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there is no focal consolidation, pleural effusion or pneumothorax. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities are identified.
history: <unk>m with weakness // eval for pna
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left upper lobe, perihilar opacity is most worrisome for left upper lobe pneumonia. no pleural effusion or pneumothorax is seen. mediastinal contours are unremarkable. cardiac size is normal.
history: <unk>m with viral illness now blood tinged sputum // ?cpd
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frontal and lateral views of the chest demonstrate clear lungs. the cardiomediastinal and hilar contours are normal. the previously seen adenopathy most pronounced in the right paratracheal region has improved. there is no pneumothorax or pleural effusion. pleural surfaces are normal.
history of lymphoma with cough and fever, assess for pneumonia.
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since <unk>, the heart has increased in size, accompanied by azygos vein distension in increase caliber of upper lobe vessels. within this context, new basilar predominant interstitial opacities likely represent interstitial edema. additionally, asymmetrically distributed multifocal areas of consolidation have developed predominantly in the juxta hilar regions, right greater than left, with extension into the upper lobe on the right. exam is otherwise remarkable for healed left rib fractures.
<unk> year old man with cough // cough
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the cardiomediastinal and hilar contours are within normal limits. the lungs are well expanded and clear. there is no focal consolidation, pleural effusion or pneumothorax. no acute osseous abnormality.
cough and fever. rule out pneumonia.
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lungs are well expanded. there is no focal consolidation pneumothorax. blunting of the costophrenic angles on the lateral view may be due to small bilateral pleural effusions or pleural thickening. heart size is top normal. the imaged upper abdomen is unremarkable.
chest pain, evaluate for pneumonia.
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heart size is normal. mediastinal contours are normal with mild aortic tortuosity. post-surgical changes in the right hemithorax are stable including thickening of the pleura along the costal surface and blunting of the costophrenic sulcus. the right sixth rib surgical fracture is redemonstrated. there are no new lung nodules identified.
<unk>-year-old woman with left supraclavicular fullness for several months with history of right lung carcinoid tumor.
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the heart is top normal in size/minimally enlarged on this ap projection. no pneumothorax is identified status post bronchoscopy. subtle opacity involving the base of the right lung could represent atelectasis, in the setting of recent procedure. the aorta is unfolded. no pleural effusion is identified.
<unk> year old man with pulmonary nodule // post bronch
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cardiomediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. the lungs are well expanded and clear without focal consolidation concerning for pneumonia. the upper abdomen is unremarkable.
<unk>f with fever // ? pna
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lung volumes are low, which exaggerates the heart size which is top normal. mediastinal and hilar contours are unchanged, with calcification of the aortic arch re- demonstrated. there is crowding of the bronchovascular structures, with mild pulmonary vascular congestion, but no overt pulmonary edema. patchy bibasilar airspace opacities likely reflect atelectasis. there is no focal consolidation. minimal blunting of the costophrenic angles posteriorly indicate trace bilateral pleural effusions. no pneumothorax is identified. there are no acute osseous abnormalities.
cough, dyspnea, abdominal pain, nausea.
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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. a non-displaced fracture of the sternum is not as well visualized as on the prior examination. no rib fractures are visualized.
chest pain; recent known sternal fracture.
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compared to the previous exam, the left lower lobe is now clear. the lungs are clear. there is no focal consolidation, pulmonary edema, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is normal. no acute osseous abnormality.
<unk>-year-old man with a history of cll who is immunosuppressed and now presents with a cough; evaluate for pneumonia.
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lung volumes are low, exaggerating cardiac silhouette and causing crowding of the bronchopulmonary vasculature. heart size is normal with mild tortuosity of the thoracic aorta. there is engorgement of the central pulmonary vasculature with increased interstitial lung markings compatible with moderate pulmonary edema. there is no clear focal consolidation suggestive of pneumonia. pleural surfaces are clear without large pleural effusion or pneumothorax.
shortness of breath.
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frontal and lateral views of the chest demonstrate normal lung volumes. there is no pleural effusion, focal consolidation or pneumothorax. hilar and mediastinal silhouettes are unremarkable. heart size is normal. there is no pulmonary edema. partially imaged upper abdomen is unremarkable.
chest pain.
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ap portable upright view of the chest. interval placement of a right ij central venous catheter with its tip extending into the right atrium. right mid and lower lung opacities are again noted consistent with multifocal pneumonia. otherwise no change. no pneumothorax.
<unk>f with s/p rij placement // eval line placement
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frontal and lateral chest radiographs were obtained. the lungs are well expanded and clear. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. there is no pleural effusion or pneumothorax.
r/o signs of sarcoid and other structural abnormalities in vasculature.
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frontal and lateral radiographs of the chest demonstrate stable top normal heart size. tortuosity of the thoracic aorta is unchanged. abnormal contour of the mediastinum with fullness of the right tracheobronchial angle is stable from <unk>. mild pulmonary edema is unchanged. no pleural effusion or pneumothorax. no focal consolidation.
mmps, chf, weight gain and chest pain. evaluate for fluid overload, pneumonia or acute changes.
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right picc tip terminates in at the junction of the svc and right atrium. heart size remains mildly enlarged. the mediastinal and hilar contours are unchanged. pulmonary vasculature is not engorged. there is continued patchy opacification within the left lower lobe, and mild interstitial abnormality in the right lung base, not substantially changed in the interval. a small left pleural effusion appears unchanged. no new areas of focal consolidation are visualized. there is no pneumothorax. no acute osseous abnormalities are demonstrated.
history: <unk>f with dyspnea, immunocompromised
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severe multichamber cardiomegaly is chronic and appears stable compared to the prior exam. right internal jugular central line terminates in the mid svc. there has been interval improvement of the bibasilar and left upper lung opacities compared to the prior exam. there is no pneumothorax. the left layering pleural effusion appears stable.
<unk>-year-old female with a rising white count, who presents for evaluation of shortness of breath.
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large right pleural effusion that is grossly unchanged since <unk> when allowing for differences in patient position. small left pleural effusion, also not appreciably changed. left lower lung atelectasis. mild bilateral engorgement of the pulmonary vasculature. cardiomegaly cannot be assessed due to patient position and overlapping effusions. no consolidation, pulmonary edema, or pneumothorax. the tracheostomy tube to appearance in position.
<unk> year old man persistent vegetative state s/p remote cva, dependent on mechanical ventilation via trach now with acute hypoxemic respiratory decompensation. assess for infiltrate, effusion, pulmonary edema, or other etiology for hypoxemic respiratory distress.
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frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs which are clear. there is no pleural effusion or pneumothorax.
new liver failure. evaluate for pulmonary pathology.
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tracheostomy and left picc are in standard position. there is persistent left lower lobe collapse. there is likely associated small left effusion. no interstitial edema. no new consolidation. no pneumothorax.
<unk> year old man with c<num> fracture s/p c<num>-c<num> lami and fusion // assess for interval change; *please preform on <unk> at <unk> radiology rounds* please remove cooling blanket prior to xray****
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the heart size is normal. mediastinal and hilar contours are unremarkable. the pulmonary vascularity is normal. lungs are clear. no focal consolidation, pleural effusion or pneumothorax is present. no acute osseous abnormalities detected.
chest pain.
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the trachea is deviated rightward secondary to an enlarged thyroid. hazy opacities are seen in the right upper lobe, right lower lobe, and left lower lobe. these appears similar to the opacities seen on the recent ct scan, and likely represent an atypical infection. it does not appear to be worsening. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal.
history of all and bone marrow transplant with known gvhd, cmv viremia, and fungal infection of the leg.
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single portable view of the chest. low lung volumes are again noted. chronic changes compatible with patients pulmonary fibrosis are noted. more severely affected areas seen at the bases, left greater than right. cardiomediastinal silhouette is stable. no acute osseous abnormalities identified.
<unk>-year-old female with hypoxia.
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cardiac, mediastinal and hilar contours are within normal limits. the pulmonary vasculature is normal. radiation fibrotic changes within the left upper lobe are unchanged compared to the previous exam. no focal new focal consolidation, pleural effusion or pneumothorax is present. no acute osseous abnormality is seen. remote left-sided rib fractures are noted.
malaise, hypotension, immunosuppressed for renal transplant.
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portable ap upright chest radiograph was provided. small right pleural effusion with associated compressive lower lobe atelectasis is better assessed on same date chest ct. the cardiac silhouette appears prominent though this is attributable to prominent epicardial fat. the left lung is clear. mediastinal contour is notable for a calcified and unfolded thoracic aorta. no pneumothorax. degenerative ac joint arthropathy noted bilaterally. no free air below the right hemidiaphragm.
<unk>-year-old male with shortness of breath, evaluate pulmonary edema. this patient has a history of hepatic cellular carcinoma.
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the heart size is normal. the hilar and mediastinal contours are within normal limits. there is no pneumothorax, focal consolidation, or pleural effusion.
<unk>-year-old female with altered mental status.
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tracheostomy tube in situ with the tip <num> mm proximal to the carina. right-sided picc line in situ with the tip seen in the lower aspect of the right atrium. left-sided central line in situ with the tip in the distal svc. nasogastric tube in situ with the tip in the d<num> area. evidence of previous sternotomy. lvad in situ with its position unchanged. mild interval progression of the pulmonary vascular congestion. background pulmonary parenchymal opacification appear similar compared to prior. persistent left lower lobe atelectasis unchanged.
<unk> year old man with history of ischemic cardiomyopathy with lvad. // please evaluate for pulmonary edema.
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a single portable frontal view of the chest was performed. opacification is seen in adjacent to the left heart border. the heart size is mildly enlarged. there is no pleural effusion or pneumothorax. the mediastinal structures are normal. small amount of calcifications within the aortic arch. the imaged upper abdomen is unremarkable.
productive cough, evaluate for pneumonia prior to operative cholecystectomy.
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low bilateral lung volumes. there are increased bibasilar opacities which likely reflect atelectasis. no pneumothorax identified. the size of the cardiac silhouette is enlarged but unchanged. re- demonstrated is a thoracoabdominal aortic stent.
<unk> year old man with fever, decreased breath sounds at the r lower base // opacity
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a single portable erect ap chest radiograph was obtained. the lungs are clear. no nodule, consolidation or effusion is present. sternal wires are intact. mediastinal vascular clips are present. there are aortic arch calcifications. there is no free abdominal air.
<unk>-year-old woman with abdominal pain status post colonoscopy. evaluate for free air.
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frontal and lateral radiographs of the chest when compared to the prior study demonstrate interval improvement in bibasilar opacities. no focal areas of consolidation are noted. the cardiac contour is top normal. the mediastinum is normal. no hilar lymphadenopathy is appreciated. no pleural effusion or pneumothorax is seen.
spinal stenosis, asthma, and recent cough with low-grade temperature. evaluate for bronchitis versus pneumonia.
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the lungs are clear without focal consolidation, pleural effusion or pneumothorax. there is no pulmonary edema. the heart is normal in size, and the mediastinal contours are normal. no displaced rib fractures are noted.
<unk>-year-old male with trauma. evaluate for trauma.
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the cardiac, mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. the lungs appear clear.
productive cough and dyspnea. history of asthma.
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there is no chf, consolidation, pleural effusion or pneumothorax. heart size is borderline enlarged. cardiomediastinal contours are otherwise within normal limits. no subdiaphragmatic free air. no acute osseous abnormalities are identified.
history: <unk>m with weakness // ? infectious process
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the cardiomediastinal silhouettes are unchanged in appearance. the bilateral hila are normal. the previously described increased interstitial prominence reflective of chronic fibrotic changes involving the left lower lobe is again seen, unchanged. similar changes are also seen to a lesser degree in the right lower lobe, also unchanged. there are no other focal lung consolidations. there is no evidence of pulmonary vascular congestion. there are no pneumothoraces or effusions.
<unk> year old woman s/p liver transplant on immunosuppressants seen in ed <unk> for cough, ? pna on cxr. symptoms not improved, soemwhat worsened, crackles on left, please re-eval // assess for infiltrate, pnuemonia
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there is mild vascular congestion on the setting of stable mild cardiomegaly. no focal opacities concerning for pneumonia. a right-sided port-a-cath catheter ends in the lower svc. there is no pleural effusion or pneumothorax.
<unk>-year-old male with sickle cell anemia and recent rust-colored sputum and cough. evaluate for infection.
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the cardiomediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. there is no focal consolidation concerning for pneumonia. pulmonary vasculature is within normal limits.
throat pain and shortness of breath with ambulating. rule out infection.
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there is no consolidation, pleural effusion, or pneumothorax. cardiomediastinal and hilar silhouettes are normal size. suture at the left lung apex is unchanged. ascending aortic contour is tortuous.
history: <unk>m with sob, hx of recent pneumothorax, l-flank pain, hypoxia // evaluate for acute process
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pa and lateral views of the chest <unk> at <time> are submitted.
<unk> year old man with chest tube placed to water seal // please assess for pneumothorax please assess for pneumothorax
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ap portable upright view of the chest. midline sternotomy wires are again noted. there is mild lower lungs subsegmental atelectasis. no large consolidation concerning for pneumonia. no effusion or pneumothorax is seen. the cardiomediastinal silhouette is unchanged. bony structures are intact.
<unk>m with abdominal pain and pancreatitis
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lung volumes are slightly low. there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. the imaged upper abdomen is unremarkable. the bones are intact.
<unk> year old woman with cough // pneumonia
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the lungs are clear. there is no pleural effusion, pneumothorax or focal airspace consolidation. the cardiac and mediastinal contours are normal. the hilar structures are unremarkable.
rales at the right lung base while on steroids for an ulcerative colitis flare. evaluate for pneumonia or atelectasis.
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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 cp // pna?
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in comparison to prior radiographs performed approximately eight hours earlier, there is very minimal improvement in the moderate-to-severe pulmonary edema. probable small bilateral effusions are unchanged. there is no discrete consolidation. there is no pneumothorax. moderate cardiomegaly is stable. the mediastinal contours are unremarkable. mediastinal clips and a prosthetic cardiac valve are unchanged. the sternal wires are intact.
presenting with new chf. status post bipap and diuresis. assess for interval change.
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pa and lateral views of the chest provided. cardiomegaly is mild and stable. mild bibasilar atelectasis without definite signs of pneumonia. no large effusion or pneumothorax is seen. no pneumothorax is seen. no overt edema. bony structures are intact. mediastinal contour is stable. mild hilar engorgement is suspected.
<unk>f with sob, tachycardia// evaluate for pneumonia.
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portable ap upright chest radiograph <unk> at <time> is submitted.
<unk> year old woman with pancreatic adenocarcinoma, new leukocytosis, change in o<num> sats // pneumonia. other interval change? pneumonia. other interval change?
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cardiac silhouette size is normal. mediastinal and hilar contours are normal. lungs remain hyperinflated with mild emphysematous changes again noted at the apices. pulmonary vasculature is normal. no focal consolidation, pleural effusion or pneumothorax is demonstrated. there are no acute osseous abnormalities.
history: <unk>m with chest pain
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heart size is top normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. several punctate rounded densities are noted projecting over the upper lobes bilaterally, more so on the right. no focal consolidation is present. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
history: <unk>f with chest pain
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sternotomy wires and prosthetic valve are unchanged. the heart size is large, but less so than prior exam dated <unk>. the lungs demonstrate no lobar consolidation. subtle prominence of the interstitium is present, although there is not overt sign of failure. trace blunting of the costophrenic angles posteriorly suggests trace pleural fluid.
<unk>-year-old male with chf and worsening dyspnea.
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lung volumes are low. the heart size remains normal. mediastinal and hilar contours are unchanged. lungs are grossly clear though assessment of the left apex is limited due to the patient's neck projecting over and obscuring this region. no focal consolidation, pleural effusion or pneumothorax is seen. pulmonary vasculature is not engorged. right shoulder arthroplasty is incompletely imaged. there are mild degenerative changes in the thoracic spine.
history: <unk>f with confusion and falls, on coumadin
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pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is stable. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>f with diaphragmatic-type pain, fever nightly x <num> days // eval ? pna vs pleural effusion.
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the heart is mildly enlarged and is slightly larger than on the prior study. there is pulmonary vascular redistribution that is increased compared to the prior exam. there are new bilateral lower lobe infiltrates that may be secondary to pulmonary edema versus infection
<unk> year old man with cad s/p stent, cholangitis, afib, worsening hypoxia. // evidence of worsening volume overload, infiltrate?
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the heart size is top normal. the mediastinum is stable in appearance. there is redemonstration of the neoesophagus contour. there has been interval increase in bilateral pleural effusions compared to the most recent prior exam from <unk>. there is adjacent mild compressive atelectasis. there is no evidence of a pneumothorax. post-sternotomy wires are unremarkable. surgical rib fracture of the right <num>th rib is again noted.
history of new onset melena worsening dyspnea on exertion. patient with known pleural effusions. please evaluate.
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pa and lateral views of the chest were reviewed and compared to the prior study. the lung volumes are low and there is minimal bibasilar atelectasis, otherwise the lungs are clear without evidence of vascular congestion, pleural effusion, or pneumothorax. the heart and mediastinal contours are unchanged. the bones and soft tissues are unchanged.
sweats and leukocytosis in a patient with multiple myeloma.
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single portable view of the chest. no prior. the lungs are clear. cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unremarkable.
<unk>-year-old male with head strike and confusion.
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previous median sternotomy noted. a dual lead pacemaker is in-situ, unchanged in appearance. a right internal jugular catheter terminates in the proximal svc. there are bilateral pleural effusions, n there appears to be in a slight increase in the right-sided pleural effusion. calcified pleural plaques are again noted. there is mild prominence of the pulmonary vasculature consistent with mild congestive heart failure but no frank pulmonary edema. left lower lobe atelectasis. no pneumothorax seen.
<unk> year old man with acute onset shortness of breath. // please evaluate for volume overload.
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the heart remains mildly enlarged. the aorta is mildly unfolded. the hilar contours are normal. streaky opacities are noted within the lung bases. there is mild elevation of the right hemidiaphragm, with a possible small right pleural effusion. the pulmonary vascularity otherwise is not engorged. there is no pneumothorax. mild degenerative changes are seen in the thoracic spine.
cough and weakness.
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heart size is normal. the aorta is mildly tortuous and diffusely calcified. mediastinal and hilar contours are otherwise unchanged. pulmonary vasculature is normal. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is visualized. right humeral prosthesis is re- demonstrated.
history: <unk>f with right sided chest pain
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portable ap upright chest film <unk> at <time> is submitted.
<unk> year old female, s/p rygb, h/o ulcers, p/w worsening epigastric pain // eval for marginal ulcer - free air under the diaphragm eval for marginal ulcer - free air under the diaphragm
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compared with the prior exam, there has been reaccumulation of a small to moderate left pleural effusion with mild associated compressive atelectasis. there is no right-sided pleural effusion. the bilateral chest tubes are in unchanged position. the right-sided central line is in unchanged position. there is no focal consolidation, pneumothorax, or pulmonary edema.
<unk> year old woman with follicular lymphoma s/p b/l chest tube placement // evaluate chest tube placement
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innumerable tiny calcified nodules are seen bilaterally, unchanged from the prior study of <unk>. there is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is within normal limits.
<unk> year old man with facial, neck and some chest pain on the right. // r/o pneumonia or masss.
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compared to the radiograph performed <num> day ago retrocardiac opacity and right mid lung opacity adjacent to the known mass have increased. in addition a small left pleural effusion is new. there is no pneumothorax. the cardiac and mediastinal contours are stable.
<unk> year old woman with copd and recent bronchoscopy. evaluate for interval change, pneumothorax pleural effusion and resolution of bleeding
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the lungs are clear. note is made of an accessory azygos fissure, a normal anatomic variant. the heart size is normal. the mediastinal contours are normal. there are no pleural effusions. no pneumothorax is seen.
cough and low-grade fever as well as wheezing in the right upper and left lower lungs. the patient is a nonsmoker. assess for pneumonia.
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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 chest pain // r/o pneumonia
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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. prominence of the hila is stable.
history: <unk>f with cp // pna?
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et tube ends in the proximal trachea above the level of the clavicles. gastric tube ends past the diaphragm outside of the view of the chest radiograph. no consolidation, pleural effusion or pulmonary edema is seen, and the cardiac and mediastinal contours are within normal limits for this portable radiograph technique.
<unk>-year-old woman with angioedema status post intubation. confirm et tube and ng tube placement.
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the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified. enteric tube is noted with tip projecting over the gastric body.
<unk>m with ugib s/p ngt placement at osh // confirm ngt placement
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the patient is status post left thoracotomy and left upper lung pneumonectomy with unchanged deformities of the left lateral ribs and chest wall. air-filled cavity within the left apex is re- demonstrated, but appears to contain increased opacification suggestive of increasing fluid. the size of this cavity is overall unchanged. leftward shift of mediastinal structures is re- demonstrated. the heart size is normal. the pulmonary vasculature is not engorged. streaky opacities in the left lung base may reflect atelectasis. scarring within the right apex is unchanged. no acute osseous abnormalities demonstrated.
hemoptysis, left-sided chest pain for <num> weeks.
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lung volumes are low. there is chronic severe cardiomegaly and mild pulmonary vascular congestion. a right sided pacing device and its leads are in stable position over the right atrium and ventricle. previously noted right hilus abnormality and small pulmonary nodules are not well seen on this conventional radiograph. .
<unk>-year-old male with history of congestive heart failure and shortness or breath. evaluate for questioned heart failure and fluid overload.
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pa and lateral chest radiographs were provided. there is scarring at the lung apices, consistent with prior tb infection. there is a focal opacity in the right lower lobe concerning for infection. there is no pleural effusion or pneumothorax. the heart size is mildly enlarged and the aorta is calcified. the osseous structures are intact.
chest pain. question acute process.
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there is been interval removal of the right pigtail pleural catheter. apparent elevation of the right hemidiaphragm with lateralization of the peak of the right hemidiaphragm is consistent with a subpulmonic effusion, which is confirmed on the lateral view. there is no pneumothorax. the cardiomediastinal and hilar contours are stable. there is no focal consolidation concerning for pneumonia. the upper abdomen is unremarkable in appearance. degenerative changes are seen in the thoracic spine.
<unk> year old woman status post chest tube removal. // evaluate post chest tube removal
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cardiomediastinal contours are normal. the lungs are clear. there is no pneumothorax or pleural effusion. the osseous structures are unremarkable. surgical clips in the left anterior chest wall are again noted
<unk> year old woman with bronchiectasis, change in sputum, shortness of breath. // ? infiltrate.
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compared to <num> hours prior, no significant interval change. lungs are overall clear. no pleural effusion or pneumothorax. cardiomediastinal and hilar silhouettes are stable.
<unk>-year-old woman with chest pain.
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there are bibasilar parenchymal opacities, right greater than left. blunting of the posterior costophrenic angles could be due to small effusions. superiorly the lungs are clear. moderate cardiomegaly is noted as well as tortuosity of the descending thoracic aorta with atherosclerotic calcifications at the arch. no acute osseous abnormalities.
<unk>f with abd pain/ascites // acute process
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the lungs are clear of focal consolidation, pleural effusion or pneumothorax. the heart size is normal. the mediastinal contours are normal.
<unk>-year-old male with chest pain
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ap and lateral views of the chest are compared to previous exams from <unk> and <unk>. again seen are indistinct pulmonary vascular markings. there is no effusion. cardiac silhouette is enlarged but unchanged. no acute osseous abnormality is detected.
<unk>-year-old female with hypoglycemia.
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the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>m with chest pain and ekg changes eval for chf/pneumonia
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normal heart size, mediastinal and hilar contours. no focal consolidation, pleural effusion or pneumothorax.
history: <unk>f with chest pain // acute process?
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a portable upright frontal chest radiograph demonstrates a left picc with the tip at the confluence of the left brachiocephalic vein and svc, unchanged in position compared to most recent chest radiograph. lung volumes are slightly low, resulting in prominence of the cardiac silhouette and bronchovascular crowding. no focal consolidation, pleural effusion, or pneumothorax is seen. the visualized upper abdomen is unremarkable.
evaluate picc position in a patient with mds, admitted for cord blood transplant.
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heart size is normal. mediastinal and hilar contours are unchanged with known mediastinal lymphadenopathy better assessed on prior ct. pulmonary vasculature is not engorged. left lower lobe mass is re- demonstrated, grossly unchanged compared to the recent ct. subsegmental atelectasis in the left lower lobe is present. remainder of the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is present. there are no acute osseous abnormalities.
history: <unk>m with lung cancer presents with question of allergic reaction, hemoptysis // eval for new consolidation
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low lung volumes accentuate the pulmonary vasculature, limiting evaluation of early changes related to vascular congestion. there is no overt interstitial pulmonary edema. there are no focal opacities concerning for pneumonia. the cardiomediastinal and hilar contours are normal.
<unk>-year-old female with progressive shortness of breath. evaluate for fluid overload.
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pa and lateral views of the chest were obtained. the heart size is normal. the mediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. there is no focal consolidation concerning for pneumonia.
cough and shortness of breath, cough.
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frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs without focal consolidation, pleural effusion, or pneumothorax. a <num> mm nodular opacity projecting over the left mid lung is noted. the visualized upper abdomen is unremarkable.
evaluate for pneumothorax in a patient with chest pain.
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the lungs are clear. the cardiomediastinal silhouette is within normal limits. right chest wall dual lead pacing device is again noted with tips in the right atrium and right ventricular apex. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>m with hx incarceration and hemotypsis // eval for cavitary lesion
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left chest tube has been removed. there is a small pneumothorax at the left lung apex. subcutaneous gas at the left chest wall is noted. there is a round soft tissue density located posteriorly at the level of left hilum, concerning for a lobe loculated effusion. this was suggested but not well seen in yesterday's study. mild blunting of right costophrenic angle could be small pleural effusion or pleural scarring. again seen are right clavicle and second rib fracture.
<unk> year old woman with ling nodule s/p resection // eval interval change
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there is moderate right pneumothorax. chest tube projects over the right mid lung.heart size and mediastinal contours are normal.no pleural effusion.
<unk> year old man s/p bike crash, right pneumothorax, pelvic fracture, and chest tube. evaluate for resolution of pneumothorax.
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compared with the prior study, there is a new small to moderate left pleural effusion, with adjacent left basilar atelectasis. a faint new right lower lobe opacity is also identified, which may represent atelectasis or developing infection, in the correct clinical setting. the cardiomediastinal silhouette is unremarkable. no pneumothorax detected. incidental note is made of dextroconvex lumbar scoliosis.
<unk>f with history of fall with multiple fractures, now with increased somnolence with c/f infection. eval for pna or cause of lethargy.
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the lung volumes are low. the cardiac, mediastinal and hilar contours appear unchanged. a left-sided pleural effusion has largely resolved. a right-sided pleural effusion appears to contain a less conspicuous right lateral loculated component but probably remains small to moderate in size with associated atelectasis at the right lung base.
atrial fibrillation and frequent premature beats.
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the exam is limited by patient's rotation. within limitations, there are persistent streaky opacities in the left mid and lower lung zones, which are stable from the prior chest radiograph and ct. this likely represents chronic atelectasis or scarring. additionally, there is a linear opacity in the right lower lung zone, which is also stable. no new opacity is identified. there is no pulmonary edema, pleural effusion, or pneumothorax. the aorta is tortuous and calcified. the heart size is normal.
shortness of breath and weakness. evaluate for an acute process.
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patient's clinical condition required examination in sitting semi-upright position using ap frontal and left lateral views. comparison is made with the next preceding similar chest examination of <unk>. the pigtail and right-sided pleural drainage catheter had been removed already prior to the preceding examination of <unk>. consequently status of patient is unchanged during the latest one-day examination interval. again, there is no evidence of pneumothorax in the apical area. no new pulmonary parenchymal infiltrates are seen and the bilateral basal linear densities representing atelectasis remain rather unchanged.
<unk>-year-old male patient status post fall with right-sided pneumothorax, recent removal of right-sided pigtail catheter, evaluate for pneumothorax.
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moderatecardiomegaly has been stable compared to exams dated back to at least <unk>. there is possible mild pulmonary vascular congestion. there are bilateral pleural effusions. increased opacities are seen at the lung bases bilaterally and them inor fissure is slightly thickened. no pneumothorax detetected. please see report of <unk> ct scan showing loculated fluid vs fat in the medastinum posteriorly -- this likely accounts for some of the posterior opacity seen on this exam. mild t-spine degenerative changes noted.
history of shortness of breath, syncope, chills. please evaluate for pneumonia.
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this is an upright film showing a large right pneumothorax, larger than on the study from the prior day. there is mediastinal shift to the right. the right-sided chest tube and skin <unk> are again visualized. the left lung is clear. the et tube and ng tube have been removed
<unk> year old man with lung collapse s/p bronchoscopy // f/u lung collapse
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frontal and lateral views of the chest were obtained. low lung volumes results in bronchovascular crowding. there is no focal consolidation, pleural effusion, or pneumothorax. the cardiac and mediastinal silhouettes are unchanged. pulmonary vasculature is within normal limits. the left pacemaker leads are in stable position. prosthetic aortic valve is again seen. median sternotomy wires are intact.
increasing dyspnea.
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compared with the prior chest radiograph, lung volumes are slightly lower, causing crowding of bronchovascular structures. heart size, mediastinum, and hilar contours are unchanged. except for mild bibasilar atelectatic changes, lungs are clear without pleural effusions, focal consolidation, or pneumothorax. small linear hyperdensity projecting over the left upper abdominal quadrant has no correlate on the lateral view, and may be a surgical clip or outside the patient. no acute fracture identified. severe degenerative change of the left glenohumeral joint appears slightly worse. moderate right glenohumeral joint degenerative disease is unchanged. no fracture identified.
<unk>m with chest wall pain after fall. eval for acute process.
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the cardiac, mediastinal and hilar contours are normal. the lungs are clear and the pulmonary vasculature is normal. no pleural effusion or pneumothorax is identified. no acute osseous abnormalities seen.
productive cough for <num> days, hiv positive.
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frontal and lateral views of the chest demonstrate a tiny right apical pneumothorax. there is no pleural effusion. the lungs are clear, with equal opacification bilaterally. cardiomediastinal and hilar contours are normal. posterior third rib fracture and left acromial fracture are better seen on prior ct.
<unk> year old woman s/p fall from <unk> story balcony sustaining poly trauma, tiny r apical ptx on initial ct, evaluate for progression of pneumothorax.
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heart size is normal. rim calcified convexity at the ap window is concerning for a pseudoaneurysm. the aorta is otherwise diffusely calcified. hilar contours are unremarkable. vascular indistinctness with perihilar haziness suggests mild pulmonary edema. additional ill-defined nodular opacities are noted within the right lung, which could reflect infection or aspiration. no focal consolidation, pleural effusion or pneumothorax is seen. no acute osseous abnormalities detected.
history: <unk>m with hemoptysis today, prior episode two weeks ago
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two right pigtail catheters are in place. pneumothorax has decreased with small residual right apical pneumothorax. there is a background of severe emphysema with large apical bulla bilaterally. again there is blunting of the right costophrenic sulcus likely reflecting some combination of pleural effusion and atelectasis. overall appearance of the left lung is stable. heart size is normal. the mediastinal and hilar contours are stable.
<unk> year old man s/p ebv placement for r ptx // check interval change with cts on suction