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since the prior exam, the lung volumes are lower. there is increased pulmonary vascular congestion and mild pulmonary edema. there is no focal airspace consolidation. there is no pleural effusion or pneumothorax. the aortic arch is calcified and tortuous. additionally, there are aortic valve and coronary artery calcifications. the cardiac silhouette is severely enlarged. allowing for changes in lung volumes, there is no significant change. the left hemidiaphragm is mildly elevated. the bones are severely osteopenic, limiting evaluation. in a lower thoracic vertebral body, there be a slight increase in loss of anterior vertebral body height, which is likely degenerative. no acute fracture is identified.
mechanical fall, on coumadin.
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ap portable semi upright view of the chest. left ij central venous catheter is seen with its tip projecting over the upper svc. ng tube and et tube have been removed. the lung bases are excluded more so on the left than the right. the imaged portions of the lungs appear grossly clear. hilar engorgement is again noted.
<unk>f with hypotension // r/o pna
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frontal and lateral views of the chest. heart size and cardiomediastinal contours are normal. the lungs are clear without focal consolidation, pleural effusion, or pneumothorax. moderate-sized hiatal hernia is similar to prior.
shortness of breath.
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the heart size is normal. the hilar and mediastinal contours are unremarkable. there is mild bibasilar atelectasis. no focal consolidations concerning for pneumonia are identified. there is no large pleural effusion or pneumothorax. note is made of possible minimal thickening, less likely very trace fluid within the minor fissure.
history of dyspnea, chest pain. please evaluate for acute cardiopulmonary process.
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multifocal bilateral airspace opacities are not appreciably changed since the study of <num> day prior. bilateral hilar prominence and widening of the paratracheal stripe due to the known lymphadenopathy is unchanged. the heart and mediastinum are within normal limits. there is no pleural effusion or pneumothorax.
<unk>m with cll and recent pneumonia now s/p treatment with moxifloxacin with worsening shortness of breath // evaluate for pulmonary process
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massive overinflation, mild elevation of the left hemidiaphragm. mild retrocardiac atelectasis. no pneumonia, no pleural effusions, no pulmonary edema. note is made of a gastrostomy tube in the upper abdomen.
<unk> year old woman admitted for sah/ivh s/p coiling of acom aneurysms and trach/peg, transferred to medicine, now s/p initiation of tx for hcap with worsening rhnochi on exam and increased sputum on suction // ?intrapulmonary process
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right apical pneumothorax mildly increased. bilateral pulmonary edema appears mildly improved. small bilateral pleural effusions persist. cardiomegaly appears unchanged. the mediastinal silhouette is unremarkable.
<unk> year old woman with metastatic lung cancer, recently drained left pleural effusion // pleural effusion re-accumulation, pulmonary edema
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heart 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. elevation of the right hemidiaphragm is unchanged. no acute osseous abnormalities seen. a clip is noted within the right lower lobe.
history: <unk>m with cough // evidence of infection
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no focal opacity to suggest pneumonia is seen. no pleural effusion, pulmonary edema, or pneumothorax is present. streaky opacity at the left base likely represents subsegmental atelectasis and there is thickening along the left major fissure. calcified granulomas appear unchanged. the heart size is normal.
hepatitis c with cirrhosis. abdominal pain.
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frontal and lateral chest radiographs were obtained. no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. the heart size is normal. mediastinal and hilar contours are stable.
patient with aids and non-productive cough, rule out infiltrates.
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heart size is normal. mediastinal and hilar contours are unremarkable. the pulmonary vascularity is normal. no pleural effusion or pneumothorax is seen. no acute osseous abnormalities are present. there are mild anterior osteophytes within the mid thoracic spine.
fever.
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heart size is normal with mild tortuosity of thoracic aorta. lobulation of the hila date from <unk>. interstitial abnormality at the lung bases has developed in the interim. pleural surfaces are clear without effusion or pneumothorax.
fever, history of multiple myeloma.
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heart size is normal. mediastinal and hilar contours are unchanged with a large hiatal hernia containing an air-fluid level again noted. pulmonary vasculature is not engorged. lungs are hyperinflated with mild emphysematous changes again noted within the upper lobes. no focal consolidation, pleural effusion or pneumothorax is present. multiple compression deformities within the thoracic spine are unchanged.
history: <unk>f with history of asthma, copd with shortness of breath
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there is bibasilar atelectasis. the lungs are mildly hyperexpanded, but otherwise clear without focal consolidation. mild cardiomegaly is unchanged. the mediastinal and hilar contours are unchanged. there is no pulmonary edema, pneumothorax or pleural effusion.
<unk>m with fevers. evaluate for pneumonia.
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the lungs are clear, without consolidation or were pulmonary edema. the cardiac silhouette remains enlarged, secondary to pericardial effusion as seen on ct of the chest from <unk>. left basilar consolidation is more prominent, likely atelectasis. the mediastinal and hilar contours are unremarkable. mild left pleural effusion is similar. trace right pleural effusions. there is no pneumothorax. there are degenerative changes of the left glenohumeral joint and bilateral acromioclavicular joints.
<unk> year old man with pleural effusion s/p right thoracentesis // rule out pneumothorax
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there is no focal lung consolidation. changes of sarcoidosis including upper lobe fibrosis and traction bronchiectasis has mildly decreased from <unk>. there is no hilar adenopathy. lenticular calcification of the right hilus is unchanged dating back to <unk>. cardiomediastinal contour is normal. there is no pleural effusion or pneumothorax.
<unk> year old man with history of sarcoidosis burning sensation overlying l scapula, evaluate for pneumonia.
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pa and lateral views of the chest. the lungs are clear. there is a nodular opacity projecting over the right lung base lungs are otherwise clear and there is no effusion or pulmonary vascular congestion. the cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unremarkable.
<unk>-year-old male with palpitations and shortness of breath.
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the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>f with congestion and cough // <unk>f with congestion and cough
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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.
history: <unk>f with chest pain near syncope // acute cardiopulm disease
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ap portable semi upright view of the chest. right chest wall port-a-cath is again noted with catheter extending into the mid svc region. extensive bilateral pulmonary opacities appear slightly progressed from the prior radiograph remain concerning for multifocal pneumonia. a small right pleural effusion is present. overall cardiomediastinal silhouette appears unchanged. bony structures are intact.
<unk> year old woman with hypotension, mds.
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heart size is normal. mediastinal and hilar contours are unremarkable. the pulmonary vasculature is normal. lungs are clear. no focal consolidation, pleural effusion or pneumothorax is present. there are mild degenerative changes noted in the thoracic spine.
history: <unk>m with atypical chest pain
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endotracheal tube tip terminates approximately <num> cm from the carina. nasogastric tube is seen coursing into the distal esophagus, though the tip appears to be off the inferior borders of the film. right internal jugular central venous catheter tip likely at the junction the right internal jugular and subclavian veins. the heart size is moderately enlarged. there is moderate to severe pulmonary edema with fluid noted in the right minor fissure. costophrenic angles are excluded from the field of view bilaterally. no large pneumothorax however is identified. known fracture of the t<num> vertebral body is not well seen on this exam.
t<num> fracture and low blood pressure.
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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. posttraumatic deformities of right clavicle and right anterior first and second ribs are similar.
<unk> year old man with increased seizure frequency? // rule out infection
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endotracheal tube terminates approximately <num> cm above the carina and should be further advanced for optimal placement. there is interval placement of an enteric tube projecting over the stomach, tip not imaged. cardiomediastinal silhouette is unchanged. the small bilateral pleural effusions and adjacent atelectasis are noted. the lungs are otherwise clear.
<unk> year old man with copd, ild, cad, chf now s/p cardiac arrest and intubated and sedated. // confirm ogt placement
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an anterior cervical spinal fusion device is present. the right picc tip terminates at the low svc. the lung volumes are low with a prominent gastric bubble seen beneath the left hemidiaphragm resulting in atelectasis, more prominent on the left than the right. there is no large pleural effusion or pneumothorax. the heart size and mediastinal contours are within normal limits.
<unk>-year-old male with lymphoma and recent colonic perforation, status post sigmoid colectomy and ostomy, now with persistent fevers.
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there is a small right lower lung consolidation. small bilateral pleural effusions are likely present. retrocardiac density may represent consolidation or atelectasis, most likely atelectasis. no pneumothorax is detected. heart size is mildly enlarged.
<unk>-year-old male with cough and shortness of breath.
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stable left linear opacities in the left upper and lower lung likely represent scarring. the lungs are clear without focal consolidation, edema, pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. a left pectoral pacemaker is in unchanged position. spinal hardware overlies the cervical spine.
shortness of breath. evaluation for pneumonia.
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there has been interval placement of an endotracheal tube that terminates at the carina, low in position. recommend withdrawal by approximately <num> cm for more optimal positioning. left-sided pacer device with leads partially imaged, grossly stable in position. the cardiac and mediastinal silhouettes are stable. there is mild to moderate pulmonary edema. likely bibasilar atelectasis is seen. no large pleural effusion or pneumothorax. partially imaged left humeral prosthesis.
<unk> year old woman with sp inbutation // ett placement
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an endotracheal tube tip is in standard position, terminating approximately <num> cm from the carina. orogastric tube tip terminates just below the gastroesophageal junction, with the side port in the distal esophagus, and should be advanced. remainder of the chest is unchanged with continued patchy ill-defined opacities in the lung bases concerning for aspiration or small airway infection. pneumoperitoneum is also re- demonstrated. no pneumothorax.
intubation.
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the quality of the image is limited due to patient's body habitus. allowing for these limitations, lung volumes are low, without focal opacities. assessment of the left lung base is limited due to obscuration by severe cardiomegaly which is not significantly changed compared with prior exam. mediastinal widening is secondary to mediastinal fat better assessed in prior ct. there is no evidence of pleural effusion or pneumothorax. a linear lucency crossing across the soft tissues in the left as well as the left lower lung field represents air trapped in a skinfold underneath the breast tissue. sternotomy wires are intact.
<unk>-year-old male with shortness of breath. evaluate for evidence of pulmonary edema.
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the lungs are clear without evidence of pulmonary edema or consolidation. there is no pleural effusion or pneumothorax. moderate cardiomegaly is unchanged from the prior exam. atherosclerotic calcifications are noted in the aorta. a dual-chamber pacemaker is present with the wires in proper position. evidence of an abdominal aortic stent is partially visualized on the lateral radiograph.
cough and chest pain.
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increasing opacities in the right mid to lower lung zones may reflect developing pneumonia. unchanged fluid versus thickening of the minor fissure. a small right pleural effusion is present. the left lung is grossly clear. the size the cardiac silhouette is enlarged but unchanged.
<unk> year old man with increased respiratory rate // evaluate for pna
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
history: <unk>f with chest tightness, palpitations, reported hypotension of systolic in <num>s
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the heart size, mediastinal, and hilar contours are normal. the lungs are clear without pleural effusion, focal consolidation, or pneumothorax.incidental note of increased hydroxyapatite deposition in the bilateral subdeltoid bursae is made.
<unk> year old woman with cough, sweats, feeling feverish. lungs clear. non-smoker. rule out pneumonia.
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the lungs are clear. the cardiac silhouette is mildly enlarged. the patient has an enlarged right main pulmonary artery. status post median sternotomy. no pleural effusion or no pneumothorax.
history: <unk>m with hypoxia // ?pna //history: <unk>m with hypoxia
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pa and lateral views of the chest. there are mild interstitial opacities, small bilateral pleural effusions and mild increase in size of the cardiac silhouette consistent with mild volume overload. no pneumothorax. no opacification concerning for pneumonia. mediastinal contours are normal.
shortness of breath and question of pneumonia or chf.
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ap semi upright and lateral views of the chest provided. surgical clips project over the right lung base as on prior. there are small bilateral pleural effusions with associated lower lung atelectasis, not significantly changed from the prior exam. the cardiomediastinal silhouette appears stable. there is no overt edema. there is probable emphysema. bony structures are intact.
<unk>f with weakness anemia // ? pna
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the enteric tube ends in the stomach. the endotracheal tube ends <num> cm from the carina in appropriate position. the aortic valve is stable in position. a vague opacity overlying the right lower lung may represent a pleural effusion layering posteriorly since the patient is supine. however this may also represent a consolidation representing pneumonia.
history: <unk>m with sob // eval effusion
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pa and lateral images of the chest. the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable.
right-sided chest pain.
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pa and lateral views of the chest provided. they vagal nerve stimulator is seen projecting over the left chest wall with catheter extending to the left neck. 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>m with seizure // eval for pna
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portable ap chest radiograph demonstrates hyperinflation and flattening of the diaphragms, suggestive of emphysema. lungs are otherwise clear and there is no pleural effusion or pneumothorax. aside from aortic tortuosity, the cardiomediastinal silhouette is normal. subtle radiodensity above the level of manubrium may represent junctional line as seen on cta-chest. prior vertebroplasty is noted in the lower thoracic vertebra.
chest pain. evaluation for acute process.
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postoperative changes of esophagectomy with gastric pull-through are again seen with lucency paralleling the right aspect of the mediastinum and dense retrocardiac opacity. lower lung volumes seen on the current exam. spiculated left perihilar nodule with fiducial marker is again noted. satellite nodular opacities more peripherally are as seen on recent ct. there is no new focal consolidation. right chest wall port is seen with catheter tip in the mid to lower svc.
<unk>f with lung ca with hypotension, cough, hypoxia // eval pna history of prior esophagectomy.
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the lungs are clear without focal consolidation, effusion, or pulmonary vascular congestion. cardiac silhouette is mildly enlarged. descending thoracic aorta is tortuous. no acute osseous abnormality.
<unk>-year-old male with chest discomfort.
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suture material projecting over the left upper lung compatible with prior resection. again seen is a focal opacity in the right lower lobe and left mid lung not significantly changed compared to prior study. small bilateral pleural effusions are unchanged.
<unk> year old woman with multifocal pna // pneumonia 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 unremarkable.
cough, fever.
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portable upright chest radiograph demonstrates lower lung volumes. a tracheostomy, feeding tube, left ij central venous catheter are unchanged. bilateral effusions are again seen, and are not significantly changed. cardiomegaly is not well appreciated due to the effusions, the mediastinal contours are unchanged.
<unk>-year-old male with a tracheostomy and increased secretions.
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pa and lateral views of the chest. the lungs, heart, mediastinum, hila, and pleural surfaces are normal. no evidence of pneumonia.
facial numbness, evaluate for pneumonia.
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ap portable upright view of the chest. increased opacities in the lower lungs raise concern for early pneumonia. there is a small left pleural effusion. no overt evidence for an edema. no pneumothorax. patient is rotated to the left. prominent cardiomediastinal silhouette is stable. no acute bony abnormalities.
<unk>f with cough and altered mental status // r/o pna
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the patient is status post median sternotomy and cabg, with wires and surgical clips that appear unchanged in comparison to the prior chest radiograph. moderate cardiomegaly. moderate interstitial edema. bilateral pleural effusions, right larger than left, with fluid in the minor and major fissures. the linear opacity in the left upper lung represents scarring and appears unchanged in comparison to the prior chest radiograph. no pneumothorax is seen. there is diffuse heterogeneous increased density of the the bones.
<unk> year old man with copd, chf, with worsening pfts and shortness of breath // any infiltrate or chf
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single frontal view of the chest demonstrates et tube extending to <num> cm above the carina. an enteric tube has tip in the stomach and side port below the ge junction. the cardiomediastinal silhouette is mildly prominent but accentuated by ap technique and low lung volumes. the lungs are clear without pneumothorax or pleural effusion. several cholecystectomy clips are seen. there is retained contrast material in the proximal renal collecting systems.
<unk>-year-old female status post intubation, here for assessment of tube placement.
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lung volumes are normal. there is no consolidation, pleural effusion or pneumothorax. cardiomediastinal contours are normal. no acute osseous abnormalities identified. there is no subdiaphragmatic free air.
history: <unk>f with overdose // eval for acute process
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compared to the prior chest radiographs, pulmonary vascular congestion and pulmonary edema have increased. new confluent opacities, right greater than left, lower lobes, with probable small bilateral effusions. no pneumothorax. mild cardiomegaly is unchanged.
<unk>-year-old man with difficulty breathing. evaluate for pulmonary edema.
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no focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
history: <unk>m with recent admission for new leukemia p/w fevers // evaluate for infiltrate
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frontal and lateral views of chest demonstrate normal cardiomediastinal silhouette. the lungs are clear. there is no pneumothorax, vascular congestion, or pleural effusion.
<unk>-year-old female with shortness of breath. question pneumonia or congestive heart failure.
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are grossly stable, with the cardiac silhouette top-normal in size. no pulmonary edema is seen.
history: <unk>f with lt chest tightness // evaluate for ptx, pneumonia
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frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidations, or pneumothorax. hilar and mediastinal silhouettes are unremarkable. heart is mildly enlarged. there is no pulmonary edema. partially imaged upper abdomen is unremarkable.
chest pain.
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diffuse interstitial opacities are unchanged. the vascular pedicle has slightly increased. pulmonary venous congestion has slightly worsened. bilateral lower lobe atelectasis is persistent with left slightly increasing from yesterday. small to moderate bilateral pleural effusion has increased. no pneumothorax.
<unk> f with history of htn, hld, hfpef (last echo ef> <unk>%), pulmonary hypertension, prior history of pe on anticoagulation, reactive airways disease, osa not on nippv, chronic hypercarbic respiratory failure, as well as other medical comorbidities who presented to the ed with subacute onset of shortness of breath, worsening over the past few days likely from acute on chronic diastolic heart failure. // fluid status
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a right-sided internal jugular line terminates in the mid svc. there is no evidence of pneumothorax. there is no evidence of pneumonia. the left hila is denser and larger than the right.
new ij line placement.
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the lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen.
history: <unk>m with back pain w/ inspiration. evaluate for pneumothorax.
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the lungs are hyperinflated without focal consolidation seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. subtle deformity of the lateral right eighth and ninth ribs may be due to nondisplaced fractures of indeterminate age although not seen on the recent prior study.
history: <unk>f with fall, r knee deformity, l hip bruising // eval for r knee fx/injury, hip fx, cardiopulmonary process (rib fx or ptx)
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enteric tube tip in the mid stomach. port-a-cath tip in the upper right atrium. new right infrahilar, and smaller left infrahilar infiltrates, consider pneumonia, aspiration. normal heart size, pulmonary vascularity. no pneumothorax. old right rib fracture.
<unk> yr male with metastastic urothelial bladder ca admitted for coffee ground emesis. // history of coffee ground emesis, s/p egd today, please evaluate for aspiration
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a right internal jugular line ends a proximal right atrium. the endotracheal and nasogastric tubes have been removed. the cardiac and mediastinal contours are normal. mild pulmonary edema is unchanged. the previously mentioned opacity in the left lung base is less well visualized on today's exam. no pleural effusion or pneumothorax.
<unk> year old woman now extubated, hypotensive. evaluate for aspiration, effusions and pneumothorax.
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there is a dual-lead pacemaker/icd device which appears unchanged. the cardiac, mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. the lungs appear clear. the chest is hyperinflated somewhat.
facial droop. history of stroke.
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heart size is mildly enlarged. mediastinal and hilar contours are unremarkable. the pulmonary vasculature is not engorged. chain sutures are noted within both lung bases compatible with prior lung resections. streaky opacities in the lung bases, more so on the right, may reflect areas of atelectasis but infection or aspiration is not excluded. no pleural effusion or pneumothorax is present. there are no acute osseous abnormalities demonstrated.
history: <unk>f with history of tracheobronchomalacia, severe asthma, and recent icu admission, presenting with crushing chest pain.
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there is no focal consolidation, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is unremarkable. osseous structures are intact.
<unk>-year-old male with tachycardia, question cardiomegaly.
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lung volumes are normal. there is no focal consolidation, pleural effusion or pneumothorax. cardiomediastinal contours are normal. there is no subdiaphragmatic free air. no acute osseous abnormalities are identified.
history: <unk>m with lightheadedness, diarrhea // please evaluate for infiltrate
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pa and lateral views of the chest provided. the lungs are hyperinflated though appear clear. nipple shadows are noted bilaterally. no large effusion or pneumothorax. cardiomediastinal silhouette is normal. bony structures are intact. no free air below the right hemidiaphragm.
<unk>m with cough, smoker, recent ilfitrate in <unk>, pls eval pna vs effusion
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likely due to technique, the prior radiograph did not show the pneumothorax. however, there is a right-sided pneumothorax that has a its apex <num> cm from the pleura. otherwise the cardiomediastinal silhouette is unchanged. there are no new parenchymal consolidations seen.
<unk> year old man with persistent o<num> requirement // pls eval for r ptx pls eval for r ptx
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cardiac silhouette is enlarged. the aorta is tortuous. bibasilar opacities may be due to atelectasis although underlying infection is not excluded. no pleural effusion or pneumothorax is seen. .
<unk>f w/hx of copd, chronic hep c, schizoaffective disorder referred to ed by pcp for evaluation of hyponatremia and sob // eval for infection, copd exacerbation
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subtle right basilar opacity may be due to atelectasis and overlap of vascular structures. no definite focal consolidation is seen. left basilar atelectasis is also noted. there is no pleural effusion or pneumothorax. no pulmonary edema is seen. the cardiac silhouette is top-normal contours are stable. there is marked compression of a lower thoracic vertebral body, also present on the prior studies.
history: <unk>f with sob // sob
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moderate cardiomegaly, central pulmonary vascular congestion, cephalization, and mild interstitial pulmonary edema is noted. there is no large pleural effusion, pneumothorax, or lobar consolidation. the thoracic aorta is ectatic. no displaced rib fracture is identified.
history: <unk>m with sob // edema?
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frontal and lateral radiographs of the chest demonstrate normal heart size, mediastinal and hilar contours. no pleural effusion or pneumothorax. clear lungs.
confusion, question pneumonia.
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evaluation of the lateral radiograph is limited due to the arm positioning. the lung volumes are low and there is bibasilar atelectasis. there is no focal opacity, pleural effusion or pneumothorax. the aorta is densely calcified. the heart size is normal. surgical clips are noted in the left upper abdomen.
history: <unk>f with unwitnessed fall complaining of right shoulder pain.
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left chest wall dual lead pacing device is again noted. the lungs are clear. there is no focal consolidation, effusion, or edema. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>m with sudden onset cp radiating to back // dissection? pe?
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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. left-sided port-a-cath terminates at the cavoatrial junction. a battery pack projects over the subcutaneous tissue of the left lower chest.
history: <unk>f with chest pain, dyspnea // eval heart and lungs
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increased interstitial markings are seen as well as bilateral patchy alveolar opacities suggesting pulmonary edema. bilateral pleural effusions are small but larger on the right than on the left and new since prior. moderate cardiac enlargement is not dramatically changed. prosthetic aortic valve and median sternotomy wires are noted. atherosclerotic calcifications noted in the tortuous thoracic aorta.
<unk>f with doe x <num> day, resp distress // eval ? edema, infiltrate
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pa and lateral views of the chest provided. lung volumes somewhat low. crowding of bronchovascular markings in the lower lungs likely accounts for equivocal hazy opacity at the lung bases. lungs are otherwise clear. no effusion or pneumothorax. no signs of congestion or edema. cardiomediastinal silhouette is normal. bony structures are intact.
<unk>m with chest pain // r/o acute process
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ap and lateral chest radiographs demonstrate clear lungs bilaterally. lungs are slightly hyperinflated. cardiomediastinal and hilar contours are within normal limits. there is no pleural effusion, pneumothorax, or evidence of pulmonary edema. there is no air under the diaphragm.
<unk>m with rigors, chest pain // ?pna
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there has been interval placement of a pacer unit over the left chest with leads terminating in the expected areas of the right atrium and the right ventricle. there is no pneumothorax. the heart size continues to be enlarged. the mediastinal contours demonstrate a tortuous aorta and prominent pulmonary arterial hump. the lungs are clear of consolidation. there is no pleural effusion.
<unk>-year-old female with sick sinus syndrome and recent pacer placement in need of evaluation of the lead placement.
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pa and lateral views of the chest provided. the lungs appear hyperinflated no convincing sign of pneumonia or chf. a nodular opacity projects over the left sixth rib in the left mid lung at the site of a nodule seen on prior ct. no effusion or pneumothorax. the cardiomediastinal silhouette is stable. multiple rib lesions noted compatible with metastatic disease. there appears to be a pathological fracture involving a left seventh lateral rib arch appear
<unk>m with lung cancer, hallucinations // eval for pna
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again seen in the right upper lung is a linear airspace opacity, decreased in conspicuity in comparison to chest x-ray from <unk>. otherwise, the lungs are clear without focal consolidation. the cardiomediastinal contours are within normal limits. the bilateral hila are unremarkable. there is no evidence of pulmonary vascular congestion. there is no pneumothorax or pleural effusion.
<unk>f with cough, dyspnea, evaluate for pneumonia.
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the patient is status post coronary artery bypass graft surgery. the heart is at the upper limits of normal size. the aortic arch is partly calcified. prominence of right infrahilar vascularity is probably due to leftward rotation from the heart. the lungs appear clear. there is no pleural effusion or pneumothorax. small osteophytes are noted along the thoracic spine.
chest pain.
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frontal and lateral views of the chest are compared to previous exam from <unk>. frontal exam is limited due to poor inspiratory effort, which likely accounts for the bronchovascular crowding and bibasilar opacities from secondary atelectasis. on the lateral view, the lungs are relatively clear. there is no effusion. cardiomediastinal silhouette is unchanged as are the osseous and soft tissue structures which are notable for a mid thoracic compression deformity.
<unk>-year-old male with cough, shortness of breath while lying down. some fluid buildup in the ankles.
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pa and lateral views of the chest provided. left breast implant accounts for asymmetric appearance of the breast tissues. lungs are clear. 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 chest pain shortness of breath chills // r/o pna
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heart size remains borderline enlarged. the mediastinal and hilar contours are unchanged. pulmonary vasculature is not engorged. minimal streaky atelectasis is seen in the lung bases without focal consolidation. no pleural effusion or pneumothorax is present. compression deformity of a vertebral body at the thoracolumbar junction appears unchanged. multiple clips are again noted within the upper abdomen compatible prior cholecystectomy.
history: <unk>f with left flank pain and diffuse abdominal pain, sudden onset
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left-sided pacer device is noted with leads in unchanged positions in the right atrium and right ventricle. heart size is normal. mediastinal and hilar contours are normal. lungs are clear. no pleural effusion or pneumothorax is present. no acute osseous abnormality is visualized.
history: <unk>m with chest pain
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cardiac size is normal. the lungs are clear. there is no pneumothorax or pleural effusion.
<unk> year old woman with h/o hiv (last cd<num> = <unk>), p/w fever/tachycardia, cough and lll crackles. // evalaute for pneumonia, effusion
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. the lungs are clear. there are no pleural effusions or pneumothorax. mid thoracic interspaces are minimally narrowed.
cough and fever. question pneumonia.
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upright ap and lateral views of the chest provided. interstitial fibrosis is again noted with low lung volumes and basilar atelectasis. overall there has been no significant change from the prior exam. no large effusion or pneumothorax. cardiomediastinal silhouette is stable. atherosclerotic calcifications are seen along the thoracic aorta. bony structures are intact. on the lateral projection, a metallic stent is noted in the region of the abdominal aorta.
<unk>m with hx chf and recent admission for pneumonia presenting with <unk> edema. bibasilar crackles on exam. // eval for cardiopulmonary process
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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 the right. there are no acute osseous abnormalities.
congestive heart failure, diabetes mellitus type <num>, elevated blood sugar.
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heart size is normal. mediastinal and hilar contours are unremarkable. the pulmonary vasculature is normal. no focal consolidation, pleural effusion or pneumothorax is present. no acute osseous abnormalities identified.
history: <unk>f with cough
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moderate bilateral perihilar and basilar opacities worrisome for pulmonary edema, superimposed infection not excluded. no large pleural effusion is seen although small pleural effusions are difficult to exclude. there is no pneumothorax. the cardiac silhouette is mildly enlarged. mediastinal contours are unremarkable.
history: <unk>m with dyspnea // eval for acute process
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the lungs are poorly inflated. there is vascular cephalization but no focal opacities concerning for pneumonia. assessment of the left lung field is limited by stable severe cardiomegaly. a large, fluid filled morgagni hernia at the right cardiophrenic angle is unchanged. two tiny locules of air within the hernia are seen in the lateral radiograph which were also present in the ct abdomen from <unk>. there is no pleural effusion or pneumothorax.
<unk>-year-old female with fever and hypotension. evaluate for pneumonia.
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there is probable mild left convex curvature. the heart is not enlarged. mediastinal and hilar contours are within normal limits. no chf, focal consolidation, pleural effusion, or pneumothorax is detected. rounded density overlying the right neck and extreme upper medial right lung apex was discussed with the covering team and is thought to represent material related to a mask outside of the patient.
<unk>f with cough // eval pna
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there has been interval placement of a swan-ganz catheter. the tip is in the right pulmonary artery, the edge of the mediastinum is difficult to evaluate due to the moderately large pleural effusion, however based on the relationship to the more proximal portion of the swan-ganz catheter, this is likely in appropriate position. there is a moderately large right pleural effusion, unchanged compared to the prior study. there is associated compressive atelectasis. small left pleural effusion versus pleural scarring. the lungs are otherwise clear except note mild hyperinflation. mitral valve calcification and a mitral valve clip are seen.
<unk> year old woman with mvr s/p pa catheter place,eng // pa. catheter placement
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there are low lung volumes. left basilar atelectasis is seen. trace left pleural effusion is difficult to exclude. no pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. there is no evidence of free air beneath the diaphragms. residual barium is seen in the partially imaged colon.
history: <unk>f with post-op abd pain, dyspnea // upright portable, eval for free peritoneal air, effusion, pna
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pa and lateral chest views were obtained with patient in upright position. analysis is performed in direct comparison with the next preceding chest examinations of <unk> and <unk>. the heart size is not significantly enlarged and remains stable in comparison with the previous study. the on previous examination remaining bilateral moderate amount of pleural effusions have clearly regressed with the exception of a very mild thickening of the pleural space on the right base, the pleural sinuses are clear laterally and posteriorly. no evidence of new pulmonary parenchymal infiltrates. in the upper abdomen, in midline position, several surgical clips are observed, type of surgical intervention not known.
<unk>-year-old male patient with recent mi and pulmonary edema, with restricted pfts, evaluate for edema or parenchymal abnormalities.
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portable semi-upright radiograph of the chest demonstrates interval placement of a right-sided chest tube with subsequent significant improvement in large right-sided pleural effusion. a small persistent right-sided pleural effusion is present. no definite pneumothorax is identified. right-sided atelectasis is present. no other change seen.
history: <unk>f with s/p pigtail // palcement
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac silhouette is top-normal. mediastinal contours are unremarkable.
history: <unk>m with afib, leukocytosis // evaluate for pneumonia
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the lungs are clear. there is no effusion, consolidation or pneumothorax. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>m with sudden onset pleuritic cp // ?pneumothorax