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interval removal of et tube and ng tube with mild improvement in lung volumes. mild increase in pulmonary edema with mildly enlarged heart size and new bilateral perihilar haze. minimal left lower lobe atelectasis with interval decrease in left pleural effusion. no pneumothorax, new focal opacity or right pleural effusion. no bony abnormality.
male with coronary artery disease, status post cardiac arrest. assess for pneumonia and effusion.
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previous median sternotomy and aortic valve replacements noted. a right internal jugular catheter terminates at the right atrium. this could be withdrawn <num>-<num> cm for better seating within the distal svc. compared to the prior study, there has been interval development of bilateral pleural effusions, larger on the right than the left. this is associated with a atelectasis and superimposed infection cannot be excluded. no pneumothorax seen. the visualized bony structures demonstrate mild multilevel degenerative changes in the thoracic spine.
<unk> year old woman s/p avr // eval for effusion
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cardiomediastinal and hilar contours are stable. widespread parenchymal opacities have slightly worsened since the most recent prior study, which again could reflect a combination of pulmonary edema and/or pneumonia superimposed on chronic interstitial lung disease. there is no pneumothorax.
assess for interval change.
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single supine portable view of the chest is compared to previous exam from earlier the same day at <time> p.m. new endotracheal tube is seen with tip approximately <num> cm from the carina. nasogastric tube is seen with tip in the gastric body with side port passing the ge junction. the lungs are clear of focal consolidation. the cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unremarkable.
<unk>-year-old male with new endotracheal tube.
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there is a large right-sided pleural effusion with adjacent atelectasis, better characterized on the ct examination of the abdomen performed on the same day. the aerated, upper portion of the right lung is grossly unremarkable. the left lung is clear and without focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the heart size is normal. mediastinal and hilar contours are normal.
hcv, evaluate for liver transplant. assess pleural effusion.
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streaky bibasilar opacities are most likely atelectasis. elsewhere, lungs are clear. the cardiomediastinal silhouette is within normal limits. fat pad seen at the right cardiophrenic angle. no acute osseous abnormalities.
<unk>f with fever // pna?
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ap and lateral views of the chest are compared to previous exam from <unk>. previously identified left picc line is no longer seen. lower lung volumes seen on the current exam. there are indistinct pulmonary vascular markings suggestive of fluid overload. there are also possible small bilateral pleural effusions noting that lateral view is limited secondary to patient's arms obscuring visualization. cardiac silhouette is enlarged but stable. degenerative changes noted at the acromioclavicular joints bilaterally.
<unk>-year-old female with chf, dvt/pe and gout. question pulmonary edema.
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as compared to prior chest radiograph from <unk>, there has been no significant change. lung volumes remain low. there is no evidence of pneumonia, pleural effusions, pulmonary edema or pneumothorax. cardiomediastinal and hilar contours are within normal limits. an orogastric tube terminates in the stomach and the side port is seen below the ge junction. scoliosis is unchanged.
<unk>-year-old male patient status post ileocolic anastomosis and small bowel resection, presenting with persistent fever and tachycardia. study requested for evaluation of pneumonia and/or atelectasis.
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compared with the prior film, the et tube and ng tube are no longer visualized. the patient is rotated and his head is turned and the inspiratory volumes are slightly lower, which may account for slightly more prominent appearance of the superior mediastinum. there is upper zone redistribution, without overt chf. there is bibasilar atelectasis. there is patchy increased retrocardiac density, which may be slightly more pronounced than on the prior film. the right costophrenic angle is obscured by overlying materials and the extreme left costophrenic angle is excluded from the film. allowing for this, no pleural effusions are seen on either side. slight elevation the right hemidiaphragm is now visible. no pneumothorax detected. at the upper edge of these films, a fixation plate is seen in relation to the mandible.
<unk> year old man intubated at osh for ams, reported ct findings of r-sided infiltrates, potential aspiration event s/p intubation for airway protection, now self-extubated // inteval assessment
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heart size is normal. mediastinal and hilar contours are within normal limits. lungs are clear. pulmonary vasculature is normal. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
lower quadrant pain.
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in the interval since the prior study, there has been a placement of a pigtail catheter in the right pleural space. a right pleural effusion has decreased, although loculations still remain. left lung remains clear. no pneumothorax.
<unk> year old man with large volume right effusion s/p chest tube placement with initial output of <num>ml // ? ptx //<unk> year old man with large volume right effusion s/p chest tube placement with
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no focal consolidation is seen. there may be minimal interstitial edema. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable.
history: <unk>f with chest pain // eval for structural process
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frontal and lateral chest radiographs demonstrate clear lungs, without pleural effusion or pneumothorax. the cardiac silhouette and mediastinal contours are normal. there are post-surgical changes of cabg.
<unk>-year-old male with chest pain and cough, rule out pneumonia.
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transverse cardiomegaly. unfolded, tortuous thoracic aorta. no airspace consolidation. small to moderate bilateral pleural effusions. no overt pulmonary edema. no pneumothorax. spondylotic changes of the thoracic spine.
<unk> year old woman with decreased breath sounds b/l at bases // r/o consolidation / effusion
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the cardiac silhouette is mildly enlarged. the thoracic aorta is tortuous. there is bibasilar atelectasis. no definite consolidation is seen. there is no pleural effusion or pneumothorax.
history: <unk>m with left leg fx. pre-operative study // please evaluate for acute intrathoracic process
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heart size is normal. the aorta is mildly tortuous and demonstrates mild atherosclerotic calcifications. pulmonary vasculature is normal. patchy opacity within the left lung base with blunting of the left costophrenic angle appears chronic, and may reflect scarring with small left pleural effusion or pleural thickening. there is streaky atelectasis in the right lung base. no focal consolidation, right pleural effusion or pneumothorax is demonstrated. clips from prior cholecystectomy are seen in the right upper quadrant of the abdomen. there are no acute osseous abnormalities. mild degenerative changes are noted in the thoracic spine.
history: <unk>f with altered mental status
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bilateral basilar opacification is seen with no focal consolidation or pneumothorax. the cardiac silhouette is mildly enlarged with mild vascular congestion. et tube is in appropriate position, and the gastric tube coils in the stomach. right subclavian line ends in the lower svc in appropriate position.
<unk>-year-old man status post bowel perforation repair, section. evaluate volume status.
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minor bibasilar atelectasis is seen. there is mild elevation of the right hemidiaphragm. no large pleural effusion. no pneumothorax. cardiac mediastinal and silhouettes are stable.
history: <unk>f with w/ altered mental status // acute cardiopulm disease
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pa and lateral views the chest were obtained. the heart size is stable. the mediastinal and hilar contours are unremarkable. there is a moderate left pleural effusion. there is a small right pleural effusion. there is no pneumothorax. there is no focal consolidation concerning for pneumonia.
recurrent pleural effusions.
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ap and lateral chest radiograph demonstrate clear lungs with no focal opacity convincing for pneumonia. heart size is top-normal. no evidence of pulmonary edema. there is no pleural effusion or pneumothorax. visualized osseous structures demonstrate no acute abnormality.
<unk>-year-old female with cough.
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cardiac, mediastinal and hilar contours are normal. pulmonary vasculature is normal. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is visualized. no acute osseous abnormality is detected. fusion of several mid/lower thoracic vertebral bodies is re- demonstrated.
history: <unk>m with myalgias, chills
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a portable frontal upright view of the chest was obtained. cardiomediastinal silhouette is unchanged. a left subclavian line has been removed in the interval. cardiomediastinal silhouette is unchanged. left lower lobe atelectasis and pleural effusion persist. previously noted right basilar opacity is more confluent. mild edema persists. multiple bilateral rib fractures are noted. there is no pneumothorax.
<unk>-year-old man status post traumatic brain injury from mvc, bilateral pneumothorax status post left pigtail, status post ards, now with pneumonia, evaluate for interval changes.
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the heart is normal in size. the heart is moderately tortuous. there is a very small pleural effusion on the right. there is no definite pleural effusion on the left, but the possibility cannot be excluded. mild pleural thickening at each lung apex is consistent with minor scarring. there is a nodular focus projecting over the medial right lower lung which may correspond to a focus projecting over the posterior right lower lobe, a possible pulmonary nodule in the right lower lobe. otherwise the lungs appear clear.
lower extremity swelling.
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the cardiac silhouette is mild to moderately enlarged. mediastinal contours are unremarkable. no large pleural effusion or pneumothorax is seen. overlying the posterior lateral left seventh rib, there is a subtle rounded opacity measuring approximately <num> mm, unclear whether artifactual, osseous, or possibly pulmonary nodule. this could be further assessed on nonurgent chest ct. no further consolidation is seen.
history: <unk>f with pneumonia // pna?
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portable semi-erect chest radiograph <unk> at <time>
<unk>f w/decompensated chf on bipap // interval changes, pulm edema, consolidations interval changes, pulm edema, consolidations
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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 chest pain
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the patient is rotated somewhat to the left.re-demonstrated is a lateral left upper lung subpleural opacity. evidence of medial left lung/paramediastinal radiation fibrosis is seen, better assessed on ct. the lungs remain hyperinflated, consistent with copd. no definite new focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable.
history: <unk>f with dyspnea, hx of lung ca, tachycardia // acute cardiopulmonary process
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pa and lateral chest radiographs were obtained. the lungs are well expanded. a vague peribronchial opacity projects over the anterior <unk> left rib. there is no focal consolidation, effusion, or pneumothorax. cardiac and mediastinal contours are normal.
fall <num> week ago.
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patient is somewhat rotated.left mid lung and left base atelectasis is seen without definite focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac silhouette remains enlarged. the aorta is calcified and tortuous. previously seen vascular congestion has essentially resolved in the interval with possible only minimal remaining.
history: <unk>f with weakness, syncope // ?infectious process
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right-sided internal jugular catheter in the low svc. no pneumothorax. left retrocardiac opacity and moderate effusion have slightly increased. right basal opacity is also slightly increased, likely increasing effusion. no interstitial edema. no pneumothorax.
<unk> year old man with sao<num> <unk>, somnolent // acute intrathoracic process?
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there is severe cardiomegaly and prominence of the pulmonary vasculature is consistent with pulmonary congestion. the osseous structures are unremarkable. there is no pneumothorax.
history: <unk>f with hypoxia // pneumonia?
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pa and lateral views of the chest. the lungs are hyperinflated, consistent with copd. there is no pulmonary edema. there is a small left pleural effusion. no right pleural effusion. mild left basilar atelectasis. no focal parenchymal opacities concerning for pneumonia. no pneumothorax. the cardiac, mediastinal, and hilar contours are normal.
severe shortness of breath, much worse than usual, in patient with copd, evaluate for chf or infiltrate.
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lung volumes and cardiomediastinal contour are unchanged compared to the prior study. persistent bibasilar atelectasis, similar in degree when compared to the prior study. a right-sided picc terminates in the mid to distal svc. a tracheostomy tube is unchanged in appearance. surgical hardware in the lower cervical and upper thoracic spine. no new areas of consolidation seen. no pleural effusion seen.
<unk> year old man with polytrauma and chronic hypoxic respiratory failure // pulmonary edema? interval change?
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compared to the prior cxr on <unk>, there is a significant decrease in opacification of the right lung. however, there is increasing opacity of the left mid/lower lung. developing pneumonia is a possibility. there is no pneumothorax. the endotracheal tube and right internal jugular catheter are unchanged in position. stable cardiomegaly. no acute osseous abnormalities.
<unk> year old woman with ards with less o<num> requirement // evaluate for interval change
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the picc has been removed. patient is known to have severe emphysema. there is persistent consolidation in the left mid and lower lung which is concerning for pneumonia. there is also a small left pleural effusion, similar in extent to recent prior cxr. there is linear opacity in the right mid to upper lung, question atelectasis, new from prior exam. biapical pleural parenchymal scarring is noted. the cardiac and mediastinal contours are not significantly changed. there is no free air beneath the right hemidiaphragm.
<unk>f with pneumonia // evidence of infection
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the cardiomediastinal and hilar contours are within normal limits. lungs are well expanded and clear. there is no pleural effusion, pneumothorax or focal consolidation.
intermittent chest tightness. evaluate for cardiac process.
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the heart is mild to moderately enlarged. the mediastinal and hilar contours appear unchanged. a trace pleural effusion is difficult to exclude on the left, none on the right. there is patchy opacity in the right lower lung, probably in the anterior segment of the right lower lobe but not necessarily changed, chronicity unclear.
cough. question acute process.
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cardiomediastinal silhouette and hilar contours are normal. again appreciated is a moderate-to-large left pleural effusion which is relatively unchanged compared to <unk> despite thoracentesis on <unk>. there is expected associated compressive atelectasis. the left lung apex and right lung is clear. there is no pneumothorax. colonic interposition between the right hemidiaphragm and liver is noted and should not be mistaken for pneumoperitoneum.
worsening shortness of breath for one day after thoracentesis.
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portable upright chest radiograph shows an unchanged left subclavian central venous line. the orientation of the tracheostomy is unchanged. there is interval improvement in aeration at the right lung base, with continued atelectasis at the left lung base. parenchymal opacities in both lungs, predominantly in the upper zones, are unchanged. left chest tube is in unchanged configuration.
ards status post tracheostomy. evaluate for interval change.
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ap upright and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. right chest port catheter tip is in the lower svc. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
history: <unk>m with seizure // ?pna
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compared with the previous study, there is increased obscuration of the left hemidiaphragm with a left retrocardiac opacity, concerning for left lower lobe pneumonia. there is no pleural effusion or pneumothorax. the heart size is normal, and the thoracic aorta is tortuous.
<unk> year old man with cough and sputum production. any pna?
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pa and lateral chest radiographs were obtained. a moderate to large right pleural effusion is slightly larger compared with <unk>. the left lung is clear. there is no pneumothorax. cardiac and mediastinal contours are normal. destructive changes of the right <unk> and <unk> posterior ribs are stable.
metastatic rcc
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compared to the prior study there is no significant interval change
<unk> year old man with recent traumatic hemopneumothorax, resolved, now with slightly worsensing pneumothorax // ? interval enlargement of right-sided pneumothorax
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the cardiac, mediastinal and hilar contours appears stable. there is no pleural effusion or pneumothorax. the lungs appear clear. bony structures appear within normal limits.
chest pain.
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single portable view of the chest is compared to previous exam from <unk>. compared to prior, there has been no significant interval change. again seen is a retrocardiac opacity which silhouettes the descending thoracic aorta. this could potentially be due to a hiatal hernia; however, pa and lateral views suggested to confirm as mentioned on prior. elsewhere, the lungs remain clear. cardiomediastinal silhouette is normal. osseous and soft tissue structures grossly unremarkable.
<unk>-year-old man with hypotension.
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heart size remains mildly enlarged. the aortic knob demonstrates dense atherosclerotic calcifications. mediastinal and hilar contours are otherwise unchanged. the pulmonary vasculature is not engorged. no focal consolidation, pleural effusion or pneumothorax is visualized. there are mild degenerative changes in the thoracic spine.
history: <unk>m with dyspnea
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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 man with coughing // ? coughing
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mild cardiomegaly is stable. note is made of a coronary stent. aside from calcification of the aortic knob, the hilar and mediastinal contours are normal. interval increase in the ill-defined opacities in the right middle lobe are concerning for bronchiectasis and fibrotic changes with a superimposed infection. increased opacities in the lingula, with unchanged bronchiectasis, is also concerning for an infectious process. there is no pleural effusion or pneumothorax. no subdiaphragmatic free air is identified.
history of abdominal pain. please evaluate for free air.
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the heart is top-normal in size. the mediastinal and hilar contours are within normal limits. there is atelectasis at the right lung base. there is no pleural effusion, focal consolidation or pneumothorax.
shortness of breath and chest ache with exertion. please evaluate for pneumonia versus effusion.
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pa and lateral views of the chest provided. superior retraction of the left pulmonary hilum is unchanged reflecting prior left hilar mass resection. a left upper lobe nodule is again noted. background emphysema is seen without convincing signs of pneumonia. no large effusion or pneumothorax. no signs of congestion or edema. imaged bony structures are intact. no free air below the right hemidiaphragm.
<unk> year old woman with fever, treated for lung ca
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bibasilar atelectasis. enlarged size of cardiac silhouette. no pleural effusions. no focal parenchymal opacity suggesting pneumonia. no pulmonary edema. no pneumothorax. normal hilar and mediastinal contours. degenerative spurring and scoliosis of thoracic spine.
<unk> year old man presenting to primary care clinic with pedal edema, ? exertional dyspnea, ? orthopnea. // please evaluate for pulmonary venous congestion, cardiomegaly
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compared to chest radiographs from <unk>, lung volumes have worsened and retrocardiac opacity has increased, consistent with left lower lobe collapse. small left pleural effusion is new. no large effusion on the right. right basilar opacities have improved. vascular congestion has improved and there is no overt pulmonary edema. heart size, which is difficult to assess in the setting of effusion, is mildly enlarged and unchanged. et tube is in standard placement, unchanged. right pic line terminates at the cavoatrial junction.
<unk> year old woman w high cervical injury, intubated, respiratory failure // ? effusion, consolidation, ptx
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low lung volumes cause bibasilar atelectasis and bronchovascular crowding. hazy opacification of the right lung base is similar to the recent prior study and consistent with the moderate pleural effusion seen on recent cta chest. there is no focal consolidation, pulmonary edema, or pneumothorax. the cardiomediastinal silhouette is stable.
<unk>m with dyspnea, evaluate for acute process.
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compared with <unk> at <time> and allowing for considerable differences in technique, no gross change is identified. et tube is slightly higher, now <num> cm above the carina. right ij swan-ganz catheter is present, similar in configuration. ng type tube present, extending beneath diaphragm, off film. left ij central line tip lies at the level of the cavoatrial junction. enlarged cardiomediastinal silhouette is similar in configuration. there is upper zone redistribution and diffuse vascular blurring, probably with some atelectasis in the right upper zone, abutting the minor fissure. there are small bilateral effusions with underlying collapse and/or consolidation, also similar on the prior film. biapical pleural thickening is again noted. multiple clips again noted overlying the right scapula.
<unk> year old woman with pe's // eval for effusions
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ap upright and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>f with lightheaded and pre-syncopal***
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the cardiomediastinal silhouettes are within normal limits. the bilateral hila are unremarkable. the lungs are clear. there is no pulmonary vascular congestion. there is no pneumothorax or pleural effusion.
<unk>-year-old man with ruq pain, pain w inspiration, pls eval for pleural effusion or pneumonia.
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an enteric tube traverses below the diaphragm coiled within the stomach, coursing inferiorly out of view, with tip seen in the similar region of ligament of treitz as compared to prior abdominal radiograph dated <unk>. the heart is normal in size. the mediastinal and hilar contours are unremarkable. a calcific density projecting over the right upper lung is compatible with a calcified pleural plaque. the lungs are clear. there is no pneumothorax, pulmonary vascular congestion, or pleural effusion.
<unk>-year-old male with hepatitis c and cirrhosis, status post rfa and liver transplantation in <unk> complicated by bile leak. question feeding tube position.
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cardiac size is moderately enlarged as before. the lungs are clear. there are low lung volumes. there is no pneumothorax or pleural effusion. hd catheter tip in the cavoatrial junction
<unk> male with hx of esrd (hd t/t/<unk>), chf, dm, morbid obesity, pre-op for l av graft. // routine preo-op
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pa and lateral views of the chest provided. lung volumes are markedly low. midline sternotomy wires are noted. allowing for low lung volumes, the lungs appear clear. no large effusions or pneumothorax. cardiomediastinal silhouette is unchanged. no overt signs of edema. bony structures are intact. no free air below the right hemidiaphragm.
<unk>m with cad, cabg who presents with nausea, dizziness, back pain
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ap view of the chest provided. lung volumes are low. there is interval development of pulmonary edema. left sided picc line terminates in cavoatrial junctions. there are no obvious rib abnormalities.
<unk> year old man with recent hx of tricuspid valve surgery, who now complains of l-sided rib pain, evaluate for osteomyelitis.
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the ett is approximately <num> cm above the carina. the lung volume is small. pulmonary edema and pulmonary venous congestion are unchanged. increased left mid lung opacification is concerning for pneumonia. no pleural effusion or pneumothorax. cardiomegaly is unchanged. the mediastinum is unchanged.
<unk> year old woman s/p ex lap, sbr // please assess for etiology of acute desaturation
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pa and lateral views of the chest. no prior. the lungs are clear. cardiomediastinal silhouette is normal. osseous and soft tissue structures are unremarkable. ivc filter identified in the abdomen.
<unk>-year-old female with new onset of seizure.
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portable frontal view of the chest demonstrates low lung volumes. subcutaneous gas is seen in the right lateral chest, likely post-surgical. right-sided chest tube is in place, its tip projecting over right lung apex. trace right apical pneumothorax is present. right lung base opacities likely represent post-surgical changes. lung volumes exaggerate bronchovascular markings. heart is normal in size. small amount of subcutaneous gas is also noted in the right neck.
patient is status post right vats, assess for interval change.
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the lung volumes are low, limiting evaluation. a streaky opacity at the left base is likely atelectasis. there is no large focal airspace consolidation to suggest pneumonia. there is no pulmonary edema, pleural effusions or pneumothorax. the mediastinal contours are normal. the heart size is at the upper limits of normal.
altered mental status, elevated lactate, and tachycardia. evaluate for pneumonia.
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there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal and hilar contours are normal.
<unk>m with slip and fall - left leg fracture. // preop
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the cardiomediastinal silhouette is at the upper limits of normal and previously visualized apparent bulging of the right upper outer mediastinum is no longer seen, consistent with artifact. a nodule is again noted in the right upper lung. the lungs are otherwise clear without focal consolidation, effusion, or pneumothorax. mild dextroscoliosis of the thoracolumbar spine with moderate degenerative changes appears stable.
chest pain with possible widened mediastinum on portable radiograph.
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frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and clear lungs without evidence of pulmonary metastases. there is no pleural effusion or pneumothorax. no bony abnormality is identified.
right thigh sarcoma/carcinoma status post radiation and chemotherapy. evaluate for metastatic disease.
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there are relatively low lung volumes. large opacity projecting over the left mid to lower lung fields with subtle air bronchograms seen is worrisome for pneumonia. no definite pleural effusion is seen, although small left pleural effusion is difficult to exclude. the right lung is clear. there is no pneumothorax. the cardiac and mediastinal silhouettes are unremarkable.
hypoxia.
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cardiac silhouette is mildly enlarged, unchanged from prior exam. mediastinal silhouette and hilar contours are stable. a left pectoral aicd is unchanged in position. lungs are clear. there is no pleural effusion or pneumothorax. mild blunting of bilateral costophrenic angles are likely due to pleural thickening.
chf presenting with cough and chest pain.
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the heart size is top normal. the patient is status post median sternotomy and coronary artery bypass grafting. the patient is status post median sternotomy. the heart size is top normal. the hilar and mediastinal contours are normal. the lungs are clear without evidence of focal consolidations concerning for pneumonia. there is no pleural effusion or pneumothorax. the visualized osseous structures are unremarkable.
history of left-sided weakness and dysarthria. please evaluate.
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there is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is within normal limits.
history: <unk>f with chest pain, tachycardia // eval for cardiopulmonary process
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compared to the prior study, there has been placement of a second left-sided chest drain. this results in a significant decrease in the left-sided pleural fluid however there is a small to moderate-sized left pneumothorax. airspace opacity in the right lung has progressed in the apex but improved in the right lower lung. appearances are concerning for liver pneumonia. multiple rib fractures are seen along the left lateral chest, presumed to be postoperative. a left-sided subclavian catheter is unchanged in position compared to the prior study. an endotracheal tube terminates approximately <num> cm above the level of the carina.
<unk> year old man s/p vats // effusion, ptx,
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cardiomediastinal contours are stable with widening mediastinum and normal heart. dilatation of the esophagus is better seen in prior ct. the lungs are clear. there is no pneumothorax or pleural effusion. the osseous structures are unremarkable. there has been interval decrease in pneumoperitoneum
<unk> year old woman with cough, fever, liquid diet with esophageal mass, pneumoperitoneum on imaging after g-tube placement // please eval for pna, changes in pneumoperitoneum
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the cardiomediastinal and hilar contours are normal. the lungs are clear. there is no pleural effusion or pneumothorax.
<unk>-year-old male with cough.
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pa and lateral views of the chest provided. midline sternotomy wires and prosthetic cardiac valve are noted. the heart is mildly enlarged as on prior. lungs are clear without focal consolidation, large effusion or pneumothorax. mediastinal contour is normal. no overt signs of edema or congestion. bony structures are intact.
<unk>f with avr, afib on coumadin here w/ sob since <unk>
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frontal and lateral radiographs the chest demonstrate significant interval improvement in bilateral parenchymal opacities. there is only mild persistent opacity in the right lower lung. the cardiomediastinal and hilar contours are unremarkable. there is no pneumothorax or pleural effusion. there is no free air under the right hemidiaphragm.
<unk>m with chest pain, sob, abdominal pain, n/v x <num> days // please eval for pna, please eval for free air. please eval for evidence of obstruction
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an endotracheal tube is seen. the carina is difficult to delineate but the tip is likely approximately <num> cm from the carina. left-sided subclavian line is seen coiled over the upper mediastinum. an enteric tube is seen coursing below the diaphragm with distal tip not well visualized. the patient is rotated and lung volumes are low. no pneumothorax or effusion is noted on this supine film. the mediastinum appears wide although this may be due to ap technique and low lung volumes, the possibility of underlying abnormality such as hematoma should be considered. there is increased density in the paramediastinal regions as well, potentially due to atelectasis.
<unk>m with s/p cardiac arrest, transfer // acute cardiopulmonary process, line placement, tube placement
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moderate cardiomegaly is re- demonstrated. the aorta is tortuous and diffusely calcified. mediastinal and hilar contours are stable. linear opacities in the right mid and lower lung fields likely reflect areas of atelectasis or scarring. partially loculated right pleural effusion is small and unchanged from prior. right basilar patchy opacity may reflect atelectasis. no pneumothorax is identified. marked abnormality of both glenohumeral joints with bony remodeling of the femoral heads is re-demonstrated.
<unk> m with shortness of breath, chest pain.
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the lungs are clear of focal consolidation, effusion, or overt pulmonary edema. cardiac silhouette is enlarged similar configuration compared to prior. tortuosity of the descending thoracic aorta is again noted. no acute osseous abnormalities identified. degenerative changes again seen at the right shoulder.
<unk>f with sob/doe worsening over <num> weeks. // r/o pulm edema, pna
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ap and lateral views of the chest are compared to previous exam from <unk>. there is mild bibasilar atelectasis. lungs are otherwise clear. cardiomediastinal silhouette is stable in configuration. previously identified right ij central lines are no longer seen. right-sided picc identified with tip seen to at least the lower svc; however, exact tip cannot be delineated due to overlying osseous structures. severe degenerative changes at the shoulders bilateral in addition to multiple bilateral rib fractures and probable right thoracotomy changes.
<unk>-year-old female with altered mental status.
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bilateral ij catheters terminating at the upper and mid svc, and a tracheostomy tube terminating <num> cm above the carina are unchanged in position. the heart size remains normal. the hilar and mediastinal contours remain within normal limits. there is no pneumothorax. a small right pleural effusion is unchanged. bilateral linear pulmonary opacities likely reflect atelectasis. there is no pulmonary edema.
pneumonia.
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
history: <unk>m with right neck and chest pain
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no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. heart and mediastinal contours are within normal limits.
<unk>-year-old female with dizziness and shortness of breath.
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there is a three-lead pacemaker/icd device in place. a coronary stent projects along the right side of the heart. the heart appears mildly enlarged. there is no pleural effusion or pneumothorax. the interstitium is mildly prominent which suggests mild vascular congestion. no focal opacification is observed, however.
dizziness, weakness, and shortness of breath.
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since <unk>, worsening mild left basilar atelectasis. new mild right basilar atelectasis. small left pleural effusion is unchanged. top normal heart size. port-a-cath terminates near cavoatrial junction. there is no pneumothorax. cardiomediastinal borders and hilar structures are normal. no pneumonia.
<unk> year old man with cough and leukocytosis and luq pleuritic pain and ct scan concerning for pna // evaluate for any evolution of pna
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an endotracheal tube is in appropriate position <num> cm above the level of the carina. the lungs are hypoinflated with crowding of vasculature. no pleural effusion or pneumothorax. the mediastinum is mildly widened measuring <num> cm however this study was re- read with the outside hospital ct scan up-loaded and the mediastinum is within normal limits. heart size and hila are unremarkable. no displaced rib fractures.
<unk> year old man + etoh, found by fireman s/p assault, intubated for airway protection, coughing blood. assess for pneumothorax, hemothorax
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heart size and cardiomediastinal contours are normal. lungs are clear without focal consolidation, pleural effusion, or pneumothorax.
history: <unk>f with cough, sob // ? pna
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this is an upright portable film. there is no evidence of free air.
removal of peg tube question free air.
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interval placement of a right sided pigtail catheter at the base of the pleural space. minimal right pleural effusion, improved. mild atelectasis at the medial right lung base, improved. stable interstitial prominence. skin <unk> within the midline left picc with tip in the svc this preliminary report was reviewed with dr. <unk>, <unk> radiologist.
<unk> year old woman with pleural effusion s/p thoracentesis // chest tube placement
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ap and lateral views of the chest. the lungs are clear of focal consolidation, effusion, or pulmonary edema. the cardiomediastinal silhouette is stable. median sternotomy wires again noted. hypertrophic changes seen in the spine.
<unk>-year-old male with chf, coronary artery disease and diabetes with hypotension and presyncope. question pulmonary edema.
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chest, supine portable. a new right internal jugular central venous catheter has been placed, whose tip terminates at the cavoatrial junction. there is no pneumothorax. the examination is otherwise unchanged from <num> hour earlier.
evaluate positioning of new right internal jugular central venous line.
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again seen is a small left pleural effusion with unchanged appearance of the left lower lobe scar-like opacity, more fully characterized on ct of <unk>. severe right basal emphysema and right upper lobe linear scarring are also unchanged. no pneumothorax is seen. the heart size is normal. the mediastinal and hilar contours are unchanged.
<unk> year old man with cough x several days. h/o pleural effusion // evaluate interval change
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the lungs are mildly hypoinflated with crowding of vasculature. there is a new heterogeneous right lower and right middle lobe opacities. no pleural effusion or pneumothorax. heart size, mediastinal contour, and hila are unremarkable. again seen are intact median sternotomy wires and mediastinal clips.
<unk>m with s/p heart transplant with fever. assess for pneumonia.
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the heart size remains mildly enlarged. the mediastinal and hilar contours are stable. no focal consolidation, pleural effusion or pneumothorax is seen. the pulmonary vasculature is normal. minimal streaky opacity in the left lung base may reflect scarring or subsegmental atelectasis. no acute osseous abnormalities are demonstrated. remote bilateral rib fractures are again noted. mild degenerative changes are seen in the imaged thoracic spine as well as within both acromioclavicular joints.
cough.
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tracheostomy tube is in stable position. left subclavian central line terminates in the mid svc. the heart size and cardiomediastinal contours are normal. indistinct pulmonary markings are similar to prior, compatible with mild edema. increased bilateral basilar opacities are compatible with increased small pleural effusions, right greater than left, with adjacent atelectasis. no pneumothorax.
<unk>-year-old female with subarachnoid hemorrhage.
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the et tube is present in standard position. an enteric tube is present, with distal tip not captured on the current exam. the cardiomediastinal and hilar contours are stable compared to the most recent prior exam with normal heart size. digital deviation to the right ac sign of persistent thyroid tissue after thyroidectomy. a new left pleural effusion is small. there is no large right pleural effusion. there is no pneumothorax. the lungs are overexpanded with flattening of the hemidiaphragms, consistent with emphysema. consolidation at the left lung base may reflect atelectasis or pneumonia. the visualized portion of the upper abdomen is unremarkable in appearance. median sternotomy wires are not fractured. bilateral tubular structures in the soft tissues of the neck are consistent with carotid calcifications.
<unk> year old woman admitted with acute on chronic renal failure and acute respiratory decompensation, now with hypoxia, intubated, concern for hcap.
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the lungs are hyperexpanded with flattened diaphragms consistent with history of copd. mediastinal contours, hila, and cardiac silhouette are normal. no pleural effusion or pneumothorax.
<unk> year old woman with copd, shortness of breath // any infiltrate or edema
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increased opacification in the right upper lung is suspicious for an acute infectious process with both frontal and lateral view revealing an air-fluid level which may reflect fluid in the pre-existing cavity, though the acuity of this finding is uncertain as an air fluid level may have been present on the prior. the focal rounded opacity in the <unk> study is not as well demonstrated on the current examination. there is no pleural effusion or pneumothorax. heart and mediastinum are unchanged.
<unk>-year-old woman with bronchiectasis, now with right chest pleurisy and increased sputum, history of aspergillosis, assess for pneumonia.
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pa and lateral images of the chest demonstrate elevated right hemidiaphragm which is similar to what was seen on previous exam. the lungs are well expanded and clear. there is no indication of a new acute pulmonary process. there is no pneumothorax or pleural effusion. cardiomediastinal silhouette is unchanged.
<unk>-year-old male with chest soreness.
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heart size is mildly enlarged. the mediastinal contours are normal. the pulmonary vasculature is normal. the pulmonary vasculature is mildly engorged. the right hilus is enlarged from the prior exam. the left hilus appears normal. the lungs are hyperinflated. there is no pneumothorax. blunting of the right costophrenic angle may suggest a small right pleural effusion.
history: <unk>f with dyspnea x <num> days // r/o pna, cardiomegaly, ptx, pleural effusions