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nasogastric tube curls at the level of the carina superiorly terminating at the level of larynx. vascular congestion and right greater than left pleural effusions are unchanged along with basal atelectasis. heart size remains mildly enlarged. the tracheostomy tube and right picc are unchanged in position.
<unk>-year-old man with ng tube placement in the or. assess for position.
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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 temperature, svt
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a right upper extremity picc terminates in the distal superior vena cava. lung volumes are minimally improved. there is an unchanged infiltrative pulmonary abnormality, right greater than left, consistent with the history of ards. a more focal area of airspace consolidation seen in the right upper lobe is new. cardiac and mediastinal contours are unchanged. there is no pneumothorax or definite pleural effusion.
pneumonia.
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pa and lateral chest radiographs. there are two nodular densities in the right lower lung, not present on most recent radiograph. lung volumes are low and subtle opacity in left lung base is unchanged from <unk>. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal.
history of hypersensitivity pneumonitis and pleural effusions. the patient presents with back pain.
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. the lungs appear clear. there are no pleural effusions or pneumothorax. bony structures are unremarkable. surgical clips project over the right upper quadrant of the abdomen.
recent abdominal surgery.
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pa and lateral views of the chest. there is slight elevation of the left hemidiaphragm, not significantly changed since prior chest x-ray. left basilar opacity obscuring the left costophrenic angle and retrocardiac opacity are most likely due to atelectasis. elsewhere, the lungs are clear. cardiomediastinal silhouette is within normal limits. no acute osseous abnormality is identified.
<unk>-year-old female with dyspnea.
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heart size is top normal. lung volumes are low. no focal consolidation, pleural effusion, or pneumothorax identified. left-sided chest port catheter terminates in the distal svc. on lateral view, note is made of a stent in the upper abdomen, as well as multiple surgical clips.
<unk>f with pmh dm, dvt, pancreatic ca presents with syncope. please evaluate aorta, possible infection, other acute process.
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there is no focal consolidation, effusion, or pneumothorax. the aorta is tortuous. the cardiomediastinal silhouette is top normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
history: <unk>f with <num> days of reproducible chest pain // eval for chest pain
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mild cardiomegaly is unchanged. mediastinal silhouette and hilar contours are normal. a subtle opacity in the right lower lung is better appreciated on lateral view with increased retrocardiac densities worrisome for a right lower lobe pneumonia. the right lung apex and the left lung are clear. there is no pleural effusion or pneumothorax.
cough, fever and 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 are no pleural effusions or pneumothorax. bony structures are remarkable only for mild-to-moderate degenerative osteophyte formation along the anterior margin of the lower thoracic spine.
not feeling well. question pneumonia.
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mild enlargement of the cardiac silhouette is unchanged. the aorta is diffusely calcified. mediastinal and hilar contours are similar. mild pulmonary vascular congestion persists with small bilateral pleural effusions, new in the interval. lungs are hyperinflated. no pneumothorax or focal consolidation is present. there are no acute osseous abnormalities. compression deformity of a low thoracic vertebral body is unchanged.
history: <unk>f with worsening dyspnea on exertion.
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ap view of the chest. there are new bilateral patchy opacities, mainly central and in the lower lobes. there is a more confluent opacity in the left mid lung. there are new moderate bilateral pleural effusions, right greater than left. no pneumothorax. the heart is not well evaluated.
shortness of breath.
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the heart size is mildly enlarged but unchanged. the mediastinal and hilar contours are normal. the pulmonary vascularity is not engorged. no focal consolidation, pleural effusion or pneumothorax is present. the distal left clavicle and several left-sided ribs demonstrate increased sclerosis likely compatible with metastatic disease.
syncope and fall.
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cardiac, mediastinal and hilar contours are within normal limits. pulmonary vasculature is normal. dense opacification in the left lower lobe is present with a small left pleural effusion, not substantially changed in the interval. minimal patchy opacity in the right lower lobe may reflect atelectasis. no pneumothorax is demonstrated. clip is noted in the right upper quadrant of the abdomen. there are no acute osseous abnormalities
history: <unk>m with dyspnea
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heart size is mildly enlarged. the aorta is tortuous. a moderate size hiatal hernia is re- demonstrated. pulmonary vasculature is normal. no pleural effusion or pneumothorax is present. there are no acute osseous abnormalities.
history: <unk>m with fever
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cardiac silhouette size is normal. mediastinal and hilar contours are unremarkable. lungs are clear and the pulmonary vasculature is normal. no pleural effusion or pneumothorax is seen. there are mild degenerative changes in the mid thoracic spine.
chest pain.
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cardiomediastinal silhouette and hilar contours are stable. there has been continued interval improvement in left greater than right bibasilar atelectasis now with clear visualization of the left heart border and left hemidiaphragm. there is no pleural effusion or pneumothorax.
ventilator assisted pneumonia now with increased secretions.
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frontal and lateral views of the chest. the heart size is moderately enlarged and mild pulmonary edema is new. tortuosity of the descending thoracic aorta is similar to prior. bibasilar linear opacities are compatible with atelectasis. no focal consolidation, substantial pleural effusion, or pneumothorax. sternotomy wires and mediastinal clips are intact.
<unk>-year-old female with sudden onset of chest pain, shortness of breath.
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lung volumes are low. the cardiac silhouette is enlarged. again noted is a tortuous aorta. in comparison to the priors, there is persistent pulmonary vascular congestion, possibly slightly progressed, though likely exaggerated due to low lung volumes. no definite pleural effusion or pneumothorax is identified, though the semi-upright technique limits evaluation. again noted is a <num> lead left-sided pacemaker with the leads terminating in the right atrium and ventricle.
<unk> year old woman with ams concerning for seizure vs stroke now with acute sob // please assess for sob
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lung volumes are slightly lower resulting in vascular crowding. there is no frank pulmonary edema. moderate cardiomegaly is stable. appearance of the mediastinal and hilar contours is unchanged. there may be worsening opacity at the left base likely reflecting atelectasis and possibly small pleural effusion. there is no pneumothorax. there are degenerative changes at the acromioclavicular joints with bony spurring, right greater than left.
<unk> year old man with neck pain // ?pna
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the cardiac, mediastinal and hilar contours appear unchanged. there is no pleural effusion or pneumothorax. the lungs appear clear. there is mild similar s-shaped curvature of the visualized thoracolumbar spine. patchy vascular calcifications are noted along the abdominal aorta. there is no free air.
right upper quadrant pain.
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portable semi-erect chest radiograph <unk> at <time> is submitted.
<unk> year old woman with s/p cabg and peg and trach // eval for effusion or infiltrate eval for effusion or infiltrate
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the lung volumes are low. the cardiac, mediastinal and hilar contours appear unchanged, allowing for differences in technique. there are a number of round nodular densities projecting over each upper lung, but more numerous and discretely visualized in the left upper lobe, similar to prior study. however, in addition, there is a more hazy widespread opacity projecting over the left mid upper lung which could be compatible with a coinciding pneumonia. pulmonary nodules in the left upper lobe are also not completely characterized on this study. there is no pleural effusion or pneumothorax. post-operative changes are similar along the right chest wall.
metastatic disease with known pulmonary metastases, presenting with fever and leukocytosis.
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pa and lateral views of the chest provided. lungs are hyperinflated and appear clear. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. partially visualized are degenerative changes at the right glenohumeral joint. thoracic spine aligns normally with mild degenerative spurring. no free air below the right hemidiaphragm is seen.
<unk>f with plan for back surgery // ?infection
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pa and lateral chest radiographs. left lower lung streaky opacities most likely represent atelectasis. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal.
hemoptysis.
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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. there is no pleural effusion or pneumothorax. deformity of the right clavicle is unchanged compared to the prior exam from <unk>.
history: <unk>m s/p liver transplant ><unk> yr prior, <num> wk cough now resolving, p/w hyperglycemia, polyuria, polydypsia x <num> days. please evaluate for atypical infection.
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frontal and lateral views of the chest are compared to previous exam from <unk>. lungs are clear of focal consolidation or effusion. cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unremarkable.
<unk>-year-old male with chest pain for one week and shortness of breath with respiratory distress.
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linear atelectasis seen at the right lung base. no focal consolidation is identified. eventration of the left hemidiaphragm is unchanged. the cardiomediastinal silhouette and hilar contours are stable. there is no pleural effusion or pneumothorax. a right upper extremity picc terminates in the mid svc. diffuse gaseous distension is seen in the visualized upper abdomen. multiple vertebral body compression deformities are noted in the thoracic spine.
history: <unk>f with prior sbo p/w abd pain, evaluate for pneumonia.
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single frontal view of the chest. the patient is rotated with respect to the film. endotracheal tube terminates <num> cm above the carina. ng tube side hole is at the level of the ge junction. heart size and cardiomediastinal contours are normal. lungs are clear without focal consolidation, pleural effusion, or pneumothorax.
<unk> year old male with seizure, leukocytosis, and fevers.
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pa and lateral views of the chest. low lung volumes. there is chronic opacity in the right middle lobe, unchanged. the right hemidiaphragm apex is more lateral. there is no focal consolidation, pleural effusion, or pneumothorax. the cardiomediastinal and hilar contours are normal.
sudden onset dizziness and weakness.
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moderate enlargement of cardiac silhouette persists. mediastinal contours are unchanged, and enlargement of the hila bilaterally is compatible with lymphadenopathy as seen on the prior ct. mild perihilar haziness suggests mild pulmonary edema, slightly improved from prior. no focal consolidation, pleural effusion or pneumothorax is seen. there are multilevel degenerative changes in the thoracic spine with bridging anterior osteophytes.
ronchi, shortness of breath.
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the heart is mildly enlarged. mild unfolding is noted along the thoracic aorta. allowing for differences in technique, with lower lung volumes on this study, the cardiac, mediastinal and hilar contours appear unchanged. streaky right mid lung opacity suggests minor atelectasis or scarring. otherwise, the lungs appear clear. there is no pleural effusion or pneumothorax. mild degenerative changes are similar along the mid thoracic spine.
unsteady gait and headache.
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low lung volumes seen on the current exam. the superior most portion of the lung apices are excluded from the field of view. where seen the lungs are clear of consolidation or effusion. the cardiomediastinal silhouette is within normal limits for technique. no acute osseous abnormalities.
<unk>f with cough x <num> weeks // r/o acute process
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areas of linear left base atelectasis are seen. there is no definite focal consolidation. there is no pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are unremarkable. there are relatively low lung volumes. no displaced fracture is seen.
chest pain.
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a small to moderate pleural effusion is seen at the base of left lung as well as a very small pleural effusion seen on the right, which are new since ct exam on <unk>. opacities at the base of the right lung could represent early dependent edema or atelectasis. the cardiomediastinal silhouette and hilar contours are unchanged. there is no evidence of pneumothorax.
history of pancreatic cancer.
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the lungs are hyperinflated, with flattening of the diaphragms, but no focal opacities. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax.
<unk>-year-old male with hypotension and weakness. evaluate for acute cardiopulmonary process.
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ap 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>m with dizziness // pna?
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. nipple shadows are visible bilaterally. elsewhere, the lungs fields appear clear. the chest is mildly hyperinflated. there is no pleural effusion or pneumothorax.
shortness of breath and cough.
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chest pa and lateral. there is no focal consolidation. there are no pleural effusions or pneumothorax. the cardiomediastinal silhouette is normal.
<unk>-year-old male with low-grade temperature and fever, question of pneumonia.
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lines and tubes: bilateral chest tubes project over the lower lateral chest wall. the pigtail of the right-sided chest tube projects outside the chest wall may be in the subcutaneous tissues. lungs: well inflated with unchanged bilateral diffuse coarse linear and patchy opacities. pleura: there is no pleural effusion or pneumothorax mediastinum: unchanged cardiomegaly and mediastinal silhouette. bony thorax: no interval change
<unk> year old man with bilaterla pulm infilitrates, pleural effusions s/p bilateral chest tubes // assess for interval change; please do between <num> and <num> am
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the lungs are hyperinflated. diffuse increased interstitial markings bilaterally persists but are perhaps slightly improved since the exam on <unk>. this appears most consistent with cardiopulmonary edema in the setting of moderate cardiomegaly and a small right pleural effusion, interstitial pneumonia cannot be excluded in the appropriate clinical scenario. a left pleural effusion, if present is trace. retrocardiac linear streak like opacities may reflect atelectasis, slightly decreased from the prior exam but were also present in <unk>. no pneumothorax. the patient is status post median sternotomy, unchanged. extensive aortic knob calcifications are also unchanged. the descending thoracic aorta is tortuous, similar the prior exam. a c-shaped radio opacity projecting over the midline in the region just above the hiatus on the frontal view is also seen on the lateral view and is of uncertain etiology but is unchanged. extensive degenerative changes of the thoracic spine with mild, broad s-shaped scoliosis of the thoracolumbar spine is overall similar to the prior exam. no acute osseous abnormality.
<unk>-year-old woman with altered mental status. evaluate for infiltrate.
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the lungs are clear without consolidation, effusion, or pneumothorax. right hilar calcifications, presumably calcified hilar lymph nodes, are noted in addition to suspected right lower lung calcified granulomas, unchanged since <unk>. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>f with chest pain // please eval for any pneumonia, cardiomegaly
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pa and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation or pneumothorax. hilar and mediastinal silhouettes are unremarkable. heart size is normal. there is no pulmonary edema. partially imaged upper abdomen appears unremarkable.
left upper quadrant and left-sided chest pain.
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the lungs remain clear. cardiomediastinal silhouette is within normal limits. no acute osseous abnormality is identified.
<unk>m with psc, crohn's, <num>x day fever to <num>, nonproductive cough x several wks // r/o infiltrate
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portable frontal chest film <unk> at <time> is submitted
<unk> year old woman with pneumonia and intubated // interval change interval change
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cardiac silhouette size is normal. mediastinal and hilar contours are similar. no pulmonary edema is present. patchy and linear opacities in the lung bases are similar compared to the previous exam and may reflect a combination of chronic interstitial abnormality and atelectasis. no new focal consolidation, pleural effusion or pneumothorax is present. numerous clips are demonstrated at the gastroesophageal junction. no subdiaphragmatic free air is identified.
history: <unk>m with abdominal and chest pain, back pain, history of small bowel obstruction, diverticulitis
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portable semi-erect chest film <unk> at <time> is submitted.
<unk> year old man with resp failure // acute process acute process
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lungs are hyperinflated. heart size is normal. mediastinal and hilar contours are unremarkable. pulmonary vasculature is normal and the lungs are clear. no pleural effusion or pneumothorax is demonstrated. no acute osseous abnormalities seen.
dyspnea on exertion, <num> episodes of chest pain yesterday.
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no definite focal consolidation is seen. there is no pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are unremarkable.
concern for acute leukemia question pneumonia.
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right chest wall port is again seen with catheter tip in the right atrium. volume loss in the right hemithorax is similar to prior with chronic blunting of the right lateral costophrenic angle. enlarged right hilum from known adenopathy is better seen on prior ct scan. the lungs are clear consolidation or effusion. cardiomediastinal silhouette is unchanged. no acute osseous abnormalities.
<unk>f with cough, cp // evidence of pneumonia
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lung volumes are low. patient rotation slightly limits assessment. the patient is status post median sternotomy and cabg. cardiac silhouette size remains mildly enlarged. the aorta is unfolded. there is mild bronchovascular crowding and possible mild pulmonary vascular congestion. streaky left basilar opacity likely reflects atelectasis. no focal consolidation, pleural effusion or pneumothorax is seen. no acute osseous abnormalities are present.
altered mental status.
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no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. there is minimal biapical pleural thickening. the cardiac and mediastinal silhouettes are unremarkable.
new onset afib.
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indistinct increased opacity in the left midlung field could represent infection or aspiration in the proper clinical circumstances. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal.
<unk>f with chest pain, evaluate for acute process
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the patient is status post coronary artery bypass and mitral valve replacement. heart size is top-normal and stable. the lungs are clear and there is no evidence of pneumonia or pulmonary edema. moderate hiatal hernia is noted. no pleural effusion or pneumothorax. osseous structures are intact. there are multiple continuous running anterior osteophytes.
history: <unk>m with chest congestion, pain, cough // please eval for pna
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lung volumes are low and are lower than on the prior study. the heart is mildly enlarged. there is increased volume loss/ infiltrate in both lower lobes. the upper lungs are clear
<unk> year old woman with worsening hypoxemia, abdominal pain // please evaluate for edema, infiltrate, effusion
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patient is status post median sternotomy and cabg with multiple fractured sternotomy wires again demonstrated, better seen on the prior ct. heart size remains mildly enlarged. mediastinal and hilar contours are normal. pulmonary vasculature is normal. no focal consolidation, pleural effusion or pneumothorax is identified. biliary stent is seen within the upper abdomen on the lateral view. no acute osseous abnormalities present.
history: <unk>f with ruq pain s/p ercp w/stent placement on <unk>. crackles on r lung base. // cholecystitis? pneumonia?
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lungs are well inflated and clear. heart size is top normal. mediastinal and hilar contours are normal. no pleural effusion or pneumothorax.
history: <unk>f with multiple comorbidities, uri symptoms, requires ivf with baseline chf. evaluate for acute process.
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frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation or pneumothorax. the hilar and mediastinal silhouettes are unremarkable. heart size is normal. there is no pulmonary edema. port-a-cath tip projects over upper svc. g-tube is in place. expansile, mixed lytic and sclerotic lesion of the right distal clavicle is noted.
fever.
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frontal views of the chest. lung volumes are low, exaggerating heart size which remains moderately enlarged. large hiatal hernia is air-filled and slightly displaces the heart to the right. prominence of the mediastinum is attributed to patient rotation and stable widening of the vascular pedicle. no focal consolidation, pleural effusion, or pneumothorax is appreciated.
shortness-of-breath and hypoxia.
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heart size is within normal limits allowing for technique. mediastinal and hilar contours are grossly unremarkable. there is no evidence for pulmonary consolidation or pulmonary edema. there is no pneumothorax. interval improvement in left pleural effusion. the right-sided picc appears to terminate in the svc. endotracheal tube terminates in the midtrachea about <num> cm above the carina. ekg leads overlie the patient.
<unk> year old man with trach and pleural effusions // interval change
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the lungs appear hyperexpanded. no focal consolidation, pleural effusion or pneumothorax identified. mild biapical pleural parenchymal thickening. the size the cardiac silhouette is within normal limits. calcification of the aortic arch is noted.
<unk> year old woman with multiple strokes // rule out infection
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heart size is normal. cardiomediastinal silhouette and hilar contours are unremarkable. lungs are clear. pleural surfaces are clear without effusion or pneumothorax.
stroke. evaluate for pneumonia.
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left chest wall pacer and single lead are unchanged in position. the heart is mildly enlarged. the hilar contours are within normal limits. lung volumes are low. there is mild pulmonary vascular congestion and moderate bilateral pleural effusions, left greater than right. bibasilar opacities may represent atelectasis or infection. no pneumothorax.
history: <unk>m with chf shortness of breath // eval for pulmonary edema
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lung volumes are decreased, accentuating the bronchovascular structures. the cardiomediastinal and hilar contours are within normal limits. there is no focal consolidation, pleural effusion or pneumothorax. note is made of a distended upper esophagus.
cough, malaise. question infiltrate.
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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>m with sob // infiltrate?
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there has been placement of an ng tube with appropriate positioning with the tip in the distal gastric body. there is otherwise no significant change compared to prior examination. heart size is normal. cardiomediastinal silhouette and hilar contours are unremarkable. lungs are clear. there is no pleural effusion or pneumothorax.
ng tube placement.
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ap and lateral views of the chest. linear opacity at the left lung base laterally and posteriorly suggestive of atelectasis versus scarring. the lungs are otherwise clear. the cardiomediastinal silhouette is within normal limits. no displaced fracture is identified.
<unk>-year-old male with instability of gait, altered mental status.
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are low in volume however the lungs are clear aside from minimal platelike lower lung atelectasis. no pleural effusion or pneumothorax is seen.
<unk>m with fevers // eval for pna
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enteric tube courses below the diaphragm, out of the field of view. there are relatively low lung volumes. subtle bibasilar opacities most likely represent atelectasis, although aspiration is not excluded in the appropriate clinical setting. no large pleural effusion is seen. there is no pneumothorax. the cardiac and mediastinal silhouettes are unremarkable.
history: <unk>m with p/w abdominal distention // ?pna
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frontal and lateral chest radiograph demonstrates well-expanded lungs. the right lung is grossly clear with no focal consolidation or appreciable pleural effusion. there is a persistent left-sided pleural effusion and or pleural thickening. unchanged left chest tube seen along the left hemidiaphram and spine. no appreciable pneumothorax is identified. the cardiomediastinal and hilar contours having normal postoperative appearance. heart size is top normal. median sternotomy wires are intact. incidental note is made of pectus excavatum.
a <unk>-year-old female with left effusion.
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the lungs are symmetrically well expanded and well aerated without focal consolidation, pleural effusion or pneumothorax. no pulmonary vascular congestion or overt pulmonary edema is seen. the cardiac silhouette is normal in size. the mediastinal and hilar contours are within normal limits. the trachea is midline. no acute displaced rib fractures are detected. the vertebral body heights are preserved in the visualized thoracic spine.
history of osteopenia, now with chest pain, here to evaluate for a rib fracture.
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are well inflated and clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
history: <unk>m with hiv. fever
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there are low lung volumes, which accentuate the bronchovascular markings. given this, no definite focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are grossly unremarkable.
history: <unk>f with right sided shoulder pain and substernal chest pain // ? infiltrate ?pnuemothorax
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frontal and lateral radiographs of the chest show intact median sternotomy wires with appropriately positioned atrial and ventricular icd leads. lvad device is seen overlying the left hemithorax and abdomen. the lungs are clear with no pleural effusions or pneumothorax. the lungs are hyperinflated with flattened diaphragms, consistent with emphysema. heart size is enlarged with a tortuous descending aorta.
class iv cardiomyopathy, status post lvad implant with decreased breath sounds. evaluate for pleural effusion and pulmonary edema.
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shallow inspiration accentuates heart size. mildly increased pulmonary vascularity. mild interstitial prominence, more apparent on the left, may represent edema, inflammatory process, new since prior. mild right pleural effusion is new, with either mildly elevated right hemidiaphragm or subpulmonic component of effusion. minimal right basilar atelectasis. left lung is clear.
<unk> year old woman with cirrhosis and new sob at rest and doe // pulmonary edema
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subtle increase in interstitial markings bilaterally may be due to technique or chronic lung disease/fibrosis. no focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. the patient is status post median sternotomy and cardiac valve replacement..
history: <unk>f with c/o sob // ? pna
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two views of the chest demonstrate low lung volumes, as seen previously. the cardiac silhouette is top normal in size, exaggerated by low lung volumes. the pulmonary vasculature appears normal. there is no pleural effusion, or pneumothorax. the mediastinal contours are normal.
<unk>-year-old male with palpitations, question pneumonia.
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single portable view of the chest. the lungs are clear without consolidation, effusion or pulmonary vascular congestion. cardiomediastinal silhouette is within normal limits. no free air seen below the diaphragm.
<unk>-year-old male with severe abdominal pain and vomiting.
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the lungs are clear without focal consolidation, pleural effusion or pneumothorax. the pulmonary vasculature is not engorged, and there is no overt pulmonary edema. the cardiomediastinal and hilar contours are within normal limits.
pain, here to evaluate for acute cardiopulmonary process.
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there is again a mild interstitial abnormality suggesting very mild pulmonary vascular congestion, although the lungs appear otherwise clear. there is no pleural effusion or pneumothorax. the heart is mildly enlarged. the mediastinal and hilar contours appear unchanged. mild degenerative changes are noted along the thoracic spine.
shortness of breath.
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the cardiac, mediastinal and hilar contours appear stable. there are no pleural effusions or pneumothorax. the lungs appear clear. an anterior flowing syndesmophyte is noted along mid through lower thoracic levels.
new onset of right-sided weakness.
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relatively low lung volumes are seen particularly on the lateral views. the lungs however are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified.
<unk>f with syncope // acute process?
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ap and lateral views of the chest. the lungs remain clear. the cardiomediastinal silhouette is normal. no acute osseous abnormality is identified noting significant degenerative changes at the right shoulder.
<unk>-year-old male with weakness.
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<num> views were obtained of the chest. lungs are low in volume but clear aside from minimal basal scarring/atelectasis. blunting of the costophrenic sulci bilaterally could reflect trace pleural effusions or pleural thickening. the heart is top-normal in size with normal mediastinal and hilar contours aside from a tortuous aorta.
shortness of breath.
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single frontal view of the chest demonstrates median sternotomy wires, the most inferior of which remain stably fractured. a left approach dual-channel dialysis catheter remains in stable position. massive cardiomegaly is unchanged, with perihilar vascular engorgement and mild edema. there is near-complete obscuration of the left lower lung, where infection cannot be excluded. the right lung and the left upper lung remain well aerated. there is no pneumothorax or large right effusion.
<unk>-year-old male with shortness breath. question pneumonia.
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pa and lateral views of the chest were reviewed. severe cardiomegaly is unchanged since the prior study. the mediastinal and hilar contours are stable. there is no pleural effusion or pneumothorax. lungs are clear with no focal consolidation concerning for pneumonia.
new onset atrial fibrillation.
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the patient remains intubated. the endotracheal tube terminates about <num>-<num> cm above the carina. an orogastric tube courses into the stomach, its distal course not fully imaged. a right internal jugular catheter terminates at the cavoatrial junction. there is a new focal opacity in the left upper lobe with a geometric appearance, probably compatible with atelectasis; a newly forming area of pneumonia is not excluded, however. dense extensive retrocardiac opacification with air bronchograms and a probable associated pleural effusion persists without clear change. a pleural effusion is not apparent on the right on this study, which may be due to a true decrease or consequence of differences in positioning.
arrhythmia. question central line positioning.
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endotracheal tube tip ends <num> cm above the carina, orogastric tube courses up to the gastroesophageal junction with its side port <num> cm above the ge junction. consider advancing the orogastric tube by <num>-<num> cm for better seating. right picc line tip is at mid svc. since yesterday, increased retrocardiac density deflecting left lower lung atelectasis has improved. small bilateral pleural effusions are similar. minimal right basilar atelectasis is present. upper lungs are clear. multiple chronic right sided rib fractures are present.
evaluate pneumonia versus pulmonary edema.
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frontal and lateral radiographs of the chest demonstrate low lung volumes, which results in bronchovascular crowding. atelectasis is seen at the right base. the cardiomediastinal and hilar contours are unchanged. there is persistent mild cardiomegaly and tortuosity of the aorta. there is no pneumothorax, pleural effusion, or consolidation.
history: <unk>f with cp // ptx
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pa and lateral views of the chest demonstrate relative flattening of the bilateral hemidiaphragms and multiple bullae, consistent with severe emphysema. there is no evidence of pleural effusion, pulmonary edema, or pneumothorax. no focal consolidation is identified. the cardiomediastinal silhouette is stable and the aorta is somewhat tortuous. left-sided rib deformities are again seen, consistent with healed fractures.
<unk>-year-old male status-post fall <num> week prior with several rib fractures on the left. evaluation for pneumothorax.
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as compared to prior chest radiograph from <unk>, trace right apical pneumothorax remains. lung volumes remain low. there are persistent right multilobar opacities and there is pulmonary congestion. loss of the left hemidiaphragm could be related to a small pleural effusion and volume loss. retrocardiac air bronchograms could represent pneumonia. heart is enlarged but stable when compared to prior examination. a right-sided ij central venous catheter tip is seen at the cavoatrial junction.
<unk>-year-old male patient with history of right multilobar pneumonia, right empyema status post chest tube removal with small pneumothorax and tachypnea. study requested for evaluation of reaccumulation of effusion and/or pneumothorax.
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the lungs are clear. there is no focal consolidation, effusion, or pneumothorax. cardiac enlargement is similar compared to prior. no acute osseous abnormalities.
<unk>m with chest pain // eval for acute process
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the cardiomediastinal hilar contours are normal. there is no pleural effusion or pneumothorax. lungs are well-expanded and clear without focal consolidation concerning for pneumonia. pulmonary vasculature is within normal limits. surgical clips in the right upper quadrant are likely due to cholecystectomy.
<unk>f with left shoulder, cp yesterday. left arm tingling/numbness today.
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heart size remains moderately enlarged with dense coronary artery calcifications. mediastinal and hilar contours are unchanged with atherosclerotic calcifications noted at the aortic knob. mild pulmonary vascular congestion is not substantially changed in the interval without frank pulmonary edema. chain sutures are noted in the right apex. patchy opacities in the lung bases likely reflect areas of atelectasis. no focal consolidation, pleural effusion or pneumothorax is present. multiple clips project over the right upper quadrant of the abdomen.
<unk> year old woman with end-stage renal disease on hemodialysis now with slow vt // please evaluate for fluid overload
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there has been interval removal in previously seen left-sided central venous catheter.there are low lung volumes. left lower lobe opacity could be due to pneumonia and/ or atelectasis. no large pleural effusion is seen. there is no pneumothorax. the cardiac and mediastinal silhouettes are grossly stable.
history: <unk>f with chest pressure and sob beginning while walking in the mall. // consolidation or other acute process
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the cardiomediastinal silhouettes are stable, reflective of a mildly tortuous thoracic aorta. an left chest cardiac device is unchanged in orientation. the left chest port-a-cath has been removed since prior radiograph. diffuse prominence of the pulmonary interstitium is most conspicuous in the lower lobes, similar appearance to prior exams, and may relate to volume overload. bibasilar atelectasis is stable from multiple prior exams. the bilateral hila are unremarkable. there is no focal consolidation. there is no pleural effusion or pneumothorax.
<unk>-year-old woman with altered mental status, evaluate for pneumonia.
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heart size appears moderately enlarged, similar to the prior study. the aorta and demonstrates atherosclerotic calcifications diffusely. there is mild pulmonary edema, worse in the interval with small bilateral pleural effusions, slightly increased on the right. patchy opacities in the lung bases, more so on the right may reflect areas of atelectasis but infection is not excluded. there is no pneumothorax. mild to moderate degenerative changes are noted in the thoracic spine.
history: <unk>f with likely chf exacerbation
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<num> views were obtained of the chest. the location of the previously described opacities have not been provided. within this limitation, the lungs appear hyperexpanded but clear. there is no pleural effusion or pneumothorax. the heart and mediastinal contours are unremarkable. old left upper rib irregularities may reflect fractures.
copd and recent pneumonia, assess for resolution of prior opacities.
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ap upright and lateral chest radiograph demonstrates heart size upper limits of normal. pulmonary vasculature is within normal limits. there is no evidence of pulmonary edema. blunting of the left costophrenic angle appears similar to prior study, may reflect pleural thickening or atelectasis. previously described subtle right basilar opacity is less apparent on current examination. no new focal opacity is seen. there is no air under the right hemidiaphragm.
<unk>f with worsening pain symptoms, recent opacity on <unk> cxr, anca positive // interval change in infiltrate
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mild enlargement of the cardiac silhouette is demonstrated. the aortic knob calcifications are present. the mediastinal contours otherwise are unremarkable. lungs are hyperinflated, but otherwise clear without focal consolidation. no pleural effusion or pneumothorax is seen. there is no pulmonary edema. no acute osseous abnormalities demonstrated.
new onset arrhythmia.