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no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. heart and mediastinal contours are within normal limits.
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<unk>-year-old female with chest pain.
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pa and lateral views of the chest. the lungs are clear of focal consolidation or effusion. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities detected. surgical clip projects over the left chest.
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<unk>-year-old female with dizziness.
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pa and lateral views of the chest provided. lung volumes are low. allowing for this, no convincing evidence for pneumonia or edema. there is no pleural effusion or pneumothorax. cardiomediastinal silhouette is stable. bony structures are intact
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<unk>m with chest pain
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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.
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history: <unk>m with cold symptoms and coughing for <num> days. // ? pneumonia
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a nasogastric tube has been advanced since the prior exam and now folds back on itself in the fundus of the stomach before extending inferiorly below the field of view. right internal jugular central line tip terminates at the cavoatrial junction. lung volumes are low. there is no focal consolidation, effusion, or pneumothorax.
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<unk>-year-old man with new ng tube.
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pa and lateral chest views were obtained with patient in upright position. analysis is performed in direct comparison with the next preceding similar study of <unk>. the heart size is now within normal limits. no configurational abnormalities are seen. thoracic aorta is mildly widened and elongated but no local contour abnormalities or walled calcifications are identified. the pulmonary vasculature is not congested. there is no evidence of any acute or chronic pulmonary parenchymal abnormality and the pleural sinuses are free laterally and posteriorly. no pneumothorax in the apical area. skeletal structure of the thorax grossly unremarkable. when comparison is made with the next previous examination, it can be stated at that time moderate cardiac enlargement existed in the presence of some interstitial edema on the lung bases but absence of pleural effusions. all these findings have now been normalized and confirm the previously made diagnosis of mild cardiomegaly and pulmonary congestion at the time of previous examination of <unk>.
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<unk>-year-old male patient with multiple myeloma, being worked up for autologous bone marrow transplant, eligibility testing.
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pa and lateral chest radiographs show hyperinflated lungs. however, there is no focal consolidation, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is normal.
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productive cough.
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frontal and lateral views of the chest. no prior. the lungs are clear. there is no pneumothorax or effusion. cardiomediastinal silhouette is within normal limits noting prosthetic valve and median sternotomy wires. osseous and soft tissue structure is notable for mild wedge deformity at mid thoracic spine and hypertrophic changes.
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<unk>-year-old male with direct trauma to head with loss of consciousness.
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a left lower lobe opacity is new since <unk>. no pleural effusion or pneumothorax. the cardiac and mediastinal contours are normal.
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<unk>-year-old woman with fever and cough. evaluate for pneumonia.
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ap and lateral views of the chest are compared to previous exam from <unk>. there is massive cardiomegaly, similar to previous exam. dual-lead pacing device again noted as well as right-sided dual-lumen central catheter. there is indistinct pulmonary vascular marking seen throughout, suggestive of pulmonary vascular congestion without frank pulmonary edema. there is no pleural effusion. osseous and soft tissue structures are unchanged.
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<unk>-year-old female with fall and bilateral crackles at bases. question pneumonia or congestion.
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there is no evidence of pneumothorax or pneumonia. cardiomegaly is mild but stable. the lungs are well aerated. a right chest generator is connected to a single pacing lead. mitral valve prosthesis is present. no obvious fractures. patient is status post median sternotomy.
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fall from standing.
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compared to the prior study there is no significant interval change.
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<unk> year old man with s/p bental // eval for effusion
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compared with the prior film, the appearance is quite similar. monitoring and support devices are similar to prior. however, the lower portion of the ng tube is difficult to trace on the current film due to underpenetration. prominence of the cardiomediastinal silhouette, with sternotomy wires noted, is similar. opacity in the right mid and lower zones hand the retrocardiac region as well as blunting of both costophrenic angles suggestive bilateral effusions is similar to prior. the right upper zone suggests some vascular plethora, though this is less pronounced in the left lung.
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<unk> year old man with legionella pna, intubated // pna
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pa and lateral views of the chest demonstrate left axillary vascular clips from prior axillary dissection, as well as left breast clips, unchanged from prior study. the lungs are well expanded and clear bilaterally, with no evidence of pneumothorax, pleural effusion, pulmonary edema, or focal airspace consolidation. the cardiomediastinal silhouette is unremarkable.
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<unk>-year-old female with left arm lymphedema.
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cardiac silhouette size is moderately enlarged increased from previous examination. mediastinal contour is unchanged. there is mild pulmonary edema with increased ill-defined alveolar opacities in the right lung compared to the left, findings which may reflect asymmetric pulmonary edema though superimposed infection is not completely excluded. streaky retrocardiac opacity may reflect atelectasis. elevation of the right hemidiaphragm is chronic. there may be trace bilateral pleural effusions, if any. no pneumothorax is seen. diffuse idiopathic skeletal hyperostosis is noted within the thoracic spine.
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history: <unk>f with shortness of breath, increased oxygen requirement
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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 and stable.
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history: <unk>m with chest pain // r/o pna
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the cardiac, mediastinal and hilar contours are normal. lungs are clear. the pulmonary vasculature is normal. there are no pleural effusions or pneumothoraces. no acute osseous abnormalities are visualized. mild levoscoliosis of the thoracolumbar spine is noted.
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asthma, pain with deep breaths, shortness of breath.
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portable semi-upright radiograph of the chest demonstrates the interval placement of a right internal jugular venous catheter. the tip terminates in the region of the upper svc. the remainder of the examination is stable.
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history: <unk>m with right ij placed under ultrasound // central line placement
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pa and lateral chest views were obtained with patient in upright position. the heart size is within normal limits. no configurational abnormality is identified. thoracic aorta mildly widened with a few calcium deposits in the wall at the level of the arch. no local contour abnormalities are seen. no mediastinal abnormalities are present. the pulmonary vasculature is not congested. no signs of acute or chronic parenchymal infiltrates are seen and the lateral and posterior pleural sinuses are free. no pneumothorax in the apical area on frontal view. mildly accentuated kyphotic curvature in the thoracic spine with generally moderately demineralized skeletal structures, but no evidence of vertebral body compression fracture. our records do not include a preceding chest examination available for comparison.
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<unk>-year-old female patient with chest burning, shortness of breath, questionable crackles on left side. evaluate for possible pneumonia.
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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. similar moderate rightward convex curvature is centered along the mid to lower thoracic spine.
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cough and fever.
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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. specifically, no displaced rib fractures are seen. no free air below the right hemidiaphragm is seen.
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<unk>f with posterior l rib pain // eval ptx, rib fractures
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the heart size is normal. mediastinal and hilar contours are within normal limits. the lungs are clear. there is no pleural effusion or pneumothorax. osseous structures are intact. surgical clips are noted in the right upper quadrant.
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<unk>f with chest pain, shortness of breath. evaluate for pneumonia.
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the lungs are clear. the cardiomediastinal silhouette is within normal limits. atherosclerotic calcifications are noted at the aortic arch. no acute osseous abnormalities identified. orthopedic hardware noted in the right humeral head.
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<unk>m with doe and new a. fib // r/o acute process
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cardiomediastinal contours are normal. the lungs are clear. there is no pneumothorax or pleural effusion. the osseous structures are unremarkable
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<unk> year old woman with cough, fever, wheezing // r/o pna
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heart size is mildly enlarged. the aorta is slightly tortuous with atherosclerotic calcifications noted at the arch. hilar contours are similar. the pulmonary vasculature is not engorged. streaky opacities are noted in the lung bases without focal consolidation. no pleural effusion or pneumothorax is detected. no acute osseous abnormalities seen.
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history: <unk>f with shortness of breath, vomiting
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a single portable view of the chest demonstrates low lung volumes. there is no pleural effusion, focal consolidation or pneumothorax. the hilar and mediastinal silhouettes are unremarkable. heart size is normal. there is no pulmonary edema. partially imaged upper abdomen is unremarkable.
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worsening seizures.
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<num>. vague left basilar opacity, in the appropriate clinical context, may represent pneumonia. <num>. increased, bibasilar interstitial markings, of unclear etiology, possibly related to mild edema versus chronic interstitial lung disease. <num>. widespread, multifocal osteoblastic disease.
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<unk>m with sob, fever // eval for pleural effusion, pna
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the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. the cardiomediastial silhouette is unremarkable.
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right-sided chest pain.
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pa and lateral chest radiographs are obtained. the heart is normal size and cardiomediastinal contours are unremarkable. lungs are well expanded and clear bilaterally with no parenchymal abnormalities. no pleural effusions and no pneumothorax.
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<unk>-year-old woman with night sweats, intermittent cough, evaluate for evidence of tb or lung nodules.
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the lungs are well expanded and clear. cardiomediastinal and hilar contours are unremarkable. there is mild cardiomegaly, not significantly changed from prior. no pleural effusion or pneumothorax is present.
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<unk>-year-old female with confusion. evaluate for infectious process.
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there is interval increased mild pulmonary vascular congestion/interstitial edema from the remote prior study. small bilateral pleural effusions on the right greater than left are present. there is no pneumothorax. mild biapical scarring appears symmetrical. increased opacification at the right lung base is most likely reflective of atelectasis. the cardiac silhouette is moderately enlarged but stable. the mediastinum is prominent, likely related to a combination of tortuous vessels and technique. anterior cervical spine fixation hardware is redemonstrated. there are multiple old fracture deformities of the bilateral clavicles and right posterior ribs.
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dyspnea on exertion, here to evaluate for fluid overload or pneumonia.
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enlargement of the cardiomediastinal silhouette is grossly stable since at least <unk>, given differences in patient inspiration and position/technique. no focal consolidation is seen. there is no pleural effusion or pneumothorax. no pulmonary edema is seen.
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history: <unk>m with dementia, had syncopal epsiode // r/o acute process
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ap upright and lateral views of the chest provided. technique is limited due to underpenetration and low lung volumes. the lungs appear clear without focal consolidation or overt signs of edema. subtle increase in interstitial markings may reflect underlying chronic lung disease in this patient with scleroderma. there is prominence of the main pulmonary artery which reflects known pulmonary hypertension. no large effusion or pneumothorax. bony structures are intact.
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<unk>f with scleroderma, pulm disease, and increasing leg swelling b/l
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frontal and lateral views of the chest were obtained. heart size is mildly enlarged. mediastinal contours are normal. interstitial markings are diffusely increased, consistent with mild diffuse interstitial lung disease. no focal consolidation, pleural effusion, or pneumothorax. degenerative changes of both glenohumeral and acromioclavicular joints are severe.
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<unk>-year-old male with vomiting and fever. evaluate for pneumonia.
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bibasilar interstitial opacities are similar to multiple prior studies with decreased lung volumes causing bronchovascular crowding compared with the immediate prior study. there is no definite focal consolidation to suggest interval pneumonia. there is no pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is stable.
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<unk>f with hypoxia, chronic interstitial lung disease, evaluate for pneumonia.
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pa and lateral views of the chest. there is a suggestion of nodular opacity projecting over the right upper lung not clearly identified on prior. the lungs are otherwise clear. nipple shadows projecting over the lower lungs bilaterally. there is no effusion or pulmonary vascular congestion. the cardiomediastinal silhouette is within normal limits. median sternotomy wires and mediastinal clips are again noted as well as atherosclerotic calcifications at the aortic arch.
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<unk>-year-old male with hiv and chest pain.
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a tracheostomy tube is in-situ, unchanged in appearance compared to the prior study. a right-sided subclavian port-a-cath is in-situ, the tip terminates in the mid svc. a right internal jugular catheter terminates in the proximal svc. a nasogastric tube is in-situ which terminates in the stomach. a dobhoff tube is in-situ which appears to terminate close to the duodenum jejunal junction. a pigtail catheter is seen projecting over the right lung base. an additional catheter seen in projecting over the right hemidiaphragm, this is likely a perihepatic drain. there is persistent left lower lobe atelectasis. air bronchograms are noted in the retrocardiac space. there is prominence of the pulmonary vasculature, similar in appearance compared to the prior study and consistent with pulmonary vascular congestion. there is mild cardiomegaly.
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<unk> year old woman with dobhoff migration // evaluate for dobhoff
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lungs are clear. cardiac silhouette is normal. there is no pleural effusion, pneumothorax, pneumonia or pulmonary edema. these are non-dedicated views of the ribs which demonstrate no evidence of acute fracture. if clinical concern remains, a dedicated series can be obtained. mild height loss of a mid-thoracic vetebral body is unchanged.
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chest wall pain and trauma.
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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.
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history: <unk>f with r. flak pain now progression to worsening abdominal pain.
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the cardiomediastinal and hilar contours are within normal limits. lungs are well-expanded and clear. there is no focal consolidation, pleural effusion or pneumothorax.
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pre op.
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heart size is normal with mild tortuosity of the thoracic aorta. hilar contours are unremarkable. small stellate, subpleural opacity in the apex of the right lung (level of first anterior interspace) at the end of linear scarring or atelectasis is likely a tuberculous scar, but would need documentation of <unk> years' stability before it can be considered inert. pleural surfaces are clear without effusion or pneumothorax.
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chest pain, prior mi.
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there is a dual-lead pacemaker/icd device whose leads terminate in the right atrium and ventricle, respectively, as before. the heart is at the upper limits of normal size. there is moderate unfolding and calcification along the thoracic aorta. there is no pleural effusion or pneumothorax. aside from patchy posterior basilar opacity, probably due to atelectasis, the lungs appear clear. bony structures are unremarkable.
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chest pain.
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endotracheal tube tip is <num> cm above carina, similar, should be pulled back. stable position of vascular stent projected over right lower hilum. subclavian central line tip at the confluence of brachiocephalic veins, stable. enteric tube has been removed. there is residual contrast in the renal collecting system. very shallow inspiration. stable bilateral perihilar, basilar opacities, likely atelectasis. trace left pleural effusion, similar. shallow inspiration accentuates heart size, pulmonary vascularity.
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s/p ett exchange // please eval ett position
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moderate cardiomegaly is stable. small left effusion with adjacent atelectasis have improved. . right lower lobe opacities likely atelectasis have in increased. there is no pneumothorax. multiple left rib fractures are again noted
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<unk> year old man with a history of mm sp trauma with multiple left sided rib fractures now with worsened left sided chest pain. please evaluate for new fracture or other pathology to account for symptoms.
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comparison to prior examination is difficult secondary to severe patient rotation and lordosis. the aorta is ectatic. . right basal opacification is similar to the prior examination and likely atelectasis perhaps with bronchiectasis. there is no definite consolidation, large pleural effusion, pulmonary edema, or pneumothorax identified. redemonstrated is an incompletely imaged, chronic right humeral fracture, unchanged from the prior examination.
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history: <unk>f with <num> hrs of chest pain, pmhx chf // eval for pulm edema
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shallow inspiration. t avr. mildly prominent right hilum, maybe accentuated secondary to shallow inspiration. no pleural effusion. no consolidations. normal pulmonary vascularity. heart size is accentuated by shallow inspiration.
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<unk> year old woman with severe as s/p <num> mm s<num> // post tavr
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pa land lateral views of the chest. relatively low lung volumes are seen. the lungs are grossly clear without confluent consolidation or effusion. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormality is identified.
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<unk>-year-old female with cough, fever, and chills. question pneumonia.
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there has been some increase in the fluid within the pleural space that is now layering posteriorly. ng tube and et tube have been removed. right-sided chest tube skin <unk> are unchanged. the left lung remains clear.
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<unk> year old man s/p rulobectomy now extubated. // interval change?
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there is no consolidation, pleural effusion, or pneumothorax. cardiomediastinal and hilar silhouettes are normal size. limited evaluation of medial aspect of right scapula is unremarkable.
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history: <unk>m hx of ivdu with point tenderness along medial aspect of right scapula // r/o acute intraspinal process- vertebral osteomyelitis vs epidural abscess
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portable upright chest radiograph <unk> at <time> is submitted.
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<unk> year old man with known pleural effusion sp ct placement (left) exudative, pericardial effusion // rapid effusion , flash edema, pneumothorax rapid effusion , flash edema, pneumothorax
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heart size is mildly enlarged but unchanged. the mediastinal and hilar contours are stable. pulmonary vasculature appears mildly indistinct suggestive of mild pulmonary vascular engorgement. linear and patchy bibasilar atelectasis is noted in the lung bases without focal consolidation. no pleural effusion or pneumothorax is identified. punctate calcification in the left apex may be vascular in origin. there are no acute osseous abnormalities.
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history: <unk>f with cough
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left-sided aicd /pacemaker device is noted with single lead terminating in the right ventricle, unchanged. moderate cardiomegaly is re- demonstrated, and the mediastinal and hilar contours are stable. aortic knob calcifications are again demonstrated. there is no pulmonary vascular congestion. no focal consolidation or pneumothorax is present. <num> cm nodular opacity is seen projecting over the right mid lung field, specifically over the right <unk> posterior rib, not clearly demonstrated on the prior exams. blunting of the costophrenic angles posteriorly on the lateral view suggest trace bilateral pleural effusions. no acute osseous abnormality is identified.
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history of congestive heart failure with worsening bilateral lower extremity edema.
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right-sided pacer leads end in the right atrium and right ventricle. moderate cardiomegaly has increased from prior. there is mild prominence of the central vasculature with cephalization of vessels. no overt pulmonary edema seen. there is no focal consolidation. there is no pleural effusion or pneumothorax.
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<unk>f with chest pain, evaluate for cardiopulmonary process..
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single portable frontal chest radiograph was obtained. a right side port-a-cath terminates in the lower svc. lung volumes are low. there are persistent bilateral pleural effusions with compressive atelectasis. the cardiomediastinal silhouette and hilar contours are stable. there is no pneumothorax.
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patient with hypoxia, eval for acute process.
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the lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen.
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history: <unk>m with chest pain. evaluate for pneumonia or pneumothorax.
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mild prominence of the central pulmonary vasculature suggests pulmonary vascular engorgement without overt pulmonary edema. no definite focal consolidation is seen. there is no pleural effusion or pneumothorax. the cardiac silhouette is mildly enlarged. mediastinal contours are unremarkable.
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history: <unk>f with hyperglmcemia // eval for pna
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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. calcification is seen at the aortic knob. some degenerative changes are seen at the upper to mid thoracic spine.
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one week productive cough.
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compared a study from <unk>, there has been interval increase in the loculated right pleural effusion, now moderate in size with atelectasis at the right lung base. there is also a small left pleural effusion. the cardiomediastinal silhouette and hilar contours are stable. the previous right apical and basilar pneumothoraces have resolved. included upper abdomen is unremarkable. mid thoracic vertebral body compression fracture is again noted.
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<unk> year old woman with right pleural effusion s/p right thoracentesis, assess for interval change.
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frontal and lateral chest radiograph demonstrates well expanded lungs. the previously fan shaped opacity in the apical posterior segment in the right upper lobe has largely cleared. there is, however, a new left lingular lobe opacficifation which obscures the left heart border concerning for pneumonia. no definite pleural effusion or pneumothorax. the heart is enlarged with a tortuous descending aorta noted. there is mild pulmonary edema with interstitial fluid as demonstrated by pleural lines int he right lower lobe. these findings suggest early heart failure. there is leftward deviation of the trachea unchanged since examination dated <unk> and consistent with large goiter documented on ct dated <unk>. hilar and mediastinal contours otherwise unremarkable. no overt pulmonary edema.
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<unk>-year-old female with worsening cough.
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small right pneumothorax has decreased. cardiomediastinal contours are normal. the lungs are clear. there is no pleural effusion. the osseous structures are unremarkable. no other interval changes
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<unk> year old woman with r ptx s/p chest tube to suction // perform at <time>am on <unk>. r/o interval change
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there is increased density of the consolidation in the lingula following biopsy of a partially calcified mass. there is mild blunting of the left costophrenic angle, compatible with a possible small effusion. there is no pneumothorax. right lung is grossly clear. the cardiomediastinal silhouette is stable.
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history: <unk>m with recent biopsy of calcific growth, now w hemoptysis; <unk> <unk> p<unk>// eval for consolidation
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the lungs are clear without consolidation, effusion, or edema. mild cardiomegaly is again noted. multiple surgical clips project over the right chest and axilla. no acute osseous abnormalities.
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<unk>f with cp // pna?
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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.
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<unk>m with cough, dizziness, sob. hx of stage iv head and neck ca.
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the patient is status post median sternotomy and cabg. left-sided dual-chamber pacemaker is noted with leads terminating in the right atrium and right ventricle. moderate cardiomegaly is unchanged with evidence of left atrial enlargement. the mediastinal and hilar contours are stable. the lung volumes are low. no focal consolidations concerning for infection are identified. there are no pleural effusions or pneumothoraces. no definite rib fractures are identified on this non-dedicated exam.
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history of altered mental status, rule out pneumonia. rule out rib fractures.
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heart size is normal and unchanged. the mediastinal and hilar contours are unchanged. the pulmonary vasculature is normal. there is a <num> cm calcified granuloma in the right midlung, unchanged since at least <unk>. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
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<unk>-year-old woman with <num> day of chest pain. evaluate for an acute process, pneumonia, pneumothorax, mediastinal widening.
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subtle linear opacity in the right lower lobe is new since <unk>. the remaining lungs are clear. the cardiomediastinal contours are unremarkable. no pleural effusions or pneumothorax.
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<unk> year old man with cough, fever // r/o infiltrate
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pa and lateral chest radiographs were obtained. the lungs are well inflated and clear. a large <num> cm apical mass now has two radiopaque fiducial seeds with fiducial markers in it. no pneumothorax is present. there is no additional consolidation, effusion, or pneumothorax.
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<unk>-year-old woman with right apical mass status post biopsy and fiducial placement, question pneumothorax.
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the lungs are clear of airspace or interstitial opacity. the cardiomediastinal silhouette is unremarkable. no pleural effusions or pneumothorax. no acute or aggressive osseus changes.
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<unk> year old woman with persistent cough // lesions?
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portable semi-erect chest film <unk> at <time> is submitted.
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<unk> year old woman with l olecranon fracture. // pre-op exam surg: <unk> (olecranon fracture) pre-op exam
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. please note that the extreme right costophrenic angle is excluded from the field of view. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
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history: <unk>f with shortness of breath
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moderate right-sided effusion has increased since the prior. small apical pneumothorax on the left also slightly increased. no pulmonary edema. the right lung is clear. moderate hiatal hernia. mild to moderate cardiomegaly.
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<unk> year old woman with pleural effusion // eval
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the patient is status post median sternotomy with fractures of the <num> most superior wires. the heart size is normal. the mediastinal contours are unchanged. persistent bibasilar patchy opacities are noted, suggestive of a chronic process, with a new area of patchy opacification seen in the right upper and mid lung field. no pleural effusion or pneumothorax is seen. no overt pulmonary edema is demonstrated. partially imaged is a percutaneous gastrojejunostomy tube.
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history of aspiration pneumonia with fever and cough.
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the lungs are well expanded and clear. the left hemidiaphragm is elevated as before. there is no pleural effusion or pneumothorax. cardiomediastinal silhouette is unremarkable.
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<unk>m w/chest pain and shortness of breath // <unk>m w/chest pain and shortness of breath
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the lungs are essentially clear noting minimal residual bibasilar opacities, potentially due to atelectasis, somewhat better seen on the frontal exam. there is no effusion or pulmonary vascular congestion. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormality is identified. surgical clips in the right upper quadrant suggest prior cholecystectomy.
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<unk>-year-old male with chest pain.
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the patient is status post aortic valve prosthesis, in unchanged position. the heart size remains mildly enlarged. the mediastinal contour is unchanged. there is mild pulmonary vascular congestion and small bilateral pleural effusions, with patchy bibasilar airspace opacities appearing slightly improved in the interval. no new area of consolidation is seen. there is no pneumothorax. multilevel degenerative changes are present within the thoracic spine.
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heart block, recent aortic valve surgery.
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cardiac silhouette size is normal. mediastinal and hilar contours are unremarkable. pulmonary vasculature is normal. lungs are hyperinflated but clear without focal consolidation. no pleural effusion or pneumothorax is demonstrated. no acute osseous abnormalities are detected. clips from prior cholecystectomy are noted in the right upper quadrant of the abdomen. dextroscoliosis of the thoracolumbar spine is again noted. no subdiaphragmatic free air is present.
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history: <unk>f with epigastric pain
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the lungs are well expanded. there is a consolidative opacity in the right lower lobe, consistent with pneumonia. a patchy opacity is seen in the retrocardiac area which likely represents scarring or atelectasis, but could also represent a second site of pneumonia. cardiomediastinal silhouette is slightly enlarged. there is no pneumothorax or pleural effusion. visualized osseous structures are unremarkable. cholecystectomy clips are noted in the right upper abdomen.
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chest pain and dyspnea.
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three lead transvenous pacing wires/icd and in the right atrium/ right ventricle/ left ventricle. heart size is normal. the thoracic aorta is mildly tortuous. there is no evidence of pulmonary edema. lungs are clear without focal consolidation. there is left basilar atelectasis. there is no pneumothorax or pleural effusion. there is no acute osseous abnormality.
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<unk>m with transfer from outside hospital for subdural hematoma, received iv fluids, evaluate for volume overload
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heart size is normal. enlargement of the right hilus is likely due to lymphadenopathy. the right apical primary lesion has increased in size compared to prior exam with mild leftward deviation of the trachea suggestive of mediastinal invasion. reticular opacities of the right mid and upper lung with may be due to post radiative fibrotic change however postradiation pneumonia cannot be excluded. the right lower lung and left lung are clear. there is no pleural effusion or pneumothorax.
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locally advanced non-small cell lung cancer status post chemoradiation presenting with low-grade temperature, cough and wheezing.
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portable single frontal chest radiograph was obtained with the patient in supine position. a new right lower lung opacity is present. the left lung is clear. bilateral pleural thickening with a prominent left lateral pleural mass as well as diaphragmatic plaques are again demonstrated. the cardiomediastinal silhouette and hilar contours are stable. there is no pleural effusion or pneumothorax.
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patient with elevated wbc, abnormality seen on right lower lobe, rule out pneumonia.
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
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history: <unk>m with chills, <unk> days chest pain referring to shoulder, dyspnea // eval ? infection, cardiomegaly, mediastinal abnormalities
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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.
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<unk>m with alterned mental status, rule out infection.
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the cardiomediastinal silhouette is stable, consistent with a tortuous thoracic aorta. the hilar within normal limits. there is likely left basilar atelectasis. otherwise, there is no focal lung consolidation. there is no pulmonary edema. there is no pneumothorax or pleural effusion.
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<unk>f with chest pressure with radiation, evaluate for mediastinal widening.
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since prior, there are new bilateral parenchymal opacities. specifically there is focal consolidation lateral to the left hilum and silhouetting of the medial left hemidiaphragm with a retrocardiac opacity. increased interstitial opacities are seen scattered throughout both lungs. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
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<unk>m with dyspnea // please evaluate for pneumonia, edema, effusion
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ap portable upright view of the chest. mild cardiomegaly again noted with hilar congestion. no frank edema or signs of pneumonia. no large effusion or pneumothorax. imaged bony structures are intact. no free air below the right hemidiaphragm.
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<unk>f with supratherapeutic inr, af w/ rvr, crackles
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no radiopaque foreign body seen. cardiomediastinal silhouette is normal. no focal lung consolidation. there is no pleural effusion or pneumothorax. views of the upper abdomen are unremarkable.
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<unk>m with ? fishbone in throat // r/o fb .
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two views were obtained of the chest. the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. the heart is normal in size with normal cardiomediastinal contours. minimal degenerative change is seen in the mid to lower thoracic spine.
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melanoma, assess disease status.
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there is a subtle left retrocardiac opacity which is concerning for infectious process. the right lung is clear. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. there is no pleural effusion or pneumothorax.
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<unk> year old woman with cough, congestion, rule out pneumonia.
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pa and lateral views of the chest <unk> at <time> are submitted.
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<unk> year old woman with empyema s/p drainage. // interval change interval change
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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. a tiny density projecting inferior to the right acromion was seen on prior exam and may reflect chronic tendinopathy. no free air below the right hemidiaphragm is seen.
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<unk>m with shortness of breath on exertion
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there is new opacity projecting over the spine inferiorly on the lateral view not present on prior. elsewhere, the lungs are clear. cardiomediastinal silhouette is within normal limits. multiple old right-sided rib fractures are again noted.
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<unk>m with confusion // ?pna
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the lungs are mildly hyperinflated. the heart size is mildly enlarged. there is moderate interstitial pulmonary edema. there are bilateral patchy opacities concerning for multifocal pneumonia. no evidence of free air. there is a small right pleural effusion.
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history: <unk>f with abd pain, vom // free air?
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MIMIC-CXR-JPG/2.0.0/files/p14811786/s55298660/730285a5-30148be6-bdb55cc5-b39b5995-3264e5bb.jpg
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a left-sided pacemaker and icd, sternal wires, and mediastinal clips are in unchanged position. a linear opacity in the left mid lung zone is unchanged from multiple exams dating to <unk>, likely representing chronic scarring. there is no new opacity to suggest pneumonia. there is no pulmonary edema, pleural effusion, or pneumothorax. the mediastinal contours are normal. the heart size is moderately enlarged, and unchanged.
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fever, cough, and left-sided rhonchi.
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the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormality is identified. there is no free intraperitoneal air.
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<unk>f with ibs worsening abdominal pain, chills o/n, leukocytosis, febrile and hypotensive, ct abd unrevealing for gi source, ?pneumonia // please evaluate for acute process
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endotracheal and enteric tubes are unchanged in position. small left pleural effusion and bilateral lower lobe collapse are similar. bronchial opacification may signify retained endobronchial secretions. no new consolidation.
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<unk> y/o m with small bowel obstruction status post exploratory laparotomy and lysis of adhesions. evaluate interval change.
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MIMIC-CXR-JPG/2.0.0/files/p14361242/s52587860/93fb9679-e155c3a1-7771937b-bdd86cf1-73f61791.jpg
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the cardiomediastinal and hilar contours are within normal limits. the lungs are well-expanded and clear. there is no focal consolidation, pleural effusion or pneumothorax.
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chest pain, history of coronary artery disease status post stents x <num>. rule out evidence of structural defects.
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the pulmonary vascular congestion and mild interstitial edema have improved since <unk>, with only minimal interstitial edema remaining. stable cardiomegaly. small bilateral pleural effusions are stable. stable slight hyperexpansion of the lungs and flattening of the hemidiaphragms are consistent with copd. no focal consolidation to suggest pneumonia. no pneumothorax. stable moderate cardiomegaly. stable mildly tortuous or dilated descending aorta. the mediastinum and hila are unchanged in appearance. sternotomy wires appear intact and unchanged in position.
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<unk>-year-old woman with copd, presenting with chills and shortness of breath. evaluate for pneumonia.
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minimal worsening right upper lobe opacification but otherwise, no change from <unk> and no finding to explain the worsening hypoxia. unchanged diffuse bilateral bronchiectasis and nodular opacities. the cardiac silhouette is normal. no large effusions or pneumothorax.
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<unk>-year-old woman with copd and pneumonia. s/p trach and peg placement with worsening hypoxia.
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MIMIC-CXR-JPG/2.0.0/files/p10760672/s51197758/a22da080-82ce218f-11c42e85-52f6253a-4f27f2bf.jpg
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portable ap semi-erect chest film <unk> at <time> is submitted
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<unk> year old man with brain bleed, respiratory insuffiency // lung volumes lung volumes
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MIMIC-CXR-JPG/2.0.0/files/p12408912/s52375676/a7abab09-7b7aeeed-fe52ddde-b1d8dffc-f6d98ba7.jpg
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significant consolidation left lung, from volume loss, mildly worsened. mild elevation left hemidiaphragm. tubes and lines in good position. small right pleural effusion or thickening, stable. minimal right lower lung opacity, stable. multiple dilated loops of bowel upper abdomen, partially seen, similar.
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<unk> year old man with lung mass, pna, now self-extubated // tube placement?
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