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heart size is moderately enlarged, similar to compared to the previous exam. mediastinal and hilar contours are unchanged, with atherosclerotic calcifications again noted at the aortic knob. calcified left hilar lymph nodes along with calcified granulomas in the left lung base are unchanged. pulmonary vasculature is not engorged. subsegmental atelectasis is again noted in the left lung base, and elevation of the left hemidiaphragm is chronic. no focal consolidation, pleural effusion or pneumothorax is identified. no acute osseous abnormality is detected.
history: <unk>f with exertional dyspnea
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an endotracheal tube ends at the level of the clavicles. an enteric catheter extends inferiorly off of the field of view. right-sided internal jugular line ends at the cavoatrial junction. two left-sided chest tubes are in unchanged position. a small right effusion is unchanged. right basilar consolidation is also similar. no pneumothorax is present. right-sided rib fractures and thoracic spine fusion and spacer hardware are unchanged.
<unk>-year-old man with esophageal tear after vomiting.
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heart size is borderline enlarged though this is likely accentuated due to low lung volumes. the mediastinal contour is unremarkable. there is crowding of the bronchovascular structures, without overt pulmonary edema demonstrated. streaky opacities are noted in both lung bases. no pleural effusion or pneumothorax is present. a vp shunt catheter is partially imaged, projecting over the right chest.
history: <unk>f with hcv, cirrhosis, dm<num>, htn, polysubstance abuse presenting with ams, fall today, leukocytosis, troponin elevation, new <unk>. // please evaluate heart size and for consolidation
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there is no pleural effusion or pneumothorax. the lungs appear clear. the chest is hyperinflated.
chest pain.
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small left apical pneumothorax is stable compared to <num> hr ago, measuring <num> cm in depth. nodular opacity at the left lung apex may reflect post procedural change. there is no pleural effusion. cardiomediastinal silhouette is unchanged.
<unk> year old woman with left small pneumothorax secondary to ct-guided biopsy of lung mass. // change in size of ptx
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the lungs are clear bilaterally, without evidence of focal consolidations, pleural effusions or pneumothorax. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk> year old woman with asthma and pleuritic chest pain // abpa? opacities?
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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. left chest cardiac device with lead tips in the right atrium and right ventricle appears similar to prior. right chest surgical clips are again seen.
history: <unk>f with left side cp*** warning *** multiple patients with same last name! // r/o cardiopulm abnormality
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one ap view of the chest. there is a linear right basilar atelectasis or scarring. there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal and hilar contours are normal.
altered mental status.
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there is moderate cardiomegaly. median sternotomy wires and cabg clips are noted. the mediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. lungs are well expanded and clear. pulmonary vasculature is within normal limits.
weakness and fatigue, evaluate for pneumonia.
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frontal and lateral views of the chest. the lungs are slightly hyperinflated, but clear of focal consolidation. there is no effusion or pneumothorax. the cardiomediastinal silhouette is stable. no acute osseous abnormality is identified.
<unk>-year-old male with dyspnea and left upper quadrant abdominal pain.
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pa and lateral views of the chest. again seen is a small-to-moderate right pleural effusion, similar in size compared to <unk>. vague retrocardiac opacity, difficult to exclude pneuomonia. since the prior study, there is significant resolution of pulmonary edema. lungs are hyperinflated. no left pleural effusion. radiation changes in the right paramedian lungs are unchanged.
copd and non-small cell lung cancer, status post radiation and hypoxemia, question worsening chf or infiltrate.
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pa and lateral radiographs of the chest demonstrate a small left juxtacardiac pleural effusion with minimal layering component. the location suggests loculation of the effusion. previously seen right lower lobe opacity has cleared. there is no pneumothorax. the hilar and mediastinal contours are normal. pulmonary vascularity is normal.
evaluate left-sided pleural effusion in patient with breast and ovarian cancer, status post thoracentesis with tiny left pneumothorax seen on <unk>.
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compared with prior radiographs on <unk>, the side port of the ng tube is located at the gastroesophageal junction, and should be advanced. an et tube and left central catheter are unchanged in position. there is no new focal consolidation, pleural effusion or pneumothorax. cardiomediastinal silhouette is unchanged.
<unk> year old woman with new rhonchi // evaluate for new consolidation
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the patient has had interval right upper lobe wedge resection. there is a new small right apical pneumothorax with chest tube in place. the lungs are clear. the heart and mediastinum are within normal limits.
lung nodule. s/p wedge resection // eval post op change
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the heart is at the upper limits of normal size. the mediastinal and hilar contours appear within normal limits. there are streaky basilar opacities most suggestive of atelectasis. these are somewhat conspicuous in the retrocardiac area on the lateral view. there is a slight peribronchial vascular thickening bilaterally with peribronchial cuffing suggesting an inflammatory or perhaps infectious process involving lower airways. moderate degenerative changes are noted along the lower thoracic spine.
question pneumonia.
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prior left picc no longer visualized. the lungs are clear without consolidation, effusion or pulmonary vascular congestion. the cardiomediastinal silhouette is normal. no acute osseous abnormality is detected.
<unk>-year-old female with known endocarditis, presents with fevers and chills.
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oxygen tubing overlies the right lung apex. no definite residual pneumothorax is identified, though a small pneumothorax might be difficult to identify in this setting. otherwise, the overall appearance is quite similar. tubing overlies the right lung base, better delineated than on the prior study.
<unk> year old man with metastatic lung ca // re-assess right apical pneumothorax and effusions
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frontal and lateral views of the chest. heart size and cardiomediastinal contours are normal. lungs are clear without focal consolidation, pleural effusion, or pneumothorax. mild deviation of the trachea to the left may be due to thyromegaly or enlarged innominate artery.
<unk>-year-old male with bilateral lower extremity edema and question of pulmonary edema.
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heart size is normal. mediastinal and hilar contours are normal. lungs are clear. no focal consolidation, pleural effusion or pneumothorax is present. pulmonary vasculature is normal. no acute osseous abnormalities detected.
history: <unk>m with recent fall
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the frontal view is slightly limited due to lordotic positioning. heart size is normal. the aorta is tortuous but unchanged. the hilar contours are normal. the pulmonary vascularity is not engorged. no focal consolidation, pleural effusion or pneumothorax is identified. vp shunt catheter is seen coursing along the left neck and left chest into the left upper quadrant of the abdomen. no acute osseous abnormalities are detected.
hip fracture.
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pa and lateral views of the chest were obtained. heart is normal size, and cardiomediastinal silhouette is unchanged. lungs are well expanded. there is subtle increased density as compared to the prior examination, best seen on the lateral radiograph superimposed over the spine along the major fissure. there is no pleural effusion or pneumothorax.
<unk>-year-old woman with chest pain.
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the cardiac silhouette remains enlarged. bibasilar predominant opacities seen on the prior study persists, but appear improved in the interval. right upper lobe pulmonary nodule seen on ct from <unk> was better assessed on ct. mediastinal contours are stable. no pleural effusion or pneumothorax.
<unk> year old man with chest pain, palpitations, hx of chf, copd, cad // evaluate for acute process
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a single portable ap upright view of the chest was obtained. heart is normal in size and cardiomediastinal contour is unremarkable. lungs are symmetrically expanded and clear. mild atelectasis at the right base noted. there is no pleural effusion or pneumothorax.
<unk>-year-old man with <unk> thrombosis, evaluate for acute process.
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lateral view is limited due to patient motion. the right-sided port-a-cath tip terminates in the upper svc. cardiac, mediastinal and hilar contours are normal. pulmonary vascularity is normal. lungs are clear. no pleural effusion or pneumothorax is present. there are no acute osseous abnormalities.
shortness of breath, cough.
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a subpleural mass in the right upper thorax is compatible with the known expansile metastatic lesion arising from the second right rib seen in the prior ct. based on plain films, it appears larger when compared to prior and there is more destruction of the second rib. a second sclerotic lesion in the left posterior ninth rib was also better seen on prior ct. no rib fracture is identified. the lungs are well-expanded. no focal opacities are identified. there are small bilateral pleural effusions. there is no pneumothorax. cardiomediastinal and hilar contours are unremarkable.
<unk>-year-old male with weakness. evaluate for infectious process.
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while the patient always has had some prominence of his vasculature in the right hemithorax, on today's exam it appears to be more consolidative than on the prior exams. in addition, near the costophrenic angle on the frontal view, there is a halo-like opacity with a central clearing. the left lung is clear. calcifications of the aortic knob are stable. heart size is normal. there is no pneumothorax or pulmonary edema.
reported pneumonia.
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there has been interval removal of the right-sided picc line. the lungs are well expanded and clear. heart size is top normal. the aorta is mildly tortuous and demonstrates atherosclerotic calcification. there is no pneumothorax or pleural effusion.
history is chf and right foot osteo, now with weakness concerning for pneumonia.
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there is no significant interval change in the chest since prior radiograph from <unk>. minimal right apical pneumothorax is persisting. both lungs are well expanded. a single right-sided chest tube is present with its tip terminating near the right lung apex. left lung is clear. cardiomediastinal silhouette is normal. lungs are well expanded.
evaluate for lung expansion.
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there is a persistent left pleural effusion, minimally decreased compared to the prior study with improved aeration of the left lung base. there is persistent airspace opacity in the left upper lobe consistent with the findings on the prior chest ct. the left hilar mass is partially obscured by this airspace opacity but appears grossly unchanged. the right lung appears grossly clear. no right-sided pleural effusion. severe degenerative changes in the right shoulder. .
<unk> year old man with new hilar mass, pleural effusion // effusion
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right apical pleural thickening and superior retraction of right hilum are stable and consistent with patient's history of right upper lobe resection. there is increased left lung base opacity in the infrahilar region . mild pulmonary edema is increased. enlarged cardiac silhouette is unchanged.
<unk> year old man with chf, lung cancer s/p rul resection and afib now with fevers and increased o<num> requirement. // please evaluate for pulmonary edema versus pna
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portable upright chest radiograph <unk> at <time> is submitted.
<unk> year old man s/p mie and chest tube removal // <unk> am <unk> am
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frontal and lateral views of the chest. dual-lumen left chest wall port is seen with catheter tip in the lower svc, similar to prior. the lungs remain clear of focal consolidation, effusion or pulmonary vascular congestion. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormality is identified. coils identified in the right upper quadrant.
<unk>-year-old female with fatigue.
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frontal and lateral views of the chest were obtained. the heart is of normal size with normal cardiomediastinal contours. there is slight engorgement of the pulmonary arteries without overt pulmonary edema. the lungs are otherwise clear without focal or diffuse abnormality. no focal pulmonary consolidation, pneumothorax, or pleural effusion. there is a wedge deformity of a lower thoracic vertebral body, of unknown chronicity. several chronic-appearing left rib deformities are seen. no radiopaque foreign bodies.
<unk>-year-old female with worsening shortness of breath. evaluate for pneumonia or fluid overload.
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
history: <unk>f with uri symptoms, multiple myeloma
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ap and lateral views of the chest. the lungs are clear of focal consolidation. there is blunting of a posterior costophrenic angle presumably on the left suggestive of small effusion. note is made of an azygos lobe and fissure. cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unremarkable.
<unk>-year-old male, pre-op.
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a single left-sided pleural catheter remains in place, <num> of previously seen catheters is no longer seen. left picc tip is seen in the lower svc. appearance of the left lung is unchanged noting volume loss. persistent opacity in the left lung is unchanged in part due to known underlying mass lesion and possible loculated fluid. left lung base consolidation/fluid seen posteriorly on the lateral view is unchanged. there is no large pneumothorax. there is a new small right-sided pleural effusion.
<unk>m with lung ressec and chest tubes in place pls eval for effusion vs pna //
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frontal and lateral views of the chest were obtained. the heart is of normal size. cardiomediastinal contours are stable. retrocardiac density with correlating opacity overlying the lower thoracic spine on the lateral view is compatible with left lower lobe consolidation. no large pleural effusion or pneumothorax. no radiopaque foreign body.
<unk>-year-old male with leg weakness and urinary hesitancy. evaluate for intrapulmonary process.
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cardiac silhouette size remains mildly enlarged. the aorta is unfolded, unchanged. the mediastinal and hilar contours are otherwise unremarkable. streaky bibasilar atelectasis is re- demonstrated. no focal consolidation, pleural effusion or pneumothorax is present. there are moderate degenerative changes noted in the imaged thoracolumbar spine with fusion hardware in the lumbar spine partially imaged.
history: <unk>m with fall, head injury
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frontal and lateral chest radiographs demonstrate a heart which is top-normal in size and fairly well-aerated lungs. there is no focal consolidation, pleural effusion, or pneumothorax. the lingular opacity is no longer appreciated. the visualized upper abdomen is unremarkable.
evaluate for pneumonia in a patient with an abnormal chest radiograph <num> month prior.
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pa and lateral views of chest were provided for review. the heart size is normal. the mediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. there is no focal consolidation concerning for pneumonia.
status post mvc with elevated blood sugars.
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the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified.
<unk>f with r arm numbness // r/o tos
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the heart size is normal. mediastinal and hilar contours are unchanged and within normal limits. lungs are clear. hyperinflation of the lungs is compatible with underlying copd. no focal consolidation, pleural effusion or pneumothorax is seen. multilevel degenerative changes are re- demonstrated in the thoracic spine along with several compression deformities within the lower thoracic spine. there is evidence of prior vertebroplasty of two vertebral bodies at the thoracolumbar junction.
status post stem cell transplant with cough.
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no focal consolidation is seen. retrocardiac opacity with air-fluid level is consistent with the large hiatal hernia. there is slight blunting of the bilateral posterior costophrenic angles may be due to pleural thickening versus very trace pleural effusions. no pneumothorax is seen. cardiac silhouette is top-normal. mediastinal contours are stable. no pulmonary edema is seen. partially imaged is a right humeral prosthesis.
history: <unk>f with ams, nausea. vomiting // please evaluate for infectious process
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frontal and lateral views of the chest demonstrate normal lung volumes. no pleural effusion, focal consolidation or pneumothorax is seen. hilar and mediastinal silhouettes are unremarkable. aortic arch calcifications are present. heart size is top normal. mild perihilar vascular congestion is longstanding.
chest pain.
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the cardiomediastinal silhouettes are normal. the bilateral hila are unremarkable. the lungs are clear. there is no pulmonary vascular congestion. there is no pneumothorax or pleural effusion. there is diffuse bronchial wall thickening, likely reflective of small airways disease.
<unk>f with <num> weeks of cough, eval for pna.
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a right internal jugular catheter has been removed. there is persistent opacification in the right upper lobe with an underlying increase in mild pulmonary edema. the cardiac and mediastinal contours are unchanged. there is no hilar or pleural abnormality.
elevated white blood cell count, cough and altered mental status. evaluate for pneumonia.
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support lines and tubes are unchanged in appearance when compared to the prior study. multifocal airspace opacities with areas of bronchiectasis are similar when compared to the prior study. no pneumothorax seen. no definite pleural effusion.
<unk> year old man with dyspnea and recent bal // assess lungs for opacification
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frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette, with the size likely exaggerated by mildly low lung volumes. there is no focal consolidation, pleural effusion, or pneumothorax. the visualized upper abdomen is unremarkable.
<unk>m with seizure, infx w/u and stroke r/o // pna? stroke? ich
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in comparison to <unk> there is no significant change. again seen is pleural fluid on the right side with volume loss of the right lower and right middle lobes. persistent right middle lobe opacity is noted. the left lung is clear.
<unk>f with lung cancer status post right vats presents with r flank pain. evaluate for pna, effusion.
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bilateral pleural effusions and pulmonary vascular congestion again seen. et tube and ng tube have been removed.
<unk> year old woman s/p crani for sdh // ? of aspiration - please obtain on <unk>
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again noted are biapical linear opacities, similar in comparison to prior study from <unk> and most likely representative of fibrosis. there are no new areas of consolidation. cardiomediastinal silhouette appears normal. no acute fractures are identified.
evaluation of patient with history of cryptogenic organizing pneumonia in remission, chest pain and fever.
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left basilar opacity consistent with pleural effusion and atelectasis however a left lower lobe pneumonia cannot be ruled out in the appropriate clinical setting. there is a small right pleural effusion with atelectasis. there is moderate vascular congestion without pulmonary edema. cardiac size is normal. there is no pneumothorax or pleural effusion.
<unk> year old woman with new oxygen requirement, pleuritic cp over l back. // ?pna or other acute cp process
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normal heart size, mediastinal and hilar contours. no focal consolidation, pleural effusion or pneumothorax.
history: <unk>f with chills // eval for pna
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single portable frontal chest radiograph demonstrates moderately well inflated clear lungs. no pleural effusion or pneumothorax. heart size, mediastinal contour, and hila are unremarkable. limited assessment of the osseous structures demonstrates no displaced rib fracture.
<unk>f with s/p mvc w trauma. assess for fracture.
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the lungs remain well expanded and clear. there is no effusion or pneumothorax. the cardiac silhouette is normal in size. there is widening of the paratracheal stripe, and loss of the ap window, as well as hilar fullness consistent with known mediastinal and hilar lymphadenopathy.
<unk>-year-old male with mediastinoscopy, evaluate for hematoma.
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there is no pleural effusion or pneumothorax. the lungs appear clear.
productive cough and fever.
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right port-a-cath terminates in lower svc. no pulmonary edema or pulmonary venous congestion. no new consolidation. small left pleural effusion increased slightly. the cardiomediastinal silhouette is unchanged. the spinal fusion hardware is seen without evidence of dehiscence.
<unk> year old woman with new hypoxia, h/o myeloma, and unclear etiology chest mass // eval for worsening pneumonia or edema
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the lungs are clear, the cardiomediastinal silhouette and hila are normal. there is no pleural effusion and no pneumothorax. old left rib fracture.
<unk>-year-old with chest pain.
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normal heart size, mediastinal and hilar contours. no focal consolidation, pleural effusion or pneumothorax.
history: <unk>m with chest pain // eval for acute process
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portable upright chest radiograph was obtained. medial right upper lobe juxta-mediastinal consolidation/mass persists with extensive reticular interstitial abnormality, relatively isolated to the right upper lobe. no pneumothorax is seen. there are no pleural effusions. the heart is normal in size with tortuous thoracic aortic contour.
right upper lobe mass status post biopsy, assess for pneumothorax.
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moderate left pleural effusion with adjacent atelectasis has increased since the prior study. a small right pleural effusion is grossly stable. there is no pneumonia, pulmonary edema or pneumothorax. heart size is slightly enlarged but stable. prominence of the ascending aortic countour is stable. the pulmonary arteries are large, particularly the left, unchanged since <unk>. both were mildly enlarged on <unk>, the only other prior chest image. i would suggest clinical assessment and evaluation of the left diaphragmatic region for a source of left dominant pleural effusion.
palpitations and shortness of breath.
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pa and lateral views of the chest are submitted.
<unk> year old woman with lymphadenopathy and night sweats // lad?, consolidations?, lad?, consolidations?,
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lungs are hyperinflated. re- demonstrated are bibasilar linear opacities, left greater than right, likely due to a combination of subsegmental atelectasis and scarring or fat pads. cardiomediastinal and hilar contours are unchanged. there is no pneumothorax, pleural effusion, or consolidation.
<unk>m with cp, sob // eval for consolidation
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lung volumes are low with severe bilateral pulmonary edema as well as moderate bilateral pleural effusions. the cardiomediastinal silhouette is enlarged. no pneumothorax is seen.
history of t tube, chf, pulm htn. evaluate for pulmonary edema, aspiration, or pneumothorax.
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et tube terminates at the level of the clavicles. a right subclavian central venous catheter terminates in the lower svc. an orogastric tube enters the proximal duodenum. layering bilateral pleural effusions are present. diffuse bilateral airspace opacities are unchanged. there is no pneumothorax. moderate cardiomegaly despite the projection is unchanged.
<unk> year old man with new ogt // og tube placement
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frontal and lateral views of the chest were obtained. the heart size and cardiomediastinal contours are normal. the lungs are clear. no focal consolidation, pleural effusion, or pneumothorax.
<unk>-year-old female with chest pain.
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heart size is normal. mediastinal and hilar contours are normal. pulmonary vasculature is not engorged. patchy opacities are noted in the lung bases. no pleural effusion or pneumothorax is present. there are no acute osseous abnormalities.
history: <unk>f with fever, cough
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ap and lateral chest radiographs demonstrate no focal consolidation, pleural effusion, or pneumothorax. heart size is normal. the cardiomediastinal silhouette is within normal limits.
preoperative evaluation. evaluate for pneumonia.
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left-sided dual chamber pacemaker device is noted with leads terminating in the right atrium and ventricle. moderate enlargement of the cardiac silhouette is re- demonstrated, a component which may reflect a pericardial effusion. the mediastinal and hilar contours are similar. pulmonary vasculature is not engorged. there is a continued moderate right pleural effusion, with trace left pleural effusion, not substantially changed in the interval. no pneumothorax is seen. mild atelectasis is noted in lung bases. there are mild degenerative changes noted in the thoracic spine with slight loss of height of a vertebral body at the thoracolumbar junction, unchanged.
history: <unk>f with dyspnea and history of chf
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frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. the cardiomediastinal and hilar contours are unremarkable. there is no pneumothorax, pleural effusion, or consolidation.
history: <unk>m with tachycardia, chills // eval for pna
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right-sided port-a-cath terminates in the proximal right atrium without evidence of pneumothorax. patient is status post median sternotomy and cardiac valve replacement. minimal left base atelectasis/scarring is seen.no focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable.
<unk>m with astrocytoma and known seizure disorder presenting with seizure. ?cardiopulmonary etiology // <unk>m with astrocytoma and known seizure disorder presenting with seizure. ?cardiopulmonary etiology
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a few subcentimeter calcified appearing nodular opacities in the right hemi thorax either represent vessels on and or calcified granulomas. no focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac silhouette is normal in size. the aorta is slightly tortuous.
history: <unk>m with cp // eval for pna, ptx
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cardiomegaly, pulmonary vascular congestion, and mild interstitial pulmonary edema have increased from the prior study. airspace opacity within the right lower and right middle lobes is concerning for superimposed pneumonia. there is no pneumothorax or pleural effusion.
<unk>f with copd presenting from nursing home with hypoxia to <num>s and weakness. endorses dry cough and chills. wheezes on exam, evaluate for pneumonia.
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nasogastric tube terminates in the stomach with side port above the expected location of the gastroesophageal junction. a right internal jugular central venous catheter terminates in the mid svc, unchanged. lungs are well expanded and clear without evidence of pneumonia, pulmonary edema, pleural effusion, or pneumothorax. mediastinal contours, hila, and cardiac silhouette are normal. surgical clips in the upper abdomen are unchanged.
<unk> year old woman with ngt, advanced last night. // eval advanced feeding tube.
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pa and lateral views of the chest were reviewed and compared to the prior study. there is a right-sided pigtail catheter located in the right hemithorax. the previously described small right apical pneumothorax has completely resolved. multiple calcified pleural plaques are unchanged and related to prior asbestos exposure. opacity in the minor and right oblique fissures represents a small right pleural effusion. opacity and a fiducial seed in the right cardiophrenic angle likely represent a small amount of procedural hemorrhage. there is no pulmonary edema or vascular congestion. a left pectoral pacer has a single lead ending in the right ventricle. median sternotomy wires are aligned and intact. mild cardiomegaly and the mediastinal contours are unchanged.
evaluation for interval change of a right pneumothorax in a patient with pneumostat in place status post radiofrequency ablation.
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the lungs are clear, the cardiomediastinal silhouette and hila are normal. there is no pleural effusion and no pneumothorax.
<unk>-year-old with brain mass, please assess for acute cardiothoracic process.
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pa and lateral views the chest were viewed. fullness of the left hilus could be due to an enlarged left pulmonary artery or adenopathy. there is no pleural effusion or pneumothorax. the lungs are well expanded and clear. peripheral pulmonary vasculature is within normal limits.
right upper quadrant and chest pain, low-grade fever.
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pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>f with hx of marfan's syndrome p/w cp and sob // assess for infiltrate, widened mediastinum
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normal heart size, mediastinal and hilar contours. no focal consolidation, pleural effusion or pneumothorax.
history: <unk>m with cp // eval for ptx
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left-sided pacemaker and leads are in expected in unchanged position. the cardiac silhouette is enlarged but stable from the prior exam done on <unk>. the aorta is tortuous and shows mural calcification as before. there is a small right pleural effusion and small to moderate left pleural effusion stable to minimally increased from the prior examination done <num> days ago. adjacent parenchymal opacities are most consistent with compressive atelectasis. no pneumothorax. the bones are diffusely sclerotic.
<unk> year old woman with dyspnea, hypoxia // pre-v/q scan
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the cardiomediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. the lungs are hypoinflated but without focal consolidation. pulmonary vascularity is within normal limits.
<unk>-year-old male status post mvc.
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interval placement of an endotracheal tube terminates approximately <num> cm above the level of the carina. enteric tube courses below the diaphragm, out of the field of view. there are low lung volumes, which accentuate the bronchovascular markings, however, bilateral perihilar highly areolar opacities raise concern for developing pulmonary edema. no large pleural effusion or pneumothorax is seen. cardiac and mediastinal silhouettes are grossly stable given differences in patient position and inspiration.
history: <unk>m with ett // ett
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mild basilar atelectasis is seen. no definite focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. no pulmonary edema is seen.
history: <unk>m with h/o cad with fatigue, mild hypoxia, transferred due to elevated trop at osh // ?cardiomegaly, edema, pna
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no previous images. the heart is normal in size. lungs are clear without vascular congestion or pleural effusion.
cough with left bronchi.
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lung volumes are low and the patient is in a lordotic position. this accentuates the cardiac silhouette size which is likely top normal. the mediastinal and hilar contours are unremarkable. the lungs are clear. no pleural effusion or pneumothorax is present. no acute osseous abnormalities are seen.
facial trauma, head strike.
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single portable chest radiograph demonstrates stable moderate cardiomegaly with central vasculature congestion and diffuse bilateral patchy opacities with a perihilar distribution, right greater than left with appearance of pulmonary edema. opacities are greater on the right than left, which may be due to assymetric pulmonary edema, but a superimposed infectious process is not excluded. retrocardiac opacity is likely reflection of atelectasis, edema and possibly small left pleural effusion. minimal blunting of costophrenic angle on the right may be due to a trace right pleural effusion.
dyspnea, please evaluate for cardiopulmonary process.
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pa and lateral views of the chest were compared to previous exam from <unk>. the lungs are clear, without consolidation, pulmonary vascular congestion, or effusion. the cardiomediastinal silhouette is normal. osseous and soft tissue structures are unremarkable.
<unk>-year-old male with intermittent chest tightness and shortness of breath.
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frontal and lateral chest radiographdemonstrates well expanded and clear lungs.no pleural effusion or pneumothorax. stable pneumomediastinum. heart size, mediastinal contour, and hila are unremarkable. limited assessment of the upper abdomen is within normal limits.
incidental pneumomediastinum of unclear etiology with increased pain. assess for evolution of pneumomediastinum.
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a right chest tube projecting over the right midlung is associated with subcutaneous emphysema. low lung volumes cause bronchovascular crowding and bibasilar atelectasis. allowing for this, there is moderate pulmonary vascular congestion and mild to moderate pulmonary edema. there is no pneumothorax. the cardiomediastinal silhouette, including mild to moderate cardiomegaly, is unchanged.
<unk> year old woman s/p right lung wedge resection, evaluate for post-op changes
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no focal consolidation is seen. there is minimal left base atelectasis. no pleural effusion or pneumothorax is seen. somewhat rounded retrocardiac opacity is nonspecific but may relate to a hiatal hernia. the aorta is somewhat tortuous. the cardiac silhouette is top-normal in size.
history: <unk>m with retrosternal chest pain, mild wheezing on exam // eval for acute process
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the cardiomediastinal and hilar contours are stable. there is no pleural effusion or pneumothorax. the lungs are well-expanded and clear without focal consolidation concerning for pneumonia. a dual lead left chest wall pacemaker is noted with leads terminating in the right atrium and right ventricle as expected.
<unk>f with tia // ?pneumonia
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interval insertion of <num> right-sided chest tubes. small right apical pneumothorax without tension. right port-a-cath terminates in cavoatrial junction, unchanged. right-sided pleural effusion has decreased slightly and right middle and lower lobe collapse has resolved. new left lower lobe collapse is obscuring the left hemidiaphragm. no left pleural effusion. no left pneumothorax. the lungs are otherwise clear. cardiomediastinal silhouette is unchanged.
<unk> year old woman with pleural effusion , s/p <num> chest tube placment // r/o pneumothorax
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heart size is normal with moderate unfolding of the thoracic aorta. surgical clip projecting over the right hilus is unchanged, as are post-surgical changes in right lung. cardiomediastinal silhouette and hilar contours are otherwise normal. lungs are clear. pleural surfaces are clear without effusion or pneumothorax.
chest pain.
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pa and lateral views of the chest. previously seen pneumonia in the right lower and mid lung are no longer apparent. the lungs are clear. the cardiac, mediastinal, and hilar contours are normal. there is no pleural effusion or pneumothorax. there is no pulmonary vascular congestion.
right lower quadrant pain and recent pneumonia, evaluate for pneumonia.
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a left pectoral pacemaker is unchanged in position or appearance from the most recent prior study, with a single lead terminating in the right ventricle, unchanged. the lungs are symmetrically well expanded and well aerated without focal airspace opacity, pleural effusion or pneumothorax. the pulmonary vasculature is not engorged. the cardiac silhouette is top normal in size, but stable. the mediastinal and hilar contours are within normal limits. the trachea is midline. there are healed right posterior lower rib fractures but no acute displaced rib fractures. there is no free air beneath the right hemidiaphragm.
trauma to chest, now with syncope and chest pain in region of pacemaker, here to evaluate for rib fracture or pneumothorax.
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heart size is mildly enlarged with a left ventricular predominance. the aorta is tortuous but unchanged. mediastinal and hilar contours are similar. pulmonary vasculature is not engorged. calcified granulomas are again seen within the right upper lung field. focal scarring in the left mid lung field is unchanged. no focal consolidation, pleural effusion or pneumothorax is present. sclerotic lesion within the left proximal humerus may reflect an enchondroma and is unchanged.
history: <unk>m with dyspnea
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the cardiomediastinal shadow is normal. there is a linear confluent airspace opacification (most likely atelectasis) seen in the basal aspect of the right lung with an associated effusion. smaller left-sided effusion with adjacent subsegmental atelectasis. the upper lung zones are clear. no pulmonary edema. spondylotic changes of the thoracic spine.
<unk> year old man with leukocytosis and fever // assess for pulmonary edema and effusions. assess for infiltrates
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there are linear bibasilar opacities with blunting of the costophrenic angles. superiorly, the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormality is identified.
<unk>m with sob // effusion
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pa and lateral views of the chest provided. there is stable mild right hemidiaphragmatic elevation with right basal atelectasis again noted. minimal atelectasis in the left lower lung also noted. there is no convincing sign of pneumonia. no effusion or pneumothorax. no signs of pulmonary edema. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>m with code stroke, right sided weakness // cva?
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no focal consolidation or pneumothorax is detected. heart and mediastinal contours are stable with aortic tortuosity. trace unilateral pleural effusion, probably on the left but evident on lateral view only, is new compared to prior.
<unk>-year-old female with fever and cough.