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right-sided picc terminates in the mid svc without evidence of pneumothorax. there are trace bilateral pleural effusions with overlying atelectasis. large retrocardiac opacity most likely represents a hiatal hernia with adjacent atelectasis. the aorta is calcified and tortuous. the cardiac silhouette is top-normal to mildly enlarged.
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history: <unk>m with r picc // eval picc line
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bilateral crescentic subdiaphragmatic lucencies correspond to moderate pneumoperitoneum, new since <unk>. the stomach is moderately distended. the lungs are well expanded and clear, without focal consolidation or pulmonary edema. no pleural effusion or pneumothorax. the heart size is normal. the mediastinal contours, hila, and pleura are unremarkable and unchanged.
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<unk>-year-old man with an unexplained leukocytosis, with wbc count of <num>k. evaluate for pneumonia.
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the lungs are clear. cardiac size is normal. aorta is mildly unfolded. no pleural effusion, pneumonia, pneumothorax, pulmonary edema.
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<unk> year old woman with history of primary cns lymphoma with three days of cough, sore throat and rhinorrhea with crackles on exam // please evaluate for consolidation, pneumonia //<unk> year old woman with history of primary cns lymphoma with three days of
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a right picc is unchanged in position with the tip terminating in the proximal right atrium, which should be retracted <num> cm to place in the low svc. a left pectoral pacemaker with a single lead terminating in the right ventricle is again seen. a right ventriculoperitoneal shunt is seen coursing across the right neck and right hemi thorax into the abdomen. a large left pleural effusion is slightly decreased in size from <unk> with associated underlying atelectasis or consolidation. a moderate right pleural effusion is unchanged with associated atelectasis of the right lung base. the cardiac silhouette is incompletely evaluated. the mediastinal contours are within normal limits. there pleuro parenchymal scarring in the bilateral lung apices appears relatively symmetrical.
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re-evaluate pleural effusion.
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portable semi-erect chest <unk> at <time> is submitted.
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<unk> year old woman with worsening resp failure. // please eval for interval change in pnuemonia/pulm edema. please eval for interval change in pnuemonia/pulm edema.
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the cardiomediastinal silhouette and pulmonary vasculature are similar to the prior examination, with mild cardiomegaly and mild engorgement of the central pulmonary vasculature. midline sternal wires are intact and well aligned. multiple mediastinal clips are similar to the prior examination. there is no pleural effusion or pneumothorax. no definite focal consolidation is identified.
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<unk> year old man with extensive cardiac history presents with new onset pleuritic chest pain across precordium and radiating to the back // r/o consolidation, acute cardiopulmonary process, widened mediastinum
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frontal and lateral chest radiographs demonstrate persistent and unchanged pleural abnormalities. new heterogeneous opacification of the right lower lobe compared to recent films concerning for early consolidation. cardiomediastinal and hilar contours stable. atrio ventricle pacer leads in appropriate position.
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<unk>-year-old male status post left decortication for trapped lung secondary to thoracentesis complicated by hemothorax <unk>.
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frontal radiograph of the chest demonstrates well expanded lungs. there is an area of increased opacity projecting over the anterior first left rib, which may represent degenerative change, however a pulmonary process cannot be excluded. the cardiomediastinal and hilar contours are unremarkable. there is no definite free air beneath the right hemidiaphragm, pneumothorax, pleural effusion, or consolidation.
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<unk> year old man with acute onset severe ab pain. // please eval for free air.
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the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. no free air is identified below the hemidiaphragms.
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abdominal pain and fever. evaluate for a cardiopulmonary process or free air.
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ap upright 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>f with nausea, vomiting, diarrhea, cough // recent cough
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the lungs are clear. no focal consolidation, effusion or pneumothorax is seen. no signs of congestion or edema. the cardiomediastinal silhouette is normal. the bilateral hila are unremarkable. imaged bony structures are intact. no free air below the right hemidiaphragm.
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<unk>-year-old man with chest pain.
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cardiomediastinal contours are normal. lungs are clear except for linear bibasilar atelectasis. there are no pleural effusions.
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<unk> year old woman with cough // cough
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et tube and ng tube have been removed. a tracheostomy is now present. a right-sided picc line tip is not well delineated, but likely lies in the region of the cavoatrial junction. no pneumothorax is detected, with note made that the medial portion both lung apices are obscured by the mask surrounding the tracheostomy tube. cardiomediastinal silhouette is probably unchanged. vascular plethora, bibasilar effusions with underlying bibasilar collapse and/or consolidation is again noted, overall similar prior. the presence of associated pneumonic consolidation cannot be excluded. density seen in the upper abdomen to the left of midline may represent material may relate to the patient's splenic artery embolization.
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<unk> year old man with trach, hypoxic respiratory failure // assess fluid status
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no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. the cardiac and mediastinal silhouettes are stable and unremarkable. left upper pleural opacity is again seen, stable over multiple prior studies. no overt pulmonary edema is seen.
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coronary artery disease with palpitations, occasional chest pain and substernal burning.
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there is no consolidation, pleural effusion, or pneumothorax. cardiomediastinal and hilar are normal size. mild dextroscoliosis of the thoracic spine is unchanged.
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?infiltrate <unk> year old woman hx copd with cough and wheezing // ?infiltrate
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moderate to severe cardiomegaly is a stable. moderate pulmonary edema has improved. there is no pneumothorax or enlarging pleural effusions. sternal wires are aligned. patient is status post cabg.
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<unk> year old woman with cad and sob // eval for pulm edema
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pa and lateral views of the chest provided. lungs are hyperinflated with lower lung streaky reticular opacities again noted, likely chronic and representing the sequelae of aspiration or atypical infection. however, there is subtle increase in streaky opacity in the right lung base as compared with recent prior chest radiograph suggesting an acute pneumonic component. also noted, is a small right pleural effusion. no pneumothorax. cardiomediastinal silhouette appears normal. bony structures are intact. no free air below the right hemidiaphragm.
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<unk>f with cough crackles on right
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heart size is moderately enlarged. mediastinal and hilar contours are unremarkable. pulmonary vasculature is normal. lungs are hyperinflated but clear without focal consolidation. no pleural effusion or pneumothorax is detected. eventration of left hemidiaphragm is re- demonstrated. there are no acute osseous abnormalities.
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history: <unk>f with syncope
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frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs which are without focal consolidation, pleural effusion, or pneumothorax. the visualized upper abdomen is unremarkable.
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evaluate for acute process in a patient with allergic reaction <num> ibuprofen, with crackles and trace wheeze on physical exam.
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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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chest pain.
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minimal left base atelectasis is seen without definite focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. degenerative changes are seen along the spine.
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history: <unk>m with history of renal cancer s/p resection <unk>, who presents with intermittent chest pain to left side x <num> days // eval for acute process vs. bony lesion
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there is no evidence of recent or non-recent tb. lung volumes are low but unchanged from the prior radiograph. again seen is interstitial abnormality predominantly in the right upper, right lower lobe and left upper lobe consistent with known interstitial lung process, better seen on prior ct. no evidence of disease progression. no acute focal consolidation, pleural effusion or pneumothorax. heart size is mildly enlarged, unchanged from prior exam. no acute skeletal abnormalities.
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<unk>-year-old man with bronchiectasis, positive serial ppd two weeks after initial ppd, rule out active tb.
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allowing for differences in technique, i doubt significant interval change. again seen is cardiomegaly, with upper zone redistribution, but no overt chf. minimal bibasilar atelectasis, without frank consolidation. possible minimal blunting of the right costophrenic angle which, if real, is new. old healed left sided rib fractures again noted. irregular density overlying a compressed vertebral body in the region of the thoracolumbar junction is compatible with vertebroplasty with extruded cement, better visualized on ct from <unk>.
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<unk> year old woman with worsening severe as // interval changes
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cardiac silhouette size appears mildly enlarged, increased from the previous study. mediastinal and hilar contours are otherwise unremarkable. pulmonary vasculature is normal. lungs are clear. no focal consolidation, pleural effusion or pneumothorax is present. no acute osseous abnormalities demonstrated.
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history: <unk>f with chest pain, cough
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right dual lumen central venous catheters seen with distal tip likely in the right atrium. there are small to moderate bilateral effusions. retrocardiac opacity silhouetting the hemidiaphragm may be due to effusion although superimposed consolidation is also possible. indistinct pulmonary vascular markings seen more superiorly in the lungs. there is at least moderate cardiac enlargement although not well assessed. hiatal hernia is suspected. on the lateral view there is dense opacity projecting over the cardiac silhouette of extreme high density not seen on the frontal and is likely extra thoracic in location. no acute osseous abnormalities identified.
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<unk>f with chest pain // eval for acute process
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pa and lateral views of the chest provided. right chest wall pacer device again seen with leads extending to the region the right atrium and right ventricle. lung volumes are somewhat low. cardiomegaly is again noted with a lv configuration. there is no evidence of congestion or edema. a linear left mid lung density may represent a focus of platelike atelectasis. no large effusion or pneumothorax. mediastinal contour is stable. bony structures are intact. no free air below the right hemidiaphragm.
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<unk>m with fall lethargy // eval head bleed or pna
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single portable view of the chest. lower lung volumes seen on the current exam. the lungs are grossly clear noting some linear opacities in the left mid lung suggestive of atelectasis. the cardiomediastinal silhouette is within normal limits. median sternotomy wires and mediastinal clips again noted.
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<unk>-year-old male with syncope and hypoxemia.
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et tube, right subclavian catheter and ng tube are unchanged in satisfactory position. at least small bilateral pleural effusions are presumed. bilateral diffuse opacities, likely combination of infection and edema, are minimally better today since yesterday probably due to improvement in edema. low lung volumes accentuate the cardiomediastinal silhouette. no pneumothorax.
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bilateral pleural effusions, evaluate change in opacities.
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the endotracheal tube tip projects approximately <num> cm above the carina. unchanged right ij central line with tip projecting over the lower svc, and ng tube in the stomach. lungs remain hyperinflated. the right lower lobe opacity is unchanged. the left lower lobe opacity may be slightly improved, however this appearance may be a product of slight leftward rotation on this study. heart size is top normal. no pneumothorax.
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<unk> yo m dx w/ (chronic inflammatory demyelinating polyneuropathy) on ivig who presents to icu with worsening respiratory distress and rll pneumonia with worsening on cxr despite vanc/ cefepime now s/p repeat bronch. assess for interval change and or pneumothorax.
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there is stable elevation of the right hemidiaphragm. a right chest port ends in the low svc, unchanged. vague opacity in the right lower lobe may represent pneumonia, is slightly more prominent than study on <unk>. no pleural effusion or pneumothorax. the cardiomediastinal and hilar contours are normal.
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crackles at the right lung base, mild leukocytosis, question infiltrate.
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dual-lumen dialysis catheter tip is in the right atrium. the previously noted left internal jugular line has since been removed. moderate cardiomegaly is stable. patient is status post median sternotomy with fractured median sternotomy wires which appear in disarray representative of sternal nonunion. again visualized are small bilateral pleural effusions, greater on the right than the left with bibasilar atelectasis.
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evaluation of patient with nausea, on dialysis.
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the lungs are clear. there is no effusion nor pneumothorax. high density material, potentially postsurgical, seen at the right lung apex with associated mild right hemithorax volume loss. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
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<unk>m with c/o cp and sob with hx spont pneumo // ? pneumothorax
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single portable upright radiograph through the chest demonstrates no focal opacity. cardiomediastinal and hilar contours are within normal limits. there is no large pleural effusion or pneumothorax. multiple left rib deformities are noted with likely pleural thickening. no acute appearing osseous abnormality is seen. there is no air under the right hemidiaphragm.
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<unk>-year-old male with hypothermia.
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the chest radiograph dated <unk> shows a slight change in the position of the left apical chest tube, which now terminates at the superior border of the left clavicle. the right subclavian central venous line is unchanged, terminating in low svc. the slightly bent appearance of the line where it enters the chest wall is unchanged. aeration of the left lung has substantially improved with re-expansion of the lung and resultant rightward shift of the heart and mediastinum. the right lung remains clear. there is a small residual left pneumothorax. metallic foreign bodies are again noted. the followup radiograph dated <unk> shows increased left lung atelectasis, and a persistent moderate left pneumothorax. there is no other significant interval change.
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<unk> year old man with pneumothorax and new o<num> requirement // pneumothorax and ?reason for new o<num> requirement
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cardiomediastinal contours are normal. lungs and pleural surfaces are clear.
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<unk> year old man with esrd not yet on hd and confusion. concern for infection, including pna. // ?infiltrate
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frontal upright and lateral chest radiographs demonstrate well-expanded lungs. cardiomediastinal contours are within normal limits. the lungs demonstrate normal vascularity without focal consolidation. there is no pleural effusion or pneumothorax. osseous structures are grossly intact.
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chest pain, evaluate for pneumonia
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the lungs are clear, the cardiomediastinal silhouette and hila are normal. there is no pleural effusion and no pneumothorax.
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<unk> you f with cough.
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near complete opacification of the left lung is stable in appearance related to chronic left upper lobe collapse and pleural thickening. the left lung is clear. moderate cardiomegaly. no pneumothorax. mild scoliosis.
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<unk> year old woman with stroke // rule out pna
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when compared to <unk> chest radiograph, there are no changes noted. the lungs are well expanded and clear. the cardiomediastinal silhouette, hila, and pleural surfaces are normal.
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<unk> year old woman with persistant anterior cp and cough for <num> month // r/o abnormality
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the lungs are well expanded and clear with linear right basal scarring as on the previous examination, perhaps from prior chest tube placement. no pleural effusion or pneumothorax is seen. the heart is normal in size with valvular prosthesis, coronary stent, cabg clips and median sternotomy wires unchanged.
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<unk>-year-old man with diffuse weakness, assess for pneumonia.
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left-sided picc line is again seen with distal tip projecting in unchanged position over the low svc. there is leftward rotation. allowing for changes due to this, there is unchanged appearance of the cardiomediastinal silhouettes. there is a right basilar opacification which likely represents the sequela of aspiration ; less likely, the this represents atelectasis. there is indistinctness of the right lateral cp angle which may represent a small right pleural effusion. there is no pneumothorax or effusion.
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<unk> year old woman with recurrent aspiration // evaluate for pneumonia
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the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified.
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<unk>m with palpitation, shortness of breath // eval for acute process
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left pacemaker with leads in the expected location of the right atrium and right ventricle unchanged. mild cardiomegaly is unchanged from <unk>. a large hiatal hernia is not significantly changed from <unk>, but larger compared to <unk>. no focal consolidation, pleural effusion or pneumothorax. interval resolution of pulmonary edema from <unk>.
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dyspnea on exertion on amiodarone, rule out amiodarone related changes.
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one upright portable ap view of the chest. left-sided pacemaker leads end in the appropriate position. moderate cardiomegaly is unchanged. there is increased pulmonary vascular congestion and interstitial markings likely representing pulmonary edema and possibly chronic interstitial lung disease. pleural plaques are not well seen here. there is no definite focal consolidation. there is no pleural effusion.
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elevated white blood cell count, assess for infection or fluid overload.
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as compared to chest radiograph from <num> day prior, moderate pulmonary edema has improved and pulmonary vascular congestion also improved. bilateral lower lobe opacities persist. moderate cardiomegaly. no substantial pleural effusions. no pneumothorax.
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<unk> year old man with pulm edema being diureses // ?interval change
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there is right middle lobe opacity, which may be combination of atelectasis and patient's known lung cancer, which is better assessed on ct from <unk>. there is elevation of the right hemidiaphragm. there is no new consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
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history: <unk>m with cancer on chemo w/ fever // ? infectious process
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frontal and lateral views of the chest demonstrate stable position of a left pectoral port-a-cath with tip in the lower svc. a fusiform area of lucency projecting over the right heart border is consistent with a pull-through neoesophagus in this patient status post esophagectomy. the heart is normal in size. the mediastinal and hilar contours are otherwise within normal limits. there is no pneumothorax, vascular congestion, or pleural effusion. small region of consolidation overlying the heart on the lateral view is new and could be early pneumonia. cholecystectomy clips are noted.
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<unk>-year-old male with neutropenic fever. question infiltrate.
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right middle lobe opacity is consistent with pneumonia. streaky atelectasis is present bibasilarly. no pleural effusion or pneumothorax.
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<unk>-year-old man status post renal transplant, now with body aches. question acute process.
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lungs are fully expanded, clear and pleural surfaces are normal. heart size, mediastinal contour, and hila are normal. mildly tortuous aorta is noted. mild degenerative change of the thoracic spine is unchanged from prior.
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<unk>-year-old female with cough and fever. assess for pneumonia.
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the patient is had median sternotomy and cabg. the cardiac silhouette is normal. the hila are within normal limits. there is left mid-lung plate-like atelectasis seen which is nonspecific but in the right clinical setting could be associated pulmonary embolus. no focal opacities, pleural effusions, or pneumothorax are seen. chronic, healed left anterior rib fractures are seen.
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<unk> year old man with left-sided pleuritic chest pain x <num> days. pt has a long smoking history. // any pathology to explain the left-sided chest pain?
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compared to the prior study there is no significant interval change.
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<unk> year old woman with stemi c/b cardiogenic shock with persistent respiratory failure // interval change
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pa and lateral chest radiographs were obtained. the lungs are well expanded and clear. there is no focal consolidation, effusion, or pneumothorax. cardiac and mediastinal contours are normal.
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self-inflicted chest laceration
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compared with <unk>, there is new opacification of the right mid and lower zones, likely reflecting a moderately large, right effusion, with underlying collapse and/or consolidation and obscuration of the right hemidiaphragm. the right heart border is also obscured. there is vascular plethora in the right upper zone which may be secondary to compressive atelectasis. no pneumothorax is detected. a single surgical clip or fiducial is seen at the right lung base medially, with note made of interval change in position. the cardiomediastinal silhouette remains grossly midline and, where visible, is similar to the prior study. the left lung is grossly clear, without chf or frank consolidation. there is minimal atelectasis/ scarring at the left lung and possible slight blunting of left costophrenic angle, similar to the prior study.
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history: <unk>f with shortness of breath, hypoxia, copd // acute process? review of prior imaging studies indicates a history a cancer involving the right lower lobe, status post cyberknife treatment finishing on <unk>.
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lung volumes are low. streaky linear left basilar opacities extend to the hilum and likely represent atelectasis. the right lung demonstrates linear right basilar atelectasis and is otherwise grossly clear. there is no right pleural effusion, pneumothorax, or frank pulmonary edema. the cardiomediastinal silhouette appears unchanged from the prior several examinations.
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<unk>f with dyspnea // acute process
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the lungs are normally expanded and clear. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. there is no pleural effusion or pneumothorax. the thoracic aorta is tortuous. there is rightward curvature of the thoracic spine.
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history: <unk>f with chills, malaise, cough // r/o acute process
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lung volumes are mildly reduced. the heart size is top normal, unchanged. mediastinal and hilar contours are unremarkable. the pulmonary vasculature is normal. patchy left basilar opacity likely reflects atelectasis. no pleural effusion or pneumothorax is visualized. previously noted nodules within the lungs on ct are not clearly demonstrated on the current radiograph. there are no acute osseous abnormalities.
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dyspnea.
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pa and lateral radiographs of the chest demonstrate a sharply demarcated homogeneously opaque structure causing mass effect on the lateral aspect of the right hemidiaphragm. when compared to the ct, this corresponds to the fluid collection between the dome of the liver and the right hemidiaphragm. the lungs are otherwise clear. the hilar and cardiomediastinal contours are normal. there is no pneumothorax or pleural effusion. pulmonary vascularity is normal.
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<unk>-year-old woman with fever. evaluate for pneumonia.
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ap upright and lateral views of the chest were provided. the lungs appear clear bilaterally. no effusion or pneumothorax is seen. the heart and mediastinal contours appear stable. the bony structures are intact.
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<unk>-year-old man with history of syncopal event, celiac disease, hypothyroidism.
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single portable semi-erect frontal chest radiograph demonstrates hypoinflated lungs with vascular crowding and patchy atelectasis. moderate pulmonary edema noted. no large pleural effusion. no pneumothorax. mild cardiomegaly is likely accentuated due to low lung volumes. mediastinal contour and hila are otherwise unremarkable.
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<unk>f with altered mental status. assess for acute process.
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there is mild bibasilar atelectasis, but no consolidation or pleural effusion. heart size is normal. there is no pneumothorax.
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<unk>f with l sided chest pain on exertion // ptx
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the cardiomediastinal silhouette and pulmonary vasculature are normal. the lungs are clear. there is no pleural effusion or pneumothorax. no displaced rib fracture is definitively identified.
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<unk>f with left rib pain, recent rib fx, concern re ptx. please obtain expiratory films //
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there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal and hilar contours are normal.
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history: <unk>f with chest pain // r/o ptx
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lung volumes are low, which leads to bronchovascular crowding. there are hazy bibasilar opacities, more pronounced on the lateral view, concerning for aspiration or pneumonia. the cardiomediastinal silhouette is unchanged. there is no pleural effusion or pneumothorax.
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<unk>-year-old man with cough/wheezing. evaluate for pneumonia
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a frontal view of the chest was obtained portably. low lung volumes results in bronchovascular crowding. an elliptical left perihilar mass-like opacity is not clearly seen on prior studies, although the patient was previously rotated on multiple priors. a chronic left pleural effusion with adjacent atelectasis is similar to the prior study allowing for lower lung volumes. there has been interval removal of the right picc. right basilar atelectasis persists. no right pleural effusion and no pneumothorax. cardiac and mediastinal silhouettes are stable. the patient is status post cabg.
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hypotension and hypoglycemia.
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the lung volumes are lower bilaterally, left greater than right. interval increase in right lower lobe consolidation and underlying pleural effusion as seen on prior ct. the left lung is lower in volume with increased leftward mediastinal shift, likely due to worsening lower lobe atelectasis. the left lung atelectasis may be due to a mucous plug as the left bronchus appears mildly narrowed. worsening of bilateral upper lobe ground-glass opacities as seen on prior ct. the endotracheal tube is approximately <num> cm from the carina. the ng tube traverses the mid stomach however the tip is inferior to the margins of the image.
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<unk> year old woman s/p arrest, intubated, possible aspiration pna // interval change
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ap and lateral views of the chest. no prior. left chest wall port is seen with catheter tip projecting over the ra svc junction. there is an irregular mass centered in the left mid lung in the perihilar region. nodular opacity projecting over the right upper lung as well. there are irregular regions of opacity in the left upper lung peripherally as well. elsewhere, the lungs are clear. there is no pleural effusion. cardiomediastinal silhouette is within normal limits. surgical clips seen in the right axilla. osseous and soft tissue structures are unremarkable. surgical clips seen in the right upper quadrant, suggestive of cholecystectomy.
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<unk>-year-old female with altered mental status. question consolidation.
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a moderate to large loculated left pleural effusion has slightly improved since yesterday's radiograph, although some of this apparent change may be due to upright pa technique. a small right effusion is seen on the lateral projection. cardiomegaly is stable. a right internal jugular catheter and left pigtail pleural drain are in unchanged positions.
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<unk>-year-old woman with breast cancer and recurrent pleural effusions and history of pericardial effusion.
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slightly suboptimal study as the patient is rotated and the patient's mandible projects over the upper lung. nonetheless, a left-sided picc terminates in the mid svc. a nasogastric tube terminates in the stomach. limited visualization of the lung parenchyma is grossly unchanged compared to the prior study. there is moderate cardiomegaly with mild pulmonary vascular congestion and left lower lobe atelectasis.
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<unk> year old man with ngt which was repositioned. also w/coarse breath sounds. // positioning of ng tube. any e/o pna?
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single portable view of the chest. the lungs are clear. cardiomediastinal silhouette is unchanged noting mild cardiomegaly. no acute osseous abnormality detected. old right lateral rib fractures are identified.
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<unk>-year-old female with psychosis.
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frontal and lateral chest radiographs again demonstrate sternal wires. the cardiomediastinal silhouette is normal and the lungs are well-aerated and clear. there is no focal consolidation, pleural effusion, or pneumothorax. the visualized upper abdomen is unremarkable.
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new right chest pain and cough x<num> month. evaluate for pneumonia.
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the heart is normal in size. the mediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. the lungs appear clear. the right lower mediastinum has a bulging contour which may be associated with an abnormality of the right atrium.
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productive cough and asthma.
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an et tube is present, tip approximately <num> cm above the carina. an enteric type tube is present, tip extends beneath the diaphragm, but cannot be traced beyond this. bilateral left-sided chest tubes are present. a left ij central line tip overlies the proximal/mid svc. a right sided dual lead pacemaker is present, with lead tips overlying the right atrium an right ventricle. there is an apparent prosthetic aortic valve with? a coronary artery stent versus heavily calcified coronary artery. thin tubing overlies the right axilla, but no picc line is seen within the chest. inspiratory volumes are low, with bibasilar atelectasis. the cardiomediastinal silhouette is prominent, but probably unchanged allowing for technique. there is mild vascular plethora and vascular blurring, with thickening of the minor fissure, consistent with chf. equivocal small bilateral effusions. at the edge of these films, note is made of a spinal fixation device and bilateral carotid artery calcifications.
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<unk> year old man s/p cabg/avr/open chest // eval for pneumonia
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lines and tubes: none lungs: well inflated with linear left retrocardiac opacities, likely linear atelectasis. no lobar consolidation present. pleura: likely small left pleural effusion. mediastinum: there is no cardiomegaly. mediastinal silhouette is within normal limits. bony thorax: no interval change.
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<unk> year old man with shortness of breath, cough, persistent fevers // eval for pneumonia
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the et tube and right ij cordis are unchanged. there is increased bilateral hazy alveolar infiltrate right greater than left with ill-defined vasculature and moderate cardiomegaly. there is likely a right effusion layering posteriorly
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<unk> year old man, intubated s/p pea arrest // ett positioning, pulmonary edema, pna
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pa and lateral chest radiographs demonstrate clear lungs. there is no pleural effusion or pneumothorax. aside from mild cardiomegaly, the cardiomediastinal silhouette is normal.
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chest pain.
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there is slightly decreased lung volumes with vascular crowding and minimal bibasilar atelectasis. there is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema identified. the heart size is normal. mediastinal contours are normal. there is no bony abnormality is seen.
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asthma, cough, and right lower lobe pain x<num> week at inspiration.
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single portable view of the chest. relatively low lung volumes are seen with secondary crowding of the bronchovascular markings. bibasilar opacities, more conspicuous than the left may be due to secondary atelectasis. known oblong density at the right lung base is again seen and is partially covered by overlying lead and is therefore difficult to assess for interval change. the cardiomediastinal silhouette has not definitely changed. left chest wall dual-lead pacing device is seen, similar compared to <unk>.
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<unk>-year-old female with weakness and near syncope, atrial fibrillation with rapid ventricular rate.
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the heart size is normal. mediastinal and hilar contours are normal. lungs are clear and the pulmonary vasculature is normal. no pleural effusion or pneumothorax is seen. previously demonstrated minimally displaced fracture of the right <num>th rib laterally is again noted.
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fever, rash.
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there is mild prominence of the bronchovascular markings in the lower lung fields bilaterally, which may be indicative of an atypical pneumonia. the cardiac and mediastinal contours are normal. no lobar consolidation, pleural effusion or pneumothorax is seen.
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productive cough for <num> days. evaluate for pneumonia.
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mild cardiomegaly without pulmonary edema. the thoracic aorta is tortuous. there is a focal reticular opacity at the right lung base, concerning of pneumonia vs. atelectasis. dish is seen at the thoracic spine. no pleural effusion and no pneumothorax.
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<unk>-year-old man with fall. please assess for pneumothorax.
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endotracheal tube tip <num> cm above carina. enteric tube tip in the mid stomach. right port-a-cath tip near cavoatrial junction. postoperative changes in the upper abdomen with drains, <unk>, ivc filter in place. lungs are clear. normal heart size, pulmonary vascularity. no effusion. no pneumothorax.
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<unk>f w/ h/o pancreatic cancer s/p whipple with vascular reconstruction // post-op baseline, perform in pacu or icu
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cardiomediastinal silhouette is within normal limits. lungs are clear. there is no pleural effusion or pneumothorax.
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history: <unk>m with lupus p/w fever, chills, cough, cp, sob x <num>d // eval for pna
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small-to-moderate bilateral pleural effusions are most apparent on the lateral projections. heart size is normal. a right-sided picc line tip terminates in the mid svc. nasogastric tube extends below the field of view and mitral valve ring is in unchanged position. mediastinal clips and sternal wires are intact. bibasilar atelectasis has improved since <unk>.
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<unk>-year-old woman status post mitral valve repair. evaluate for effusion and/or infiltrate.
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. vague left basilar opacity only seen on the frontal view without confirmation on the lateral is unchanged from prior thought to most likely represent atelectasis. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
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<unk>f with chest pain, dyspnea. evaluate for acute process
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lung volumes are low. the heart size is borderline enlarged. the mediastinal and hilar contours are unremarkable, and there is no pulmonary vascular congestion. streaky opacities in the lung bases may reflect atelectasis. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
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hypotension, fatigue.
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the lungs are clear without focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is unchanged in appearance. no acute, displaced rib fracture is identified.
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history: <unk>f with l sided rib pain // l rib fx?
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two serial portable ap upright images of the chest <unk> at <time> are submitted.
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<unk> year old woman with hepatic encephalopathy // dobhoff placement dobhoff placement
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heart size upper limits are normal. normal pulmonary vascularity. no pneumothorax. no pneumomediastinum. . strand of linear atelectasis left lung base. suggestion of upper tracheal narrowing, improved.
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<unk> year old woman post-ip stenting // ? tracheal air, stenopsis, mediastinal air
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heart size is top normal. mediastinal and hilar contours are unchanged with mild leftward deviation of the trachea due to a known thyroid goiter again noted. pulmonary vasculature is not engorged. linear opacities within the lung bases likely reflect areas of atelectasis or scarring. no focal consolidation, pleural effusion or pneumothorax is demonstrated. degenerative changes are again seen within the imaged spine.
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history: <unk>f with right facial droop and right upper extremity weakness, history of old stroke, altered mental status
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portable upright frontal chest radiograph demonstrates an interval decrease in lung volumes and increased basilar atelectasis. the cardiac silhouette is minimally bigger and enlarged, and the pulmonary vasculature is accentuated. however, there is no new parenchymal opacity and no overt pulmonary edema. there is no pleural effusion. the mediastinal contours are unchanged. an abandoned left subclavian catheter fragment is unchanged. a left ij approach central venous catheter tip is unchanged in the mid svc.
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<unk>-year-old female with increased shortness of breath, chest pain.
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pa and lateral views of the chest provided. lungs are clear. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen. clips project over the bilateral axilla and left inter lateral chest wall.
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<unk> year old woman with doe and history of asthma, vasculitis and lower extremity dvt
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there is a right supraclavicular central venous catheter which ends in the mid svc. there appears to be mild interval improvement of the bilateral pulmonary edema with evidence of continued, yet improved vascular engorgement. there appears to be a worsening in opacity in the left retrocardiac region which could be secondary to atelectasis and or worsening pleural effusion, compared to the previous study. the mediastinal contours are stable. there is moderate cardiomegaly, stable at least since <unk>.
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<unk>-year-old female with a history of acute kidney injury with fevers and crackles on exam who presents for evaluation.
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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.
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history: <unk>m with right chest wall pain // r/o acute process
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pa and lateral views of the chest demonstrate stable mild cardiomegaly. otherwise, the cardiomediastinal silhouette is unremarkable. the lungs are well expanded, and there is no evidence of pneumothorax, pleural effusion, or pulmonary edema. no focal consolidation concerning for pneumonia is identified.
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<unk>-year-old female with chest pain.
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left apical pleural collection is again seen grossly similar in extent. blunting of the left costophrenic angle was seen on prior chest ct, scout image, from <unk>. left basilar opacity may be chronic. the appearance of the chest is grossly similar as compared to the scout image from chest ct from <unk>. the right lung is clear.
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history: <unk>f with self presentation with "collapsed lung" // eval pulm process
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mild enlargement of cardiac silhouette is re- demonstrated, not substantially changed in the interval. the mediastinal and hilar contours are 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 history of dilated cardiomyopathy presenting with fever , chest pain , shortness of breath
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the ett, left ij central venous catheter, and enteric tube are unchanged from prior. there is increased pulmonary venous congestion. there is also worsening bilateral pleural effusion. there is left lower lobe atelectasis. no consolidation. the cardiomediastinal silhouette is normal. no pneumothorax. no fractures.
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<unk> year old woman with urosepsis afib // evaluate for pulmonary edema
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lower lung volumes seen on the current exam. streaky right basilar opacity is likely secondary to atelectasis. lungs are otherwise clear without consolidation or effusion. the cardiomediastinal silhouette is within normal limits. atherosclerotic calcifications are noted at the aortic arch. no displaced fractures identified. anterior cervical fixation hardware is visualized.
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<unk>f with fall last week with ongoing headache, neck pain, vision changes. seen and imaged @ <unk>. // bleed, fracture, rib fx
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no significant interval change. bilateral low lung volumes are stable. stable cardiomediastinal silhouette and mildly tortuous descending aorta. no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax.
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<unk> year old man with <unk> is a <unk> yo <unk> m with a pmhxsignificant for bpad, multiple past psychiatric hospitalizations,cad s/p des to the lad, chf, chronic back pain s/p spinal surgeryand dmii who presented to the <unk> ed biba acutely agitated andparanoid after a <num> week period of medication non-compliance. // previous pulmonary edema
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MIMIC-CXR-JPG/2.0.0/files/p16606974/s51531121/9e69ef03-a9f2f8f2-bf5d6337-6e942134-38644900.jpg
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cardiac, mediastinal and hilar contours are normal. pulmonary vasculature is not engorged. patchy ill-defined nodular opacities are noted throughout the right lung and left lung base, with sparing of the left upper lobe, concerning for multifocal pneumonia. no pleural effusion or pneumothorax is present. no acute osseous abnormality is identified.
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history: <unk>f with cough, wheezing, fevers
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