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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. cardiac silhouette size is normal. mediastinal contours are unremarkable.
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history: <unk>f with worsening sob // ?infectious process
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pa and lateral views of the chest are compared to previous exam from <unk>. the lungs remain clear without effusion or consolidation. the cardiomediastinal silhouette is normal. osseous and soft tissue structures are unremarkable. surgical clips suggestive of cholecystectomy in the right upper quadrant.
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<unk>-year-old female complains of chest pain with recently diagnosed lupus and hypothyroidism.
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pa and lateral chest radiograph demonstrates stable cardiomegaly. no evidence to suggest overt pulmonary edema. the aorta is mildly tortuous. mediastinal and hilar contour otherwise unremakable. there is no pleural effusion or pneumothorax. several calcified granulomas again noted. previously noted dialysis catheter is been removed.
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<unk> year old female with shortness of breath.
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ap portable upright view of the chest. cardiomegaly with mild interstitial pulmonary edema is noted. hilar congestion is noted. no large effusion or pneumothorax. heart size is mildly enlarged. mediastinal contour is normal. bony structures are intact.
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<unk>m with dyspnea // acute process
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a left picc terminates at the mid svc. there is no pneumothorax, focal consolidation, or pleural effusion. the heart size is normal. the hilar and mediastinal contours remain within normal limits.
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picc.
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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. mild dextroscoliosis of the t-spine noted. no free air below the right hemidiaphragm is seen.
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<unk>m with r acetabular fx, preop // evidence of pneumonia, cardiomegaly
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pa and lateral views of the chest. the lungs are clear. the cardiomediastinal silhouette is normal. the osseous and soft tissue structures are unremarkable.
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<unk>-year-old female with <num> weeks of productive cough.
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redemonstrated is a pigtail catheter within the right hemithorax. there is a residual right apical pneumothorax, slightly enlarged since the most recent comparison. redemonstrated is opacity in the right lung base, which may reflect residual atelectasis.
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history: <unk>m with right sided chest pain // eval for pneumothorax
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since prior, there has been interval placement of an endotracheal tube with tip <num> cm from the carina. right picc is again identified. left chest wall single lead pacing device is noted. degree of pulmonary edema appears worse. retrocardiac opacity persists and there is more opacity superiorly on the left likely in part due to layering effusion. cervical spine hardware and partially visualized lumbar spine fixation hardware is visualized.
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history: <unk>m with s/p intubation // s/p intubation
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lungs remain hyperinflated but clear. the cardiomediastinal silhouette and hilar contours are stable. there is no pleural effusion or pneumothorax. chronic deformity of right-sided ribs and the right clavicle are again identified.
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<unk>-year-old male with weakness. evaluate for acute process.
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there is a right pigtail chest tube in proper position projecting over the right lung. a small right pneumothorax is present. there is no left pneumothorax. there is no consolidation or pleural effusion. the cardiomediastinal silhouette is normal without evidence of shift. surgical clips overlying the right mid lung and chain sutures in the left upper lung field are unchanged.
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evaluate after chest tube was placed for pneumothorax.
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the heart size is mildly enlarged. the hilar and mediastinal contours are normal. the lungs are well expanded and clear. there is no pneumothorax or pleural effusion. no definite fracture is identified in the ribs bilaterally. again seen is the expansile right lateral <num>th rib lesion. although this appears slightly more prominent, this could be secondary to technique.
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<unk>-year-old male with a history of one month of rib pain. rule out left lower rib fracture.
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the lungs are well expanded and clear. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. a vascular stent is again noted projecting over the left supraclavicular region, unchanged since at least <unk>.
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<unk>-year-old female with chest pain. evaluate for evidence of pneumonia.
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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.
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pain after a fall.
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portable upright image of the chest. lung volumes are low with associated bronchovascular crowding. in addition there are increased interstitial markings and perihilar fullness consistent with mild pulmonary edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable. no free air is seen under the diaphragm.
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epigastric pain.
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compared with the prior study, the lungs appear better aerated, with interval improvement in pulmonary edema. moderate cardiomegaly is unchanged. again, the endotracheal tube terminates low, within <num> cm above the carina. no pneumothorax.
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<unk> year old woman with hypotension and acute chf. evaluate for pulmonary edema.
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compared to the prior study there is no significant interval change.
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<unk> year old woman // eval for effusion
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previously seen ill-defined peribronchial lower lobe opacity seen on lateral view has resolved. no new focal consolidation identified. there is linear atelectasis at the left lung base. there is no pleural effusion or pneumothorax. the heart is not enlarged. mediastinal contour is normal.
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<unk> year old man with possible pna in <unk>, said to do obliques as well on followup. followup for clearance. please do obliques.
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cardiac silhouette size is normal. the mediastinal and hilar contours are unremarkable. the pulmonary vasculature is normal. lungs are clear. no focal consolidation, pleural effusion or pneumothorax is present. no acute osseous abnormality is visualized. clips are seen within the upper abdomen.
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history: <unk>m with hiv, presenting with nausea, vomiting, diarrhea. reports fevers/chills at home.
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heart size and cardiomediastinal contours are normal. the lungs are clear without focal consolidation, pleural effusion, or pneumothorax.
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history: <unk>f with fever // eval for pna
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cardiomediastinal silhouette remains moderately enlarged. a single-lead aicd device is noted with the lead terminating in appropriate position. a right-sided picc is noted with the catheter tip at the right superior cavoatrial junction. the lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. no acute fractures are identified.
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evaluation of patient with history of congestive heart failure with dyspnea.
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no pleural effusion or pneumothorax. given the low lung volumes, no consolidations concerning for pneumonia. cardiac size is top normal.
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chest pain and anemia.
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heart size is normal. mediastinal and hilar contours are unremarkable. lungs are clear. pulmonary vasculature is normal. no pleural effusion or pneumothorax is present. there are no acute osseous abnormalities.
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right-sided chest pain.
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<unk> x <num> mm well-circumscribed lesion overlying right lung representing subcutaneous lesion as demonstrated by localization radiographs <unk>. this lesion is stable in size from <unk> when it measured <unk> x <num> mm. mild bilateral apical pleural and parenchymal scarring is stable. the lung volumes are normal. normal size of the cardiac silhouette. normal hilar and mediastinal structures. no pulmonary edema. no pleural effusions.
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<unk> year old man with esrd on the kidney waiting list // lung status
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there is a triple-channel pacemaker device on the left with leads extending in the right atrium, right ventricle and left ventricular region. there is no pneumothorax. the cardiomediastinal and hilar contours are stable. there is persistent pulmonary vascular congestion as well as small bilateral pleural effusions. no new focal consolidations are identified.
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<unk>-year-old man with new lead ppm placement.
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duo lead permanent pacemaker has been placed via left subclavian approach, with leads terminating in the right atrium and right ventricle. there is no pneumothorax. heart size is normal. . lungs are clear. there are possible very small bilateral pleural effusions.
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<unk> year old woman with new pacemaker placement please do <unk> am on <unk> // verify pacer placement
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there are low lung volumes. the heart size remains top normal in size. the mediastinal and hilar contours are stable. pulmonary vascularity is normal. there is minimal bibasilar atelectasis, but no focal consolidation, pleural effusion or pneumothorax is present. no acute osseous abnormalities detected.
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hypoglycemia.
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compared with earlier the same day, at <time> and allowing for technical differences, no significant change is detected. no pleural effusion, pneumothorax or focal airspace consolidation. possible atelectasis at left base. heart is moderately enlarged but unchanged. upper zone redistribution, but no overt chf, as better seen on the recent ct thoracic spine. no displaced rib fracture detected on these lung technique films .
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fall. evaluate for traumatic process.
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moderate cardiomegaly is noted. there is no focal consolidation, effusion or pneumothorax. no convincing signs of pulmonary edema. linear density in the left mid lung likely represent subsegmental atelectasis. the aorta is somewhat unfolded with faint calcifications along the aortic knob. the imaged osseous structures are intact. a mild scoliosis is noted.
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<unk>-year-old female with dyspnea, wheezing, assess pneumonia, pulmonary edema or copd flare.
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the right ij line is in unchanged position and terminates at the cavoatrial junction. there is pulmonary edema which has not significantly changed compared to the prior radiograph performed yesterday evening. there is no evidence of pneumonia, substantial pleural effusions or pneumothorax. heart size remains enlarged. some residual oral contrast is noted in the left upper quadrant.
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<unk> year old woman with severe aortic stenosis and chf. admitted to ccu for hypotension // please eval interval change
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patchy right lower lobe opacity may reflect atelectasis versus pneumonia. there is no pleural effusion, pneumothorax or pulmonary edema. the heart is normal in size.
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<unk>-year-old male with productive cough. evaluate for pneumonia.
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there is left upper lobe collapse. the right lung is clear. no pleural effusion or pneumothorax is seen. cardiac silhouette is not enlarged. mediastinal contours are grossly unremarkable.
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history: <unk>f with c/o cp and prod cough and sob // ? pna
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there is no significant interval change compared to <unk> with persistent residual small right pleural effusion with adjacent atelectasis and unchanged location of right pleural drainage catheter and right infusion port. there is no pneumothorax.
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right effusion status post pigtail catheter placement, assess effusion.
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ap and lateral views of the chest. a left-sided double-lumen port ends in the low svc. there is mild atelectasis at the right lung base. no focal consolidation, pleural effusion, or pneumothorax. the cardiomediastinal and hilar contours are normal.
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lymphoma, difficulty drawing blood from port, assess placement.
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minimal left basilar atelectasis, improved since prior. right lung is clear. normal heart size, pulmonary vascularity. no effusion
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<unk> year old woman with acute hepatic encephalopathy. xray to r/o pna. // r/o pna
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the cardiac, mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. there is similar mild relative elevation of the right hemidiaphragm, although less striking. the lungs appear clear. a feeding tube courses through the esophagus and visualized upper port of the stomach, although its more distal course is not imaged on this exam.
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nasojejunal tube placement.
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lung volume is low. moderate pulmonary edema is increased. mediastinum appears wider compared to <num> day prior, probably due to technical reasons. right mid lung pulmonary contusion and adjacent right rib fractures are similar to prior. no new focal opacity is identified in the lungs.
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<unk> year old man s/p mvc w/ polytrauma, rib fractures with increasing oxygen requirement // interval change from admission
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frontal and lateral views of the chest. there is no pleural effusion, pneumothorax or focal airspace consolidation. the heart size is normal and unchanged. the mediastinal and hilar structures are unremarkable. cervical fusion hardware is noted. there are degenerative changes within the right acromioclavicular joint.
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bradycardia and dizziness. evaluate for cardiomyopathy.
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pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
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<unk>f with rash, cough, epigastric cramping
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. patchy right lower lobe opacity is new and accompanied by mild bronchial wall thickening. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. left subclavian catheter is unchanged in position.
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<unk> year old woman with plasmacytoma // new fever, r/o pna
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the heart size is moderately enlarged. the mediastinal contours are notable for a mildly tortuous thoracic aorta. the pulmonary vascularity is not engorged. the hila are within normal limits. lungs are grossly clear. no pleural effusion or pneumothorax is identified. there are no acute osseous abnormalities. please note that the lateral view is somewhat limited due to the patient's inability to raise her arms.
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chest pain.
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a weighted feeding tube is demonstrated with tip in the stomach. heart size remains mildly enlarged. the mediastinal and hilar contours are unchanged with mild tortuosity of the thoracic aorta again noted. diffuse atherosclerotic calcifications are seen within the aorta. pulmonary vasculature is not engorged. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is present. there is evidence of prior vertebroplasty at the thoracolumbar junction.
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history: <unk>f with ng tube
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the lungs are clear of consolidation some effusion and pneumothorax. the cardiomediastinal silhouette is normal. no acute osseous abnormalities.
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<unk> year old man with clubbing // r/o acute process
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ap view of the chest. the patient's aortic dissection is better visualized on concurrent ct from today. there are aortic knob calcifications. there is no focal consolidation, pleural effusion or pneumothorax. there is moderate cardiomegaly that is stable. median sternotomy wires are unchanged.
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syncope, dissection.
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there is an opacity at the left lower lobe compatible with pneumonia. background lung parenchyma demonstrates diffuse dilated and thickened bronchi compatible with chronic changes of cystic fibrosis. the cardiomediastinal silhouette and hilar contours are stable. there is a small left pleural effusion. no pneumothorax is identified. visualized upper abdomen is unremarkable.
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cystic fibrosis status post sinus surgery now presents with cough and fever, assess for pneumonia.
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the frontal and lateral chest radiograph demonstrate increased opacification of the right lower lung concerning for pneumonia. the left lung is grossly clear. there is no pleural effusion or pneumothorax. the heart size is normal and hilar contour or unremarkable. left pectorally placed pacer with intact leads terminating in the right atrium and ventricle is identified.
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<unk>-year-old male with productive cough and fever.
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the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable. aortic calcifications are noted. orthopedic hardware seen in the proximal left humerus.
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<unk>f with chest discomfort // eval for ptx or infiltrate
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heart size is normal. the mediastinal and hilar contours are within normal limits. the pulmonary vasculature is not engorged. patchy opacity in the left lung base likely reflects atelectasis. no focal consolidation, pleural effusion or pneumothorax is present. mild degenerative changes are noted in the thoracic spine. clips project over the epigastric region.
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history: <unk>m with right shoulder pain since <unk>
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pa and lateral views of the chest were reviewed. there is severe cardiomegaly. the mediastinal and hilar contours remain stable. there is no pleural effusion or pneumothorax. bibasilar opacities, right greater than left, may reflect atelectasis, although an underlying infectious process is not excluded. mild vascular congestion is present. again noted are right axillary surgical clips.
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chest pain, shortness of breath.
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pa and lateral views of the chest. there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal and hilar contours are normal.
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cough and epigastric pain.
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portable semi-erect chest radiograph <unk> <time> is submitted.
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<unk> year old man with hypoxemic respiratory failure, intubated, on empiric pcp <unk>. // eval for interval change. eval for interval change.
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the lungs are clear without consolidation or edema. the previously seen subtle opacity at the left base is no longer present. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal.
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persistent coughing. had subtle pneumonia on prior chest x-ray from <unk>. evaluate for change.
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the left lung has re-expanded with post surgical changes at the apex. no residual pneumothorax. the lungs are well inflated and clear. cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. there is no pleural effusion.
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<unk> year old man with left pneumothorax. evaluate for interval change.
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new right-sided picc line with the tip in the low svc. right upper lobe and parahilar opacity has decreased in extent with residual masslike area of opacification surrounding the right hilum. asymmetric interstitial edema has also decreased. moderate right and small left pleural effusion with bibasal atelectasis slightly increased. no pneumothorax.
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<unk> year old woman with pancreatic cancer, pneumonia, pleural effusion likely malignant // f/u effusion, infiltrates
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a single portable frontal radiograph of the chest was acquired. there is a new left picc, with its tip in the mid right atrium. there is subsegmental right infrahilar atelectasis. the lungs are otherwise clear. the heart size is normal. the mediastinal contours are normal. there are no pleural effusions. no pneumothorax is seen.
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status post picc line placement. evaluate position.
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lung volumes are low, likely exaggerating the size of the cardiac silhouette, which may be borderline enlarged. there is vascular crowding in the right infrahilar region, which also is likely related to poor inspiration. small fissural fluid is seen on the right. right basilar opacity is noted, which, in the appropriate clinical context, could be related to aspiration. there is no pleural effusion or pneumothorax.
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history: <unk>m with etoh, vomiting, now hypoxic and tachycardic // ?aspiration
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a left-sided picc is seen coiled in the region of the left subclavian vein and terminating at the svc/brachiocephalic junction. the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
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history: <unk>m with fever and cough // r/o pna
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frontal and lateral views of the chest. the lungs are clear of focal consolidation or large effusion. there is mild blunting of the posterior costophrenic angles bilaterally. there is suggestion of right apical scarring. the cardiomediastinal silhouette is within normal limits. anterior cervical fixation hardware is identified. no acute osseous abnormalities.
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<unk>-year-old male with cough, fever and brief episode of atrial fibrillation.
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lung volumes are low which accentuates the size of the cardiac silhouette which appears mildly enlarged. mediastinal and hilar contours are normal. pulmonary vasculature is normal. minimal streaky atelectasis is seen at the lung bases without focal consolidation. no pleural effusion or pneumothorax is identified. no acute osseous abnormality is detected.
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<unk> year old woman with history of stents, subarachnoid hemorrhage, proceeding to angio for intervention.
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the lungs are clear without consolidations or edema. there is no pleural effusion or pneumothorax. there is mild cardiomegaly with a left ventricular predominance. the mediastinum is normal. there are degenerative changes of the thoracic spine with mild loss of vertebral height in the mid thoracic spine vertebral bodies. this is unchanged from the prior exam. no fractures are identified.
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dyspnea on exertion.
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low lung volumes are present. the cardiac silhouette size appears moderately enlarged but unchanged. mediastinal contour appears similar with unfolding of the thoracic aorta again seen. mild pulmonary edema is new in the interval with a small right pleural effusion appearing similar. small amount of fluid is also seen within the minor fissure. patchy opacities in the lung bases likely reflect areas of atelectasis. no pneumothorax is present. there arm mild degenerative changes noted in the thoracic spine.
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history: <unk>f with dyspnea
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cardiac silhouette size is mildly enlarged. mediastinal and hilar contours are within normal limits. pulmonary vasculature is not engorged. consolidative opacity in the right upper lobe is compatible with pneumonia. left lung is clear. no pleural effusion or pneumothorax is identified. no acute osseous abnormality is detected.
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history: <unk>f with hiv and progressive dyspnea
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patient is slightly rotated. the lungs are moderately well inflated with bibasilar atelectasis. no pleural effusion or pneumothorax. heart is top-normal in size. mediastinal contour and hila are unremarkable. limited assessment of the left upper abdomen again demonstrates clips. visualized osseous structures demonstrate multilevel compression deformities with minimal progression of a mid thoracic vertebral body in comparison to <unk>. no retropulsion.
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<unk>m with chest pain. assess for pneumothorax.
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as compared to prior chest radiograph from <unk>, there has been significant improvement of right-sided pleural effusion. there is no pneumothorax. there is a small left pleural effusion. cardiomediastinal contour is stable.
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<unk>-year-old female patient with stage iv ovarian cancer with shortness of breath and right pleural effusion, status post thoracentesis. study requested to rule out pneumothorax.
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ap view of the chest provided. a new left-sided pigtail catheter is seen. there is no pneumothorax. there has been interval decrease in the extent of left pleural effusion. extensive areas of atelectasis with possibly overlying pleural effusion is again seen on the right. there is a mild degree of pulmonary vascular congestion, also stable since prior study. cardiomediastinal and hilar contours are unchanged.
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<unk> year old woman with chf exacerbation an large left effusion s/p pigtail placement, evaluate for pneumothorax.
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there is no focal consolidation, pleural effusion or pneumothorax. minimal bibasilar opacities likely represent atelectasis. the cardiomediastinal silhouette is normal. the imaged upper abdomen is unremarkable. the bones are intact.
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history: <unk>f s/p mvc p/w chest wall tenderness, abd pain, and l wrist sellign an dpain // injuries
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MIMIC-CXR-JPG/2.0.0/files/p16087436/s54300800/cdfa6ef0-6f036168-6a17616c-da726c2f-39fec535.jpg
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tip of the endotracheal ends <num> cm above the carina, left-sided picc line tip is at mid svc. the orogastric tube and a feeding tube courses below the diaphragm, however, the distal end is off the radiographic view. a repeat radiograph is suggested for further evaluation covering the upper abdomen to assess further position of the orogastric and feeding tube. mild and diffuse bilateral opacities, more on the right side, reflecting asymmetric pulmonary edema is very insignificantly changed since last <num> hours. heart size is normal. mediastinal and hilar contours are unremarkable.
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to look for the position of dobbhoff tube.
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no definite focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable and unremarkable. no displaced rib fracture seen.
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history: <unk>m with sternal chest pain, reports rib fractures diagnosed <num> weeks ago // eval for pneumonia, fracture
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MIMIC-CXR-JPG/2.0.0/files/p10743111/s54485120/969f22f1-49a90783-b3c92de2-abc6abf7-19dc0ab6.jpg
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extensive airspace opacification within the left lung with minimal subpleural sparing has improved slightly compared with the immediate prior study but remains extensive. there is similar airspace opacification of the medial right lung base with new subsegmental atelectasis adjacent to the minor fissure. there is no pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is within normal limits.
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<unk> year old man with cml, status post ercp with suspected aspiration event, cxr overnight with multifocal consolidation, now rapidly improving, evaluate for pneumonia vs pneumonitis, amount of resolution from overnight xray
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again seen are widespread reticular pulmonary opacities, reflecting underlying parenchymal fibrosis. however, there are superimposed widespread opacities, likely reflecting pulmonary edema or new consolidations, worse on the right. there is no pleural effusion or pneumothorax. the cardiac and mediastinal contours are unchanged.
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acute on chronic hypoxia.
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portions of the left lateral lung are excluded from view. the patient has been extubated with removal of nasoenteric tube. left internal jugular central venous catheter terminates at the upper svc. aortic stent and surgical <unk> over the right upper chest are noted. worsenend mild-to-moderate pulmonary edema is noted with increased bilateral small moderate pleural effusions. cardiac size is top normal with normal cardiomediastinal silhouette. unchanged left basal atelectasis.
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status post hemodialysis for volume overload and uremia, assess for interval change.
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MIMIC-CXR-JPG/2.0.0/files/p11842879/s56233040/00d44b47-2484ebdf-755bdbb7-d4d49c3a-8b35233d.jpg
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a right jugular central venous line ends in the upper right atrium. an enteric tube ends likely in the stomach. the apical portions of the lungs were not imaged, but no large pneumothorax is seen. bibasilar consolidations are again seen. there is slight increase in atelectasis at the right lung base. no large pleural effusion. cardiomediastinal and hilar contours are stable.
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immunosuppression and acute desaturation.
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MIMIC-CXR-JPG/2.0.0/files/p13865500/s56291222/a1b933fa-5ad9991e-62633580-7dae4572-59811aeb.jpg
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the cardiomediastinal and hilar contours are within normal limits. as compared to prior chest radiograph from <unk>, lung volumes have decreased. however, there is is no focal consolidation, pleural effusion or pneumothorax.
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chronic kidney disease, hypertension presenting with chest pain for <num> days. evaluate for consolidation, effusions colitis mediastinum.
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pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
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history: <unk>f s/p assault today. // rib fractures?
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single semi-erect portable chest radiograph demonstrates no focal opacity convincing for pneumonia. cardiomediastinal and hilar contours are stable in appearance. the right costophrenic angle is incompletely imaged. no overt pulmonary edema. no large effusion is appreciated. a trach is identified terminating <num> cm above the level of the carina. no acute osseous abnormalities detect appear
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<unk>-year-old male with anoxic brain injury. status post trach with increased secretions and hypotension.
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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. cervical spine fusion hardware is incompletely imaged.
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history: <unk>m with chest pain x <num> months.
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there is no focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. no pulmonary edema is seen.
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history: <unk>m with chest pain // chest pain
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the overall appearance of the lungs is unchanged, with persistent subpleural nodular and reticular opacities. right hilar opacity also appears unchanged. there is no acute focal consolidation. the cardiomediastinal silhouette is stable.
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<unk>f with reported recent hospitalization for lung infection, presenting with cough and crackles r lung base // eval for pna or acute lung process
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MIMIC-CXR-JPG/2.0.0/files/p19733634/s50055989/020a6ce6-29803a55-e26f53f8-860ec679-1b027cdd.jpg
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pa and lateral views of the chest. there are interstitial opacities and kerley b lines at the bases consistent with mild interstitial edema. no evidence of pneumonia. there is no pleural effusion or pneumothorax. cardiac, mediastinal, and hilar contours are normal.
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shortness of breath and cough, evaluate for pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p18342701/s51147241/28f579a5-bc674b75-ddcb76c7-c67eec38-0881015c.jpg
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left-sided dual-lumen central venous catheter tip terminates within the right atrium, unchanged. cardiac, mediastinal and hilar contours are within normal limits, and the heart size is normal. lungs are clear and remain hyperinflated. no focal consolidation or pneumothorax is present. minimal blunting of the left posterior costophrenic sulcus on the lateral view may suggest a trace left pleural effusion. there is no pulmonary vascular engorgement. multiple clips are demonstrated within the right upper quadrant of the abdomen.
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cough, shortness of breath.
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the lungs are clear. there is no consolidation, effusion, or pneumothorax. apparent enlargement of the cardiac silhouette is likely secondary to portable technique and low lung volumes. no acute osseous abnormalities.
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<unk>m with polysubstance od, hypoxia, ? new schf // eval for acute process
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MIMIC-CXR-JPG/2.0.0/files/p18933552/s59360799/03a76799-9e456afe-03d63f14-475b3e31-871812ee.jpg
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continued opacity obscuring the left heart border and left costophrenic angle is compatible with pleural effusion and associated compressive atelectasis, similar to <unk>. the cardiac and mediastinal silhouette is unchanged. faint increased linear opacities in the right upper lobe may reflect atelectasis and early pneumonia cannot be excluded.
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<unk>m with sob // sob/doe
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the heart is again mild to moderately enlarged. the cardiac, mediastinal, and hilar contours appear stable. there is no definite pleural effusion or pneumothorax. although not nearly as striking is the prior study, the pulmonary vascularity is indistinct, and the appearance suggests mild vascular congestion, without definite focal opacity. hemidiaphragms are flattened. fissures are minimally thickened.
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chills and sweats. history of congestive heart failure.
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a left pectoral pacemaker is unchanged with a single lead terminating in the right ventricle. the patient is status post left upper lobe wedge resection with stable postoperative appearance of the left hemithorax including mild dilatation of the left hemidiaphragm and stable appearance of the left hilus. no focal parenchymal opacities, pleural effusion or pneumothorax is appreciated. the right lung is well expanded and normal in appearance. there is no overt pulmonary edema. the cardiomediastinal and hilar contours are within normal limits.
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fever, here to evaluate for pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p18030487/s55922539/215caa8c-03f08485-09c46732-56e45583-845bf808.jpg
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single ap radiograph of the chest demonstrates a mildly enlarged cardiomediastinal silhouette. there is a focal nodular opacity in the right lung base. there are also patchy right basilar opacities as well as linear opacities in the retrocardiac region of the left lung base. there is no definite pleural effusion. there is no pneumothorax. there is tortuosity of the aorta.
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chest pain and cough. evaluate for acute process.
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lung volumes are unchanged compared to the prior study. a right-sided picc terminates in the right subclavian vein or proximal right brachiocephalic, unchanged in appearance compared to the prior study. a right internal jugular catheter terminates in the mid svc. median sternotomy sutures are unchanged in appearance. multiple surgical clips in the mediastinum. no consolidation. no pneumothorax or pleural effusion seen. a dobhoff tube terminates in the gastric fundus.
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<unk> year old man with increasing pressor requirement, hypothermia, aspiration during intubation <unk> // eval pneumonia
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MIMIC-CXR-JPG/2.0.0/files/p16346354/s55299733/e0a6f265-a3ad624e-1a24c5ee-d4931cd9-612caad9.jpg
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mild cardiomegaly is present with left ventricular configuration of the heart. aorta is tortuous, and pulmonary vascularity is normal. focal linear scar in the lingula is present as well as localized appear pleural and parenchymal scarring at the right base, with latter unchanged since the prior study. there is no pleural effusion
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<unk> year old man with doe, hx of cardiac disease with lv dysfunction // r/o infiltrate or effusion
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MIMIC-CXR-JPG/2.0.0/files/p12293631/s59354463/e2cdc555-daa0bbde-214f722c-fe067bb6-fc0d6629.jpg
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ap and lateral views the chest were viewed. the cardiomediastinal and hilar contours are stable. there is no pleural effusion or pneumothorax. the lungs are well expanded without focal consolidations. the previously noted nodular opacity at the right lung base is not clearly seen on the current study. interstitial markings are again prominent, likely indicative of chronic lung disease. no displaced rib fractures are seen.
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fall, dementia.
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patient is status post median sternotomy. left lower lobe opacity is worrisome for pneumonia. cardiac silhouette is top-normal to mildly enlarged. mediastinal contours are stable. no large pleural effusion is seen. there is no evidence of pneumothorax.
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history: <unk>m with cp and sob // cp and sob
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MIMIC-CXR-JPG/2.0.0/files/p16550015/s53712467/d27746da-a329e4dd-aea775fb-0ac1e03e-85d29611.jpg
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upright frontal view of the chest. the lungs are clear without focal opacity, vascular congestion, pleural effusion or pneumothorax. the cardiac silhouette is enlarged. the aortic knob is calcified. there is orthopedic hardware in one of the humeri. no acute osseous abnormality is seen.
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weakness. evaluate for pneumonia.
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nasogastric tube tip terminates in the stomach. right-sided port-a-cath tip terminates at the junction of the svc and right atrium. cardiac and mediastinal contours are unchanged, with heart size within normal limits. pulmonary vasculature is normal. patient is status post right upper lobectomy and right middle lobe wedge resection postoperative changes noted in the right hilar region. previously noted right apical pneumothorax is not clearly seen on this exam, though the lung apices are not completely imaged. remainder of the lungs are clear without pleural effusion or new focal consolidation.
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<unk>m status post nasogastric tube placement, please confirm placement
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MIMIC-CXR-JPG/2.0.0/files/p17883695/s52832298/b0dc48f3-06751361-db5bb518-ab7e57cb-e2f29a7c.jpg
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the lungs are clear of focal consolidation, pleural effusion or pneumothorax. the heart size is normal. the mediastinal contours are normal.
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history: <unk>f with <num> hour of palpitations and chest tightness // eval for cardiomegaly
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MIMIC-CXR-JPG/2.0.0/files/p12828571/s55686464/3349e352-f591386c-079552b2-1794dfb5-bc2f981c.jpg
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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. streaky left basilar opacity suggests minor atelectasis or scarring. otherwise, the lungs appear clear.
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altered mental status and rhonchi on the left.
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MIMIC-CXR-JPG/2.0.0/files/p16634427/s54065474/358a28bf-66a7efaf-527d5c55-79edbeb3-117bb432.jpg
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single erect portable view of the chest demonstrates interval placement of an icd with single lead terminating in the right ventricle. there is no evidence of pneumothorax or pleural effusion. since the prior study, there has been interval resolution of pulmonary edema and interval decrease in cardiomegaly. this study appears similar to the patient's estimated baseline study of <unk>.
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<unk>-year-old female with icd placement. evaluation for position of lead.
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frontal and lateral radiographs of the chest demonstrate a large left-sided pleural effusion with adjacent compressive atelectasis, which has improved slightly over the interval. the patient is status post right upper lobe resection. the right lung field appears clear. there is fluid seen in the neo-esophagus. the cardiomediastinal and hilar contours are unchanged. there is no pneumothorax. areas of patchy opacification in both lungs have decreased in density over the interval.
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<unk> year old woman s/p rul wedge // ? interval change
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MIMIC-CXR-JPG/2.0.0/files/p13590978/s54289336/a2e2eb17-16228539-5aa10acb-8f20c727-12953700.jpg
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frontal and lateral views of the chest were obtained. the lungs are slightly hyperinflated. there is no focal consolidation, pleural effusion or pneumothorax. a calcified granuloma in the left lower lobe is unchanged since <unk>. heart size is normal. mediastinal silhouette and hilar contours are normal.
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persistent cough and fatigue with low-grade fevers.
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MIMIC-CXR-JPG/2.0.0/files/p17524332/s52451386/53ba8f32-d4ca8d71-c3436bed-d30b9432-308c0073.jpg
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a left chest wall port-a-cath is present with the tip extending to the right atrium. unchanged elevation of the left hemidiaphragm. slightly increased conspicuity of a left suprahilar opacity. no new focal consolidation, pleural effusion or pneumothorax identified. the size the cardiomediastinal silhouette is within normal limits.
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<unk> year old man with colon cancer w/ fever and leukocytosis // r/o pneumonia, atelectasis, metastasis of disease, effusions, other cause/concerns for infection
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MIMIC-CXR-JPG/2.0.0/files/p16334734/s57687674/55c5e915-d63fa9d7-c4c38a80-d3578fc3-266a5c4c.jpg
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there is increased opacity at the left lung base, concerning for pneumonia in the proper clinical setting.there is no pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is enlarged but overall unchanged dating back to <unk>.
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<unk> year old woman with decreased breath sounds // opacity, pulmonary edema
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MIMIC-CXR-JPG/2.0.0/files/p13707769/s53129672/94cc168a-0a44f8e2-5875b483-4d76c8cb-26d8c164.jpg
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heart is normal size and cardiomediastinal contours are unremarkable. lungs are well expanded and clear with no evidence of focal consolidation to suggest pneumonia. no pleural effusions and no pneumothorax.
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<unk>-year-old woman with cough x<num> days, rule out pneumonia.
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MIMIC-CXR-JPG/2.0.0/files/p12536530/s55076685/ec6dc415-6706f43b-740f8dcc-8f1e5c22-7cc9c932.jpg
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frontal and lateral views of the chest were compared to previous exam from <unk> and ct scan performed just before this exam. the lungs are clear with focal consolidation or effusion. moderate sized hiatal hernia is noted. cardiomediastinal silhouette is unremarkable. osseous and soft tissue structures are unremarkable.
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<unk>-year-old male with chest pain.
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