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cardiac silhouette size is normal. the mediastinal and hilar contours are within normal limits. the pulmonary vasculature is not engorged. lungs are hyperinflated. previously noted area of ill-defined opacification in the lingula appears somewhat improved since the prior exam. no new focal consolidation, pleural effusion or pneumothorax is seen. moderate degenerative changes are seen in the thoracic spine. no acute osseous abnormalities detected.
history: <unk>m with pneumonia on levofloxacin, paroxysmal svt that is likely aflutter
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heart size is normal. cardiomediastinal silhouette and hilar contours are unremarkable. lungs are clear. there is no pleural effusion or pneumothorax.
chest pain.
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pa and lateral views of the chest. the lungs are clear. known pulmonary nodules seen on pet-ct are not clearly delineated on the current exam. cardiomediastinal silhouette is normal. no acute osseous abnormality detected. hypertrophic changes noted in the spine.
<unk>-year-old male with syncope.
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ap and lateral views of the chest are compared to previous exam from <unk>. when compared to prior, the right-sided chest tube is in similar position based on the frontal exam located within posteriorly in the left chest cavity on the lateral adjacnet to loculated pleural air. otherwise, there has been no change. right-sided picc is again seen; however, tip is not clearly identified. there is no visualized pneumothorax. chronic deformity of the proximal right humerus is identified.
<unk>-year-old male with tube for empyema. flushes are leaking out of skin margin. evaluate chest tube.
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again seen is a port-a-cath projected over the right chest wall with its catheter tip in the mid svc. an left sided icd and single lead are both unchanged in position. the lungs are clear. the cardiomediastinal silhouette and hilar contours are normal. the pleural surfaces are clear without effusion or pneumothorax.
history of pancreatic cancer on chemotherapy. evaluation for pneumonia.
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ap upright and lateral views the chest were provided. evaluation somewhat limited due to underpenetration and low lung volumes. there is mild left basal atelectasis. no focal consolidation concerning for pneumonia. no large effusion or pneumothorax. no overt signs of edema. cardiomediastinal silhouette appear similar to recent chest ct. bony structures intact.
<unk>-year-old female with chest pain. evaluate for consolidation.
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when compared to previous exam, the large right pleural effusion has increased in size. there is adjacent atelectasis. the left lung is clear without consolidation or effusion. cardiac silhouette is unchanged. no acute osseous abnormalities. calcifications in the right upper quadrant are likely due to known cholelithiasis.
<unk>f with right sided pleural effusion // ?increased pl eff
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cardiac, mediastinal and hilar contours are normal. apart from a calcified granuloma in the left lung base, the lungs are clear. no pleural effusion, focal consolidation or pulmonary edema is present. multiple old right-sided rib fractures are re- demonstrated.
cough.
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the left lower lobe opacification is overall unchanged compared to <unk>. based on the chronicity, pneumonia is unlikely. the lungs are otherwise clear. no pleural effusions. no pneumothorax. the cardiomediastinal silhouette is unchanged. the sternotomy wires are intact without evidence of dehiscence.
<unk> year old man with cough, sputum // is there lll pneumonia
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heart size is mildly enlarged, with slight increase compared to <unk>. 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.
<unk> year old woman with cough // <num> mo cough
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two views of the chest demonstrate clear lungs without focal consolidation or pleural effusion. there is no pneumothorax. the cardiac silhouette is normal in size, the mediastinal contours are normal. there is a moderate dextroconvex thoracic scoliosis, unchanged. median sternotomy wires, and a left two-lead aicd is unchanged in appearance.
<unk>-year-old male with chest pain.
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the patient is rotated somewhat to the right. patient is status post median sternotomy and cabg. triple lead left-sided pacer device is grossly stable in position. the cardiac silhouette remains markedly enlarged. the aorta is tortuous. small to moderate right pleural effusion is seen. no left pleural effusion is seen. no definite focal consolidation. no evidence of pulmonary edema. no pneumothorax is seen.
history: <unk>m with sob // eval for pulm edema, pna
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portable ap upright chest radiograph <unk> at <time> is submitted.
<unk> year old man with pleural effusion s/p left chest tube and pleurx placement // eval for interval change eval for interval change
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there has been interval extubation and removal of the esophageal catheter. mediastinal drains and chest tubes have been removed. swan-ganz catheter is similarly positioned. lung volumes are low with basilar atelectasis. no pneumothorax is detected. no pulmonary edema is evident. small left pleural effusion persists.
<unk>-year-old male status post cabg, now status post removal of chest tubes.
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there is a right-sided internal jugular in terminating in the low svc. sternotomy wires are intact. atelectatic changes at both bases are noted as are small pleural effusions bilaterally.
<unk> year old man s/p cabg // post-op baseline- please obtain at <num>pm
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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.
shortness of breath, history of smoking.
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compared with <unk> at <time> and allowing for technical differences, the overall appearance is relatively similar. the interstitial markings at the left base and in the right cardiophrenic region may be slightly coarser. no frank consolidation, effusion, or pneumothorax is detected. the heart is not enlarged and could be slightly smaller. the enlargement of the main pulmonary artery is again noted, in keeping with findings on recent ct. again noted is left subclavian picc line, similar in a position, with tip overlying the mid/distal svc.
<unk> year old woman with aml and acute worsening shortness of breath. // evaluate for pulmonary edema or other cause of acute shortness of breath.
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pa and lateral views of the chest demonstrate increased opacification of the left lower lobe since the prior study, consistent with worsening pneumonia. the previously described subtle hazy opacity in the right lower lung is not as well visualized on today's exam. the heart size is stable. there is no pneumothorax, pulmonary edema or pleural effusion.
<unk>-year-old male with cough and fevers and persistent pneumonia despite antibiotics. evaluation for interval change.
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a small-to-moderate right apical pneumothorax is unchanged in extent from <unk>. emphysema/copd is unchanged. mass-like opacities in the right lung base are again seen. there are small bilateral pleural effusions, which are unchanged. the cardiomediastinal contours are within normal limits and unchanged. a tracheostomy tube, enteric feeding tube, right ij central venous catheter and right pleural pigtail catheter are unchanged in position. the amount of subcutaneous emphysema along the right lateral chest wall is similar to the prior study.
respiratory failure secondary to tension pneumothorax, here to evaluate interval changes.
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a single portable chest radiograph was obtained. a right-sided pneumothorax remains tiny. a right-sided chest tube remains in medial apical position. the lungs are well expanded and clear. there is no focal consolidation, effusion. the cardiac and mediastinal contours are normal.
<unk>-year-old man with right-sided pneumothorax.
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cardiomegaly is stable. mediastinal and hilar contours are unchanged. there is no evidence for pulmonary edema, pulmonary consolidation, pleural effusion or pneumothorax. left-sided dual lead icd is in place, unchanged in position.
<unk> year old woman with vt starting on amio. had been on amio in the past, which was stopped in <unk>. evaluate for signs of amiodarone toxicity.
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moderate cardiomegaly is a stable. opacities in the left perihilar region have improved. retrocardiac opacities are unchanged consistent with almost complete collapse of the left lower lobe. right lower lobe opacities are improving, a combination of small effusion and adjacent atelectasis. there is no evident pneumothorax. et tube tip is in standard position. ng tube tip is out of view below the diaphragm.
<unk> year old man with s/p avr/cabg // eval for pneumonia
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interval change an ett placement is seen with tube projecting approximately <num> cm above the carina. moderate cardiomegaly is unchanged. low lung volumes are seen with left lower lobe atelectasis. stable pulmonary vascular congestion is again seen without evidence of pulmonary edema. again seen is a right jugular introducer sheath extending to the mid svc.
<unk> year old man with gi bleed // ett was pulled back, please evaluate location
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the lung volumes are low. there is no evidence of pneumonia. the cardiomediastinal silhouette and hilar contours are largely unchanged. the pleural surfaces are normal without effusion or pneumothorax. old right clavicular fracture is unchanged in appearance. a biliary drain is seen projected over the right upper abdomen and air is seen in the esophagus.
evaluation for pneumonia.
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feeding tube tip is in the distal stomach. stable bilateral mid and lower lung pulmonary infiltrates and consolidations, with nodular components on the left, consistent with infection. stable cavitary lesions in the left lung apex. mild left, small right pleural effusions are stable. multiple distended bowel loops in the partially seen upper abdomen.
<unk> year old woman with anorexia, multiple fractures s/p car collision, and a uti. now spiking fevers and worsening sob + cough // ?worsening infiltrates, pleural effusions
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extensive bullous emphysema is seen most pronounced in the lung apices. the lungs are hyperinflated. heart size is within normal limits. the mediastinal and hilar contours are unchanged. clip in the right hilum appears unchanged. interstitial abnormality within the lung bases appears chronic. no focal consolidation is demonstrated. there is no pneumothorax, pleural effusion, or evidence of pulmonary vascular congestion. cholecystectomy clips are seen within the right upper quadrant the abdomen. no endotracheal tube is identified.
alcohol intoxication, altered mental status, unknown trauma.
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the heart is upper limits normal in size. the aorta is mildly tortuous. the hila appear normal. there are minimal degenerative changes of the spine with this endplate sclerosis and small osteophytes. the lungs are clear without infiltrate or effusion.
hypertension question heart failure.
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<num> views were obtained of the chest. the lungs are low in volume but clear. the heart is top normal in size. fullness and rounded contour of the mediastinal contour on the right suggests ascending aortic enlargement.
csf leak with new leukocytosis.
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a single portable chest radiograph was obtained. air distends the patient's gastric pull-through. there is an air-fluid level at the inferior aspect of the neoesophagus. the lungs are well expanded and clear. the cardiac and mediastinal contours are normal. there is no evidence of pneumomediastinum. a left chest port-a-cath tip terminates in the mid svc.
<unk>-year-old man status post esophageal and pyloric dilation.
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the cardiac, 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. left cervical rib is incidentally noted.
palpitations.
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left-sided pacemaker device/aicd is re- demonstrated with leads in unchanged positions in the right atrium and right ventricle. mild cardiomegaly is stable. the mediastinal and hilar contours are unremarkable. the pulmonary vascularity is not engorged. the lungs are clear. no pleural effusion or pneumothorax is visualized. there are mild degenerative changes in the thoracic spine.
chest pain and pacemaker device.
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patient is status post cabg, with intact median sternotomy wires. enlargement of the cardiomediastinal silhouette is stable. there is mild bibasilar atelectasis. there is a probable small right pleural effusion. no overt pulmonary edema. no pneumothorax. an endotracheal tube terminates approximately <num> cm above the carina. a swan-ganz catheter terminates in the main pulmonary artery or left pulmonary artery. an enteric tube terminates below the level of the diaphragm and off the field-of-view.
<unk> year old man s/p cabg // eval for infiltrate
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a right port-a-cath is seen on the frontal radiograph with increased density at the distal end, possibly representing a kink in the line or incorrect placement. the catheter is not well seen on the lateral view. additional views would be helpful in better assessing line placement. the lungs are clear. the heart size is normal. no pneumothorax.
<unk> year old woman with port that is not drawing back, placed one week ago, please assess placement with <num> views // port placement
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portable semi-upright radiograph of the chest demonstrates increased opacification of the right mid and lower lung and in the retrocardiac space, slightly increased from prior, concerning for multifocal pneumonia. postsurgical changes in the left upper lung are stable. cardiomediastinal and hilar contours are unchanged. no pneumothorax.
<unk> year old man with acute desaturation
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again seen is an icd defibrillator with leads in stable position. the swan-ganz catheter is again seen in stable position. there has been interval placement of an enteric tube with tip off the film, but sideholes near the ge junction. the ventricular assist device is not entirely captured on the current stidy. again seen is persistent severe cardiomegaly, stable in the post-operative period. there is no pleural effusion or pneumothorax. there is no focal consolidation concerning for pneumonia. mild interstitial pulmonary edema is unchanged.
assess for interval change.
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pa and lateral chest radiographs were obtained. the lungs are well inflated and clear. no focal consolidation, nodule, effusion, or pneumothorax is present. the cardiac and mediastinal contours are normal.
<unk>-year-old with cough, chest pain, rule out infiltrate.
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pa and lateral views of the chest are compared to previous exam from <unk>. there is mild obscuration of the inferior aspect of the right heart border which can be explained by patient's slight pectus excavatum. the lungs are clear of consolidation or effusion. cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unremarkable.
<unk>-year-old female with fevers, cough and body aches.
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compared to the prior study there is no significant interval change.
copd flare, question pneumonia.
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there is diffuse increase in interstitial markings bilaterally which could be due to edema however, underlying atypical infection or metastatic disease is not excluded. no pleural effusion or pneumothorax seen. the cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with hypothyroid and ovarian cancer here with confusion // eval for pna or ich vs metastaitc disease
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hyperinflated lungs and vascular deficiency, mostly in the upper lobe zones, due to emphysema. greater radiodensity in lower lungs is likely due to physiologic redistribution of blood. there is no focal consolidation, effusion, or pneumothorax. specifically, there is no evidence of intrathoracic metastatic disease. scarring in the left suprahilar area accounts for elevation of left hilus compared to the right. mediastinal and cardiac silhouettes are normal. old rib fractures on right.
<unk> year old man with history of bladder cancer, smoking history // please evaluate for suspicious nodules concerning for metastatic disease
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pa and lateral views of the chest provided. sternotomy wires are noted. linear opacities in the bilateral lower lobes likely represent bibasilar atelectasis versus scarring. there are atherosclerotic calcifications involving the aortic arch and descending thoracic aorta. no radiopaque cardiac valve is seen. s-shaped curvature of the thoracolumbar spine is noted.
history: <unk>f s/p fall with small sdh, on coumadin for avr unclear if bioprosthetic or mechanical // characterize aortic valve replacement
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the patient is intubated. the endotracheal tube terminates <num> cm above the carina. a right subclavian central venous catheter terminates in the right atrium. an orogastric tube courses into the stomach; its tip not visualized. the lung volumes are low. the cardiac, mediastinal and hilar contours appear within normal limits. patchy opacity at the left lung base suggests minor atelectasis. otherwise, the lungs appear clear. there is no pleural effusion or pneumothorax.
status post intubation.
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pa and lateral views of the chest. there is left lower lobe consolidation. elsewhere the lungs are clear and there is no effusion. the cardiomediastinal silhouette is normal. osseous and soft tissue structures are unremarkable.
<unk>-year-old female with fevers and cough for <num> weeks.
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compared to the prior study there is no significant interval change.
<unk> year old woman with fever, delirium // eval for infiltrates
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a right ij catheter ends in the upper svc. the minimal left apical pneumothorax is unchanged. bibasilar chest tubes remain in place. sternotomy wires are intact and aligned. marked cardiomegaly is unchanged. bibasilar subsegmental atelectasis are also unchanged.
<unk> year old man s/pmvr/tvr // eval for pneumo
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patient is status post median sternotomy and cabg. heart size is difficult to assess due to the presence of a moderate sized right pleural effusion which has slightly increased in size compared to the prior study. there is mild pulmonary edema. aortic knob is calcified. no pneumothorax is detected. old left-sided rib fractures are again noted. a compression fracture of an upper thoracic vertebral body is unchanged.
altered mental status and increased urination.
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the heart size is normal. note is made of a moderate hiatal hernia. there is increased pulmonary vascular congestion with mild interstitial edema. no focal consolidations concerning for pneumonia are identified. the spiculated metastatic lesion in the right upper lobe seen on the recent chest ct is not well visualized on this plain radiograph. there is no pleural effusion or pneumothorax. multiple compression deformities of the thoracic spine are better evaluated on the recent chest ct from <unk>.
<unk> year old woman with metastatic adenocarcinoma, here with seizure // eval for pna
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frontal and lateral radiographs of the chest were acquired. the lungs are clear. the heart size is normal. the mediastinal contours are normal. there are no pleural effusions. no pneumothorax is seen.
chest pain, cough, and fever.
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lung volumes are low. the cardiac silhouette is borderline enlarged, likely exaggerated due to ap technique. the mediastinal silhouette is stable the prior examination the aorta is unfolded. the lungs are grossly clear. there is no pleural effusion or pneumothorax.
<unk>m with increasing weakness // eval for pneumonia
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single portable view of the chest is compared to previous exam from <unk>. previously seen pacing leads and right-sided central venous catheter are unchanged in position. there is elevation of the left hemidiaphragm. the lungs, however, are clear. cardiomediastinal silhouette is unchanged as are the osseous and soft tissue structures.
<unk>-year-old male with g-tube bleeding and hypotension.
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heart size is normal. the mediastinal and hilar contours are within normal limits. the pulmonary vasculature is normal. aeration of the lungs has markedly improved compared to the previous study. patchy atelectasis is seen in the lung bases without focal consolidation. no pleural effusion or pneumothorax is identified. no acute osseous abnormalities detected.
history: <unk>m with prior cva. worsening left weakness, facial droop. fall <num> days ago // evaluate for pneumonia
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cardiac, mediastinal and hilar contours are normal. the heart size is normal. lungs are clear. pulmonary vasculature is normal. no focal consolidation, pleural effusion or pneumothorax is present. no acute osseous abnormality is visualized.
history: <unk>m with head injury status post fall. possible seizure activity.
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there is stable appearance of right basal opacity. left retrocardiac opacity has improved. small to moderate bilateral pleural effusions are still present and appears smaller on the right. no pneumothorax is seen. stable cardiomegaly is again seen. median sternotomy wires are aligned and intact.
<unk> year old woman s/p avr // eval for pleural effusions
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there is a large left sided pneumothorax. subtle mediastinal shift to the right is noted. the cardiomediastinal silhouette is otherwise normal. right lung is clear. no acute osseous abnormalities.
<unk>f with shortness of breath // eval for acute process
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portable upright chest radiograph <unk> at <time> is submitted.
<unk> year old woman with tracheal injury s/p trach, now w/ productive cough // pls eval interval change pls eval 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. no pulmonary edema is seen.
history: <unk>m with chest pain, h/o stemi // eval for cardiopulmonary process
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the lungs are well expanded and clear. however a <num> x <num> cm nodule is seen adjacent to the right hilum, overlying the posterior right seventh rib. heart size is top-normal. there is no pleural effusion or pneumothorax.
productive cough
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<num> views of the chest demonstrate clear lungs. the cardiac and mediastinal contours are normal aside from a mildly tortuous aorta. no pleural abnormality is seen.
chest pain.
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patient is slightly rotated. right base platelike atelectasis is seen. there is minimal left base atelectasis. no definite focal consolidation is seen. there is no large pleural effusion. the aorta is unfolded. the cardiac silhouette is top-normal. no pneumothorax is seen. chronic changes at the shoulders are partially imaged but not well assessed.
history: <unk>f with chest pain // chest pain, hypotensive
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lung volumes continue to be low without any focal consolidation. cardiomegaly is unchanged with stable moderate pulmonary edema and small bilateral effusions. et tube, right central venous line, and gastric tube are in appropriate position.
<unk>-year-old woman with alcoholic cirrhosis, upper gi bleed, now with fever, evaluate for infection. evaluate for edema, effusions or improvement of infiltrates.
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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 // evidence of pneumothorax or pneumonia
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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 overdose
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pa and lateral views the chest provided. in the left mid lung peripherally there is subtle linear and nodular opacity which could represent an early pneumonia in the correct clinical setting. there is a markedly torturous aorta. heart size is upper limits of normal. there is no pulmonary edema. no pneumothorax. no large pleural effusion. no air under the right hemidiaphragm.
history: <unk>f with dm<num>, htn, presenting with chest pain, cough for a couple days // any acute process?
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two frontal images of the chest demonstrate interval removal of the dobbhoff tube from the right mainstem bronchus. there is no pneumothorax or other complication seen. low lung volumes are again seen, which results in bronchovascular crowding. there is no pleural effusion. the cardiomediastinal silhouette is unchanged.
<unk>-year-old male with status post dobbhoff malplacement into lung and subsequent removal, now requiring assessment for pneumothorax.
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frontal lateral views chest performed. a left upper extremity picc has been removed. the cardiac silhouette remains chronically and moderately enlarged. there are small to moderate bilateral pleural effusions which have increased in size from prior. additionally, enlargement of the azygous vein with indistinctness of the pulmonary vasculature is consistent with congestive failure. more focal appearing consolidations are seen in the middle lobe and a lower lobe, probably left. there is no pneumothorax. the imaged upper abdomen is unremarkable.
dyspnea, evaluate for infiltrate.
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pa and lateral views of the chest demonstrate minimal left basilar atelectasis. there is no pulmonary edema, pleural effusion, pneumothorax or focal consolidation. the cardiomediastinal silhouette is unremarkable.
<unk>-year-old female with dizziness. evaluation for pneumonia.
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since prior exam, tubes have been removed. right ij central line tip is in the low svc. left lower lobe consolidation is stable. stable right pleural effusion. small left pleural effusion, not included on the prior radiograph. no pneumothorax. stable heart size. normal pulmonary vascularity. stable right basilar opacity, likely atelectasis.
<unk> year old man with recent extubation with shortness of breath, and tachypnea. // please evaluate for acute cardiopulmonary process.
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the cardiac, mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. the lungs appear clear.
hypertension.
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compared with prior radiographs on <unk>, there are new right upper <unk> and left lower <unk> opacities. the left lower <unk> opacity <unk> be interstitial. a previously seen right lower <unk> opacity is improved.no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. the tracheostomy cannula is less than <unk> the caliber of the trachea, smaller than is generally seen. intestinal distention is unchanged.
<unk> year old man with inc shortness of breath and now fever <num> (history of myasthenia <unk>, critical illness myopathy, bronchiectasis, status:post trach, and status:post j tube (used for flushes only) // evaluate for new pneumonia
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frontal and lateral radiographs of the chest demonstrate slightly low lung volumes which results in bronchovascular crowding. there are new small bilateral pleural effusions with minimal adjacent atelectasis. the cardiomediastinal and hilar contours are unchanged. there is no pneumothorax.
<unk> year old man s/p robotic-assisted ccy <unk>, now tachy with increased o<num> demand // please evalute for possible pna, atelectasis, pulmonary effusin or edema
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right pectoral infusion port terminates in cavoatrial junction. moderate bilateral pleural effusions are similar to <unk>.dobhoff has been removed. bibasilar atelectasis is also similar to before. cardiomediastinal silhouette is within normal size limits.
history: <unk>f with endometrial ca and tachycardia // pneumonia. effusion
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pa and lateral views of the chest demonstrate clear lungs. prominent fat pads are present, but the heart size is normal. there is no evidence of pneumonia, edema, pleural effusion or pneumothorax. old right rib fracture is noted.
<unk>-year-old man with bloody stool and abdominal pain.
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pa and lateral views the chest provided demonstrate midline sternotomy wires and mediastinal clips. lungs are clear without focal consolidation, effusion or pneumothorax. no signs of congestion or edema. the cardiomediastinal silhouette is stable. bony structures are intact.
<unk>m with hx esrd, fatigue, hiv, now w/ <num> wk anorexia, dyspnea
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cardiomediastinal silhouette is within normal limits. the sternotomy wires and prosthetic aortic valve are noted. lungs are clear. there is no pleural effusion or pneumothorax.
history: <unk>m with fever // eval for any infection
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the cardiac, mediastinal and hilar contours are unremarkable with the exception of mild aortic knob calcifications. the heart size is normal. lungs are clear. no pleural effusion or pneumothorax. no pulmonary vascular congestion. no acute osseous abnormalities are detected.
chest pain and desaturation.
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the ng tube tip terminates in the region of the stomach having traversed through through the mediastinum. the radiograph is rotated. there is significant vascular calcification. volume loss on the right apex is noted as well as a high-density subcarinal lesion presumptively lymph node. high-density material in the interpolar region on the left side there reflects some scarring as seen on prior radiographs. patchy bilateral parenchymal infiltrates persist but not as pronounced on the prior study. persistent high attenuation material projected over the apex.
<unk> year old man with cirrhosis and he, s/p placement of ngt // eval placement of ng tube
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cardiac, mediastinal and hilar contours are normal. pulmonary vasculature is normal. lung volumes are low with streaky opacity in the retrocardiac region most likely reflective of atelectasis. no pleural effusion or pneumothorax is present. no acute osseous abnormalities demonstrated.
history: <unk>m with headache, fevers, chills, nausea x <num> days
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the cardiomediastinal and hilar contours are stable. as before, a broad-based right lateral, lower thoracic wall pleural abnormality is unchanged. the lungs are clear without consolidation pleural effusion or pneumothorax. there is trace bibasilar atelectasis.
<unk>m with pd p/w vertigo // ?pna
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a right picc line is unchanged in position. lung volumes remain low. there is no pneumothorax. minimal bibasilar subsegmental atelectasis is unchanged. the heart and mediastinum cannot be accurately assessed due to suboptimal technique.
<unk> year old man with severe valvular disease and chf found to have picc withdrawn about <num>cm // picc in place?
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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.
cough and syncope.
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there is mild pulmonary vascular congestion without definite focal consolidation. there may be trace pleural effusions seen posteriorly. no pneumothorax is seen. cardiac silhouette is top-normal. the aorta is calcified and tortuous.
history: <unk>f with chest pain / sob / myalgia for <num> days. // ? pneumonia ? acute cardiopulmonary process
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the previously noted small right pleural effusion has decreased in size compared to the prior exam with only a trace amount of residual fluid noted. adjacent atelectasis in the right lower lobe is re- demonstrated, but improved. no definite pneumothorax is detected. remainder of the chest is unchanged. left lower lobe mass is again noted. the cardiac, mediastinal and hilar contours are unchanged. hyperinflation of lungs with attenuation of the pulmonary vascular markings towards the apices is compatible with emphysema.
right effusion common status post thoracentesis.
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pa and lateral chest views were obtained with patient in upright position. comparison is made with the next preceding pa and lateral chest examination obtained one day earlier. comparison of the frontal view demonstrates unchanged findings.
<unk>-year-old female patient with several right-sided middle carotid artery territory strokes. evaluate for possible mass.
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the heart size is normal. the hilar and mediastinal contours are normal. the lungs are clear without evidence of focal consolidations concerning for pneumonia. there is no pleural effusion or pneumothorax. there is a subtle fracture at the left anterolateral seventh rib, mildly displaced as well as a possible subtle fracture of the left posterolateral eighth rib. in the absence of priors, this is of indeterminate chronicity.
history of shortness of breath. left-sided rib fracture after falling off of roof three weeks ago. please evaluate.
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right picc tip terminates in the svc. mild to moderate cardiomegaly is re- demonstrated. mediastinal and hilar contours are stable. the pulmonary vascularity is not engorged. left basilar opacity likely reflects atelectasis, similar compared to the prior study. no focal consolidation, pleural effusion or pneumothorax is present. no acute osseous abnormalities are identified.
chills, picc placement.
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port-a-cath terminates in the lower svc, unchanged. a single chamber pacemaker is appropriately positioned. in comparison to the prior study, there is increased diffuse bilateral hazy opacification with perihilar and lower lung predominance, consistent with moderate asymmetric pulmonary edema. cardiomediastinal silhouette is stable. no large effusion or pneumothorax.
<unk> year old man s/p whipple gj tube <unk> now w/ failure to thrive // ? pulmonary edema
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heart size is normal. mediastinal and hilar contours are within normal limits. lungs are clear. pulmonary vascularity is normal. no pleural effusion or pneumothorax is present. no acute osseous abnormalities are present.
myalgias.
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right-sided port-a-cath tip terminates in the upper svc. the heart size is normal. mediastinal and hilar contours are unremarkable. the pulmonary vasculature is not engorged. streaky linear opacities are seen within the left lung base compatible with subsegmental atelectasis. no focal consolidation, pleural effusion or pneumothorax is seen. no nodules or masses are identified. multilevel degenerative changes are seen within the imaged spine.
chest pain. history of pancreatic cancer and liver metastases.
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frontal and lateral views of the chest demonstrate a right subclavian line ending in the right atrium. right apical opacity is unchanged from <unk>, and likely represents postradiation changes. there is no new focal consolidation to suggest pneumonia. there is no pleural effusion. cardiomediastinal silhouette is normal. right hilar contour is slightly more prominent than prior. clips are noted in the right axilla.
<unk> year old woman with metastatic breast cancer now with persistent cough, evaluate for pneumonia with effusions.
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lung volumes are normal. hazy opacity in the right lung base seen only on the frontal view likely represents atelectasis. there is otherwise no focal consolidation, pleural effusion or pneumothorax. cardiomediastinal silhouette is within normal limits.
<unk>-year-old female with abdominal pain, <num> week after abortion.
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pa and lateral radiographs of the chest demonstrate clear lungs, but low lung volumes. the hilar and cardiomediastinal contours are normal. there is no pneumothorax or pleural effusion. pulmonary vascularity is normal.
cough, dyspnea. clinical presentation consistent with asthma exacerbation.
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cardiac silhouette size is normal. the aorta remains tortuous. enlargement of the pulmonary arteries is again noted, unchanged. pulmonary vasculature is not engorged. elevation of the right hemidiaphragm is chronic with associated a right basilar atelectasis. minimal streaky opacity in the left lung base also is compatible atelectasis. no focal consolidation, pleural effusion, or pneumothorax is present. several anterior compression deformities within the thoracic spine appear unchanged.
history: <unk>m with fever, back pain, evaluation for source of infection
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the et tube is been removed. og tube tip is in the proximal stomach. , slightly high, similar in appearance compared to prior study. the subclavian line is unchanged with tip in the svc. again seen is mild pulmonary vascular redistribution the right mediastinal asymmetry is unchanged there continues to be volume loss at the bases
<unk> year old woman with copd and uti now with hypoxemia // pulmonary edema
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cardiomediastinal contours are normal. the lungs are clear. there is no pneumothorax or pleural effusion. the osseous structures are unremarkable
<unk> year old man with hcv cirrhosis of the liver being worked up for liver transplant // cxray to r/o any concerns
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mild increased reticular opacities in the right middle lobe, possibly from atelectasis or scarring is persistent and unchanged <unk>. otherwise, the lungs are well expanded and clear. no pleural abnormality is seen. the cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with sob // pna
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the lungs are now clear. there is no effusion or pulmonary edema. the cardiomediastinal silhouette is normal. no acute osseous abnormalities identified.
<unk>m with cd<num> <num> p/w sob // ro infiltrates, pna
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pa and lateral views of the chest. heart size is normal. there is no focal consolidation, pleural effusion, or pneumothorax. the cardiomediastinal and hilar contours are normal.
unexplained dyspnea, question of early interstitial disease.
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there is a subtle rounded opacity at the right costophrenic angle. the cardiomediastinal silhouette is unremarkable. there is no pneumothorax. an oval density projecting over the left upper quadrant is of unclear etiology and may lie outside the patient. all subpulmonic effusion.
history: <unk>f with tachycardia. crackles on auscultation // ?pneumonia
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mild enlargement of cardiac silhouette is unchanged. the aortic knob is calcified. the mediastinal and hilar contours are similar. pulmonary vasculature is normal. streaky bibasilar airspace opacities likely reflect atelectasis. no focal consolidation, pleural effusion or pneumothorax is present. no acute osseous abnormalities identified.
history: <unk>m with chest pain
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the size of the left pneumothorax has decreased, but it is still present. there is also a small left pleural effusion which is slightly increased compared to prior. the left lung atelectasis has improved. the right lung remains essentially clear. there is mild cardiomegaly, and the mediastinal and hilar contours are normal.
followup pneumothorax.