest pressure last night // eval for pneumothorax
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low lung volumes are seen with secondary crowding of the bronchovascular markings. there is no evidence of consolidation or effusion. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified.
<unk>f with h/o portal htn, esophageal varices with luq pain. concern for referred pain from lungs // r/o pneumonia
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right pleural tenting and a small amount of right basilar scarring is unchanged. the lungs are otherwise clear without consolidation or edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. the patient is status post bilateral mastectomies with clips in the bilateral axilla. the osseous structures are unremarkable.
sudden onset fevers, chills, cough, and headache. history of recurrent breast cancer.
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interval removal of enteric catheter and replacement with a dobbhoff catheter whose tip is likely in the fundus of the stomach; however, the radiopaque portion is within the gastroesophageal junction and recommend advancing several centimeters. endotracheal tube terminates <num> cm above the carina. right-sided central venous catheter terminates in the right upper atrium. there is stable extensive perihilar opacification, consistent with pulmonary edema. bibasilar opacifications are likely a combination of atelectasis and bilateral pleural effusions, not significantly changed from prior. cardiomediastinal silhouettes are unremarkable.
acute alcoholic hepatitis, now status post dobbhoff placement. please assess positioning.
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the cardiomediastinal and hilar contours are normal. there is no pneumothorax or large pleural effusion. the lungs are well expanded with mild left basilar atelectasis. overall the lungs are improved compared to the most recent prior study. there is no focal consolidation concerning for pneumonia. median sternotomy wires are noted. there are no acute osseous abnormalities.
<unk>m with hx craniotomy on l side, now w aphasia pls eval for ich, stroke, new mass
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there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
history: <unk>f with cough // pna?
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heart size is upper limits of normal. the mediastinal and hilar contours are remarkable for a mildly tortuous thoracic aorta. 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 htn to <num>s // ? edema
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mild to moderate enlargement of the cardiac silhouette is present. mediastinal contour is within normal limits. perihilar haziness with vascular indistinctness is compatible with mild pulmonary vascular congestion. more focal ill-defined opacities in the left upper lobe and left perihilar region as well as within the right mid lung fields are concerning for areas of coexistent infection. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
<unk> year old man with hiv and known chf presents with progressive dyspnea on exertion, texas small nocturnal dyspnea, orthopnea, and weight gain. afebrile, nonproductive cough, compliant with haart.
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severe cardiomegaly appears increased compared to the prior examination. indistinctness of the pulmonary vasculature suggest mild to moderate edema. limited evaluation, but apparent increased opacification of the lung bases may reflect edema, but infection is also a consideration. right greater than left pleural thickening appears similar compared to the prior examination. small bilateral pleural effusions are possible. no pneumothorax. a left pectoralis dual-chamber cardiac pacemaker and leads are unchanged in position.
<unk>m with known chf, here with dyspnea, weight gain // ? pneumonia, ? pulm edema
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the cardiomediastinal silhouette and pulmonary vasculature are normal. the lungs are clear. apical scarring is noted, particularly on the left, which may be the sequela of prior infection. there is no pleural effusion or pneumothorax.
<unk> year old woman with mva <num> d ago; body went forward and back, now with persistent left pleuritic chest pain, good air movment; hx pe postsurgical // r/o pneumothorax
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the lungs are mildly hyperexpanded. there is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is unchanged from the prior examination.
history: <unk>m with recent turp, now w/ hematuria and syncope, reported dyspnea prior to syncopal episode. // eval ? infection, pulmonary infarction, effusion
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a left ij central venous catheter terminates in the upper svc. a right ij central venous catheter extends to the mid svc. a nasogastric tube enters the stomach, distal tip not visualized. there is no pneumothorax. bilateral airspace opacities have improved in the right upper lung field. mild cardiomegaly despite the projection is stable.
shock, resp failure // ett position
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the new right subclavian line ends in the low svc. there is no pneumothorax. the left hilum is enlarged due to an enlarged left pulmonary artery better evaluated in prior ct. there is no focal consolidation, pleural effusion, or pulmonary edema. the cardiomediastinal silhouette is within normal limits.
<unk> year old woman with recent diagnosis of all <unk> chromosome positive with febrile neutropenia. // please evaluate for pulmonary process; rule out pneumonia.
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the heart size, mediastinal, and hilar contours are normal. the lungs are clear without pleural effusion, focal consolidation, or pneumothorax.
<unk>f with chest pain for the past five days, exertional. evaluate for acute process.
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pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>f with r sided chest wall pain // eval pneumonia
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the lungs are clear. there is no effusion or pneumothorax. the cardiomediastinal silhouette is within normal limits. no displaced fractures identified.
<unk>m with s/p mvc, chest wall tenderness // bony injury?
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the right ij venous catheter terminates in the lower svc. the lung volumes are stable. the cardiomediastinal and hilar contours are enlarged but stable. mediastinal veins are mildly dilated but unchanged. no pulmonary edema. the pleural surfaces are normal. the right ij venous catheter terminates in the lower svc. the left icd is intact with leads in the appropriate positions. no pneumothorax.
<unk> year old man with chf exacerbation, new rij // pulmonary edema, pna, new rij
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single frontal view of the chest. endotracheal tube terminates <num> cm above the carina. ng tube and right subclavian central catheter are in stable position. large area of consolidation in the left perihilar region has improved. right perihilar and base opacity is stable and consistent with a combination of right middle and right lower lobe collapse with adjacent moderate to large pleural effusion. no pneumothorax. heart size and upper mediastinal contours are stable.
metastatic renal cell cancer.
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frontal and lateral views of the chest were obtained. low lung volumes result in bronchovascular crowding. there is no focal consolidation, pleural effusion or pneumothorax. heart size, mediastinal silhouette and hilar contours are within normal limits allowing for lung volumes. no osseous abnormality is identified. there is no free air under the right hemidiaphragm.
fever.
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single ap portable view of the chest was obtained. a right-sided picc has migrated in proximal position as compared to the prior study and appears to terminate in the right subclavian vein. the patient is status post median sternotomy and cabg. there is a moderate-to-large left pleural effusion with overlying atelectasis, though underlying consolidation cannot be excluded. otherwise, cardiac and mediastinal silhouettes are stable.
<unk>-year-old male with history of hypoxia and altered mental status.
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portable upright view of the chest demonstrates near-complete resolution of the left pleural effusion. small-to-moderate right pleural effusion persists with associated thickening of the right minor fissure, likely due to pleural fluid. there is no pneumothorax. hilar and mediastinal silhouettes are unchanged. heart size is top normal. mild pulmonary edema persists. right pic catheter tip projects over mid svc.
patient with left pleural effusion status post thoracentesis with removal of <num> liters. assess for residual effusion or pneumothorax.
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lung volumes are low. elevation of the left hemidiaphragm is chronic appearing with mild associated left lower lobe likely compressive atelectasis. no focal consolidation, edema, effusion, or pneumothorax. the cardiomediastinal silhouette is unchanged with cardiomegaly and a tortuous and ectatic thoracic aorta appreciated on prior cta.
<unk>f w/dizziness, please eval for occult pna.
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heart size is difficult to evaluate due to a large right-sided pleural effusion with adjacent right middle and lower lobe collapse without mediastinal shift. dense pericardial calcification is best visualized on lateral view. a left-sided single-lead icd is unchanged in position. compared to earlier examination, there has been worsening of central vascular congestion and interstitial edema. the lungs are otherwise clear. there is no pneumothorax.
dyspnea on exertion for several weeks.
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the patient is status post sternotomy and coronary artery bypass graft surgery. the cardiac, mediastinal and hilar contours are unchanged. there are severe emphysematous changes with marked attenuation of lung markings in the upper lungs. surgical staple material projects over the right mid lung. however, there has been no significant change.
history of hiv, presenting with chest pain and fatigue.
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the inspiratory lung volumes are appropriate. the lungs are clear without focal consolidation, pleural effusion or pneumothorax. the pulmonary vasculature is not engorged. the cardiomediastinal and hilar contours are within normal limits. no acute osseous abnormality is detected.
<unk>-year-old woman with chest pain, here to evaluate for pneumonia.
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pa and lateral views of the chest. the lungs are clear of focal consolidation. there are small bilateral effusions, larger on the left. cardiomediastinal silhouette is stable. no acute osseous abnormality detected.
<unk>-year-old female with fall with.
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the medial head of the right clavicle, may obscure a parenchymal opacity in the right upper lobe. lungs are otherwise clear. cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. there is no pleural effusion or pneumothorax.
<unk> year old woman with cp and cough ongoing for <num> week, evaluate for pneumonia.
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there has been interval placement of an enteric tube the traverses the diaphragm and its tip is in the stomach, but the side port is in the region of the gastroesophageal junction and could be advanced several more centimeters to lie within the stomach lumen. the right picc line is overall unchanged in position the with its tip ending in the lower svc. low bilateral lung volumes are overall unchanged. moderate to severe bilateral atelectasis is also overall unchanged. mild pulmonary edema is overall similar. the heart is normal in size. no pleural effusion or pneumothorax.
<unk> year old man with altered mental status and now afib with rvr // ng tube placement
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the et tube has been withdrawn and is now situated <num> mm proximal to the carina. ng tube in situ. right ijv cvp in the mid svc. the left lower lobe atelectasis has nearly resolved.
<unk> year old woman with intubation // confirm ett placement
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right chest wall port is again seen. left picc tip is at the ra svc junction. right-sided pleural effusion has slightly increased in size, now moderate. adjacent linear opacities are likely atelectasis. left lung remains clear. the cardiomediastinal silhouette is within normal limits. stents identified in the right upper quadrant.
<unk>f with tachycardia, abd pain, picc line // evaluate for pneumonia, picc placement
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there are diffusely increased interstitial markings throughout the lungs. this is likely due to underlying fibrotic changes as seen on remote prior chest ct. there is no confluent consolidation or effusion. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>f with altered mental stauts, recent fall, anticoagulated, rales on exam, hx a-fib/chf //
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the cardiomediastinal silhouette and pulmonary vasculature are unremarkable. the lungs are clear. there is no pleural effusion or pneumothorax.
<unk>f with pain // eval for chest pain
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lung volumes are low but the lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. there is mild stable cardiomegaly. no acute fractures are identified.
fall with pain.
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endotracheal tube tip is in standard position, terminating approximately <num> cm from the carina. an enteric tube is noted with tip in the stomach as well as the side port. lung volumes are low. the heart size is top normal. the mediastinal and hilar contours are within normal limits. there is no pulmonary edema. minimal streaky opacities in the lung bases likely reflect atelectasis. no focal consolidation, pleural effusion or pneumothorax is identified.
intubation for possible status epilepticus.
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ap and lateral views of chest were provided. cardiomediastinal and hilar contours are stable. there is no pleural effusion or pneumothorax. lung hyperinflation is again seen. there is no focal consolidation concerning for pneumonia. again seen are old right-sided rib fractures. stable degenerative changes of both shoulders with high-riding humeral heads, right greater than left, may be indicative of rotator cuff disease. stable compression deformity of mid thoracic spine is again seen.
acute mental status change.
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the lung volume is small. no consolidation. the hila and pulmonary vasculature are normal. no pleural effusion or pneumothorax. moderate cardiomegaly is unchanged. mediastinal silhouette is stable.
<unk> year old man s/p stem cell transplant w/persistent tachycardia, r/o infection. // ?pna
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there is lung hyperinflation with flattening of the hemidiaphragms compatible with known history of emphysema. otherwise, no new focal parenchymal opacities are identified. the cardiac and mediastinal silhouettes are stable. there is no pleural effusion or pneumothorax. bilateral diffuse interstitial opacities seen on prior exam from <unk> have completely resolved.
<unk>-year-old female with history of copd, now with dyspnea and cough. evaluate for evidence of pneumonia.
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lung volumes are slightly low, resulting in bronchovascular crowding. blunting of the left costophrenic angle is most consistent with a small left pleural effusion. there is increased opacity in the retrocardiac region. the heart is mildly enlarged. the aorta is tortuous. no pneumothorax.
history: <unk>m with urinary retention // eval infiltrate
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pa and lateral views of the chest. there is pulmonary vascular engorgement and mild interstitial edema. there are small bilateral pleural effusions. in the left lower lobe, retrocardiac area, there is a heterogeneous opacity that may represent pneumonia. no pneumothorax. the cardiac and mediastinal contours are normal.
dyspnea, evaluate for pulmonary edema.
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left basilar consolidation has resolved, and lingular consolidation has substantially improved, with only minimal residual patchy and linear opacification remaining in this region. cardiomediastinal contours are normal. there are no pleural effusions.
<unk> year old man with recent pneumonia // follow up on pneumonia
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frontal and lateral views of the chest demonstrate low lung volumes. stable top normal heart size. normal mediastinal and hilar silhouettes. no pleural effusion or pneumothorax. clear lungs. median sternotomy wires are intact.
shortness of breath question, pneumonia.
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right-sided port-a-cath tip terminates in the low svc. the cardiac, mediastinal and hilar contours are unchanged. innumerable pulmonary metastases appear relatively unchanged compared to the previous exam. no new areas of focal opacification are present. there is no pleural effusion or pneumothorax. no acute osseous abnormality is identified.
fever, seizure.
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the lungs are well expanded and clear. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. bony structures appear intact, although this study is limited for assessment of osseous structures. cholecystectomy clips are noted in the right upper quadrant of the abdomen.
patient with altered mental status. evaluate for acute cardiopulmonary process.
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distal portion of the right internal jugular venous catheter is somewhat obscured by the pacer leads, however probably terminates in low svc. there is no pneumothorax or large pleural effusion. right lung base opacity is persistent. there is slightly increased mild left lung base opacity. cardiomediastinal silhouette is unchanged.
history: <unk>m with s/p line place // s/p line placement
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there is near complete opacification of the right hemi thorax with mediastinal shift to the right. this is compatible with collapse of the right lung and likely an associated effusion. there is also hazy alveolar infiltrate involving the left lung. there is left lower lobe volume loss in left effusion
<unk> year old woman with hypoxia, recent concern for pna // please eval for interval change, pna, edema
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frontal and lateral radiographs of the chest demonstrate clear lungs. the cardiac and mediastinal contours are normal. no pleural abnormality is detected.
prolonged productive cough and malaise. evaluate for pneumonia.
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cardiac, mediastinal and hilar contours are normal. lungs are clear and the pulmonary vasculature is normal. no pleural effusion or pneumothorax is seen. no acute osseous abnormalities demonstrated.
cough.
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hyperinflated lungs and exaggerated thoracic kyphosis is unchanged from <unk>. moderate cardiomegaly is chronic and mild vascular cephalization may not indicate acute decompensation. hilar contours are unremarkable. lungs are clear. pleural surfaces are clear without effusion or pneumothorax. a right humeral head replacement is partially imaged.
general malaise.
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the right-sided picc line tip at the cavoatrial junction is again visualized. the heart continues to be mildly enlarged and there is pulmonary vascular redistribution. however much of the hazy alveolar infiltrate has cleared. there is no new infiltrate
<unk> year old man with new hypoxemia // any acute abnormality? any consolidation? any edema?
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the heart is at the upper limits of normal size. there is mild unfolding and calcification along the aorta. there is no pleural effusion or pneumothorax. the chest is mildly hyperinflated. the lungs appear clear. surgical clips project over the right upper quadrant.
chest pain and left lower extremity weakness. question intracranial hemorrhage.
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frontal and lateral radiographs of the chest demonstrate low lung volumes which contribute to the apparent cardiomegaly. mediastinal and hilar contours are unremarkable. there is no pneumothorax, consolidation, or pleural effusion.
<unk>-year-old man with diabetes and productive cough for one week. evaluate for pneumonia.
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portable ap upright image of the chest. the trachea is noted to be deviated to the right. the lungs are well expanded. opacity at the medial right lung base, which represent atelectasis but cannot exclude pneumonia or aspiration in the right clinical setting. mild atelectasis is seen in the left lung base. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is chronically enlarged.
chest pain.