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pa and lateral views of the chest. no prior. the lungs are clear of focal consolidation. cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unremarkable.
<unk>-year-old female with diarrhea and nausea. white blood cell count of <num>.
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cardiac, mediastinal and hilar contours are normal. pulmonary vascularity is normal. no pleural effusion or pneumothorax is present. no acute osseous abnormality is present.
fever.
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compared with the prior study, no change in the positioning of the endotracheal tube and right ij central line. the ng tube terminates in the stomach. left retrocardiac atelectasis has improved. there is a small persistent left basilar opacity. the right lung is better aerated. no evidence of pneumothorax.
<unk> yo m with an undefined chronic inflammatory demyelinating polyneuropathy previously on ivig who presented to icu with worsening respiratory distress and rll pneumonia with w/u for weakness. workup negative to date w/ change in vent setting overnight, leukocytosis. evaluate for new pneumonia.
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frontal and lateral radiographs of the chest demonstrate clear lungs with minimal retrocardiac opacification which is similar to the prior radiograph. no definite evidence of pneumonia. the cardiac and mediastinal contours are normal. no pleural abnormality is detected.
neutropenic with cough and difficulty breathing as well as malaise for the past one and half weeks. evaluate for acute infection.
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pa and lateral chest radiographs were provided. bibasilar opacities may represent atelectasis in the setting of low lung volumes; however, infection cannot be excluded. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is top normal with a tortuous aorta. the imaged upper abdomen is unremarkable. the bones are intact.
<unk>-year-old male with chest pain and right flank pain, evaluate for pneumonia.
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frontal and lateral views of the chest. frontal view is limited secondary to patient's rotation. there is no definite focal consolidation. chronic changes in the lungs again seen compatible with patient's history of copd. cardiomediastinal silhouette is grossly within normal limits given projection. no acute osseous abnormality is identified. old right lateral ninth rib fracture is identified.
<unk>-year-old male with known copd, presents with fever, chills and coarse breath sounds.
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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 tachycardia, s/p hip replacement // ?pna
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the endotracheal tube terminates approximately <num> cm from the carina. enteric tube terminates in the stomach.no strong evidence for pulmonary edema. reticulonodular opacity at the right lung base likely represents infection. cardiomediastinal contours are normal. no pleural effusion. remote right posterior fourth and fifth rib fractures are noted.
history: <unk>f with intubation. evaluate for tube placement.
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pa and lateral chest radiographs were provided. the lungs are hyperexpanded and emphysematous changes are persent. there is no focal consolidation, pleural effusion or pneumothorax. a lucency projecting over the left mid-lung with an apparent or simulated meniscus needs further evaluation. the cardiomediastinal silhouette is normal. the bones are intact.
<unk>-year-old female with left-sided chest pain, rule out pneumonia.
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a semi-upright portable ap radiograph of the chest demonstrates clear lungs aside from bilateral lower lobe atelectasis. the hilar and cardiomediastinal contours are normal. there is no pneumothorax or pleural effusion. pulmonary vascularity is normal. a left lower chest implanted neurostimulator is again seen.
seizure. evaluate for pneumonia.
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there has been interval removal of the right picc line. the heart size is at the upper limits of normal although likely exaggerated by low lung volumes. the mediastinal and hilar contours are unremarkable. minimal bibasilar atelectasis is seen. there is no pneumothorax or pleural effusion.
<unk>-year-old male status post renal transplant, now with shortness breath.
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pa images of the chest. the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable. surgical clips are noted in the left axillary and left chest wall regions.
history of dvt on coumadin status post lap band surgery now with maroon/bloody stools.
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low lung volumes are noted. there is no focal consolidation, effusion, or edema. scarring versus prominent extrapleural fat seen at the left lateral lung base, unchanged. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities, old healed left lateral rib fractures are noted.
<unk>m with depressiion // pre-admission psych
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left picc terminates in upper svc. there is no consolidation, pleural effusion, or pneumothorax. cardiomediastinal and hilar silhouettes are normal size.
history: <unk>f with ?picc placement // eval picc
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ap semi upright and lateral chest radiographs. the lungs are low in volume with bronchovascular crowding. there is no focal consolidation, pleural effusion or pneumothorax. mild cardiomegaly is stable. tortuosity and general enlargement of the thoracic aorta contributiing the increased width of the mediastinum remains stable over multiple prior examinations. the pulmonary arteries appear enlarged suggesting pulmonary hypertension.
chest pain and lower extremity edema. assess for cardiomyopathy or chf.
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lung volumes are slightly low. there is no pleural effusion, pulmonary edema, pneumothorax, or focal consolidation concerning for pneumonia. the heart is top-normal in size. a wedge compression deformity of the t<num> vertebral body is unchanged. metallic biliary stents are again seen in the right upper quadrant.
<unk>m with fever of unknown origin // ?infiltrate/pna
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the lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen. tracheostomy tube is in standard position. an increased patchy opacity in the right upper lobe is suspicious for pneumonia. the chest is hyperinflated. a gastrostomy tube projects over the left upper quadrant of the abdomen.
history: <unk>m with fever, increasing in sputum production. evaluate for pneumonia
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the lungs are clear but hypoinflated. no evidence of pulmonary vascular congestion or pneumonia. moderate cardiomegaly. tortuous descending thoracic aorta is noted. calcified granuloma is seen in the right midlung field.
history: <unk>m with failure to thrive, recent hospitalization, elevated lactate // eval for pna
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the cardiomediastinal and hilar contours are normal. the lungs are clear. there is no pleural effusion or pneumothorax.
<unk>-year-old female with left pleuritic chest pain.
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heart size is normal. mediastinal and hilar contours are unremarkable. pulmonary vasculature is normal. patchy ill-defined consolidative opacity in the left lung base, likely lingula, is concerning for pneumonia. right lung is clear. no pleural effusion or pneumothorax is clearly seen. there are no acute osseous abnormalities.
history: <unk>f with cough, tachycardia
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sternotomy wires are intact. no consolidation, pneumothorax, or pleural effusion is identified. moderately enlarged cardiac silhouette is unchanged. prominent pulmonary vessels are unchanged.
<unk>m s/p transfusion with dyspnea, nausea, vomiting // evaluate for trali vs edema
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the lungs are clear. there is no effusion or pneumothorax. the cardiomediastinal silhouette is normal. no acute osseous abnormalities.
<unk>m with chest pain // please eval for pna, pneumo
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the lungs are well expanded and clear. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. chronic changes centered at the distal left clavicle with widening of the acromioclavicular joint which is likely chronic.
<unk>-year-old male with ankle fracture. preoperative evaluation.
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. the lungs appear clear. there are no pleural effusions or pneumothorax. bony structures are unremarkable.
status post assault.
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relatively low lung volumes are noted. there is no focal consolidation, effusion, or edema. there is a <num> cm nodule projecting over left upper lung at the level of the aortic notch. additional <num> mm nodule projects over the right hemidiaphragm. there is an additional nodular contour of the left hemidiaphragm. cardiomediastinal silhouette is within normal limits. right chest wall port-a-cath is noted with catheter tip in the mid svc. no acute osseous abnormalities. stents identified in the right upper quadrant.
<unk>f with fever to <num> // evidence of pneumonia
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heart size appears mildly enlarged but unchanged. the mediastinal and hilar contours are unremarkable. pulmonary vasculature is not engorged. subsegmental atelectasis is demonstrated in the lung bases without focal consolidation. no pleural effusion or pneumothorax is present. deformity of a right-sided rib appears chronic. no acute osseous abnormality is otherwise demonstrated. moderate degenerative changes are noted in the thoracic spine.
history: <unk>m with low back pain sudden onset // ? obvious fracture
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there are bilateral airspace opacities, left side greater than right, not significantly changed allowing for differences in patient positioning. there is improved left lower lung aeration. there is minimal right lower lung atelectasis. there is a small to moderate left pleural effusion, unchanged. there is no pneumothorax. the heart size is normal. a right-sided picc ends in the mid svc.
<unk> year old man with chronic respiratory failure on vent, now with recent inc. wob // eval for interval change
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as compared to <num> day prior, support devices are in similar position. no appreciable pneumothorax. minimal atelectasis in the left lung base has improved. the right lung is clear. no pulmonary edema.
<unk> year old man s/p rulobectomy // am rounds pod<num>
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a right internal jugular port-a-cath is present with its tip in the upper-to-mid svc, unchanged from prior exams. there is no evidence of kinking of the line. there is an unchanged calcified nodule in the right mid lung zone. streaky linear opacities are most consistent with atelectasis, not significantly changed. there is no new consolidation. there is no pneumothorax. there is no right pleural effusion. the left costophrenic angle is obscured by the overlying cardiac shadow. the heart remains severely enlarged. the mediastinal contours are normal. the patient is status post a median sternotomy. the wires are intact.
no return from the port-a-cath. evaluate for placement.
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ap frontal and lateral radiographs were obtained. these demonstrate clear lungs bilaterally with no focal consolidation. the patient is status post large paraesophageal hernia repair. a retrocardiac density within the left lower hemithorax may relate to prior paraesophageal repair. heart size is normal. significant atherosclerotic calcifications are identified within the aortic arch. visualized osseous structures are without acute abnormality. no evidence of pneumothorax. there is no right-sided pleural effusion. obscuration of the left hemidiaphragm is suggestive of a small pleural effusion.
<unk>-year-old male status post fall and confusion.
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lung volumes are slightly low, resulting in mild prominence of the cardiac silhouette. allowing for this, the cardiomediastinal silhouette appears normal. there is no focal consolidation, pleural effusion, or pneumothorax. the visualized upper abdomen is unremarkable.
evaluate for pneumonia or effusion in a <unk>-year-old man with chest pain.
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frontal and lateral radiographs of the chest demonstrate well-expanded clear lungs. tiny right-sided pleural effusion. the cardiomediastinal and hilar contours are unremarkable. there is no pneumothorax or consolidation. moderate scoliosis without evidence of acute bony process.
<unk>-year-old female with focal pain of the left anterior lower ribs after recent trauma and history of osteoporosis, evaluate for rib fracture or pneumothorax.
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the patient is status post median sternotomy and cabg. heart size is normal. the mediastinal and hilar contours are unremarkable. pulmonary vasculature is normal. linear opacities within the left lung base are compatible with areas of subsegmental atelectasis. no pleural effusion, focal consolidation or pneumothorax is present. an <num> mm nodular opacity is seen within the right upper lung field, new in the interval. moderate multilevel degenerative changes are noted in the thoracic spine.
history: <unk>m with dyspnea
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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. there is dextroscoliosis. imaged osseous structures are intact. .
<unk>m with left-sided chest pain. evaluate for pneumothorax.
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low bilateral lung volumes. minimal left basilar atelectasis. no pleural effusion or pneumothorax identified. the size and appearance of the cardiomediastinal silhouette is unchanged.
<unk> year old man leukemia and new o<num> requirement // pleural effusions, volume overload, pna
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frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs which are clear. there is no focal consolidation, pleural effusion, or pneumothorax. the visualized upper abdomen is unremarkable.
cough and fever x<num> days. evaluate for pneumonia.
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ap portable upright view of the chest. an endotracheal tube, orogastric tube, right central venous ij catheter, and left-sided pacemaker are unchanged in position. the lung volumes are low. there is no pneumothorax, focal consolidation, or pleural effusion. the hilar and mediastinal contours remain within normal limits. the heart size is normal.
<unk> year old man intubated with ventilator associated pneumonia .
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. cardiac silhouette size is top-normal. mediastinal contours are unremarkable. no pulmonary edema is seen.
history: <unk>f with cough and fever // r/o pna
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the lungs are well-expanded. no evidence of focal consolidation, edema, effusion, or pneumothorax. the heart is normal in size. the descending thoracic aorta is slightly tortuous, unchanged. aortic knob calcifications are mild, unchanged. right deviation of the trachea is unchanged since at least <unk>, possibly related to the tortuous aorta and scoliosis. left glenohumeral joint degenerative changes are severe.
<unk>-year-old woman presenting with shortness of breath. evaluate for pneumonia or pleural effusion.
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the heart is mildly enlarged. lucent appearance of the upper lungs with prominence of the interstitium is due to severe emphysema and chronic interstitial changes seen on the recent chest ct. increased perihilar and bibasilar opacities are consistent with increased moderate pulmonary edema. there is a small right pleural effusion, unchanged. a moderate size right pneumothorax seen on the ct scan from <unk> is not well appreciated on the current study which may in part be related to the technique.
history: <unk>f with dyspnea, h/o as // ? pulm edema
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the heart continues to be moderately enlarged. there is pulmonary vascular redistribution and hazy vascularity with patchy alveolar infiltrate, lower lobe greater than upper lobe.
<unk> year old woman with chf exacerbation, now w/hypercarbic resp failure and ams // is there interval change?
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the cardiac silhouette appears larger than on the prior study despite comparable lung volumes. mediastinal and hilar contours are unremarkable. there is no evidence for pulmonary edema, pulmonary consolidation, or pleural effusion. instrumented posterior fusion of the lower thoracic and upper lumbar spine is again partially visualized. ossification of the anterior longitudinal ligament is noted in the thoracic spine.
cough and chest pain. evaluate for chf.
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the right pleural effusion is smaller than on the earlier studies. there is no pneumothorax chf or new consolidation.
<unk> year old man with hepatic hydrothorax <unk> alc hep // size of right pleural effusion
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the lungs are clear, the cardiomediastinal silhouette and hila are normal. there is no pleural effusion and no pneumothorax.
<unk>-year-old with ekg changes, please assess for pneumonia.
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frontal upright and lateral chest radiographs demonstrate low lung volumes. accounting for differences in patient's position, cardiomediastinal contour is relatively unchanged compared to the prior examination. heart is normal in size. thoracic aorta appears tortuous, similar to the prior examination. focal rounded areas of increased density at the hila bilaterally likely represent calcified hilar nodes, unchanged from the prior examination. basilar streaky opacities are most consistent with atelectasis. lungs are otherwise clear without focal areas of consolidation. there is no pleural effusion. there is no pneumothorax.
chest pain radiating through to the back, evaluate for acute process or dissection.
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pa and lateral views of the chest demonstrate worsening bibasilar opacities, particularly in the retrocardiac area. there is also a left-sided pleural effusion. the cardiac size is top normal. there is no evidence of pulmonary edema. there is no pneumothorax. degenerative changes of the spine are again present. there is no intra-abdominal free air. surgical clips are noted in the left upper quadrant.
transplant patient with fever.
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the lungs are well expanded and clear. the cardiomediastinal silhouette is unchanged from comparison exam. there is a large hiatal hernia which is significantly larger from most recent exam. there is no focal consolidation, pleural effusion or pneumothorax. there is unchanged appearance of scoliosis and significant degenerative changes in the thoracic spine. the thoracic aorta is heavily calcified and tortuous.
hypertension and concern for stroke. evaluate for infection.
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the cardiomediastinal and hilar contours are within normal limits. the lung fields are clear. there is no pneumothorax, fracture or dislocation. limited assessment of the abdomen is unremarkable.
history: <unk>m with mvc, persistent l chest wall pain and l shoulder pain // eval ? traumatic injury
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lung volumes are low and respiratory motion limits the evaluation. faint left retrocardiac opacity is also seen on the lateral view projecting over the spine. heart size is exaggerated by low lung volumes and is likely top normal. the mediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax.
<unk>m with chest pain // eval for chf/pneumonia
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ap and lateral radiographs of the chest. there is no focal consolidation, pleural effusion, or pneumothorax. the cardiac silhouette is normal appearing. no rib fractures are identified. the soft tissues are unremarkable.
cough. evaluate for pneumonia.
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a moderate-to-large right pneumothorax is noted. there is shift of the mediastinum to the left. left lung is clear. no acute osseous abnormalities.
<unk>f with right pneumothorax // evaluate right pneumothorax
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portable upright chest radiograph is obtained. right picc is unchanged in the upper svc. multifocal right-sided pulmonary opacities are unchanged from the prior examination. the left lung remains well aerated. right pleural effusion is likely present. the heart remains at the upper limits of normal with tortuous aortic contour. spinal hardware is incompletely assessed.
dyspnea and multifocal pneumonia, assess for interval change.
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lung volumes are low which mildly accentuates the cardiac silhouette which remains severely enlarged. hilar contours are unchanged. a left-sided dual lead pacer remains in unchanged position. there is increased reticulation and opacities within all lung fields compatible with moderate pulmonary edema. left sided pleural thickening is unchanged. there is no pleural effusion or pneumothorax.
hypertension.
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the heart appears borderline in size and a mildly bulging posterior contour suggestive of left atrial enlargement. the mediastinal and hilar contours appear within normal limits. there is no pleural effusion or pneumothorax. the lungs appear clear.
cough and fever.
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single portable view of the chest was compared to previous exam from <unk>. the lungs are clear of focal consolidation. cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unremarkable.
<unk>-year-old female with recurrent seizure.
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an endotracheal tube has been placed, which terminates approximately <num> cm above the carina. an orogastric tube courses into the stomach, its tip not visualized. hilar fullness on each side as well as large indistinct pulmonary vessels is most suggestive of a pulmonary vascular congestion. there is no definite pleural effusion or pneumothorax.
status post endotracheal intubation.
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the lungs are clear, the cardiomediastinal silhouette and hila are normal. there is no pleural effusion and no pneumothorax.
<unk>-year-old with seizure.
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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 evidence of free air is seen beneath the diaphragms. right upper quadrant surgical clips are noted.
history: <unk>f with hx of sleeve gastrectomy with epigastric pain x <num> days // eval free air
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large expansile skeletal metastasis involving the posterior aspect of the left sixth rib seen on ct dated <unk> is again seen overlying the left upper chest. left picc line is seen make an abrupt turn at the region of the azygos vein. cardiomediastinum is unchanged compared to prior. there is mild increase in vascular congestion. no pleural abnormality is seen.
<unk> year old man with metastatic nsclc and asthma, now w/ hcap // interval changes in pulm status interval changes in pulm status
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heart size is normal. there is re- demonstration of mild unfolding of the thoracic aorta. hilar contours are normal. lungs are clear. re- demonstration of right-sided breast surgical changes with differential density. right axillary clips noted. some old left-sided rib fractures are again noted. known osseous metastases are better seen on prior exams. pleural surfaces are clear without effusion or pneumothorax.
history of metastatic breast cancer with known pet avid focus in the left postero lateral third rib.
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a portable view of the chest demonstrate a new dobhoff ending in the mid stomach. the swan-ganz catheter has been removed. there is no significant change to a layering right pleural effusion. the cardiomediastinal and hilar contours are unchanged. there is no pneumothorax.
placement of dobhoff tube.
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no significant interval change. tip of nasogastric tube cannot be seen, likely below the diaphragm. swan-ganz catheter in the right main pulmonary artery. intra-aortic balloon catheter in the aortic knob. left pleural effusion and probably lower lobe atelectasis with no interval change. small right effusion.
<unk> year old woman with new onset hf. // pa catheter placement
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there is mild pulmonary vascular congestion, overall similar compared to <unk>. overt pulmonary edema. left retrocardiac opacity persists, although perhaps slightly better aerated compared to the prior study. this most likely represents dependent atelectasis, although superimposed infection would be difficult to exclude in the appropriate clinical setting. there is no sizable pleural effusion or pneumothorax. cardiomediastinal contours are normal. final hardware is partially imaged in the upper lumbar spine.
history: <unk>m with hypotension, l picc line // eval for acute process, picc line placement
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ap upright and lateral views of the chest provided. lung volumes are low. cardiomegaly is unchanged. basal atelectasis again noted. no large effusion or pneumothorax. no overt signs of edema. mediastinal contour is unchanged. bony structures are intact.
<unk>m with fever, recent pna and uti.
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single portable view of the chest. lower lung volumes seen on the current exam. there is increase in degree of the opacity at the right lung base likely due to pleural effusion with underlying atelectasis, noting infection is not excluded. there is also a small left pleural effusion, new since prior. retrocardiac opacity is in part due to known hiatal hernia. the cardiac silhouette is enlarged, similar to prior. core-valve is also seen, similar to prior. degenerative changes seen at the shoulders.
<unk>-year-old male with tachycardia.
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the heart is top-normal in size. the aorta is tortuous and shows mural calcification. minimal bibasilar opacities suggest atelectasis. the lung volumes are low, which accentuates bronchovascular markings. there is no pleural effusion or pneumothorax.
history: <unk>m with pain // acute process?
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the lungs are relatively hyperinflated. the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. no radiopaque foreign body seen.
history: <unk>m with vomiting episode, possible upper gi obstruction // eval for aspiration, foreign body
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semi-upright portable chest radiograph demonstrates an interval decrease in lung volume. confluent opacity at the left lung base remains, likely reflecting combination of left lower lobe collapse and effusion. elevation of the minor fissure indicated right upper lobe volume loss. a right pleural effusion is improving. mild pulmonary edema is improving. the cardiac silhouette remains moderately enlarged, the mediastinal contours reflect central venous engorgement. the endotracheal tube is similar in position, and projects no less than <num> cm from the level of the carina. a right upper extremity picc tip projects in the lower svc. an ng tube tip projects at the level of the gastric antrum.
<unk>-year-old female with right parieto-occipital hemorrhage followed by respiratory arrest, question pulmonary edema.
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there are bilateral parenchymal opacities at the bases medially as well as in the right mid lung. enlargement of the right hilum may be due to adjacent/overlying parenchymal consolidation, although adenopathy is also possible. the cardiomediastinal silhouette is within normal limits. atherosclerotic calcifications noted at the aortic arch. no acute osseous abnormality is identified. surgical clips in the right upper quadrant suggest prior cholecystectomy.
<unk>-year-old male with fever and cough.
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pa and lateral views of the chest. the lungs are clear. there is no pneumothorax. the cardiomediastinal silhouette is within normal limits. no displaced rib fractures identified.
<unk>-year-old male with right rib pain status post fall.
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frontal and lateral views of the chest demonstrate port-a-cath tip projecting at the cavoatrial junction. post-operative changes at the right lower hemithorax with possible small right pleural efusion. no left pleural effusion is seen. no pneumothorax or pneumomediastinum. hilar and mediastinal silhouettes are unchanged. heart size is top normal. mild tortuosity of the descending aorta is noted. there is no pulmonary edema. no new focal consolidation is seen to suggest pneumonia. right paramedial opacity adjacent to neoesophagus, likely reflects post-surgical changes.
patient with recent pneumonia and esophageal surgery, now presents with fever. assess for pneumonia and pneumomediastinum.
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ap single view of the chest was obtained with patient in sitting semi-upright position. comparison is made with the next preceding similar study of <unk> obtained at <time> p.m. findings on a new portable chest examination are practically identical with those of the previous study. position of pigtail end catheter in the right lower hemithorax unaltered. the same holds for the right-sided pleural effusion and the hydropneumothorax with rather high degree of right lung collapse. no new abnormalities identified. no significant mediastinal shift is observed.
<unk>-year-old male patient with hydropneumothorax, upright position, to assess for pneumothorax.
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there are no more pronounced right upper lobe changes when compared to the prior radiographs, probably reflecting interval improvement in the other areas relative than any worsening in this area. there remains some bronchial wall thickening, mild widening of the right paratracheal stripe suggested some localized lymphadenopathy and patchy changes in the left base in particular. there are no effusions and there is no evidence of pulmonary edema.
<unk> year old man with hypoxia // pulmonary edema. consilidation, apsiration
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the heart size is normal. the hilar and mediastinal contours are normal. although there has been interval resolution of the of the previously noted right basilar opacity, there is a new triangular opacity silhouetting the right heart border, likely secondary to atelectasis, however an infectious process cannot be excluded. bilateral costophrenic angle blunting is again seen, which may be secondary to small bilateral pleural effusions or hyperinflated lungs. there is no evidence of pneumothorax. note is made of cervical fusion hardware. surgical clips are seen in the abdomen.
history of recent pneumonia. please evaluate for persistent pneumonia.
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pa and lateral views of the chest. heart size is top normal and unchanged. mediastinal and hilar contours are normal. no evidence of pulmonary edema. no evidence of pneumonia. no pleural effusion or pneumothorax. patient is post-cabg with sternotomy wires and mediastinal clips in appropriate position.
weakness, evaluate for pneumonia.
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lung volumes are significantly decreased. an opacity in the right lower lung field likely represents crowding and atelectasis. the lungs are otherwise clear. there is no osseous abnormality. visualized abdomen is unremarkable. the heart size is normal.
<unk>m with ms now worsening mobility, and leukocytosis. // acute infectious process?
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heart size is normal. the aorta is mildly tortuous. mediastinal and hilar contours are otherwise unremarkable. pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is present. there are no acute osseous abnormalities.
history: <unk>f with chest pain
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lung volumes remain low leading to crowding of the bronchovascular structures. there is no evidence of focal consolidation, pleural effusion, pneumothorax, or frank pulmonary edema. the cardiomediastinal silhouette is within normal limits.
<unk> year old woman with fever // r/o acute process
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there is no pleural effusion or pneumothorax. the lungs appear clear. bony structures appear within normal limits.
possible aspiration of tooth.
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lung volumes are low. the heart remains mildly enlarged. the mediastinal and hilar contours are unremarkable. no definite consolidation, pleural effusion, or pneumothorax is noted. no acute osseous abnormality is detected.
<unk>f with altered mental status, fever, recent admission
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there is no longer an ekg lead within the upper esophagus instead, on this film, it now projects over the gastric fundus. the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there is no pleural effusion or pneumothorax. the lungs appear clear.
status post swallowed ekg lead.
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frontal and lateral chest radiographs demonstrate a left chest pacemaker with the single lead overlying the right ventricle. severe cardiomegaly is unchanged. the mediastinum, hila and vasculature, lungs, and pleural surfaces are normal.
worsening dyspnea on exertion and increasing weight. evaluate for pulmonary congestion.
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the lungs are well expanded. in the retrocardiac area on the lateral image, there is increased opacity, which could represent atelectasis, or possibly pneumonia or sickle lung in the right clinical setting. there is small left pleural effusion. the there is no pneumothorax. the cardiomediastinal silhouette is unremarkable. a right-sided central line catheter terminates in the right atrium. sclerosis in the left humeral head and mildly h-shaped veterbrae aer seen, consistent with known sickle cell disease.
sickle cell, pain, cough.
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portable ap chest radiograph demonstrates complete right lower lobe collapse. the et tube terminates <num> cm above the carina. ng tube courses below the diaphragm and terminates outside the field of view. lung volumes are low with bibasilar atelectasis. there is no pneumothorax. the heart size is normal.
intubation. confirm ett placement.
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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 hypertension, hyperlipidemia and one episode of near syncope
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left-sided pacer device is noted with leads terminating in the right atrium right ventricle. mild enlargement of the heart is unchanged. atherosclerotic calcifications are noted involving the aorta diffusely. mediastinal and hilar contours are unchanged with previously noted right perihilar prominence appearing improved. the pulmonary vasculature is not engorged. no focal consolidation, pleural effusion or pneumothorax is present. moderate multilevel degenerative changes are seen within the thoracic spine.
history: <unk>f with chest, thoracic and lumbar tenderness to palpation after fall
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there is a moderate right-sided pleural effusion, as seen on the recent ct, with associated parenchymal opacity, most suggestive of atelectasis. the pleural effusion is similar to the recent prior ct but possibly decreased somewhat since the prior radiographs, although a possible difference in patient orientation is a confounding factor regarding the comparison. the left lung remains clear. a picc line terminates at the cavoatrial junction.
fever. question pneumonia.
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the heart size is normal. mediastinal and hilar contours are unremarkable and unchanged. lungs are clear and the pulmonary vascularity is normal. no pleural effusion or pneumothorax is present. no acute osseous abnormality is detected.
hypertension, depression, chest pain.
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ap semi-upright portable chest x-ray was provided. similar to the prior exam, there is a moderate-to-large right-sided pleural effusion with overlying atelectasis. underlying consolidation cannot be excluded. there has been interval improvement in the left pulmonary opacities. cardiomediastinal silhouette appears grossly stable from the prior study. there is no pneumothorax.
<unk>-year-old man with altered mental status, evaluate for infiltrate.
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pa and lateral views of the chest provided. lung volumes are low. ill-defined opacities in the mid to lower lungs noted bilaterally, left greater than right concerning for multifocal pneumonia. no large effusion or pneumothorax. the cardiomediastinal silhouette is unchanged. hilar congestion difficult to exclude. bony structures are intact.
<unk>m with ams, hx pna // acute process
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the lungs are moderately well inflated. there is a left pleural effusion with a dense left retrocardiac opacity likely underlying atelectasis. linear atelectasis is seen in the right lower lobe. cardiomediastinal silhouette otherwise unremarkable. unchanged metallic hardware projecting over the lower cervical spine.
<unk>f w/achalasia, hh s/p lap hh repair, <unk> myotomy, toupet fund <unk> c/b early hh recurrence s/p reduction, gastropexy <unk> p/w chest pain, vomiting, paraesophageal collection // interval cxr
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pa and lateral views of the chest provided. right chest wall pacer device is again noted with pacer leads extending to the region the right atrium and right ventricle unchanged. small bilateral pleural effusions are present, with associated bibasilar compressive atelectasis. the heart is top-normal in size. hila appear congested. mediastinal contour is normal. mild interstitial edema difficult to exclude. bony structures appear intact.
<unk>f with severe mr, worsening doe, and bilateral crackles on exam.
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pa and lateral radiographs of the chest demonstrates intact median sternotomy wires. radiopaque aortic valve replacement and cabg surgical clips are noted. there is stable and expected postoperative widening of the mediastinum. the previously noted right apical pneumothorax is now not seen. minimal left pleural effusion is again noted. patchy opacities at the lung bases bilaterally are likely atelectasis. no focal consolidation concerning for pneumonia.
new onset confusion. recent aortic valve replacement and cabg
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lower lung volumes seen on the current exam. bibasilar opacities are likely secondary to atelectasis. superiorly, the lungs are clear. cardiomediastinal silhouette is within normal limits. tortuosity of the descending thoracic aorta is noted which is also notable for atherosclerotic calcifications at the arch. no acute osseous abnormalities.
<unk>m with diplopia // eval for consolidation
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there is no evidence of pneumothorax or displaced rib fractures. there is no pleural effusion. right-sided port-a-cath is once again seen appropriately placed and terminating within the distal svc. lungs are well expanded and clear with a paucity of vascular markings in the upper field consistent with emphysema which is better demonstrated on previous ct study. cardiomediastinal silhouette is within normal limits. pleural surfaces are unremarkable.
<unk>-year-old male with diffuse large b-cell lymphoma, currently on r-chop therapy, status post fall with rib pain.
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pa and lateral views of the chest provided. single lead aicd is unchanged with lead extending to the region the right ventricle. lungs are clear. no effusion or pneumothorax. cardiomediastinal silhouette appears normal. bony structures intact.
<unk>m with generalized malaise.
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compared to the prior study there is no significant interval change.
<unk> year old man with decompensated schf, swan in place, on nipride, lvad/transplant eval pending // eval for interval change in swan, pulm edema
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the cardiomediastinal and hilar contours are stable with mild prominence of the right paramediastinal stripe appearing unchanged from a radiograph dated <unk>. there is no pleural effusion or pneumothorax. lungs are hyperexpanded but clear without focal consolidation concerning for pneumonia. upper lobe lucency is suggestive of underlying emphysema. no free air below the right hemidiaphragm.
<unk>m with weakness, dyspnea on exertion.
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the lungs are well expanded. a <num> cm nodular opacity seen in the retrocardiac region above the medial margin of the left hemidiaphragm. moderate cardiomegaly is present. otherwise cardiomediastinal and hilar contours unremarkable. there is no pleural effusion or pneumothorax. no rib fractures are identified.
<unk>-year-old female with left-sided rib pain.
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lung volumes are unchanged compared to the prior study. the trachea is central. the cardiomediastinal contour is normal. a dual lead pacemaker is unchanged in appearance. there are persistent bilateral pleural effusions. bibasilar atelectasis is unchanged, cannot exclude superimposed infection. no pneumothorax seen. degenerative changes in the right shoulder.
<unk> year old woman with afib s/p ppm c/b rv ablation txfr intubated to ccu, now on floor and at end of course for copd // ?rll pna, progression of pleural effusions