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pa and lateral chest radiographs were provided. compared to the most recent prior study, there has been improvement of multifocal opacities in the lower lung with some residual opacities remaining. there is scarring in the right upper lobe with a new opacity in the apex and associated upward retraction of the right hilus, compatible with prior tb. there is no pneumothorax or pleural effusions. the cardiomediastinal silhouette is normal. the imaged upper abdomen is normal. the bones are intact.
<unk>-year-old woman with recent pneumonia, now improved. evaluate for resolution of infiltrates.
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compared to the prior study there is no significant interval change.
<unk> year old man s/p cabg/ tvr // eval for pulm edema
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there relatively low lung volumes without focal consolidation. the patient's chin partially obscures the left lung apex. no pleural effusion or pneumothorax is seen. cardiac silhouette is top-normal in size. mediastinal contours unremarkable. no pulmonary edema is seen.
history: <unk>f with s/p fall // eval for injuries
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ap and lateral radiographs of the chest were acquired. there is redemonstration of streaky bilateral perihilar and lower lung opacities, consistent with mild-to-moderate interstitial pulmonary edema. subsegmental bibasilar atelectasis is more prominent on the left. there are probable small bilateral pleural effusions, unchanged. mild cardiac enlargement has not significantly changed allowing for differences in technique. the mediastinal contours are normal. there is no pneumothorax.
chest pain and dizziness. evaluate for fluid overload or mediastinal widening.
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there is no focal consolidation, pleural effusion, or pneumothorax. several pulmonary nodules are noted in the left lung. the cardiomediastinal silhouette is within normal limits.
fevers, evaluate for pneumonia. metastatic rectal cancer. innumerable pulmonary nodules identified on ct-abdomen/pelvis from <unk>. <unk> on <unk>.
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
history: <unk>f with cough, history of pneumonia, on prednisone
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rotated positioning. left-sided pacemaker is present, lead tips unchanged. this obscures small portion of the left lateral chest. compared with the prior film, catheter at the left lung base is no longer visualized. otherwise, the appearance is similar, except for slight increase in the amount of increased retrocardiac density --<unk> could reflect some increased pleural fluid and/or collapse and/or consolidation. the ovoid lucency seen medially, as before, could represent a small amount of loculated pneumothorax. no pneumothorax is seen at the left lung apex. the appearance of the right lung is unchanged, with a small right base pleural effusion, but otherwise no infiltrate or consolidation. no right-sided pneumothorax. no chf.
<unk> year old woman with pleural effusion s/p thoracentesis // r/o ptx, any abnl
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a nasogastric tube ends in the small bowel. left lower lung linear opacities are most consistent with atelectasis. there is no new focal opacity, pulmonary edema or pneumothorax. there is no large pleural effusion, however, the technique and low lung volumes make evaluation for a small effusion difficult. the cardiac and mediastinal contours are stable. there is no free air.
<unk>m with severe epigastric pain, rebound in epigastric and luq region, hx of necrotizing pancreatitis early <unk> and nj tube in. evaluate for free air and left pleural effusion.
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in comparison to the prior study of <unk>, the endotracheal tube has been removed, and is now been replaced with a tracheostomy tube. the right-sided picc line with does not appear to be significantly changed in position. there is opacification of the right upper lobe, which may represent fluid in the minor fissure the difficult to exclude developing consolidation in the right lobe. there is no pulmonary edema, significant pleural effusions or pneumothorax. cardiomediastinal silhouette is difficult to evaluate due to obliquity of the patient.
<unk> year old woman found down unknowntime, complicated respiratory failure s/p trach and peg // eval for interval change
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cardiac size is normal. the lungs are clear. there is no pneumothorax or pleural effusion.
<unk> year old man with r sah, sdh and multiple facial fxs // improvement rul collapse?
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there relatively low lung volumes. small moderate left and trace right pleural effusion is seen, with overlying bibasilar atelectasis. the cardiac mediastinal silhouettes are stable. left-sided port-a-cath terminates at the low svc/cavoatrial junction. no pneumothorax is seen.
history: <unk>m with tachycardia, hypoxia, decreased bs lll, metastatic panc ca // edema, infiltrate, effusion
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frontal and lateral chest radiograph demonstrates well expanded lungs. there is no focal consolidation or pleural effusion. no mass or nodule is identified. the heart is top-normal in size. the mediastinal and hilar contours are otherwise within normal limits. the visualized osseous structures are unremarkable. no pneumothorax.
<unk>-year-old female with leukocytosis and new endometrial mass. evaluates for infection or mass.
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cardiomediastinal contour is normal. there is no pleural effusion or pneumothorax. there is no focal lung consolidation. there is no pneumothorax or pleural effusion. there is no acute osseous abnormality.
<unk>-year-old man with chest pain, evaluate for acute process.
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a portable frontal chest radiograph demonstrates interval placement of a left picc, which likely terminates at the cavoatrial junction. there is improved aeration of the bilateral lungs, with unchanged bilateral parenchymal opacities consistent with known metastatic disease. bilateral small to moderate pleural effusions are unchanged. there is no pneumothorax.
evaluate picc positioning.
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the lungs are clear without focal consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits. there is tortuosity of the descending thoracic aorta. surgical material potentially prior mesh seen adjacent to the diaphragm.
<unk>m with left chest pain // chest pain evaluation
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the heart size is at the upper limits of normal. the mediastinal and hilar contours are normal. the lungs are clear. there is no pleural effusion or pneumothorax.
<unk>-year-old female with chest pain and palpitations.
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compared to the prior study there is no significant interval change. there continues to be some pneumopericardium there small bilateral effusions. there is lower lobe volume loss bilaterally. the heart is severely enlarged. valve replacement is seen.
<unk> year old man with s/p pericardial window // mt on water seal
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pa and lateral views of the chest. there are low lung volumes which cause crowding of the pulmonary vasculature. there is mild bilateral bibasilar atelectasis. there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal and hilar contours are normal.
chest pain.
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the cardiac, mediastinal and hilar contours appear unchanged. there is persistent patchy opacity projecting along the right suprahilar region with volume loss, probably compatible with treatment effect, aside from slightly diminished peripheral streaky opacification, but no other definite change. elsewhere, the lungs appear clear. there is no pleural effusion or pneumothorax.
shortness of breath. history of lung cancer.
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the cardiomediastinal and hilar contours are normal. the lungs demonstrate a subtle opacity in the right lower lung with air bronchograms. there is no pleural effusion or pneumothorax.
<unk>-year-old female with cough.
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frontal and lateral chest radiographs demonstrate well-expanded and clear lungs. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. a pectus deformity of the sternum is noted as documented in most recent ct <unk>.
<unk>-year-old female with multiple myeloma status post pallidus transplantation. evaluate for infection or pneumonia.
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there are moderate bilateral pleural effusions with overlying atelectasis, underlying consolidation not excluded. mild prominence of the interstitial markings suggests mild pulmonary edema. the cardiac silhouette is mildly enlarged. the mediastinal contours are unremarkable. there is no evidence of pneumothorax.
nausea and chllls.
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there relatively low lung volumes. no focal consolidation is seen. <num> mm rounded calcific structure projecting over the right lung base may represent a bone island or calcified granuloma. there is no pleural effusion or pneumothorax. cardiac and mediastinal silhouettes are unremarkable.
history: <unk>m with ams // infiltrate?
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pa and lateral views of the chest demonstrate hyperexpansion of the lungs and flattening of the hemidiaphragms, as before, reflecting copd. there is no evidence of focal consolidation, pneumothorax or overt pulmonary edema. the cardiomediastinal silhouette is unremarkable.
history of copd with shortness of breath. evaluation for pneumonia.
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patient has had median sternotomy and aortic valve replacement. sternal wires are intact and aligned. heart is moderately enlarged. pulmonary edema is mild throughout most of the lungs accompanied by small pleural effusions. there is considerably more consolidation in the right lower lobe than elsewhere which could be asymmetric edema or concurrent pneumonia. followup advised.
<unk>m with shortness of breath, evaluate for pneumonia.
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lordotic positioning. allowing for this, the heart is not enlarged and the cardiomediastinal silhouette is unchanged. no chf, focal infiltrate, effusion, or pneumothorax is detected. no free air seen beneath the diaphragms.
history: <unk>m with worst ha of life, cp, sob //
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a right ij cvl is noted with the tip terminating at the cavoatrial junction. lung volumes are low, and there is a probable left basilar pleural effusion versus atelectasis. remainder the lungs are grossly clear. there is no evidence of pneumothorax. moderate cardiomegaly and severe aortic calcifications are noted.
history: <unk>f with cvl placed // pneumothorax
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lungs are hyperinflated. there is no consolidation, pleural effusion, or pneumothorax. cardiomediastinal and hilar silhouettes are normal size. scoliosis of the thoracic spine is unchanged.
history: <unk>f with palpitations, chest pressure // evaluate for acs
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portable chest radiograph <unk> <time> is submitted.
<unk> year old man with increased secretions, <unk>, intubtated, cirrhosis, // eval interval change eval interval change
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the cardiomediastinal and hilar contours are within normal limits. the lung fields are clear. there is no pneumothorax, fracture or dislocation. limited assessment of the abdomen is unremarkable.
history: <unk>f with chest pain and cough // evaluate for acute process
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frontal and lateral views of the chest. the lungs are clear. the cardiomediastinal silhouette is normal. no acute osseous abnormality is identified. increased density at the right cardiophrenic angle is thought to represent a fat pad.
<unk>-year-old female with left facial numbness and left leg weakness.
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the cardiac silhouette remains moderately enlarged, but unchanged. the mediastinal and hilar contours are within normal limits. there is mild pulmonary vascular congestion and edema. blunting at the right costophrenic angle is new from the most recent prior study suggesting a small right pleural effusion. no pneumothorax is present. no focal consolidation concerning for pneumonia is identified.
back pain and dyspnea on exertion, here to evaluate for pneumothorax or pulmonary edema.
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pa and lateral views of the chest provided. retrocardiac opacity again noted consistent with large hiatal hernia. lungs are clear without convincing signs of pneumonia or edema. no large effusion or pneumothorax. cardiomediastinal silhouette is unchanged. no acute bony abnormalities. high riding right humeral head is unchanged.
history: <unk>f with c/o gen malaise // ? pna
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a portable frontal chest radiograph demonstrates the endotracheal tube with the tip <num> cm above the carina, a left subclavian catheter with the tip in the mid svc, and a nasogastric tube extending into the stomach. lung volumes are low and there are persistent bibasilar consolidations, right greater than left, which are improved minimally since <unk> and likely represent pneumonia. a small left pleural effusion is new. the cardiomediastinal silhouette is unchanged and there is no pneumothorax.
status post exploratory laparotomy for a gastric perforation after a whipple's procedure, now desaturating after t-piece trial.
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frontal and lateral chest radiographs demonstrate normal cardiac size. the right heart border is somewhat obscured, without definite consolidation visualized. a <num> cm mass projecting over the left hilum corresponds to a necrotic hilar mass/ lymph node which was present on ct chest from <unk>. narrowing of the trachea and prominence of the paratracheal soft tissues with rightward deviation of the upper trachea appears unchanged compared to ct chest, allowing for differences in technique. there is no pleural effusion or pneumothorax. the visualized upper abdomen is unremarkable.
cough, in a patient with a history of metastatic breast cancer, including to the peritracheal area left greater than right.
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pa and lateral views of the chest. the lungs are clear without consolidation, effusion, or pulmonary vascular congestion. the cardiomediastinal silhouette is unchanged, notable for moderate cardiomegaly. no acute osseous abnormality is identified.
<unk>-year-old female with chemotherapy and fever last night.
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right-sided picc is identified however the tip is not clearly delineated but is likely in the region of the lower svc based on the lateral view. examination is limited secondary to ap technique and body habitus. there is no confluent consolidation or overt pulmonary edema. there is no large pleural effusion. the cardiomediastinal silhouette is within normal limits. atherosclerotic calcifications are noted at the aortic arch. degenerative changes are noted at the shoulders bilaterally.
<unk>f with sob, picc rue // sob/confirm picc placment
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there is no focal consolidation to suggest pneumonia, pleural effusion or pneumothorax. no evidence of pulmonary edema. heart size is normal. thoracic aorta is tortuous. mild dextrocurvature of the lower thoracic spine may be positional.
<unk>-year-old female with a new cerebellar tumor. evaluate for acute process prior surgery.
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both lungs are expanded. there are no lung opacities concerning for pneumonia or aspiration. no pleural abnormality. hemidiaphragm is mildly elevated. mediastinal and hilar contours are normal.
<unk>-year-old woman with c<num> fracture and lesion, presurgical evaluation.
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low lung volumes persists. mild enlargement of the cardiac silhouette is again noted. the aorta is calcified. mediastinal and hilar contours are unchanged. crowding of the bronchovascular structures is re- demonstrated without overt pulmonary edema. linear and patchy bibasilar airspace opacities likely reflect areas of atelectasis. no focal consolidation, pleural effusion or pneumothorax is demonstrated. please note that assessment of the extreme lung apices is obscured due to the patient's neck and soft tissues of this region obscuring this area. degenerative changes are noted in the glenohumeral joints. irregularity of the left scapula was not clearly noted on the prior study, and clinical correlation with any tenderness in this region is suggested.
history: <unk>m with multiple comorbidities, recently treated for pneumonia, presenting with altered mental status
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cardiomegaly is mild. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. no focal consolidation, pleural effusion, or pneumothorax. degenerative changes in the right shoulder are seen. lines and tubes: the dobbhoff tube tip is likely post pyloric, but this cannot be determined definitively because the tip is not oriented inferiorly. right picc line tip is in the mid svc.
<unk> year old man with leukocytosis, episode of hypoxia // infiltration
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the cardiac silhouette is severely enlarged but unchanged. diffuse perihilar opacities are compatible with moderate pulmonary edema. bibasilar opacities could be part of the same process although developing consolidations are also possible. no large pleural effusion or pneumothorax.
<unk> year old man with esrd and sob. evaluate for pneumonia versus pulmonary edema.
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the lungs are clear without consolidation, effusion, or edema. cardiomediastinal silhouette is within normal limits. median sternotomy wires and prosthetic valve are again noted. no acute osseous abnormalities.
<unk>f with cough, sob, chest pains. // pneumonia? pulm edema?
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heart size is normal with mild unfolding of the thoracic aorta. cardiomediastinal silhouette and hilar contours are otherwise unremarkable. lungs are mildly hyperinflated but clear. pleural surfaces are clear without effusion or pneumothorax. hyperdensities in the right upper quadrant are likely surgical clips.
chest pain and malaise.
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pa and lateral views of the chest provided. retrocardiac opacity contain containing an air-fluid level is compatible with hiatal hernia. there is a small right pleural effusion. lungs are hyperinflated with biapical pleural parenchymal scarring. retrosternal clear space is noted in this patient with underlying presumed emphysema. the heart is top normal in size. mediastinal contour is unremarkable. no convincing signs of pneumonia or chf. bony structures are demineralized though appear intact.
<unk>f with dyspnea // eval for effusion or edema
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cardiomediastinal and hilar silhouettes are normal. lungs are clear without focal consolidation, pleural effusion, or pneumothorax.
<unk> year old woman with positive ppd, no symptoms of pulmonary tb. evaluate for signs of active or latent tb.
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the <unk> radiograph shows interval placement of a right apical pigtail catheter with re-expansion of the right lung. only a tiny right apical pneumothorax remains. the right picc line is unchanged in position, ending in the low svc. there is no appreciable interval change in widespread interstitial and airspace opacities. small to moderate right pleural effusion is unchanged. the heart and mediastinum are within normal limits despite the projection. the followup radiograph from <unk> shows interval decrease in the tiny right apical pneumothorax. the right apical pigtail catheter and right picc line are unchanged in position. diffuse airspace opacities have worsened, particularly in the right upper lung, which may be due to worsening infection or re-expansion pulmonary edema. otherwise, there is no additional interval change.
<unk> year old woman with c. diff ileitis, rll pna, and new ptx, s/p chest tube placement <unk>min ago. // please eval s/p chest tube placement.
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ap view of the chest. an enteric tube ends in the gastric pull-through. there is no evidence of the barium within the intrathoracic stomach. again seen is colon in the lower hemithorax on the left, unchanged. atelectasis bilaterally is again seen. no pneumothorax. heart size is normal.
evaluate for transit of barium.
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left-sided aicd is stable in position. cardiac and mediastinal silhouettes are stable. no focal consolidation is seen. no pleural effusion or pneumothorax. no pulmonary edema is seen.
<unk> year old man with infarct-cmp, lbbb s/<unk> crt-d upgrade via l axillary vein // pneumothorax, lead position
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cardiac, mediastinal and hilar contours are normal. lungs are clear and the pulmonary vascularity is normal. no pleural effusion or pneumothorax is present. no acute osseous abnormalities are seen.
chest pain, shortness of breath, tachycardia on oral contraceptives.
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the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>f with chest pain // acute process
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. the lungs appear clear. there are no pleural effusions or pneumothorax. bony structures are unremarkable. there has been no significant change.
cough.
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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.
history: <unk>m with <unk> edema, mild hypoxia // evaluate for fluid overload, pneumonia, acute process
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there is a left lower lobe opacity on the frontal radiograph which silhouettes the heart border, possibly reflecting pneumonia. there is no pleural effusion, pulmonary edema or pneumothorax. the heart is top-normal in size.
<unk>-year-old male with fever. evaluate for infectious process.
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there are diffusely increased bilateral interstitial markings, with associated bibasilar focal consolidations, right worse than left, that obscure the margins of both hemidiaphragms and the right heart border. there is no evidence of pneumothorax. heart size cannot be accurately assessed due to obscuration of sillouhette by basilar consolidations. severe atherosclerotic calcification of the aorta is present.
<unk>-year-old male with shortness of breath and history of congestive heart failure. evaluate.
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semi-upright portable radiograph of the chest demonstrates interval placement of tracheostomy tube which terminates <num> cm above the level of the carina. a right picc is also in place, terminating at the level of the cavoatrial junction. ekg leads are present as well, along with a line along the right lateral chest wall which is likely external to the patient. bilateral alveolar opacities are increased since the prior radiograph, consistent with moderate pulmonary edema. the heart is mild to moderately enlarged, but stable since the most recent prior study. no significant pleural effusion is present. there is no pneumothorax.
bradycardia.
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mild linear left base atelectasis is seen. there is no focal consolidation. no pleural effusion or pneumothorax is seen. cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with sob // eval for pna
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an enteric tube terminates within the stomach with its side hole terminating in the region of the ge junction. 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.
history: <unk>f with ng tube // eval ng tube placement
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pa and lateral views of the chest provided. lungs are hyperinflated though there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>m with cough, chest wall pain // eval infiltrate
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the heart size is normal. there is no pneumothorax or pleural effusion. a right chest port ends in the mid svc. there is mild prominence of the pulmonary vasculature.
history: <unk>f with nausea, vomiting, ekg changes // eval for intraperitoneal free air, chf, pneumonia
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pa and lateral views of the chest. the lungs are clear. the cardiomediastinal silhouette is normal. no acute osseous abnormalities identified.
<unk>-year-old male with seizure.
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pa and lateral views of the chest were provided. the heart is top-normal in size. there are tiny bilateral pleural effusions. no evidence of pulmonary edema is seen. atherosclerotic calcifications are seen along the thoracic aorta. the imaged bony structures appear intact. no free air below the right hemidiaphragm is seen.
<unk>-year-old female with hypertension, hld, hypothyroidism with <num> days swelling in the legs and abdominal distention.
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ap upright and lateral chest radiograph demonstrates low lung volumes . when compared to prior study, the cardiomediastinal and hilar contours appear stable with a tortuous aorta. patient is status post median sternotomy. upper lungs appear clear. there is no pulmonary edema. bibasilar atelectasis is present. dextroscoliotic deformity of the thoracic spine is re- demonstrated. there is no pneumothorax.
<unk>-year-old female status post fall.
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frontal and lateral views of the chest demonstrate normal cardiomediastinal silhouette. mild unfolding of the thoracic aorta is unchanged. the lungs are clear. there is no pneumothorax, vascular congestion, or pleural effusion. small clips and/or chain sutures project over the splenic flexure.
<unk>-year-old male with alcohol intoxication and chest pain. question acute process.
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the heart size is normal. spiculated mass within the upper lobe anteriorly is relatively unchanged compared to the prior exams. multiple nodules are scattered throughout both lungs compatible with metastatic lesions. no focal consolidation, pleural effusion or pneumothorax is identified. no pulmonary vascular congestion is present. there is dextroscoliosis of the thoracic spine.
lung cancer with confusion.
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endotracheal tube terminates approximately <num> cm above though a chronic area enteric tube is seen coursing below the level of the diaphragm, terminating in the expected location of the distal stomach. left base opacity is seen which could be due to aspiration or infection. a small left pleural effusion is not excluded. no pneumothorax is seen. the right lung is clear. the cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with ams // confirm placement of et tube
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. there is a <num> x <num> cm round mass in the left upper lobe. there is right basilar atelectasis. lungs are otherwise clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. there is minimal wedging of some midthoracic vertebral bodies.
history: <unk>m with incidentally noted possible lung cancer with shortness of breath.
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
history: <unk>m with fever, hx of liver ca // eval for infiltrate
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patient is rotated to the left. the lungs are grossly clear. there is no consolidation or effusion. the cardiomediastinal silhouette is grossly within normal limits given patient's rotation. no acute osseous abnormalities identified. hypertrophic changes noted in the thoracic spine.
<unk>f with dyspnea, fever // eval for pna
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streaky opacities at the right base are unchanged, most consistent with chronic atelectasis. the lungs are otherwise clear without consolidation or edema. there is no pleural effusion or pneumothorax. again noted is an azygous lobe. the mediastinal contours are normal. the heart size is mildly enlarged, and grossly unchanged from the prior exam.
history of chf and atrial fibrillation, status post unwitnessed fall. evaluate for worsening chf.
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the left pleural catheter is unchanged in position. degree of left pleural effusion is dramatically improved from <unk> at <time>, with a new large consolidation in the left lung, which may represent reexpansion edema, however would be delayed for this entity. small right pleural effusion is noted. no pneumothorax.
<unk> year old woman with left pigtail. followup
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the lungs are well inflated. the right pleural effusion has diminished. there is still minimal blunting of the right costophrenic sulcus. there has been partial resolution of the bilateral nodular densities said to be septic emboli. the mediastinum is not remarkable. mediastinum is normal. the heart size is normal. the osseous structures are normal for age. the right picc line is unchanged in position.
<unk> year old man with pleural effusion // eval
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there is no pleural effusion or pneumothorax. the lungs appear clear. bony structures are unremarkable. there has been no significant change.
dyspnea.
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cardiac, mediastinal and hilar contours are normal. the pulmonary vasculature is normal. a focus of consolidation within the left lower lobe is concerning for pneumonia. right lung is clear. no pleural effusion or pneumothorax is clearly seen. there are no acute osseous abnormalities.
cough, yellow sputum, fever.
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large bore central line tip is in the right atrium. there is some hazy increased opacity at the right base but no definite infiltrate. this could be due to some volume loss
<unk> year old woman with mds <unk> with new fever // pulmonary cause of fever
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pa and lateral views of the chest. the right pleural effusion has increased in size. no left pleural effusion. heart size is top normal. cardiomediastinal and hilar contours are normal. no focal consolidation or pneumothorax.
effusion.
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lung volumes are normal. there is no focal consolidation, effusion or pneumothorax. no central vascular congestion or overt pulmonary edema. mild tortuosity of the descending aorta. mild calcification at the aortic knob. heart size is top-normal, unchanged. known large hiatal hernia.
history: <unk>f with diffuse wheezing and sob, low o<num> sat // ? 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.
history: <unk>f with cough, chest pain // eval for consolidation
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pa and lateral views of the chest provided. lungs are hyperinflated suggesting copd. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>m with lightheadedness and fall // eval for fx, bleed, infiltrate
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lung volumes remain low with consequent enlargement of cardiac silhouette and crowding of the pulmonary bronchovascular structures. no consolidation seen. a vagal nerve stimulator is seen in the left upper chest however no leads are visualized. a nasogastric tube terminates in the stomach. dilated, air-filled loops of small bowel are seen in the upper abdomen, incompletely evaluated on this study.
<unk> year old man with sbo // ng placement
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cardiac silhouette size remains mildly enlarged. mediastinal and hilar contours are relatively unchanged. mild pulmonary edema is present with perihilar haziness and vascular indistinctness. there may be a trace left pleural effusion. patchy bibasilar opacities likely reflect atelectasis. no pneumothorax is detected.
history: <unk>m with altered mental status, nausea, vomiting
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the inspiratory lung volumes are appropriate. the lungs are clear without focal consolidation, pleural effusion or pneumothorax. the pulmonary vasculature is not engorged. the cardiomediastinal and hilar contours are within normal limits. no acute osseous abnormality is detected.
<unk>-year-old man with chest pain // eval for pna
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a single portable semi-erect chest radiograph was obtained. small left and moderate layering right pleural effusions have increased in size since the preceding day's exam. the right middle lobe pnemonia seen on recent ct is not clearly differentiated, but the right heart border is obscured. left basilar atelectasis is stable. no new focal consolidation or pneumothorax is present. hila remain indistinct. a left-sided picc line tip remains in the upper svc.
<unk>-year-old woman with c. difficile colitis and increasing oxygen requirement.
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mild cardiomegaly has been stable compared to exams dating back to at least <unk>. left-sided icd device is unchanged in position with the lead terminating in the right ventricle. low lung volumes accentuate the hilar mediastinal contours, which are otherwise unremarkable. no focal consolidations concerning for pneumonia are identified. there is no pleural effusion or pneumothorax. re demonstrated is an old, healed right mid clavicular fracture.
history: <unk>m with chest pain. please evaluate.
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cardiomediastinal contours are stable with cardiac size top normal and tortuous aorta. the lungs are hyperinflated and clear. there is no pneumothorax or pleural effusion.
<unk> year old woman with asthma exacerbation. // r/o infiltrate
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lungs are well expanded and with left lower lobe peribronchial infiltration of uncertain chronicity. there is no pleural effusion or pneumothorax. the heart is normal in size, normal cardiomediastinal contours.
<unk>-year-old gentleman with lightheadedness. assess for acute process.
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pa and lateral views of the chest provided. bilateral pleural effusions are again noted, small on the right and moderate on the left with associated compressive lower lobe atelectasis. no pulmonary edema. the upper lungs appear well aerated. the cardiomediastinal silhouette is grossly unchanged no pneumothorax. no acute osseous abnormality. clips in the upper abdomen noted.
<unk>m with shortness of breath // role out pulmonary edema
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portable semi-upright radiograph of the chest demonstrates low lung volumes, which results in bronchovascular crowding. there is bibasilar atelectasis versus aspiration. an area of consolidation in the left lower lobe is associated with volume loss and elevation of the left hemidiaphragm, and is concerning for pneumonia in the appropriate clinical setting. the right-sided internal jugular central venous line ends at the cavoatrial junction. the cardiac silhouette is not enlarged. no pneumothorax.
history: <unk>m with ?pna septic // pna?
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there is interval placement of an ng tube, which on the final image terminates in the stomach. an et tube is in standard position. cardiomediastinal and hilar contours are stable. there is no pleural effusion or pneumothorax. the lungs are well-expanded and clear without focal consolidation concerning for pneumonia. previously noted haziness over the left lung field is resolved. the upper abdomen is unremarkable in appearance.
<unk> year old woman with ett, dobhoff // dobhoff placement
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heart size appears mildly enlarged, but decreased from the prior study. mediastinal and hilar contours are within normal limits. pulmonary vasculature is not engorged. minimal patchy opacities are noted in the lung bases, improved compared the prior study, colon likely reflective of atelectasis. no focal consolidation, pleural effusion or pneumothorax is present. osseous structures are diffusely demineralized.
history: <unk>f with alcoholic cirrhosis and immunodeficiency now presents with nausea and vomiting // please assess for possible pneumonia
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note is made of a left apical mass consistent with the known left lung tumor. no other pulmonary nodules are identified. there is no evidence of a perilesional hematoma or pneumothorax. no pleural effusions are identified. heart size is within normal limits. no evidence of a destructic bone lesion.
pa and lateral chest radiograph following ct-guided percutaneous core biopsy of left apical tumor mass.
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portable erect chest film <unk> at <num> is submitted.
<unk> m with <unk> <unk> on ct head, fever overnight // ? pneumonia ? pneumonia
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the cardiomediastinal and hilar contours are stable with moderate cardiomegaly. small bilateral pleural effusions have increased since yesterday. there is no pneumothorax. right basilar consolidation has worsened since yesterday, and may represent atelectasis, aspiration, or pneumonia. segmental atelectasis in the left mid lung is stable. note is made of a large hiatal hernia and dextroscoliosis of the lower thoracic spine.
pneumonia, worsening o<num> requirement.
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moderate hyperexpansion of the lungs has increased compared with prior studies, suggestive of small airways disease. there is no suspicious mass, focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is within normal limits.
<unk> year old woman with asthma, hx adenopathy. please compare w/ prior films. // any new lesions? cough;sob;any new lesions?
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frontal and lateral chest radiographs demonstrates low lung volumes and mildly engorged pulmonary vasculature compared to <unk>, potentially accounted for by the lower lung volumes. there is increased opacity at the posterior costophrenic angle on the lateral view. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal.
fever and cough.
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a right pigtail pleural catheter is in place. the lateral right hydropneumothorax is now more filled with fluid with small amount of air seen at the apex. there is now a small left pneumothorax. hazy opacity overlying the right base is likely atelectasis. the left lung is clear. cardiomediastinal silhouette is unchanged in the setting of lower lung volumes compared to prior radiograph. multiple loops of distended bowel are incompletely visualized.
<unk>-year-old man with metastatic renal cell carcinoma, on chemotherapy with pleural effusion status post thoracentesis, healing pneumothorax. evaluate for size of pneumothorax, pleural effusions.
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a left-sided dual chamber pacemaker is in unchanged position, with leads terminating in the right atrium and right ventricle. pulmonary arteries are enlarged. there is mild calcification of the aortic arch. mild streaky opacities in the right upper lung are likely related to prior radiation changes. no new focal consolidation is identified. no pneumothorax or pulmonary edema present.
<unk> year old woman with af, sss s/p dual chamber pacemaker via l subclavian vein // pneumothorax, lead positioning pneumothorax, lead positioning
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the lungs are moderately well inflated. hazy opacification in the right lower lobe could be pneumonia. no pleural effusion or pneumothorax. heart is top-normal in size. mediastinal contour and hila are unremarkable.
<unk>f with chest pain and shortness of breath x<num> months; pregnant; c/f pe vs cardiomyopathy vs bronchitis. assess for cardiopulmonary process.
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right picc tip terminates in the mid svc. the heart size is normal. mediastinal and hilar contours are within normal limits. pulmonary vasculature is normal. lungs are hyperinflated but clear. no focal consolidation, pleural effusion or pneumothorax is seen. no acute osseous abnormalities detected.
history: <unk>m with abdominal pain found to have appendicitis on pet today. history of lymphoma and ulcer colitis//evaluate picc
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the heart size is normal. the hilar and mediastinal contours are normal. the lungs are clear without evidence of focal consolidations concerning for pneumonia. there is no pleural effusion or pneumothorax. the visualized osseous structures are unremarkable.
history of chest pain. please evaluate for pneumonia.