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pa and lateral chest radiographs were provided. bilateral pacemakers are unchanged in position. the lungs are clear without focal consolidation, pleural effusion or pneumothorax. the heart is unchanged in size.
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history of subclavian access pacemaker. evaluate for lead position.
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there is bilateral lower lobe atelectasis. the lungs are otherwise clear. note is made of an azygos fissure. the hilar and cardiomediastinal contours are normal. there is no pneumothorax or pleural effusion. pulmonary vascularity is normal. no displaced rib fracture is seen.
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evaluate for pneumothorax or fracture after fall.
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the cardiac, mediastinal and hilar contours are normal. lungs are clear. pulmonary vasculature is normal. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
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cough, fever and chills.
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ap upright and lateral views of the chest provided. there is mild prominence of the interstitial markings which could reflect mild interstitial pulmonary edema. background emphysema is noted. no large effusion or pneumothorax. no focal opacity concerning for pneumonia. cardiomediastinal silhouette appears relatively normal. bony structures are intact. no free air below the right hemidiaphragm.
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<unk>f with doe // pna?
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left-sided pacemaker device with leads terminating in the right atrium and right ventricle is in unchanged position. heart remains mildly enlarged. mediastinal and hilar contours are normal. lungs are clear. pulmonary vasculature is normal. no pleural effusion or pneumothorax is seen. no acute osseous abnormalities identified.
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<unk> year old man with cough x <num> months // ? etiology of cough x <num> mo.
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. no displaced fracture is seen. air distended bowel is seen in the partially imaged left abdomen.
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excruciating left upper quadrant pain status post colonoscopy, evaluate for free air.
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frontal and lateral chest radiographs demonstrate changes of right upper lobectomy, with no new consolidation, pleural effusion, or pneumothorax. the cardiac silhouette is stable in appearance, and non-enlarged. mediastinal contours remain normal. the pulmonary vasculature is normal. a right chest port-a-cath is unchanged in position with its tip in the mid svc. a left chest dual-lead pacemaker is in place with atrial and ventricular leads unchanged in position. right rib deformities unchanged.
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<unk>-year-old male with chest pain and dyspnea on exertion.
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portable single frontal chest radiograph was obtained. the lungs are fully expanded and clear. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. there is no pleural effusion or pneumothorax.
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dyspnea and cough, evaluate for pneumonia.
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the left pleural drainage catheter has been removed. there is a persistent small left apical pneumothorax in the vicinity of suture chains related to prior blebectomy. there is a trace left pleural effusion. small volume subcutaneous emphysema in the lower left chest wall is likely related to recent chest tube placement. there is no focal consolidation.
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<unk> year old man with spont pnx, now s/p blebectomy and pleurodesis, evaluate for pneumothorax.
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the cardiomediastinal silhouette is normal. there is no pleural effusion or pneumothorax. low lung volumes, but no focal consolidation.
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<unk>m with productive cough, evaluate for pneumonia.
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pa and lateral views of the chest. the lungs are clear without consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is within normal limits. mild midthoracic dextroscoliosis is identified. no acute osseous abnormalities are seen.
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<unk>-year-old male with dyspnea and syncope.
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the heart is normal in size. there is an dextro leftward rotation and associated with moderate this the rightward convex scoliosis but allowing for those factors, the cardiac, mediastinal and hilar contours are likely within normal range. there is no pleural effusion or pneumothorax. a geographic i density is probably pleural but laced along the lateral right hemithorax may be a manifestation of scarring or small loculated pleural effusion.
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question pneumonia. patient presents with fever.
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interval development of a small left apical pneumothorax. increased left pleural effusion. improved subcutaneous emphysema in the chest wall and neck. unchanged atelectasis at the left base. no cardiomegaly. position of left chest tube is unchanged.
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<unk>-year-old woman status post left upper lobe wedge resection with concern for a bronchocutaneous connection around the chest tube on the prior study.
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left basilar opacity is seen silhouetting the hemidiaphragm. superimposed bibasilar parenchymal opacities are also seen. superiorly, lungs are clear. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
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<unk>f cirrhotic w/ large rle hematoma. atraumatic. eval for fx
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lungs are clear. cardiomediastinal silhouette and hilar contours are unremarkable. there is no evidence of focal opacity concerning for an infectious process. no pleural effusion or pneumothorax. previously identified bochdalek hernia is again noted on the lateral film, measuring <num> x <num> cm.
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<unk>-year-old man with chest pain and shortness of breath.
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the lungs are hyperinflated without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac silhouette is top-normal in size. mediastinal contours are unremarkable. hilar contours are unremarkable. partially imaged is a coarse calcification projecting over the soft tissue lateral to the right humeral head, likely represents calcific tendinosis.
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<unk> year old woman with myelodysplastic syndrome and fever, considered neutropenic by bmt // acute intrathoracic process?
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left-sided pacemaker device is noted with leads terminating within the right atrium and right ventricle. the cardiac silhouette size is mildly enlarged. mediastinal and hilar contours are unchanged. no focal consolidation is demonstrated. small bilateral pleural effusions persist, slightly decreased compared to the previous exam. there is mild prominence of the pulmonary vascular interstitium but no overt pulmonary edema demonstrated. linear opacities within the right lung base likely reflects atelectasis. there is no pneumothorax. no acute osseous abnormalities are demonstrated.
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anemia, congestive heart failure, history of mediastinal mass.
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heart size is normal. mediastinal and hilar contours are unremarkable. the lungs appear clear. there is no pneumothorax or pleural effusion. visualized bones are essentially unremarkable.
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<unk>m with lightheadeness and feeling off since this morning. evaluate for cardiomegaly.
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there is no focal consolidation, pleural effusion or pneumothorax. streaky opacities at the left lung base is most likely due to atelectasis. cardiomediastinal silhouette is within normal limits. median sternotomy wires are intact. known compression deformities of l<num> and l<num> are partially imaged.
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history: <unk>f with concern for mold exposure // eval for acute process
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lung volumes are slightly improved when compared the prior study with improved aeration of the right lung base. there is a veil like hazy opacity over the right lung consistent with of layering pleural effusion. no pneumothorax or consolidation seen. the cardiomediastinal contour is normal. a right-sided picc terminates in the mid svc. a nasogastric tube terminates in the stomach.
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<unk> year old man with cholangiocarcinoma now worsening sob // eval for pna, pulmonary edema
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ap and lateral chest radiographs were obtained. the exam is limited by significant soft tissue attenuation and ap lordotic positioning. despite these limitations, the lungs are well expanded and clear. there is no focal consolidation, effusion, pneumothorax. mild cardiomegaly and aortic tortuosity are unchanged since <unk>. however, the upper mediastinum appears wider than on prior exams, possibly due to ap technique.
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dyspnea.
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the endotracheal tube ends <num> cm above the carina. the nasogastric tube has been advanced. left retrocardiac opacity persists and could represent the large hiatal hernia however infection and aspiration are not excluded. there is no large pleural effusion or pneumothorax. there is no free air beneath the right hemidiaphragm.
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<unk>f with intubated, sedated // eval for et tube placement s/p transport
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ap upright and lateral chest radiograph demonstrates clear lungs bilaterally. cardiomediastinal and hilar contours are within normal limits. blunting of the left costophrenic angle most likely secondary to atelectasis. no large effusion is identified. there is no pneumothorax. visualized osseous structures are without acute abnormalities.
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<unk>f with increaseing seizures // r/o infection
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et tube terminates approximately <num> cm above the carina. there is a right-sided ij which terminates in the low svc. an ng tube extends below the diaphragm with the tip in the body of the stomach. opacity in the right lower lobe may be secondary to atelectasis vs. effusion. the heart size is normal. the hilar and mediastinal contours aside from mild pulmonary vascular congestion are unremarkable. there is no evidence of a pneumothorax.
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history of intubation, overdose. please evaluate.
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in comparison to chest radiograph taken earlier on the same day, interval removal of left chest tube with no evidence of pneumothorax. as expected, lung volumes are decreased bilaterally still opacities in the lung parenchyma appeared denser. no other significant change since chest radiograph performed earlier in the same day.
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<unk> year old man with s/p lvad // s/p chest tube removal ? ptx
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pa and lateral views of the chest. left picc line ends in low svc. the large left pleural effusion is unchanged. there is slightly more blunting of the right costophrenic angle representing a minimal right pleural effusion. there is no opacity concerning for pneumonia. there is no pneumothorax.
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leukemia, history of pleural effusion and new hypoxia, question infiltrate or effusion.
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there are stable areas of linear scarring in the mid and lower lungs bilaterally. no new consolidation, pleural effusion or pneumothorax is seen. there is no pulmonary edema. the heart and pulmonary arteries are enlarged.
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<unk>-year-old female with cough, sputum production, left flank pain. evaluate for pneumonia.
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pa and lateral views of the chest. the lungs are clear of consolidation or effusion. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormality is detected.
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<unk>-year-old female with fevers.
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the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable. median sternotomy wires and cabg clips are noted. mild thoracic vertebral compression deformities are again noted, unchanged from <unk>.
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history: <unk>f with significant cardiac history substernal chest pain and upper back pain lasting <num> minutes this am // acute intrathoracic process
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left basilar atelectasis is minimal. no focal consolidation, effusion, edema, or pneumothorax. the heart is normal in size. fullness of the left hilum appears unchanged. the descending thoracic aorta is tortuous.
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<unk>-year-old man with chest pain. evaluate for acute coronary syndrome and pulmonary embolus.
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frontal and lateral views of the chest. chronic cardiomegaly is mild to moderate, with a left ventricular configuration. the cardiomediastinal contours are stable. retrocardiac opacity correlates on the lateral view to density overlying the lower thoracic spine, compatible with left lower lobe consolidation. linear opacities in the right mid lung are similar to prior, compatible with scarring. no pleural effusion or pneumothorax. no radiopaque foreign body.
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<unk>-year-old female with fever and cough. rule out pneumonia.
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lung volumes are slightly low which accentuates the size of the cardiac silhouette which is borderline enlarged. mediastinal and hilar contours are normal. the pulmonary vasculature is normal. minimal patchy opacities in the lung bases likely reflect atelectasis in the setting of low lung volumes. no focal consolidation, pleural effusion or pneumothorax is present. no acute osseous abnormalities.
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history: <unk>f with <num> day history of productive cough, right upper quadrant pain, nausea; no fevers
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cardiac silhouette size is normal. the mediastinal and hilar contours are unchanged. pulmonary vasculature is not engorged. lung volumes are low. patchy bibasilar airspace opacities likely reflect atelectasis. no focal consolidation, pleural effusion or pneumothorax is identified. no displaced fractures are evident.
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history: <unk>m with etoh intoxication in restraints, possible traumatic injury and shortness of breath
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heart size is top normal. mediastinal and hilar contours are unremarkable. pulmonary vasculature is normal. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is present. air-fluid level is seen within the right breast compatible with history of recent surgery. moderate hypertrophic changes are noted within the thoracic spine.
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history: <unk>f with history of breast cancer status post surgery <unk>, with shortness of breath and cough since then.
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heart size is normal. mediastinal and hilar contours are within normal limits. pulmonary vasculature is not engorged. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is identified. no acute osseous abnormality is detected. multiple clips are noted projecting over the upper left/mid abdomen.
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history: <unk>f with recent fall
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the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
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<unk>f with fever, cough // eval for pna
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there is moderate pulmonary vascular congestion and interstitial edema. the cardiac silhouette is mildly enlarged. no focal consolidation is identified. there is no pleural effusion or pneumothorax. visualized upper abdomen is unremarkable.
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altered mental status, evaluate for pneumonia.
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endotracheal tube terminates <num> cm above the carina. an enteric tube terminates in the stomach and the side-port is not well-visualized, likely near the gastroesophageal junction. postoperative mediastinum, hila, and cardiac silhouette are normal. there is mild left lower lobe atelectasis but no pneumonia or pulmonary edema. a left chest wall pacemaker has intact ventricular and atrial leads. coronary artery calcifications are prominent. dashed radiopaque stimulated is seen overlying the thoracic spine. chronic right-sided rib fractures and pleural thickening are noted.
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<unk> year old man with new intubation // et tube placement
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cardiac size is top normal in size. small left pleural effusion associated with adjacent atelectasis is stable. increasing opacities in the right lower lobe are consistent with atelectasis. there are moderate to severe degenerative changes in the thoracic spine. ivc filter is again seen. of note the patient's chin obscures the apices of the lungs.
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hypoxia crackles. evaluate for pulmonary edema.
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there is no radiographic evidence for focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. heart and mediastinal contours are within normal limits.
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<unk>-year-old female with chest pain.
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cardiomediastinal contours are normal. the lungs are clear. there is no pneumothorax or pleural effusion. there are mild degenerative changes in the thoracic spine
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<unk> year old woman with ruq abd pain // acute process
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no significant interval change. right central catheter tip projects over the expected region of the svc-ra junction, unchanged. the lungs are well-expanded and clear. no focal consolidation, edema, effusion, or pneumothorax. cardiomediastinal silhouette is normal. hila are unremarkable. no acute osseous abnormality.
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history: <unk>f with gastric dysmotility, eosinphilic disorder, chronic port for tpn with rhonchi on exam // pneumonia?
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pa and lateral views of the chest. the lungs are clear without effusion, consolidation or pneumothorax. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormality detected.
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<unk>-year-old female stabbed onset of chest pain now resolved.
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inspiratory volumes are low. the heart is not enlarged. aorta is unfolded. mild prominence of the mediastinum is likely accentuated by low inspiratory volumes. there is upper zone redistribution, without overt chf. bibasilar atelectasis. no effusions. no pneumothorax detected.
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<unk> year old man with s/p evar w/ chest pain // ? pulm edema
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interval with improvement in aeration of both lungs compared to the prior exam. the right lower lobe opacity has resolved. mild residual left basilar atelectasis. small bilateral posterior pleural effusions. no focal consolidation, pulmonary edema, or pneumothorax. stable appearance of the cardiomediastinal silhouette, hila, and pleura. stable mild tortuosity of the descending aorta. sternotomy wires and surgical clips appear intact and unchanged in position.
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<unk>-year-old man presenting with a cough. evaluate for pneumonia.
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the study is somewhat limited due to patient rotation. patchy ill-defined opacities in the lung bases appear slightly progressed when compared to the prior study. this could reflect atelectasis as a result of slightly reduced lung volumes compared to the prior study. additionally, more focal patchy opacity in the right lung base again may reflect asymmetric pulmonary edema or infection. there are continued small bilateral pleural effusions as well as a loculated right apicolateral pleural effusion. remainder of the exam is unchanged moderate cardiomegaly. no evidence of pneumothorax. the patient is status post median sternotomy, cabg, pacemaker placement, and left axillary lymph node dissection.
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rales, shortness of breath.
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pa and lateral views of the chest. relatively low lung volumes are noted. the lungs remain clear. cardiomediastinal silhouette is within normal limits. no acute osseous abnormality detected.
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<unk>-year-old female with productive cough and subjective fevers.
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lungs are hyperexpanded but grossly clear without lobar consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is within normal limits.
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<unk>m with sob / evaluate for chf
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the lungs are fully expanded and clear. the cardiomediastinal silhouette is normal. there is no pleural effusion or pneumothorax.
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<unk>-year-old woman with shortness of breath, evaluate for pneumonia.
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pa and lateral views of the chest are compared to previous exam from <unk>. on the frontal exam, there is increased patchy opacity at the right lung base obscuring the right heart border which is less conspicuous on the lateral view. elsewhere, the lungs are clear, costophrenic angles are sharp. cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unchanged. changes at the right humeral head are less clearly seen on the current exam.
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<unk>-year-old male with shortness of breath, multiple intubations related to asthma.
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endotracheal tube tip is <num> cm above carina. enteric tube tip is below diaphragm, side hole is at gastroesophageal junction, should be advanced. right ij central line tip is in the mid svc. bibasilar atelectasis, pleural effusions are less apparent. no pneumothorax. prominent left chest skin fold. borderline heart size. normal pulmonary vascularity.
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<unk> year old man with history of acute hypoxic respiratory distress with intubation. // please evaluate for location of et tube.
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within the limitations of technique, the cardiac, mediastinal, and hilar contours appear probably unchanged. blunting of the left costophrenic angle is similar and accordingly is probably due to scarring in the costophrenic sulcus rather than a pleural effusion. there is no convincing evidence for a substantial pleural effusion on either side. there is no pneumothorax. the lungs appear clear.
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emesis and ekg changes.
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bilateral lower lung zone linear atelectasis. no focal consolidation, pleural effusion or pneumothorax identified. the size of the cardiomediastinal silhouette is within normal limits.
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<unk> year old man with right tha // r/o pneumonia postop
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there is an opacity at the right lung base concerning for pneumonia. the cardiac silhouette remains enlarged. there is fullness of the mediastinum, unchanged since prior study. there is no pleural effusion or pneumothorax.
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<unk>-year-old woman with altered mental status, evaluate for pneumonia.
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pa and lateral views of the chest were obtained. the lung volumes are reduced. the cardiomediastinal silhouette is unremarkable. there is no evidence of pneumonia, effusion or pneumothorax. there are degenerative changes of the thoracic spine.
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<unk>-year-old female with neuromyelitis optica and flare. evaluation for infection prior to starting high-dose steroids.
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the mediastinal and hilar contours are unremarkable. the cardiac silhouette is not enlarged.
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fever and drenching night sweats.
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overall, there has been no significant interval change from the most recent prior study of <unk>. right perihilar opacity persists, corresponding to soft tissue concerning for recurrent malignancy on prior cta of the chest. linear opacities in the right lung apex with opacification of the right paratracheal stripe may represent right upper lobe collapse and/or radiation changes. there is no significant pleural effusion or pneumothorax. the cardiac silhouette is incompletely evaluated due to low lung volumes. the mediastinal contours are prominent, related in part to unfolding of the thoracic aorta and right lung opacities. the cardiomediastinal silhouette appears stable from the prior study.
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cough and fever, here to evaluate for pneumonia.
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pa and lateral views of the chest provided. in the left lung base, there is a linear opacity that was not previously seen, likely reflecting atelectasis. repeating study in shallow anterior oblique view is recommended for further evaluation. pulmonary vasculature is normal. heart size is normal. mediastinal and hilar contours are normal. there is no pleural effusion.
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<unk> year old man with esrd s/p kidney/pancreas transplant, evaluate for cardiopulmonary abnormalities.
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pa and lateral views of the chest. the lungs are clear of consolidation, effusion, or pneumothorax. note is made of an aortic "nipple" likely from traversing venous structure adjacent to the aortic arch. cardiomediastinal silhouette is otherwise unremarkable. no free air seen below the diaphragm. no acute osseous abnormality.
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<unk>-year-old female status post egd with chest pain radiating to the back.
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the lungs are clear. the hilar and cardiomediastinal contours are normal. there is no pneumothorax. there is no pleural effusion. pulmonary vascularity is normal.
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<unk>-year-old woman presenting with possible first seizure. evaluate for infectious process.
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there has been interval placement of a left-sided hemodialysis catheter, the tip of which projects over the right atrium. the cardiac silhouette is moderately enlarged. there is no appreciable pulmonary edema. there is no pleural effusion or pneumothorax.
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<unk>-year-old male with mssa bacteremia and fevers, question acute process.
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ap portable view of the chest. there has been placement of a left pigtail catheter which overlies the left upper hemithorax. there has been significant decrease in left pneumothorax, now small. there is a small left pleural effusion and adjacent atelectasis. again seen are malposition pacemaker leads.
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followup pneumothorax after pacemaker placement.
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ap portable semi-upright chest radiograph was obtained. left basal opacity is unchanged with increasing right basal opacity. bilateral small pleural effusions are increased. mild-to-moderate pulmonary edema is unchanged or slightly increased. left picc is in unchanged position. heart and mediastinal contours reveal stable cardiomegaly.
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worsening lung exam and increasing oxygen requirement, assess for aspiration.
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et tube terminates <num> cm from the carina. the cuff of the et tube may be slightly overinflated beyond the expected borders of the trachea. enteric tube courses into the stomach and beyond the field of view. lung volumes are very low. there are bilateral opacities in the right mid lung abutting the minor fissure and both bases. there is mild cardiomegaly and pulmonary vascular congestion. a small right pleural effusion may be present.
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history: <unk>m with et for mental status // evaluate et placement
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opacity in the right base is linear, and likely the result of atelectasis. the cardiac silhouette is moderately enlarged. there is mild interstitial pulmonary edema. the mediastinal contours are unchanged with calcification noted of the aortic knob. there is no pneumothorax. abdominal surgical clips are unchanged.
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<unk>-year-old female with weakness, question chf.
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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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chest pain.
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the heart is of normal size with normal cardiomediastinal contours. the lungs are clear without focal or diffuse abnormality. no pleural effusion or pneumothorax. a right picc terminates in the lower svc. no new radiopaque foreign body. osseous structures are unremarkable.
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lower extremity edema. status post surgery.
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single portable ap radiograph is compared to multiple prior studies. patient is status post median sternotomy with wires which appear intact. clips are noted along the left mediastinal and cardiac border. cardiomediastinal and hilar contours are stable. linear opacity projecting over the left upper lung zone corresponds to a focal area of scarring and fibrosis with traction bronchiectasis as shown on ct dated <unk>. relative to prior chest radiograph dated <unk>, lungs are similar in appearance. interstitial and airspace opacities may reflect substantial vascular congestion. there is no large pleural effusion or pneumothorax. no acute osseous abnormality is detected.
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<unk>-year-old male with severe shortness of breath.
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mild cardiomegaly is unchanged. there is no pleural effusion or pneumothorax. there is bibasilar atelectasis. there is mild interstitial edema, improved from <unk>. there is no focal lung consolidation. there is calcification of the anterior longitudinal ligament of the thoracic spine consistent with dish.
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<unk>-year-old woman with shortness of breath
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cardiomediastinal silhouette and hilar contours are unremarkable. lungs are clear. pleural surfaces are clear without effusion or pneumothorax. slight elevation of the right hemidiaphragm is stable.
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vague left-sided chest pain and shortness of breath.
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cardiac silhouette size is normal. mediastinal and hilar contours are unremarkable. the pulmonary vasculature is normal. ill-defined parenchymal opacities are noted bilaterally, most pronounced within both lung bases, concerning for multifocal pneumonia. no pleural effusion or pneumothorax is present. there are no acute osseous abnormalities.
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history: <unk>f with cough
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the lungs are moderately well inflated and clear. no pleural effusion or pneumothorax. heart size, mediastinal contour, and hila are unremarkable. limited assessment of the osseous structures are unremarkable. no displaced rib fracture.
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<unk>f with cp and sob s/p mvc. assess for fracture or pneumo
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lung volumes are unchanged compared to the prior study. support and monitoring equipment also unchanged. there are persistent diffuse bilateral airspace opacities. these are more confluent in the lower lobes but also affect the apices. a vascular stent is seen in the left axilla and left subclavian area. no pleural effusion or pneumothorax seen.
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<unk> year old man with respiratory failure, <unk> pcp <unk>. improving. continues to have volume overload. // interval change
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portable ap radiograph was provided. since the most recent radiograph from <unk>, there is now increased opacity involving the right mid and lower lung, concerning for infectious process as seen previously on <unk>. new opacity at the left base may be infectious in etiology or atelectasis. there is mild blunting of the right costophrenic angle due to small pleural effusion. cardiomediastinal silhouette is unchanged. median sternotomy wires are intact. clips are seen along the left heart border. there is no pneumothorax. right picc catheter terminates in the upper-to-mid svc.
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<unk>-year-old man with recent hcap. planning to admit for infiltrate.
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ap upright and lateral chest radiographs were obtained. please note the lateral view of the chest is severely limited due to poor penetration and inspiration. a rounded opacity projects over the right mid lung with additional increased opacity in the right medial lower lung obscuring the heart border. these opacities could reflect an acute infectious process; however the rounded character of the midlung opacity is suspicious for a focal lesion. no pleural effusion or pneumothorax seen. heart is top-normal in size. prominence of the hilar contours, especially at the ap window, likely reflects adenopathy in the setting of known lymphoma.
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shortness of breath and oxygen requirement and confusion.
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frontal and lateral radiographs of the chest were acquired. there are new patchy opacities in the left upper lobe, concerning for an infectious process. bilateral lower lung patchy opacities are not significantly changed compared to the prior study from <unk>, likely atelectasis. there are no pleural effusions. no pneumothorax is seen. the heart is normal in size. note is made of mild unfolding of the descending thoracic aorta, unchanged. the mediastinal contours are otherwise normal. cholecystectomy clips are noted in the right upper abdominal quadrant.
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productive cough, fevers, and one episode of hemoptysis.
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mild hilar prominence is likely related to low lung volumes. the cardiac silhouette is within normal limits. there is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema.
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<unk>m with cp, evaluate for evidence of pneumothorax, pneumonia.
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compared to the prior examination, there has been increase in size of right-sided pleural effusion as well as worsening of right base consolidation with mild rightward mediastinal shift. the right main stem bronchus is difficult to visualize distally and may be plugged with mucus. a previously described right apical pneumatocele is more fluid filled compared to prior study. post-radiation changes in the right lung are unchanged. pulmonary edema in the left lung is improved. a small left-sided pleural effusion is unchanged. a left-sided port remains in unchanged position with the tip at the cavoatrial junction. there is no pneumothorax.
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lung cancer with possible aspiration event.
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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 fever // eval infiltrate
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the lungs are clear without focal consolidation, effusion, or edema. cardiomediastinal silhouette is within normal limits. median sternotomy wires and mediastinal clips are noted. no acute osseous abnormalities.
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<unk>m with cabg x<num> in <unk> now with doe, pleuritic cp, body aches. // pna/pulm edema
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minor left base atelectasis is seen. no definite focal consolidation. relatively low lung volumes. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. no displaced fracture is identified radiographically.
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history: <unk>m s/p mvc with airbag deployment // evaluate for acute cardiompulmonary process
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a single portable frontal view of the chest was performed. a left-sided pacemaker is present with leads terminating in the right atrium and right ventricle. there is an increased appearance of the interstitium which is thought to reflect mild pulmonary edema, the degree of which is slightly worse than prior. there is no pleural effusion or pneumothorax. the heart remains markedly enlarged. a calcified, enlarged and tortuous aorta is again noted which also accounts for the rightward deviation of the trachea. the imaged upper abdomen is unremarkable. there are no acute osseous abnormalities.
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dyspnea, evaluate for pneumonia, pneumothorax or heart failure.
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lungs are clear. cardiac silhouette is normal. there is no pleural effusion, pneumothorax, pulmonary edema or evidence of pneumonia. there is no free air. surgical clips in the right upper quadrant suggest prior cholecystectomy.
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<unk>f with fevers chills myalgias // acute cardiopulmonary disease
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tracheostomy tube has its tip approximately <num> cm from the carina. dobbhoff tube tip is in the stomach. right internal jugular central venous catheter is in the mid svc. picc line is in unchanged position. compared to the study performed earlier this morning there is worsening opacification at the lung bases which may in part be accounted for by layering pleural effusions. there is no evidence of large pneumothorax.
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<unk> year old woman with recent trach placement. // eval trach placement
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hyperinflation has developed since <unk>. no pleural effusion or pneumothorax. heart size is normal. cardiomediastinal and hilar silhouettes are unremarkable.
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<unk>m with wbc <unk>.<num>, leg weakness.
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cardiomediastinal contours are normal. the lungs are clear. there is no pneumothorax or pleural effusion. there are mild degenerative changes in the thoracic spine
|
<unk> year old woman with cough // r/o pna
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evaluation of the cardiomediastinal silhouette is limited due to dense opacifications in the left lung. left upper lobe opacification corresponds with known large mass thought to represent malignancy. the increase in left lower basal opacification is a combination of enlarging left pleural effusion and worsening atelectasis. previous interstitial edema has resolved. right lung is clear and there is no right pleural effusion.
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recent small cell lung cancer, diagnosis of left pleural effusion presenting with worsening shortness of breath, evaluate for acute process.
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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.
|
<unk> year old man with hx of tobacco use with sob // ? abn
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compared to prior study there is no significant interval change.
|
status post redo avr questioned pneumothorax.
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the lungs are clear of airspace or interstitial opacity. the cardiomediastinal silhouette is unremarkable. no pleural effusions or pneumothorax. no acute or aggressive osseus changes.
|
<unk> year old woman with sob // r/o infiltrate
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MIMIC-CXR-JPG/2.0.0/files/p11020337/s55417696/85db5f5c-ec290ebb-a8a3084e-83971fca-83644018.jpg
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pa and lateral views of the chest are compared to previous ct abdomen from <unk> and chest x-ray from <unk>. linear opacities at the left lung base suggest atelectasis. slight increased focal opacity at the right lung base laterally could potentially also be due to atelectasis; however, acute infection is also possible. increased density at the right cardiophrenic angle is compatible with previously identified prominent epicardial fat. blunting of the right latter costophrenic angle may be due to small effusion or atelectasis in this region. cardiomediastinal silhouette is stable, as are the osseous and soft tissue structures.
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<unk>-year-old man with breakthrough seizure. evaluate for pneumonia.
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moderate left and small right pleural effusions with associated compressive atelectasis are essentially unchanged. opacity projecting over the right apex was not clearly seen on prior radiographs. there is no widening of the paratracheal stripe to suggest mediastinal hematoma. lungs are otherwise clear. a small left apical pneumothorax is new. a right ij central venous catheter is unchanged in position, terminating near the superior cavoatrial junction. moderate cardiomegaly is unchanged. visualized cardiomediastinal hilar silhouettes are unremarkable. a mitral valve replacement is noted. median sternotomy wires are midline and intact.
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<unk> year old woman with s/p mv repair // eval for effusion or infiltrate
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evaluation is limited by suboptimal inspiratory effort. lungs are grossly clear. there is no pneumothorax. mild cardiomegaly is unchanged. although the right hilus appears slightly more dense than on the prior exam, this is likely due to vascular crowding.
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<unk> year old woman with asthma symptoms that reportedly are not improving with prednisone // evaluate for underlying evidence of pneumonia
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MIMIC-CXR-JPG/2.0.0/files/p18916144/s54696196/c5afec71-7751067f-cfb9508c-e1661dfa-742fd922.jpg
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in comparison to study from <unk>, there appears to have been slight interval increase in moderate pulmonary edema with increasing layering right greater than left pleural effusions. the appearance of volume status is similar to that of <unk>. there is otherwise no significant interval change with redemonstration of left ij, right ij central venous catheters in unchanged position as well endotracheal tube and ng tube in appropriate position. there is no new focal consolidation, and there is no pneumothorax.
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volume overload, evaluate changes in pulmonary edema.
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a right picc terminates at the upper svc. the heart size remains normal. there is no pneumothorax, focal consolidation, or pleural effusion. postsurgical changes are again seen at the left apex. ill-defined left basilar opacity persists.
|
hypoxic respiratory failure.
|
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there is minimal left lower lobe atelectasis. the lungs are otherwise clear. minimal cardiomegaly is chronic. there is no pneumothorax or pleural effusion. pulmonary vascularity is normal. the pacemaker and its leads are unchanged. no displaced rib fracture is seen.
|
pain and inability to move right arm. evaluate for fracture.
|
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ap view of the chest provided. nasogastric tube is seen terminating in the stomach. chest tube is in unchanged position. endotracheal tube is approximately <num> cm above the carina. otherwise, compared to prior study, there is little change with respect to left hemithorax opacification. right lung is clear.
|
<unk> year old man s/p og tube placement // og tube placement
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the lungs are clear. the cardiomediastinal silhouette is within normal limits. hypertrophic changes are noted in the spine.
|
<unk>f with chest tightness sudden onset this afternoon. // dissection, pneumonia?
|
MIMIC-CXR-JPG/2.0.0/files/p12951338/s56251430/cb725696-7019f8a5-6e149533-609f698f-d9f1ae89.jpg
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. the cardiac silhouette remains top-normal in size. no pulmonary edema is seen.
|
history: <unk>m with cp // eval for cardiomegaly
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MIMIC-CXR-JPG/2.0.0/files/p16785490/s57307860/1e8e16e7-8ff23aa2-bfeba32e-36b7fa6c-54586db3.jpg
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there is mild bibasilar atelectasis without definite focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable compared to <unk>.
|
history: <unk>m s/p fall from standing // eval for structural injury
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