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cardiac silhouette size is normal. mediastinal and hilar contours are unremarkable. pulmonary vasculature is normal. lungs are clear. no focal consolidation, pleural effusion or pneumothorax is seen. mild hypertrophic changes are noted in the thoracic spine.
history: <unk>m with chest pain
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lung volumes are low. the heart size is normal. mediastinal and hilar contours are unremarkable. pulmonary vasculature is normal. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is identified. no acute osseous abnormality is present.
history: <unk>f with anxiety, depression presents with weakness after solumedrol // eval for intrapulmonary process
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an endotracheal tube is in place, terminating <num> cm above the level of the carina. an enteric tube courses through the esophagus, below the diaphragm, and into the stomach. the lungs are somewhat hyperinflated, with bibasilar atelectasis. pulmonary vascular congestion, with asymmetric right greater than left peribronchial cuffing. the heart size remains mildly enlarged, unchanged. calcifications are present within the aortic arch. there is no pneumothorax or large pleural effusion.
<unk>f with s/p intubation // eval for ett
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compared to the prior study there is no significant interval change.
<unk> year old man with respiratory failure s/p tracheostomy // eval for interval change
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compared to the prior study there is no significant interval change.
<unk> year old man with pneumonia, respiratory failure // eval infiltrate
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the lung volumes are low. the cardiac contour is accordingly difficult to assess, also given a large right-sided pleural effusion and a moderate to large left-sided one. parenchymal opacification is probably associated with associated volume loss and atelectasis. there is no pneumothorax.
known bilateral pleural effusions.
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the lungs are well expanded. there are no focal opacities. cuffed airways suggest inflammation. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable.
history: <unk>m with cough and rhonchi // rll pna
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pa and lateral views of the chest. the lungs are clear. there is minimal left basilar atelectasis. there is no pleural effusion or pneumothorax. the left atrium remains dilated. moderate cardiomegaly is again seen. the aortic and mitral valve replacements are unchanged in position.
cough and fever.
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ap upright and lateral views of the chest provided. cardiomegaly is moderate. there is a focal airspace consolidation in the right mid lung abutting the fissure which is concerning for pneumonia. also noted is mild pulmonary edema. small bilateral pleural effusions are present. no pneumothorax. bony structures are intact.
<unk>m with confusing lethargy, ams
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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.
<unk> year old woman with persistent cough, asthma // r/o chestpathology
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portable single frontal chest radiograph was obtained. lung volumes are very low with crowding of bronchovascular structures. there is no appreciable pneumothorax. the cardiomediastinal silhouette and hilar contours are unchanged. there is no pleural effusion.
patient status post transbronchial biopsy, eval interval change.
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the cardiac, mediastinal and hilar contours appear unchanged. there is no pleural effusion or pneumothorax. the lungs appear clear.
confusion. question pneumonia.
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there relatively low lung volumes. bibasilar linear subsegmental atelectasis is noted. left base opacity more likely represents atelectasis rather than consolidation. no pleural effusion or pneumothorax is seen. the cardiac mediastinal silhouettes are unremarkable.
history: <unk>f with dyspnea, abdominal pain // please eval for infiltrates
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there has been interval removal of one of the thoracostomy tubes. air present in the prior chest tube tract is noted. a left picc is present with tip terminating in the mid svc. there is no pneumothorax. there is an overall stable appearance of the right moderate pleural effusion with atelectasis. the heart size is normal. the left lung is grossly clear. healed left lateral rib fractures are again noted.
<unk> year old man s/p chest tube d/c, pod <unk> s/p r vats decorication, still has <num> chest tubes // please eval for interval change
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bilateral chest tubes are unchanged in position. an endotracheal tube is seen <num> cm from the carina. the right central line ends at the atriocaval junction. a feeding tube is in place with the tip out of the field of view. in comparison to the prior radiograph, there are lower lung volumes which is likely due to acquisition of the image in a different phase of the respiratory cycle or decrease in peep. as a consequence, the right and left lower lobe opacities appear slightly larger, but are likely unchanged in size. there is a small left pleural effusion. there is no pneumothorax. the previously seen deep sulcus sign is not present. again noted are rib fractures of the seventh and eighth right ribs.
polytrauma after fall.
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single frontal view of the chest. endotracheal tube terminates <num> cm above the carina. upper mediastinal surgical clips are stable. left ij central venous catheter terminates in the lower svc. the ng tube terminates in stable position in stomach. left pleural effusion has redistributed but is likely similar in volume to prior. left lower lobe consolidation is similar to the prior exam. no pneumothorax.
intubated with pneumonia.
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portable supine chest radiograph <unk> at <time> is submitted.
<unk> year old man with intubation and white cell count // ? volume overload ? volume overload
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the heart size is normal and the mediastinal and hilar contours are normal. the lungs are clear. there is no pleural effusion or pneumothorax. compared to the prior exam, there has been no change.
<unk>-year-old female with history of asthma, now with dyspnea.
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single frontal view of the chest demonstrates persistent substantial subcutaneous soft tissue emphysema in the right lateral chest wall and deep cervical soft tissues. there is marked increase in pneumomediastinum and pneumopericardium, raising question of a large bronchopleural connection including the right upper lobe bronchial stump. a right basal approach chest tube terminates apically, stable in location. previously seen right apical pneumothorax has decreased in size with a small residual apical pneumothorax. the heart is top normal in size. dense retrocardiac opacity persists compatible with atelectasis. a moderate left pleural effusion is persistent.
<unk>-year-old male status post right upper lobectomy. question pneumothorax.
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interval increase in left pleural effusion is seen. no focal consolidation or pulmonary edema is seen. the cardiac silhouette has not changed from the most recent chest radiograph. the left central line tip is unchanged in position and appropriately ends within the lower svc.
<unk>-year-old woman with cardiac lymphoma, pleural effusions and drained pericardial effusion. assess for change in pleural effusions and cardiac silhouette.
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the lungs are clear. the cardiomediastinal silhouette, hilar contours, pleural surfaces are normal. no evidence of pneumothorax or pleural effusion.
<unk> year old woman with asthma s/p bt // s/p ptx
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the lungs are clear of focal consolidation, effusion, or overt pulmonary edema. the cardiomediastinal silhouette is unchanged given patient rotation to the left. osseous bridging between the anterior right third and fourth right ribs again noted. no acute osseous abnormality identified.
<unk>m with fever, ams // rule out pna
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portable upright chest radiograph was obtained. the lungs are well expanded. left basal opacity has progressed and could reflect a focus of aspiration or pneumonia. additional focal opacities in the lateral right mid lung and medial right lower lung could reflect additional sites of infection or aspiration. interstitial prominence is greater than on the prior and a component of pulmonary edema superimposed upon existing chronic lung disease is suspected. no pneumothorax is seen with perhaps trace bilateral pleural effusions. cardiomediastinal contours are unchanged.
sepsis and cough.
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single portable upright ap radiograph of the chest. a double-lumen catheter terminating near the cavoatrial junction in stable position. there is a new right ij terminating in the right atrium. lung volumes remain low. the cardiomediastinal silhouette and hilar contours are stable. there is no cardiomegaly. pulmonary vascularity is normal and symmetric. there is no frank pulmonary edema. plate-like atelectasis at the bases persists but is improved. there is no new focal airspace consolidation. there is no pneumothorax or pleural effusion.
central line placement.
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the right ij catheter ends in the mid svc. there are aortic calcifications. the retrocardiac opacity is again seen and may represent pneumonia or atelectasis. no pleural effusion or pneumothorax.
new ij placement.
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right-sided dialysis catheter is again seen extending into the right atrium. there are moderate to large right and moderate left pleural effusions, new since the prior study, with overlying atelectasis. basilar consolidation is difficult to exclude. there is also mild pulmonary edema. the patient is rotated to the right. due to the bibasilar opacities, accurate assessment of the cardiac silhouette is difficult but it may be mildly enlarged. the aorta is calcified. the bones are osteopenic with vertebral body heights in the thoracic spine grossly maintained on the lateral view.
altered mental status, decreased breath sounds on right.
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the lung volumes are low, and the heart is mildly enlarged. an endotracheal tube terminates <num> cm above the level the carina. an enteric tube courses through the esophagus, and terminates in the stomach. there is bibasilar atelectasis, greater on the left, with a possible small left pleural effusion. there is no pneumothorax or focal consolidation worrisome for pneumonia.
history: <unk>m with intubation for nsurg procedure // ett placement
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pa and lateral views demonstrate hyper expanded lungs with flattening of diaphragms bilaterally consistent with emphysematous changes. no focal opacity convincing for pneumonia is identified. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion, pulmonary edema, or pneumothorax. osseous structures are without an acute abnormality. multilevel degenerative changes are noted throughout the thoracolumbar spine. no air under the right hemidiaphragm is identified.
<unk>-year-old female with hypertension and shortness of breath.
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position of the patient's arms obscures the lungs on the lateral radiograph. left chest wall pacemaker has <num> leads terminating in the right atrium and right ventricle unchanged since the study earlier this morning. there has been interval redistribution of layering right pleural effusion. there is no evidence of pneumothorax. mild cardiomegaly is unchanged. the aortic knob is calcified.
<unk> year old man s/p pacemaker // confirm lead placement
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cardiac silhouette size is mildly enlarged. mediastinal and hilar contours are within normal limits. pulmonary vasculature is normal. subsegmental atelectasis is noted in the left lung base. lungs are otherwise clear without focal consolidation. no pleural effusion or pneumothorax is present. mild degenerative changes are noted in the thoracic spine.
history: <unk>m with chest pain
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right picc tip terminates in the low svc. heart size mildly enlarged, unchanged. mediastinal and hilar contours are similar. pulmonary vasculature is normal. mild centrilobular emphysema is re- demonstrated. there is minimal streaky atelectasis in the lung bases without focal consolidation. no pleural effusion or pneumothorax is present. no acute osseous abnormalities are detected.
history: <unk>m with strong cardiovascular/ pvd history with syncope, persistent mid-back pain x several days
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semi-erect portable view of the chest demonstrates normal lung volumes. costophrenic angles are not fully imaged, and there is no evidence of large pleural effusion. no pneumothorax or focal consolidation is seen. aorta a is tortuous. mild vascular congestion is present, but no edema or cardiomegaly.
chest pain.
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the lungs are clear. the cardiomediastinal silhouette and hilar contours are normal. the pleural surfaces are normal without effusion or pneumothorax.
diffuse joint pain. evaluation for mediastinal lymphadenopathy.
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pa and lateral views of the chest are compared to previous exam from <unk>. despite lower lung volumes on the current exam, the lungs remain clear. there is no effusion nor pulmonary vascular congestion. cardiac silhouette is within normal limits. the osseous and soft tissue structures are unremarkable. surgical clips are seen in the right upper quadrant suggesting prior cholecystectomy.
diabetes. question cardiomegaly.
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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. bibasilar atelectasis is mild. heart size is normal. mediastinal silhouette and hilar contours are normal.
cough, fatigue.
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the heart size is moderately enlarged. there is low lung volumes with volume loss at the bases. the left hemidiaphragm is ill-defined and is unclear if this is due to volume loss/ infiltrate/effusion. there is mild pulmonary vascular redistribution. the superior mediastinum is prominent but this may be secondary to projection. it would be helpful to the compared old films if available.
<unk>m w/ hx of stemi <unk>, htn, and dm s/p systemic tpa for left mca stroke due to a left ica origin occlusion. // please evaluate for aspiration
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left-sided aicd device is noted with lead terminating in the region of the right ventricle, unchanged. heart size is normal. the mediastinal and hilar contours are unchanged. pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is present. there are no acute osseous abnormalities.
history: <unk>f with shortness of breath//evaluate for acute process
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the heart appears at least mildly enlarged. lung volumes are low. within the limitations of technique, the mediastinal and hilar contours are otherwise unremarkable aside from noting calcification along the aortic arch. subpulmonic pleural effusions are difficult to exclude. chin flexion obscures the left apex. however, aside from suspicion for retrocardiac opacification which would commonly be due to atelectasis, elsewhere the lungs appear clear.
respiratory distress.
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the heart size is normal. the mediastinal and hilar contours are unremarkable. the lungs are clear and the pulmonary vascularity is normal. no pleural effusion or pneumothorax is seen. there is scarring within the lung apices. there are no acute osseous abnormalities.
numbness and tingling on the left side.
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since <unk>, mild-to-moderate bibasilar atelectasis, right greater than left, is new. the cardiomediastinal contours, hilar contours, and pleural surfaces are normal. no pneumothorax. the cardiac silhouette is mildly enlarged.
<unk> year old man with cirrhosis post rfa // hemo/pneumothorax
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there are no pleural effusions or pneumothorax. the lungs appear clear. there is slight rightward convex curvature of the lower thoracic spine.
left-sided pain after trauma.
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the right picc terminates in the mid svc. postsurgical clips project over the left axilla. cardiomediastinal silhouette is unchanged. there is no focal consolidation, pulmonary edema, pleural effusion, or pneumothorax.
<unk> year old woman with <num>cm out picc line // evaluate position
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the lungs are clear without focal consolidation, effusion, or edema. linear opacity in the left lower lung is likely atelectasis. cardiomediastinal silhouette is stable and there is tortuosity of the descending thoracic aorta with atherosclerotic calcifications at the arch. degenerative changes are noted at the left shoulder and there is a chronic left fourth rib fracture posteriorly. postoperative changes of bilateral mastectomies with left breast prosthesis are noted.
<unk>f with syncope with headstrike. normal mental status // fx bleed
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ap and lateral views of the chest. the lungs are clear. the cardiomediastinal silhouette is within normal limits. there is an s-shaped thoracolumbar scoliosis. no acute osseous abnormalities identified.
<unk>-year-old female with chest pain.
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the lungs are clear. there is no consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. bilateral nipple rings are noted.
<unk>f with chest pain, hx of connective tissue disease // acute cardiopulmonary process
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there is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is within normal limits.
<unk>f with dyspnea and cough, evaluate for acute process.
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the left chest tube has now been removed. no pneumothorax. lung volumes are low. basilar atelectasis slightly more prominent. the heart is enlarged. appearance of the mediastinum is unchanged and within normal limits postoperatively. remaining support devices are in standard position. median sternotomy wires appear intact and unchanged.
<unk> year old woman s/p avr/mvr and ct removal. evaluate for pneumothorax.
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a frontal upright view of the chest was obtained portably. the lungs are clear without focal consolidation, pleural effusion or pneumothorax. heart size is upper limits of normal. there is no pleural effusion or pneumothorax. the new intracardiac device leads project over the expected locations of the right and left ventricles.
<unk>-year-old man with coronary artery disease, cardiomyopathy status post biventricular icd implantation. evaluate for pneumothorax.
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no focal consolidation is seen. slight ending at the left hemidiaphragm may be due to scarring/ atelectasis. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. spinal catheter re- demonstrated.
history: <unk>f with pe in <unk> now on coumadin p/w acute onset cp radiating to back and sob this am. // ?cpd- dissection, pna, etc
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lung volumes are normal and lungs are clear. no pleural effusion, pneumothorax or focal airspace consolidation. heart is top-normal in size but unchanged. the mediastinal and hilar contours are unremarkable.
chest pain. rule out cardiopulmonary abnormality.
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pa and lateral views of the chest are compared to previous exam from <unk>. the lungs are clear of consolidation, effusion, or pneumothorax. cardiomediastinal silhouette is normal. osseous and soft tissue structures are unremarkable.
<unk>-year-old male with chest pain.
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the lungs are hyperinflated. the large left pleural effusion has increased in size. there is only minimal aeration within the left upper lung. faint right basilar opacities noted. right lung is otherwise clear. no pulmonary edema. heart size is difficult to assess, however the cardiomediastinal silhouette appears stable compared to the scout images dated <unk>. pneumothorax.
<unk>f with lung cancer, h/o effusion, with worsening ms // ? size of effusion, ? pneumonia
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heart size is top normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
history: <unk>m with seizure
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pa and lateral views of the chest provided. midline sternotomy wires, mediastinal clips and dual lead pacer appear unchanged in position. 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 cough and fever // eval for pneumonia
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ap upright and lateral views of the chest provided. mild cardiomegaly is noted without signs of edema or congestion. no focal consolidation concerning for pneumonia. there is stable prominence of the superior mediastinum which reflect patient's known thyroid goiter. bony structures are intact. no free air below the right hemidiaphragm.
<unk>m with syncope with fall // acute process?
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there is a small right apical pneumothorax, which is decreased from the prior study of <unk>. note is made of a right-sided chest tube. the mediastinal silhouette is normal. there is no effusion or pulmonary vascular congestion. there is increased sclerosis of the visualized thoracic vertebral bodies, for which correlation with a metabolic process or possible metastatic malignancy is recommended.
<unk> year old man with right pneumothorax now s/p right lateral pigtail catheter placement // interval change
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heart size and cardiomediastinal contours are normal. there is mild left basal opacity which likely represents atelectasis or scarring. otherwise lungs are clear. no pleural effusion, or pneumothorax. no evidence of pneumoperitoneum is identified.
<unk>m with acute abdominal pain // presence of free air
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frontal view is somewhat limited by patient rotation. heart size is likely unchanged and within normal limits. the aortic knob is calcified. hilar contours are unremarkable. lung volumes are reduced. no focal consolidation, pleural effusion or pneumothorax is seen. no pulmonary edema is present. there are marked degenerative changes in the thoracic spine with large anterior osteophytes.
shortness of breath.
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pa and lateral views of the chest were obtained. the lungs are clear bilaterally with no evidence of focal consolidation or pulmonary edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. there is no evidence of free air below the right hemidiaphragm.
chest pain.
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in comparison to the most recent study from <num> days prior, there is little interval change. lung volumes are low. diffuse bilateral interstitial opacities persist. left picc line remains malpositioned in the left axilla.
history: <unk>m with recent admission for pneumonia presenting from clinic with leukocytosis // pneumonia
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worsening right perihilar opacities may reflect a developing multifocal pneumonia. multiple lucencies in the right perihilar region may reflect cavitary lesions.mild bilateral pulmonary edema is again noted. small bilateral pleural effusions may be present. the cardiac and mediastinal silhouettes are unchanged.
<unk> year old woman with chronic aspiration, likely pna or pulm edema on ap cxr // pneumonia
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et tube ends in the lower trachea. left ij central venous catheter ends in the mid to lower svc. nasogastric tube courses below the hemidiaphragm, tip not visualized. the left costophrenic angle has been excluded from the field of view. left-sided chest tube is unchanged in position. a partially imaged vp shunt catheter has no kinks or discontinuities along its imaged course. there is no pneumothorax. small subcutaneous emphysema is unchanged. the previous left basilar airspace opacity has cleared, and may have been due to atelectasis. mild vascular engorgement without frank edema is unchanged. the cardiomediastinal silhouette is normal despite the projection.
<unk> year old man with ptx // eval chest tube and ptx
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no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. heart and mediastinal contours are within normal limits.
<unk>-year-old female with chest pain.
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there is an overall increased radiodensity in the lungs, most pronounced in the right upper lobe. there are areas of parenchymal opacity seen adjacent to the minor fissure. the minor fissure is elevated and the apical part of the right upper lobe shows air bronchograms and peribronchial thickening with a linear opacity at the lung apex. similar findings, but with less severity, are seen in both lower lobes. no complications including abscesses or adenopathy are seen. the heart is normal in size and the aorta is mildly tortuous. the pleural surfaces are clear without effusion or pneumothorax.
copd and cough with green sputum. evaluation for pneumonia.
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a left-sided picc line terminates at the mid svc. an orogastric tube courses below the diaphragm, the tip projects over the gastric fundus. the heart is enlarged and stable. again seen is elevated pulmonary venous pressure. bibasilar consolidations are again seen, likely reflective of pleural effusion and atelectasis. in the appropriate clinical setting however superimposed pneumonia cannot be excluded.
<unk> year old man with chf, cad, afib s/p end ileostomy take down c/b fluid collections and respiratory distress // nonworking picc line, eval for tip location.
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the lungs are well expanded. there is a possible nodule overlying the first anterior rib. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable.
history: <unk>m with fever and productive cough // r/o pna
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low lung volumes are again noted. there bilateral pleural effusions, left greater than right but not dramatically changed from prior. there is likely adjacent atelectasis although more confluent right perihilar and basilar consolidation is worse compared to prior. degree of pulmonary edema is similar compared to prior. cardiac silhouette is difficult to assess given silhouetting bilaterally.
<unk>m with cough, dyspnea // evaluate for pneumonia, vascular congestion
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pa and lateral views of the chest. compared to prior, there has been interval development of right basilar opacity which localizes to the right middle lobe on the lateral exam. there is also some mild patchy opacity at the left lung base as well. the lungs are hyperinflated with coarse interstitial markings. superiorly there are clear the consolidation. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormality detected.
<unk>-year-old male with down's syndrome presenting with fever and cough. question infection.
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since <unk>, new heterogenous opacities are seen in the left lung base, which are concerning for pneumonia. there is mild pulmonary congestion. the heart size is normal. no hilar contour or pleural surface abnormalities are seen. no pleural effusion or pneumothorax. on this semi erect view, pneumoperitoneum cannot be adequately assessed.
<unk> year old woman with cough, fever, recent self-pulled j-tube // please eval for pna, pneumoperitoneum
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heart size is within normal limits. the cardiomediastinal silhouette is unchanged. atelectasis is noted at the right lung base. an opacity at the left lung base could represent atelectasis, however pneumonia cannot be excluded.
<unk> year old man with tachycardia and relatively low oxygenation and disseminated zoster please eval for pneumonia // eval for pna or pulm edema
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frontal and lateral radiographs of the chest demonstrate a moderate-sized right apical pneumothorax with rightward shift of the mediastinum, which is likely due to prior surgery. there is substantial collapse of the remaining right lung with minimal pulmonic gas seen in the right lung field. left lung is essentially clear. heart size is normal.
<unk>-year-old female status post right lower lobectomy. evaluate for interval change.
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interval since prior study, the patient is a developed extremely extensive subcutaneous emphysema affecting the entire visual chest wall and extending into the supraclavicular region. in addition there is air tracking along the posterior mediastinum. the appearances are highly suspicious for an esophageal perforation. the extent of subcutaneous air limits assessment of the lungs, however no pneumothorax is visualized. an endotracheal tube is in-situ, the tip terminates approximately <num> cm above the level the carina. small left pleural effusion and left lower lobe atelectasis. the right lung is grossly clear.
<unk> year old woman with new crepitus andn suspected esophageal perf // evaluate for pneumothorax or esophageal perf
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an interstitial abnormality, most pronounced in the left midlung zone suggestive of a chronic interstitial lung disease. clips are present overlying the left scapula. the cardiomediastinal silhouette is notable for calcifications of the aortic knob and a dilated ascending aorta. a small pneumomediastinum, present on a chest ct <unk> is not visible on today's study; if still present, it has not enlarged.there is no pleural effusion or pneumothorax. the imaged upper abdomen is unremarkable. vascular clips denote prior left axillary surgery and the configuration of the soft tissues of the chest wall suggest prior mastectomy. although no fracture is seen, conventional chest radiographs are not sensitive for detection of chest cage trauma. regions where there are focal findings of possible trauma should be clearly marked and imaged with bone detail views.
history: <unk>f with s/p fall please r/o fx // fx? additional history: esophageal perforation.
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frontal and lateral chest radiographs demonstrate clear lungs without pleural effusion or pneumothorax. the cardiac silhouette is normal in size, the mediastinal contours are normal.
<unk>-year-old male with fever, question pneumonia.
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there is a moderate right and a small left pleural effusion. there is no focal consolidation or pneumothorax. the cardiac silhouette is difficult to see however the heart size is likely normal. the mediastinal contours are normal.
history: <unk>f with sob // sob
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the heart size is mildly enlarged. the aortic knob is calcified. mediastinal contours are unchanged, with mild pulmonary edema noted. small bilateral pleural effusions, left greater than right are present, with bibasilar airspace opacities most pronounced in the retrocardiac region, possibly reflecting atelectasis. infection however is not excluded. there is no pneumothorax. central venous catheter tip courses cephalad from the ivc, and terminates in the right atrium.
productive cough for <num> days.
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lung volumes are low. opacity in the left lower hemithorax with silhouetting of the left hemidiaphragm, lateral border of the descending aorta, and left inferior aspect of the cardiac silhouette may reflect a combination of atelectasis and pleural effusion. pulmonary edema is mild. the heart is moderately enlarged. aortic knob calcifications are mild. no pneumothorax. concurrent focal consolidation in the retrocardiac region cannot be completely excluded in the appropriate clinical situation. the patient is slightly rotated with mild dextroconvex scoliosis of the thoracic spine. no acute osseous abnormality.
<unk>-year-old woman with shortness breath. evaluate for congestive heart failure.
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pa and lateral views of the chest demonstrate left central venous catheter with subclavian approach projecting over distal svc. there is no pneumothorax. lungs appear hyperinflated. diffuse emphysema is noted extending into lower lobes. heterogeneous opacity in the right lung base has resolved. linear opacity in the right lung base persists. small right-sided pleural effusion is no longer visualized. there is no left pleural effusion. hilar and mediastinal silhouettes are unremarkable. heart size is normal. partially imaged upper abdomen is unremarkable.
patient with dyspnea, alpha-<num> antitrypsin deficiency and possible pneumonia seen on <unk> exam.
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portable semi-upright radiograph of the chest demonstrates very low lung volumes. the cardiac silhouette is enlarged, and likely exaggerated due to technique. a right-sided picc line is noted, terminating in the distal right brachiocephalic vein. again noted is a ventriculoperitoneal shunt. there is no definite pleural effusion or pneumothorax.
<unk>m with picc line not working // picc line placement
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there has been interval resolution of the right medial lung base opacification. the lungs are otherwise well expanded and clear. the cardiomediastinal and hilar contours are stable. there is no pleural effusion or pneumothorax.
<unk>-year-old with right medial lung base changes status post antibiotic treatment.
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pa and lateral views of the chest. the lungs are clear. there is no effusion or pneumothorax. slight indentation on the right lateral aspect of the trachea at the thoracic inlet is less conspicuous on the current exam. the cardiomediastinal silhouette is normal. no acute osseous abnormality is identified.
<unk>-year-old male with chest pain.
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no focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. degenerative changes are seen along the spine including dish and anterior bridging osteophytes in the mid to lower thoracic spine. hilar contours are stable.
<unk> year old man with dizziness and mild altered mental status with concern for possible infectious etiology // please assess for possible pneumonia or pleural effusion
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portable supine frontal chest radiograph. an endotracheal tube terminates at the right mainstem orifice. an enteric tube terminates within the stomach. the lung volumes are low, resulting in crowding of bronchovascular structures. there is no pleural effusion, pneumothorax or focal airspace consolidation. the heart size is normal. the mediastinum and hilar structures are unremarkable.
intubation, evaluate tube placement.
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the lungs are clear. there is no pleural abnormality. the heart and mediastinal contours are normal.
<unk>-year-old female with chest pain this morning, question acute process.
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frontal and lateral chest radiographs demonstrate unremarkable cardiomediastinal and hilar contours. lungs are clear. no pleural effusion or pneumothorax evident. left-sided port-a-cath terminates in the upper right atrium/cavoatrial junction. stable right upper chest deformity possibly prior trauma. tracheostomy noted. stable gaseous distention of the visualized portions of the colon.
shortness of breath, evaluate for pneumonia.
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portable semi-upright radiograph of the chest demonstrates pulmonary vascular congestion with significant opacity on the right and scattered interlobular septal lines, consistent with edema. the cardiac silhouette is enlarged. focal consolidation is not excluded. there is a possible small left pleural effusion. no definite pneumothorax identified.
history: <unk>f with hypoxia // eval acute process
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left-sided port-a-cath tip terminates in the svc. lung volumes are low. heart size is top normal, and accentuated due to low lung volumes. mediastinal and hilar contours are within normal limits. there is no focal consolidation, pleural effusion or pneumothorax. minimal left basilar streaky atelectasis is seen. there are mild multilevel degenerative changes within the imaged cervical lumbar spine.
history of glioblastoma and prostate cancer presenting with increasing weakness and lethargy.
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low lung volumes are seen particularly on the frontal view with secondary crowding of the bronchovascular markings. there is no confluent consolidation or overt pulmonary edema. small bilateral pleural effusions are noted. left chest wall dual lead pacing device is identified. no acute osseous abnormalities are noted.
<unk>f with generalized weakness and fatigue x <num> cough // r/o pna
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single frontal view of the chest. lung volumes are very low and marked elevation of the left greater than right hemidiaphragm is similar to prior. bibasilar atelectasis is unchanged. cardiomediastinal contours are stable. pulmonary vascular markings appear normal. no focal consolidation or large pleural effusion.
<unk>-year-old female with altered mental status and history of seizures. evaluate for aspiration or pneumonia.
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the patient is status post sternotomy. the heart is mild to moderately enlarged. the patient is also status post anterior and posterior cervical fusions, incompletely characterized. the lungs appear clear. there is no pleural effusion or pneumothorax.
worsening shortness of breath and left-sided chest pain. history of coronary disease, congestive heart failure and liver transplant.
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heart size is normal. the mediastinal and hilar contours are unchanged and within normal limits. pulmonary vasculature is not engorged. streaky atelectasis is noted in the left lung base. no focal consolidation, pleural effusion or pneumothorax is demonstrated. moderate degenerative changes are noted in the thoracic spine. clips are seen within the right upper quadrant of the abdomen. no displaced rib fractures identified.
history: <unk>m with right sided chest pain // ? rib fracture vs. infectious process
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frontal and lateral views of the chest were obtained. the heart is of normal size with normal cardiomediastinal contours. there is calcification of the aortic knob, similar to prior. an azygos lobe is incidentally noted. the lungs are otherwise clear without focal or diffuse abnormality. no pleural effusion or pneumothorax. no radiopaque foreign body.
<unk>-year-old male with recent uri, fatigue, new crackles at right base. evaluate for infiltrate.
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there has been placement of an endotracheal tube which terminates very close to the ostium of the right mainstem bronchus and should be retracted by <num> cm right picc line terminates in the low svc. enteric tube is unchanged. left lower lobe atelectasis is moderate. lungs are otherwise clear.
<unk> year old woman with respiratory distress emergently intubated in ticu // ett placement
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limited examination secondary to patient motion. within this limitation, moderate cardiomegaly has slightly progressed from the prior examination in <unk>. subtle, diffuse interstitial markings are stable from the prior examination, and likely reflect underlying chronic interstitial lung disease. there is no large pleural effusion, pneumothorax, or focal consolidation.
history: <unk>f with tachycardia // evidence of infection or effusion
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et tube terminates <num> cm above the carina. there is a ng tube with the tip and side hole in the stomach. there is bilateral diffuse opacification, consistent with multifocal pneumonia seen on the prior chest ct. the opacification appears to improved in the right upper and lower lobes. heart size is stable. the mediastinal and hilar contours are stable. the pulmonary vasculature is normal. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
<unk> year old man with right-sided pna pulm edema, intubated for hypoxia // evaluate for volume overload
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right hemithorax postsurgical changes are again noted with volume loss likely related to prior resection. please correlate clinically. there is loculated pleural fluid fluid at the right apex and right lung base, moderate in overall volume. the cardiac size is moderately enlarged. there is no focal pulmonary consolidation or pneumothorax. bony structures appear grossly intact.
<unk>f with chest pain // eval for ptx
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frontal and lateral chest radiograph demonstrates interval removal of right-sided chest tube with resultant small apical pneumothorax. there is no evidence of tension. there is a persistent large left pleural effusion with bibasilar opacities which appears improved on the left and slightly worse on the right. this opacification is most likely atelectasis although the differential diagnosis includes aspiration and pneumonia. a right subclavian line terminates at the level of the mid to low svc. cardiomediastinal silhouette remains stable.
<unk>-year-old female status post esophagectomy now status post chest tube removal.
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there is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. multiple well-circumscribed radiodensities likely represent overlap of structures and vessels viewed on-end.
<unk>f with cough, evaluate for pneumonia.
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in the interval since the prior study, a second right-sided chest tube has been placed. this appears to cross the midline and meet the left apex. there is a persistent small right apical pneumothorax. an opacity at the right lung base likely reflects a atelectasis. subcutaneous emphysema again noted. the left lung appears grossly clear.
<unk> year old man with chest tube placement // any ptx
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the lungs are well-expanded and clear. no pleural effusion or pneumothorax. heart size, mediastinal contour, and hila are unremarkable. limited assessment of the upper abdomen is within normal limits.
<unk>f with chest pain. assess for acute process.