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a portable frontal x-ray shows the endotracheal tube ending in the right main stem bronchus. the nasointestinal tube ends within the stomach. the heart and mediastinum are normal in shape and contour. the lungs are clear without consolidations, pleural effusions, or pneumothoraces.
evaluate endotracheal tube placement.
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increased left perihilar hazy opacity may be early developing pneumonia. there is increased right basilar linear atelectasis. the heart size is unchanged. the right picc line is again seen in the lower svc. no pneumothorax.
<unk> year old man with new cough // ?pneumonia
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cardiac silhouette size is mild to moderately enlarged. the mediastinal and hilar contours are normal. pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is identified. mild loss of height of a mid thoracic vertebral body is of indeterminate age.
history: <unk>f with chest pain/epigastric pain.
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moderate pulmonary edema and mediastinal vascular pedicle engorgement are increased from <unk>, accentuated by lower lung volumes. cardiomegaly is stable from <unk>. the aorta is tortuous. tiny if any pleural effusions.
<unk>m with sob // eval for pulm edema
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the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. the heart demonstrates left ventricular configuration. the aorta is noted to be tortuous.
<unk> year old woman with fall from standing today and ams last few days // pna eval
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the cardiomediastinal silhouette is normal. the hila and bilateral pulmonary vasculatures are normal. there is a right lower lobe ill-defined hazy opacities with air bronchogram. no pneumothorax. no fractures.
<unk> year old man with hiv, autoimmune anemia, fever. // eval for infiltrate
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right mid to lower lung opacity is worrisome for large pneumonia. subtle opacity projecting over the right upper lung could be a second site of infection. the left lung is clear. no large pleural effusion is seen. there is no evidence of pneumothorax. the cardiac and mediastinal silhouettes are stable and unremarkable.
history: <unk>m with sob, hypoxia // pna? chf?
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compared to the prior study there is no significant interval change.
<unk> year old woman with hepatic encephalopathy s/p unsuccessful ngt attempt with bleeding (appears to <unk> <unk>/pharyngeal, please rule out ptx, new infiltrate, other acute process) // r/o ptx, infiltrate, other acute process
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frontal and lateral radiographs of the chest were acquired. lung volumes are low, causing exaggeration of the heart size and accentuation of the pulmonary vasculature. eventration of the right hemidiaphragm. there is minimal bilateral lower lobe atelectasis. no focal consolidation is seen. the heart size is normal. tortuosity of the ascending thoracic aorta is redemonstrated, not significantly changed. aortic calcifications are also noted. there is biapical pleural thickening, without evidence of a pleural effusion. no pneumothorax is seen. degenerative changes of both humeral heads are noted.
lethargy, headache. assess for acute cardiac or pulmonary process.
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ap and lateral views of the chest. increased interstitial markings are seen particularly at the bases with more confluent density at the left lung base. overall, given differences in technique from prior chest x-ray there has been no definite interval change. there is no definite effusion. cardiomediastinal silhouette is stable. dense atherosclerotic calcifications noted in the aorta. no acute osseous abnormality seen. degenerative changes seen at the right shoulder. lower thoracic compression deformity is again noted. surgical clips identified in the upper abdomen.
<unk>-year-old female with coronary artery disease status post cabg, hypertension and hypothyroidism presents with months of dry cough.
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pa and lateral radiographs of the chest show a small right pleural effusion. heart size is mildly enlarged. hilar and mediastinal contours are normal. the lungs are clear and there are no increased interstitial markings or bronchovascular crowding. noted is unfolding of the aorta and a calcified aortic knob. no evidence of pneumothorax.
abdominal distention and shortness of breath.
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there is no consolidation, pleural effusion, or pneumothorax. cardiomediastinal and hilar silhouettes are normal size.
history: <unk>m with etoh intox s/p fall + head strike, // eval for fx
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pa and lateral views of the chest. the left-sided pacemaker is in appropriate position. there is no focal consolidation to suggest pneumonia, pleural effusion or pneumothorax. there is mild linear left basilar atelectasis. the cardiomediastinal and hilar contours are normal. mild left apical scarring is unchanged.
headache, neck pain and cachexia. evaluate for abnormality.
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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 without focal consolidation, pleural effusion, or pneumothorax.
<unk>-year-old male with chest pain.
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heart size is normal. mediastinal and hilar contours are unremarkable without evidence of pneumomediastinum. pulmonary vasculature is not engorged. ill-defined nodular opacities are again seen within the left upper lobe, right upper lobe, and both lower lobes, slightly improved in the interval, and likely reflective of improving multifocal pneumonia/aspiration. no new focal consolidation, pleural effusion or pneumothorax is identified. no acute osseous abnormalities seen.
history: <unk>m with status post egd. evaluate for perforation.
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the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. s-shaped thoracic scoliosis is noted.
<unk>m with hypoxia, sob // aspiration? pna?
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a portable supine frontal chest radiograph again demonstrates the endotracheal tube and nasogastric tube in appropriate position. there is interval improvement in pulmonary edema and bilateral opacities. no new consolidation, pleural effusion, or large pneumothorax is identified, although the left lung apex cannot be evaluated.
status post cardiac arrest.
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pa and lateral views of the chest provided. multiple foreign bodies are again seen within the soft tissues of the right shoulder and upper back. these likely represent shot gun pellets. lungs are clear without signs of pneumonia or edema. no large effusion or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>m with tachycardia, chest pain, marginally elevated temp
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the lungs are well expanded and clear. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax.
patient is status post liver transplant with fever. evaluate for pneumonia.
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pa and lateral chest radiographs were provided. there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. the bones are intact.
<unk>-year-old with palpitations, evaluate for acute process.
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redemonstrated are subtle bibasilar airspace opacities, essentially unchanged as compared to the prior examination. there is no pleural effusion, pneumothorax, or frank pulmonary edema identified. the heart size is normal. mediastinal contours are normal. surgical clips are seen within the right upper quadrant.
history of pneumonia on levaquin, now with shortness of breath.
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the left hemidiaphragm continues to be elevated. however, there is some increased volume loss in the left lower lobe and a small left effusion. there is improved aeration in the right upper lobe, but some patchy areas of alveolar infiltrate have developed bilaterally. it is unclear if this is due to pulmonary edema or if an infectious process is present. tracheostomy tube is unchanged. the low lung volume slightly limits this examination. it is unclear how much of these changes are actually due to low lung volumes.
severe copd with chronic trach, now with increased somnolence.
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endotracheal tube terminates approximately <num> cm from the carina. there are worsening bilateral alveolar opacities with a predominantly basilar distribution concerning for ards. no pleural effusion or pneumothorax is seen. the heart size is normal. mediastinal contours are unchanged.
altered mental status and endotracheal tube placement.
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the heart size is within normal limits. bilateral combined alveolar and interstitial opacities in the mid and lower lungs have progressed compared to <unk>. no pleural effusion. osseous structures are unremarkable.
history: <unk>f with recent pna treatment w/ recurrent dyspnea on exertion, cough // eval ? persistent pna, new effusion
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the flame-shaped region of consolidation in the left upper lobe could be scarring, since it was present without appreciable difference on <unk>. in all other respects, the lungs are clear of any focal abnormality and there is no pleural effusion or evidence of central adenopathy. mild cardiomegaly is not accompanied by any pulmonary vascular abnormality.
melanoma. evaluate evidence of malignancy.
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the cardiomediastinal silhouettes are within normal limits. the bilateral hila are unremarkable. the lungs are clear. there is no evidence of pulmonary vascular congestion. there is no pneumothorax or pleural effusion. there is no free intraperitoneal air.
<unk>m with epigastric pain, known stones, evaluate for pneumothorax.
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a single portable radiograph of the chest was acquired. a linear horizontal artifact extends across the lower portion of this image. the inferior-most portion of the left costophrenic angle is excluded from this radiograph. the lungs are well expanded. there is minimal bibasilar atelectasis. the lungs are otherwise clear. the heart size is normal. tortuosity of the thoracic aorta is redemonstrated. there are no definite pleural effusions. no pneumothorax is seen.
aaa, status post bypass, now with chest and abdominal pain. evaluate for acute process.
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right-sided pacemaker device is noted with leads terminating in the right atrium, right ventricle, and region of the coronary sinus, unchanged. mild cardiomegaly is re- demonstrated. patient is status post tavr. mediastinal and hilar contours are unchanged. pulmonary vasculature is not engorged. lungs are hyperinflated with flattened diaphragms suggestive of copd. linear opacities in the lung bases are compatible with subsegmental atelectasis. previously noted small bilateral pleural effusions have nearly resolved. no pneumothorax is present. severe degenerative changes are noted in the thoracic spine with evidence of diffuse idiopathic skeletal hyperostosis.
<unk> year old man status post tavr and right sided pacemaker placement presenting with wound and fluid collection over infection site.
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based on a portable exam, the lungs are clear. the cardiomediastinal silhouette is stable. no acute osseous abnormalities.
<unk>f with chest pain // infiltrate?
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unchanged mild cardiomegaly with mild central vascular congestion and pulmonary edema, slightly improved since the prior study. linear left lower lobe atelectasis. a subtle, left retrocardiac airspace opacity may represent atelectasis versus pneumonia. no large pleural effusion or pneumothorax. metallic embolization coils are noted overlying the right upper quadrant.
history: <unk>m c hx lymphoma, on chemo, renal failure, p/w fever. // infiltrate
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ap portable upright view of the chest. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact.
history: <unk>f with tachycardia, chest pain // evaluate for acute process
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there are unchanged signs of marked overinflation. newly appeared are relatively extensive parenchymal opacities in the right upper lobe and in the left upper lobe. additional opacities are seen at the bases of the right upper lobe. in the appropriate clinical context, the findings are consistent with multifocal pneumonia. at the time of observation and dictation, <time> a.m., on <unk>, the referring physician, <unk>. <unk> was paged for notification and the findings were subsequently discussed over the telephone. no reactive pleural effusions. no cardiomegaly, no hilar or mediastinal changes.
ct copd, low-grade temperature and increased sputum and cough.
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cardiomediastinal contours are normal. new, mild right lower lobe atelectasis. increased indistinctness of the pulmonary vasculature is consistent with new, mild pulmonary edema. small, new right pleural effusion. interval elevation of the left hemidiaphragm with increased retrocardiac opacity suggests left basilar atelectasis. no pneumothorax. pulmonary nodules are not well appreciated radiographically. recommend repeat chest ct for follow-up of pulmonary nodules.
<unk>-year-old man with hypoxia. evaluate for pulmonary edema and interval change.
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normal heart size, mediastinal and hilar contours. unchanged thoracic aortic tortuosity. no focal consolidation, pneumothorax or pleural effusion. there is a a <num> mm nodular opacity projecting over the sixth rib posteriorly on the right.
history: <unk>f with leg fracture. ortho requests cxr. // pna?
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a left-sided subclavian line appears to terminate in the brachiocephalic junction. re demonstrated is a large left pleural effusion with complete collapse of the left lower lobe, near complete collapse of the lingula, and partial atelectasis of the left upper lobe. the right lung appears to be unremarkable. the visualized osseous structures are unremarkable.
history: <unk>m with left subclav central line placement // eval cvl placement
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supine portable ap single chest radiograph demonstrates an endotracheal tube approximately <num> cm above the level of the carina in appropriate position. an enteric tube descends along the expected course of the esophagus, terminating in the right upper quadrant. a temperature probe is identified. lung windows demonstrates bilateral patchy ill-defined opacities which may reflect a component of aspiration or alternatively, in the appropriate clinical setting, contusions. patient is rotated. allowing for this, the cardiomediastinal and hilar contours appear within normal limits. no large pleural effusion is identified. allowing for suboptimal technique, no pneumothorax is identified. osseous structures are without acute abnormality.
<unk>-year-old male post arrest status post intubation.
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right picc line is in stable position in the low svc. moderate pulmonary edema persists. opacity at the right base has minimally improved. moderate to severe cardiomegaly is unchanged. there is no pneumothorax. median sternotomy wires appear intact.
<unk> year old man with shortness of breath // ?pulm edema
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et tube is at <num> cm from carina. ng tube ends in distal gastric cavity. stable appearance of the ventriculoperitoneal shunt. lung volume is minimally reduced but without consolidation or nodule. cardiomediastinal silhouette is normal. there is no pleural effusion or pneumothorax.
<unk> years old woman with status post whipple, please evaluate postop film.
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lung volumes are low leading to crowding of the bronchovascular structures. left retrocardiac atelectasis versus aspiration has improved as compared to the prior examination. there is no lobar consolidation, large pleural effusion, or pneumothorax. the cardiomediastinal silhouette is unchanged.
history: <unk>m with hypotension // eval for acute process
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frontal and lateral views of the chest are compared to previous exam from <unk>. much lower inspiratory effort is seen on the current exam. linear opacities at the lung bases, right greater than left, may be due to atelectasis, noting that consolidation cannot be completely excluded. there is no effusion. superiorly, the lungs are clear. cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unremarkable.
<unk>-year-old female with fevers to <num>.
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one portable ap view of the chest. compared to prior study on <unk>, there is increased pulmonary edema. there is borderline cardiomegaly. no pneumothorax or focal consolidation. no pleural effusion.
cad, lightheadedness, nausea, and vomiting, worsening shortness of breath.
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as compared to prior chest radiograph from <unk>, there is persistent airlessness of the left lower lung with elevation of the left hemidiaphragm. there is no pneumonia, pneumothorax or pulmonary edema. there has been no appreciable change in cardiomediastinal silhouette since preoperative evaluation. there has been some displacement of the osteotomy at the fourth posterior right rib, which is not significantly changed since yesterday. nevertheless, there is no hemorrhage. adjacent pleural thickening is unchanged. there is subcutaneous emphysema in the upper neck on the right.
<unk>-year-old male patient status post tracheobronchoplasty. study requested for evaluation of interval change.
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no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. nodule over the left lower lung most compatible with nipple shadow also seen in <unk>. heart and mediastinal contours are within normal limits. the aorta is tortuous. multilevel loss of disc space height is seen in the lower thoracic and upper lumbar spine, incompletely imaged.
<unk>-year-old male with syncope.
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this examination is underpenetrated, accentuating density of the parenchyma. heart size is mildly enlarged. low lung volumes accentuate heart size and pulmonary vasculature howevere there is no overt fluid overload. lungs are clear. there is no large pleural effusion or pneumothorax.
shortness of breath and leukocytosis.
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low lung volumes are re- demonstrated. the cardiac silhouette appears mildly enlarged. the mediastinal and hilar contours are similar. pulmonary vasculature is not engorged. persistent eventration of the hemidiaphragms are noted bilaterally with associated bibasilar patchy opacities, likely atelectasis. no pleural effusion or pneumothorax is present. there are no acute osseous abnormalities.
history: <unk>m with productive cough, known previous pneumonia treated but not improved
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heart size is normal. mediastinal and hilar contours are normal. lungs are clear. pulmonary vascularity is normal. no pleural effusion or pneumothorax is present. no acute osseous abnormalities seen.
chest pain and fatigue.
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pa and lateral views of the chest were reviewed and compared to the prior study. considering the low lung volumes, the lung fields are clear. small calcifications projecting over the right scapula and upper lung are of unknown etiology, but no known clinical significance. the heart size is normal and there is no evidence of vascular congestion, pleural effusion, or pneumothorax. there are no concerning soft tissue lesions.
evaluation for active lung disease in a patient with positive ppd.
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known masses projecting over the right upper lobe and along the left lateral chest wall do not appear significantly changed. additionally, abnormal density and contour along the right hilum consistent with known hilar mass appears unchanged. no superimposed consolidation is identified to suggest pneumonia. there are emphysematous changes with relative lucency of upper lung zones. the heart size is within normal limits. there is tortuosity of the aorta.
cough for one week. neutropenic fever. known lung lesions.
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rounded homogeneous density measuring <num> cm x <num> cm in the left upper lobe is a calcified granuloma. on the lateral, there is a <num> cm x <num> cm rounded opacity projecting superior to the right hilus which may represent a nodule or lymph node. no additional focal opacity, pneumothorax, pleural effusion or pulmonary edema. heart size, mediastinal contour and hila otherwise normal. no bony abnormality.
<unk>-year-old male admitted with cellulitis and spiking temperatures despite antibiotics. assess for pneumonia.
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when compared to prior, there has been no significant interval change. opacity at the right lung base medially is compatible with a tortuous lower thoracic intra-abdominal aorta. there is no consolidation worrisome for infection. there is no edema or effusion. linear left basilar opacities are most suggestive atelectasis or scar. cardiomediastinal silhouette is stable noting that cardiac silhouette is difficult to assess given contour or of the tortuous thoracic aorta. no acute osseous abnormalities.
<unk>f with altered ms // r/o acute process
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compared to the prior exam, there has been little interval change. partial opacification of the right hemithorax appears similar with loculated pleural effusion; underlying metastases are better seen on ct. the left lung demonstrates no evidence of edema or infection.
<unk>-year-old male with renal cell carcinoma metastatic to the lung, status post chest tube and pleural catheter placement, now with tachypnea.
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the lungs are clear. mild long-standing bilateral hilar enlargement is probably due to chronic lymph node enlargement. this examination neither suggests nor excludes the diagnosis of pulmonary embolism. there is no pneumothorax. the heart and mediastinum are within normal limits. left upper quadrant metallic surgical clips are again noted.
<unk> year old woman with copd exacerbation, had pneumonia last year, hypoxic now; evaluate for pneumonia.
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the patient is status post sternotomy. the cardiac, mediastinal and hilar contours are unremarkable. a predominantly central hazy opacification in each lung suggests pulmonary edema. there is no pleural effusion or pneumothorax.
dyspnea and chest pain.
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no definite focal consolidation is seen. there is no pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are stable.
history: <unk>f with brain ca, p/w fever // eval for pneumonia
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tracheostomy tube is again seen. relatively low lung volumes are noted. linear bibasilar opacities right greater than left likely due to atelectasis. there is no effusion. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk> year old woman with <unk> cancer and tracheostomy - fevers and sputum // chest infection.
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moderate pulmonary edema, small left pleural effusion, and right fissural fluid have worsened since the <unk> examination. there is no pneumothorax. the heart size is normal. the hilar mediastinal contours are unchanged.
flash pulmonary edema.
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supine portable view of the chest demonstrates et tube terminating <num> cm above the carina. a nasogastric tube is positioned in the stomach. low lung volumes. retrocardiac opacity obscures the left hemidiaphragm. right lung base opacity is also noted. no large pleural effusion or pneumothorax. hilar and mediastinal silhouettes are unremarkable. heart size is normal. there is no pulmonary edema. partially imaged upper abdomen is notable for air-filled prominent stomach and bowel loops.
patient with possible seizure. assess for pneumonia and et tube placement.
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with chest pain and epigastric pain // chest pain, please eval for pneumonia or pulmonary edema
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moderate to severe cardiomegaly appears slightly increased compared to the previous exam. mediastinal and hilar contours are unchanged. the pulmonary vasculature is normal. no focal consolidation, pleural effusion or pneumothorax is seen. there are mild degenerative changes within the thoracic spine.
cough.
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single ap view of the chest provided. endotracheal tube should be advanced <num>-<num> cm. prominence of the pulmonary vasculature and diffuse interstitial lung markings are consistent with mild pulmonary edema. no pneumothorax. possible pleural effusion on the left. hilar and cardiomediastinal contours are normal.
<unk> year old woman with possible anaphylaxis s/p intubation // eval ett position
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heart size is mildly enlarged. the aorta is tortuous and calcified, similar compared to the previous exam. there is no pulmonary edema, and the hilar contours are within normal limits. patchy opacities are noted in both lung bases, which could reflect areas of atelectasis, though infection is not completely excluded. small bilateral pleural effusions may be present. no pneumothorax is seen. degenerative changes of the left shoulder from noted.
low-grade temperature.
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lung volumes are low. the cardiac silhouette is borderline enlarged. the mediastinal silhouette and pulmonary vasculature are unremarkable. no definite consolidation, pneumothorax or pleural effusion is identified. bibasilar linear densities are most compatible with atelectasis though a component of aspiration cannot be excluded.
<unk>m with right shoulder pain and presyncope
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<num> cm rounded opacity right upper chest, may represent pleural or lung mass, infiltrate. there are small bilateral pleural effusions, more prominent on the right. minimal left costophrenic angle atelectasis or infiltrate. no pneumothorax. normal heart size, pulmonary vascularity. minimal retrocardiac atelectasis or infiltrate.
<unk> year old man with cirrhosis, ascites presenting with worsening abdominal pain and decompensation // eval for pna
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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 shortness of breath and asthma
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pa and lateral views of the chest provided. mild cardiomegaly again noted. the hila appear somewhat congested. there is no frank edema or definite signs of pneumonia. no effusion or pneumothorax. mediastinal contour is unchanged. bony structures are intact.
<unk>m with orthopnea // chf exacerbation?
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the cardiomediastinal and hilar contours are within normal limits. lungs are well expanded and clear. there is no focal consolidation, pleural effusion or pneumothorax.
tachycardia. low-grade temp. question pneumonia.
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frontal and lateral chest radiographs demonstrate decreased lung volumes, which likely explain an apparent increase in cardiomediastinal size. no rib fracture is identified. left base atelectasis may be due to splinting secondary to pain. there is also possible left base consolidation, which can be seen with a pulmonary embolus. surgical material in the upper lung is consistent with a wedge resection. there is no pleural effusion or pneumothorax.
hiv and left rib pain with coughing.
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pa and lateral views of the chest demonstrate the lungs are well expanded and clear. the cardiomediastinal silhouette is unremarkable. there is no evidence of pleural effusion, pneumothorax or focal consolidation.
hemoptysis and cough.
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the heart size is normal. the hilar and mediastinal contours are normal. the lungs are clear without evidence of focal consolidations concerning for pneumonia, pleural effusions or pneumothorax. there is mild bibasilar atelectasis. the visualized osseous structures are unremarkable. sternal wires appear to be intact without evidence of fracture.
history of chest pain. please evaluate for acute process.
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a large right pleural effusion is present with compressive right basilar atelectasis. there is mild shift of the mediastinal structures towards the left. heart size is difficult to assess given the presence of the large pleural effusion. no pulmonary vascular engorgement is present. patchy opacity in the left lung base may reflect atelectasis, though infection is not excluded in the correct clinical setting. no left-sided pleural effusion or pneumothorax is present.
history: <unk>m with liver disease, report of effusion from osh previously // ? effusion or other acute cardiopulmonary process
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single ap upright chest radiograph demonstrates interval placement of a nasogastric tube which appears to be looped within the upper esophagus. lung volumes are low. allowing for this, cardiomediastinal and hilar contours are similar and within normal limits. there is no pleural effusion, pulmonary edema, or pneumothorax. no focal opacity is identified bilaterally. there is no air under the right hemidiaphragm.
<unk>f with rnygb s/p ng tube placement // assess position of ng tube
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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 evidence of free air is seen beneath the diaphragms.
history: <unk>f with ruq pain // ? pna
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the tip of a right pectoral mediport projects over the right atrium. there is no pneumothorax. the lungs are clear. the heart appears prominent despite the projection. the mediastinal silhouette is stable.
<unk> y.o female with glioblastoma presenting with hyperkalemia; evaluate for infiltrate.
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since <unk>, previously moderate bibasilar and retrocardiac atelectasis is minimally improved, and small to moderate bilateral pleural effusions, left greater than right, are unchanged. lung volumes remain low. moderate cardiomegaly is unchanged. no pneumothorax or pulmonary edema.
<unk> year old man with pulm edema // eval pulm edema
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the lungs are clear without consolidation or effusion. the cardiac silhouette is mildly enlarged as on prior. no acute osseous abnormalities identified.
<unk>m with cough // eval infiltrate
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mild cardiomegaly is re- demonstrated. the aorta is diffusely calcified. lung volumes are low with crowding of the bronchovascular structures. there is mild pulmonary vascular congestion. patchy opacities are seen within the right lung base which may reflect atelectasis, but aspiration or infection are also possibilities. no pleural effusion or pneumothorax is present. marked degenerative changes are noted involving the glenohumeral joints bilaterally.
history: <unk>f with altered mental status
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frontal and lateral radiographs of the chest demonstrate pulmonary vascular enlargement, right greater than left, corresponding to enlargement of the right pulmonary artery. the heart is mildly enlarged. there is scarring at the bilateral apices. there is no pneumothorax, consolidation, or pleural effusion. there are multiple well-healed old right sided rib fractures.
<unk>-year-old man with past pulmonary embolism. pre-v/q scan, radiograph.
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mild volume overload is unchanged when compared to the prior study of <unk>. the new enteric tube coils within a nondistended stomach. the right-sided picc line ends in the low svc. surgical clips project over the left upper abdomen. retrocardiac opacification and moderate bilateral pleural effusions are unchanged. there is no focal consolidation or pneumothorax. the cardiomediastinal silhouette is within normal limits.
<unk> year old woman with chf and shortness of breath // ?volume overload
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portable view of the chest is compared to previous exam from <unk>. dual-lead pacing device again seen. faint bibasilar opacities are seen, particularly in the retrocardiac region which are nonspecific and given low lung volumes could represent atelectasis. there is no definite large pleural effusion. cardiac silhouette is stable as are the osseous and soft tissue structures.
<unk>-year-old male with syncope.
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pulmonary vascular congestion, small right pleural effusion and ill-defined opacity in the right lung base are new since <unk> and suggest new mildly severe pulmonary edema. the opacity in the right lung base could be either a component of existing pulmonary edema or could be a sequela of aspiration. heart size is normal. aorta is mildly tortuous. hilar contours are unremarkable.
wheezing, to look for effusion, consolidation, edema.
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mildly decreased lung volumes. the patient continues to demonstrate several features of asthma, including peribronchial thickening and increased interstitial markings. however, upon review of numerous prior chest radiographs, there is no evidence of lung hyperexpansion at times when the pulmonary parenchyma appears most pathologic, mass making asthma an unlikely primary diagnosis. additionally, there is an apparent focal airspace opacity overlying the left lower lobe. there is no pleural effusion or pneumothorax. chronic, mild cardiomegaly. slight differences in mediastinal contours are likely secondary to patient rotation.
history: <unk>m with dyspnea // eval for cardiopulmonary process
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there has been interval placement of a right internal jugular approach central venous catheter, which terminates in the right atrium, and could be retracted approximately <num> to <num> cm for positioning just above the cavoatrial junction. otherwise, the lung volumes are slightly low, but clear, with no pneumothorax, pleural effusion, pulmonary edema, or focal airspace opacity. the cardiomediastinal silhouette is unremarkable.
<unk>f with rij // cvl check
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portable ap semi-erect chest film <unk> <time> is submitted.
<unk> year old man with hypoxic respiratory failure and legionella pna // eval for interval change in cxr eval for interval change in cxr
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low lung volumes are present, and when combined with supine technique, result in widening of the superior mediastinum. heart size is likely unchanged. streaky bibasilar opacities are more pronounced in the retrocardiac region, and could reflect areas of atelectasis though infection or aspiration is not completely excluded. no large pleural effusion or pneumothorax is present. there is no pulmonary vascular congestion. no acute osseous abnormality is identified.
recent platelet administration, dyspnea and abdominal pain.
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compared to the prior exam, there has been no significant interval change. no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. there is minimal bibasilar atelectasis. heart size is mildly enlarged. mediastinal contours are stable with a tortuous aorta with calcifications.
<unk>-year-old male with weakness and cough.
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the cardiomediastinal and hilar contours are normal. there is no pneumothorax. there may be a small right subpulmonic effusion. the lungs are well expanded and clear with only minimal opacification in the region of the superior segment of the right lower lobe. pulmonary vasculature is within normal limits.
approximately one week post right lower lobe superior segmentectomy for lung nodule.
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no focal consolidation is seen. there is no pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are stable and unremarkable..
history: <unk>m with chest burning and strep throat // eval for pneumonia
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mild cardiomegaly has slightly increased in size compared to the prior exam from <unk>. the hilar and mediastinal contours are unremarkable. subtle increase in retrocardiac opacity is likely secondary to atelectasis. there is no large pleural effusion or pneumothorax. the visualized osseous structures are unremarkable.
history of chest pain. please evaluate for pneumonia.
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frontal and lateral views of the chest. the lungs are clear without focal opacity, pleural effusion or pneumothorax. the heart size is normal. the mediastinal and hilar contours are normal. there is no free air beneath the hemidiaphragms. no acute osseous abnormality.
fever. evaluation for infiltrate.
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compared to chest radiographs from <unk>, there is increased vascular congestion with new mild interstitial edema. lung volumes have decreased. bibasilar opacities have worsened. small right pleural effusion persists. no appreciable effusion on the left. heart is top-normal in size, increased. endotracheal tube is in standard placement. right picc line terminates at the cavoatrial junction. enteric tube descends below the diaphragm and terminates in the proximal stomach. prominent right convex scoliosis of the upper thoracic spine and left convex scoliosis of the lower thoracic spine.
<unk> year old woman with aspiration pneumonia, intubated, new tachycardia // interval change in edema, pneumonia
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cardiac, mediastinal and hilar contours are normal. the pulmonary vasculature is normal. patchy opacity is noted within the left lower lobe which is concerning for pneumonia. no pleural effusion or pneumothorax is identified. there are no acute osseous abnormalities.
cough.
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lungs are well inflated and clear save for a single linear irregularly shaped opacity within the left upper lung zone most likely mild subsegmental atelectasis. there is no consolidation concerning for infection. no masses or lesions are seen. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. the pleural surfaces are unremarkable.
<unk>-year-old female with fever and cough, history of osteosarcoma status post chemo and surgery with known metastasis to lungs.
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the cardiac silhouette appears moderately enlarged but stable compared to prior study. two lead left-sided pacemaker appears in place. there is trace residual left pleural effusion, improved from prior, with adjacent atelectasis. previously visualized right trace pleural effusion is resolved.
evaluation for shortness of breath.
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. the lungs appear clear. there is no pleural effusion or pneumothorax.
chest pain.
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the heart size, mediastinal, and hilar contours are normal. the lungs are clear without pleural effusion, focal consolidation, or pneumothorax.chest radiograph is not optimal for evaluation of chest trauma. however, no bony abnormality identified.
<unk>m with chest pain. reproducible with palpation of the left chest. eval for chf/pneumonia.
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the patient is status post median sternotomy and cabg with coronary artery stents noted. biapical scarring and emphysematous changes are again noted. otherwise the lungs are clear. there is no focal consolidation concerning for pneumonia nor effusion. there is no free air. the cardiac size is within normal limits.
<unk>m with nash-related cirrhosis + portal htn and recent hx of hepatic encephalopathy who presents with confusion x<num> day per wife, recent <unk> // ?acute intrapulmonary process ?acute intracranial process ?worsening abdominal acites ?evidence of liver vasculature thrombosis
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pa and lateral views of the chest demonstrates the lungs are well expanded and clear. the cardiomediastinal silhouette is unremarkable. there is no pleural effusion, pulmonary edema or pneumothorax. no focal pneumonia seen.
dyspnea.
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there is no consolidation, pleural effusion, or pneumothorax. cardiomediastinal and hilar silhouettes are normal size. surgical clips are noted in the right upper quadrant of abdomen.
<unk> year old woman with fever to <num>, cough and post nasal drip // r/o pna
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two frontal views of the chest demonstrate an esophageal tube which courses below the diaphragm, into the stomach and out of view. the lungs demonstrate no evidence of focal opacification concerning for pneumonia or aspiration. there is no pleural effusion or pulmonary edema. no pneumothorax is present.
<unk>-year-old man with shortness of breath. evaluation for aspiration or pneumonia.
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the patient remains intubated. the balloon of the endotracheal tube seems somewhat overinflated. an orogastric tube courses into the stomach. a right internal jugular introducer catheter remains. aortic valve prosthesis is also noted. cardiac, mediastinal and hilar contours appear stable. right upper lung opacity has continued to improve. left perihilar opacification shows apparent increased, particularly compared to the right, where aeration has markedly improved. however, it is possible that apparent increase in left perihilar opacification may reflect differences in orientation to some degree. there is no pleural effusion or pneumothorax.
respiratory distress.