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a right pigtail catheter is unchanged. the remnant effusion is stable. again noted is mild pulmonary edema, although improved since the previous exam especially in the right lung. opacity in the left mid lung may represent asymmetric edema, however this seems less likely given the improvement in edema in the right lung. the cardiac silhouette is unchanged. median sternotomy wires are intact.
history of pleural effusion.
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a right upper lobe lesion is again seen with two radiopaque fiducial markers. no pneumothorax is present. there is no focal consolidation or effusion.
<unk>-year-old woman status post right lung fiducial placement and biopsy.
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lung volumes are very low. patchy infiltrates in the right and left upper lung are mostly unchanged from the prior study. these findings correlate to the multifocal ground-glass opacities seen on ct chest from two days prior, likely multifocal pneumonia or hemorrhage. a right internal jugular line is seen in the distal svc, unchanged. ng tube has been removed. cardiomediastinal silhouette is unchanged.
<unk>-year-old male with cirrhosis and sbp with chest x-ray concerning for septic emboli, question interval change.
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left-sided port-a-cath catheter terminates in the right atrium, not significantly changed from prior examination. the cardiomediastinal and hilar contours are within normal limits. within the right upper lung note is made of a <num> x <num> cm focal opacity which is enlarged when compared to prior ct torso from <unk>. left lower lobe nodule is better assessed on prior ct examinations. there is no new areas of focal consolidation, pleural effusion or pneumothorax.
metastatic colon cancer. rule out pneumonia.
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the heart is mildly enlarged. the pulmonary artery contour is mildly prominent. in addition to upper zone redistribution of pulmonary vessels, there is a mild interstitial abnormality suggesting slight pulmonary vascular congestion or fluid overload. small pleural effusions are suspected in addition to minor basilar atelectasis and thickening of fissures. the bones appear demineralized.
weight loss.
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there is no focal consolidation, pleural effusion or pneumothorax. heart size is normal. no mediastinal widening. cortical step-off and acute angulation of the proximal sternal body is consistent with an acute fracture.
<unk>-year-old male with acute onset chest pain after airbag deployment
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ng tube courses into the stomach, but the tip is beyond the field of view. the et tube is approximately <num> cm from the carina and should be advanced. lung volumes are slightly hyperexpanded in the setting of known emphysema. there is no new focal airspace opacity to suggest pneumonia. the heart is not enlarged. the mediastinal and hilar contours are normal. there is a small right pleural effusion with persistent atelectasis at the right base but overall improved since <unk>. there is no pneumothorax.
respiratory distress. assess for pneumothorax.
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cardiomediastinal contours are normal. lungs are clear except for minimal crowding of bronchovascular structures at the lung bases related to slightly low lung volumes. no evidence of pleural effusion or pneumothorax. distended bowel in the upper abdomen is a nonspecific finding that is likely been more fully assessed by recent abdominal and pelvic ct from earlier the same date.
<unk> year old man with brain lesion. cxr for pre-operative clearance. // cxr for operative clearance. surg: <unk> (resection of brain lesion)
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cardiomediastinal silhouette and hilar contours are normal. lungs are clear. there is no pleural effusion or pneumothorax. again appreciated is mild hyperinflation with a wide ap diameter of the chest well and flattening of the diaphragms is suggestive of a chronic process such as emphysema. no acute bony abnormality is identified.
stage iiic melanoma <unk> years post therapy.
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frontal and lateral radiographs of the chest demonstrate persistent predominantly peripheral and bibasilar reticular nodular opacities, consistent with chronic interstitial lung disease, slightly increased in severity from <unk>. cardiomediastinal and hilar contours are unremarkable. heart is top normal in size. no pneumothorax, pleural effusion, or consolidation.
<unk>-year-old female with autoimmune hemolytic anemia on steroids and persistent productive cough and chills. evaluate for pneumonia.
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pa and lateral views of the chest provided. airspace consolidation is noted in the anterior segment of the right upper lobe compatible with pneumonia. otherwise, the lungs are clear. no pleural effusion or pneumothorax. no pulmonary edema. cardiomediastinal silhouette is normal. bony structures are intact.
<unk>f with no pmh presenting with <num> week of headache, malaise, fever, cough. // evidence of infiltrate
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there is a vague <num> cm nodular opacity projecting over of the right anterior sixth rib on the frontal view. normal heart size, mediastinal and hilar contours. no focal consolidation, pleural effusion or pneumothorax. a round dense opacity projecting over the mid thoracic spine appears to correspond to an osteophyte on the frontal view.
history: <unk>m with seizure // eval for pneumonia
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there is relative elevation of left hemidiaphragm as on prior. the lungs are clear without focal consolidation, effusion, or edema. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. surgical clips in the right upper quadrant suggest prior cholecystectomy.
<unk>f with s/p fall large hematoma // eval for trauma
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lung volumes are extremely low, accentuating the cardiac silhouette and pulmonary vasculature. heart size is normal. moderate left pleural effusion and left basal consolidation are new since <unk> and increasing since <unk>. remainder of the lung fields is essentially clear. endotracheal tube is in standard position with tip <num> cm cranial to the carina. right internal jugular temporary pacer lead ends near the pulmonic valve. an upper enteric tube terminates in the mid gastric body. there is no pneumothorax. vascular clips denote prior gastric surgery.
intubated transfer with a right internal jugular pacer, endotracheal tube and og tube. evaluate for pneumonia and tube placements. comparison (mrn <unk>): <unk>
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there is no focal consolidation or effusion. there is mild pulmonary vascular congestion without overt pulmonary edema. median sternotomy wires and mediastinal clips are again noted as well as coronary artery stent. no acute osseous abnormalities.
<unk>m with dyspnea // ? acute cardipulm process
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cardiomediastinal silhouette and hilar contours are normal. lungs are clear. there is no pleural effusion or pneumothorax. no displaced rib fracture is identified.
fatigue and left chest pain.
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bibasilar opacities are seen as well as opacity overlying the mid lung on the lateral view, in possibly the right middle lobe no pleural effusion or pneumothorax is seen. cardiac silhouette is top-normal. mediastinal contours are unremarkable.
history: <unk>f with cough and sob // eval pneumonia
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ap and lateral views of the chest. no prior. the lungs are clear of confluent consolidation or pleural effusion. cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are notable for severe degenerative changes at the left glenohumeral joint.
<unk>-year-old female with shortness of breath. question pneumonia or chf.
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compared with prior radiographs on <unk>, there is no significant change.the lungs are clear without focal consolidation. there is no vascular congestion or edema. no pleural effusion or pneumothorax is seen. cardiac size is normal.
<unk> year old woman with cough and crackles left lung // evaluate
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the cardiomediastinal silhouettes are stable and within normal limits. the bilateral hila are unremarkable. the lungs are clear without focal consolidation. there is no pulmonary vascular congestion. there is no pneumothorax. new small left-sided pleural effusion.
<unk>-year-old man with a history of alcoholic cirrhosis complicated with hepatic encephalopathy (on lactulose/rifaximin), grade ii varicies presenting with approx. <unk> lb weight gain. // evaluation of pulmonary edema
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the left-sided chest tube has been removed. the left apical pneumothorax is stable. the left pleural effusion and lingular and left base are unchanged.
<unk> year old woman s/p blebectomy, chest tube removal. // chest tube removed @ <unk> on <unk>, please perform cxr to evaluate for interval change, ptx.
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left-sided port-a-cath tip terminates in the upper svc. cardiac silhouette size remains moderately enlarged. the mediastinal and hilar contours are unchanged. mild pulmonary vascular congestion is not substantially changed in the interval. no focal consolidation, pleural effusion or pneumothorax is present. hypertrophic changes are again seen in the thoracic spine.
history: <unk>f with generalized weakness on top of chronic neurologic deficits of bilateral lower extremities
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cardiac silhouette size is top normal. the aorta is tortuous. mediastinal and hilar contours are unremarkable. pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. left hemidiaphragm is elevated with gaseous distention of the stomach. no acute osseous abnormalities identified.
history: <unk>f with cough. // rule out bronchitis
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heart size and cardiomediastinal contours are normal. lungs are clear without focal consolidation, pleural effusion, or pneumothorax.
history: <unk>m with chest pain, smoking cocaine // eval for pna
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median sternotomy wires, replaced aortic valve, and left pacemaker defibrillator device are unchanged. lung volumes have slightly decreased in the interim. there is central pulmonary vascular congestion with moderate pulmonary edema. indistinctness of the left hemidiaphragm, descending aorta, and costophrenic angle most likely reflects a combination of the small left pleural effusion, atelectasis, and edema, worse since <unk>. moderate cardiomegaly is overall unchanged. no right pleural effusion. no pneumothorax. no definite focal consolidation, however concurrent infection, particularly in the left lower lobe, in the appropriate clinical situation cannot be excluded.
<unk>-year-old man with chf presenting with worsening doe and <num>+ edema to knees.
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lungs are well inflated and clear, with the exception of minimal plate-like atelectasis in the left lower lobe. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax.
<unk>-year-old male with fatigue and elevated white blood cell count. evaluate for evidence of acute cardiothoracic process.
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the cardiomediastinal and hilar contours are within normal limits. lungs are hyperexpanded, consistent with known diagnosis of asthma. there is no focal consolidation, pleural effusion, or pneumothorax.
<unk>-year-old woman with history of asthma and chronic intermittent cough over six weeks. rule out infiltrate.
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compared to chest radiograph from <unk>, lung volumes have decreased and remain low. linear opacity at the right lung base likely represents chronic atelectasis or fissural thickening. possible effusion on the right, likely moderate. there are no new focal consolidations. there is no pneumothorax. moderately cardiomegaly with pulmonary vascular congestion suggests mild heart failure. mediastinal and hilar contours are stable.
history: <unk>m with recent discharge for pna with ams // eval ? recurrent pna
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the lung volumes are low with adjacent bibasilar compressive atelectasis. the heart size is difficult to evaluate due to low lung volumes. mediastinal silhouette and hilar contours are unremarkable. lungs are otherwise clear. there is no pleural effusion or pneumothorax. the osseous structures are grossly unremarkable.
nausea vomiting and weakness.
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patient is rotated and there is an accentuated thoracic kyphosis. soft tissue of the neck obscures visualization of the right lung apex. within this limitation, the lungs are grossly clear. blunting of the left lateral costophrenic angle is likely due to scarring and prominent pericardial fat. cardiomediastinal silhouette is stable. old healed left lateral rib fractures are noted. compression deformities in the thoracic spine are also noted and were seen on prior.
<unk>f with sob, cough, + sputum // evaluate for pneumonia, pleural effusion
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the patient has had median sternotomy and the wires appear intact and in similar position. mediastinal clips are unchanged. the patient appears to have had a lap band procedure, projecting over the left upper abdomen. a left pleural effusion is small with mild adjacent relaxation atelectasis. otherwise, the lungs are clear. no focal consolidation, effusion, edema, or pneumothorax. the heart is normal in size. the mediastinum is not widened. no acute osseous abnormality.
<unk>-year-old woman presenting with cough and fever after recent cabg ; evaluate for pneumonia.
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cardiomediastinal silhouette is within normal limits. there is mild atelectasis at the left base. there may be a trace pleural effusion in the posterior sulcus. there is no focal consolidation. no pneumothorax. multiple at acute rib fractures are better seen on the ct scan from earlier today.
history: <unk>f with fall and cp // pre op
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the heart is normal in size. cardiomediastinal and hilar contours are shifted to the right, which <unk> be due to patient rotation. there is no pneumothorax or large pleural effusion. the lungs are well-expanded. increased hazy slightly nodular opacities in the right lung, especially in the right upper <unk>, <unk> indicate an infectious process.
<unk>f with ams, fever
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lung volumes are low. cardiac, mediastinal and hilar contours are unchanged. heart size is normal. there is crowding of the bronchovascular structures, but no pulmonary edema is demonstrated. linear and streaky opacities in the lung bases likely reflect atelectasis in the setting of low lung volumes. no definite pleural effusion or pneumothorax is identified. degenerative changes are again noted throughout the thoracic spine.
history: <unk>m with recent falls
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the patient remains intubated. the endotracheal tube terminates approximately <num> cm above the carina, as before. an orogastric tube courses into the stomach, its distal course not imaged, below the inferior margin of the film. a left-sided picc line terminates at the cavoatrial junction. there is persistent confluent retrocardiac opacification with a small or perhaps small-to-moderate layering pleural effusion. allowing for small differences in technique, findings are probably unchanged. there is no pneumothorax.
status post intubation with oxygen desaturation and decreased breath sounds of the left.
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frontal 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 is unremarkable.
patient with persistent cough. assess for pneumonia.
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right pleural effusion, basilar consolidation is similar. tiny left pleural effusion. mildly worsened left basilar opacity, likely atelectasis. normal heart size, pulmonary vascularity.
<unk> year old man with right effusion unknown etiology s/p <unk> <unk> with persistent o<num> requirement // evaluation for edema, effusion, infiltrate
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no significant interval change. again seen aortic stent graft and triple lead left-sided pacer device.the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. no overt pulmonary edema is seen. surgical hardware is noted in the lower cervical spine, although not well assessed.
history: <unk>f with <unk> year of sob // eval for consolidation
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the cardiomediastinal silhouette is normal. there is no pleural effusion or pneumothorax. there is no focal lung consolidation.
<unk> year old man with cough and rhonchi in the left upper lobe..
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frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. the cardiomediastinal and hilar contours are unremarkable. there is no pneumothorax, pleural effusion, or consolidation.
<unk> year old woman with syncope // ? chf
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pa and lateral views of the chest <unk> at <time> is submitted.
<unk>m otherwise healthy, p/w <num>d severe retching and vomiting p/w esophag perf, no active leak // eval for free air eval for free air
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pa and lateral chest radiographs are provided. there is no focal consolidation, pleural effusion, or pneumothorax. cardiomediastinal silhouette is unremarkable. osseous structures are unremarkable. there is no free air under the right hemidiaphragm. there are clips in the right upper quadrants.
<unk>-year-old woman with dyspnea on exertion, tachycardia for three days, question acute process.
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<num> views were obtained of the chest. post treatment changes are seen in the right apex. the lungs are otherwise well expanded and clear. there is no pleural effusion or pneumothorax. the heart remains enlarged with otherwise normal mediastinal and hilar contours.
preoperative examination.
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moderate cardiomegaly is unchanged. the mediastinal contours are stable. there is perihilar haziness and vascular indistinctness compatible with mild pulmonary vascular engorgement. additionally, the hila are enlarged bilaterally, compatible with pulmonary arterial hypertension, as seen on the prior ct. no focal consolidation, pleural effusion or pneumothorax is present. there are embolization coils as well as multiple surgical clips noted in the imaged upper abdomen. diffuse sclerosis of the osseous structures is compatible with patient's history of renal osteodystrophy.
cough for <num> weeks, dehydrated.
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no focal consolidation, pleural effusion or pneumothorax identified. the size the cardiomediastinal silhouette is within normal limits.
<unk> year old man with new diagnosed aml, concern for cough // please evaluate for signs of fluid overload vs pna vs effusion
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ap portable upright view of the chest. left chest wall aicd is again seen. there is a tripolar aicd, with leads extending into the right atrium, right ventricle, and azygous vein. an lvad is in place. midline sternotomy wires noted. tricuspid valve prosthesis noted. lungs appear clear. the heart remains mildly enlarged. no signs of edema, pneumonia, large effusion or pneumothorax. bony structures are intact.
<unk>m with chest pain/ left subcostal pain
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the lungs are well-expanded. prominent interstitia, predominantly in the bilateral lower lungs, consistent with emphysema. no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. mildly tortuous descending aorta. no cardiomegaly. cardiac and mediastinal contours as well as hila and pleura are unremarkable. prominent dextro-convex scoliosis of the thoracic spine.
<unk> year old man with chf / copd; pre-op cxr surg: <unk> (ostomy takedown).
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postoperative changes cervical spine. endotracheal tube tip in good position. enteric tube tip below diaphragm, not included on the radiograph. subclavian central line tip not well seen, probably in the low svc. improved right suprahilar, left perihilar opacities since prior. bibasilar opacities, more prominent on the left, likely atelectasis, consider infection, aspiration in the appropriate clinical setting. tiny bilateral pleural effusions. no pneumothorax.
<unk> year old man intubated on minimal vent settings now suddenly hypoxemic // sudden hypoxemia
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there is a new pigtail catheter which has been placed since the prior study. there is a small pneumothorax. the apical visceral pleural edge measures approximately <num> cm from the apex of the chest wall. a moderate pleural effusion has developed where as only a very small fluid component was present previously. for the most part the right lung remains clear although it is possible that there may be some degree of atelectasis at the right lung base in association with the effusion. the left lung remains clear.
large right pneumothorax status post pigtail placement.
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the lungs are mildly expanded. reticular opacities are noted at both lung bases. there is no effusion or pneumothorax. the right hilus and upper mediastinal contour are widened by known metastatic disease. the cardiac contours are normal.
hypotension.
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the lungs are mildly hypoinflated with persistent left lower lobe atelectasis and small left pleural effusion. chronic left atrial contour abnormality is noted. heart size, mediastinal contour, and hila are otherwise unremarkable.
<unk>m with fall, concern for infection. assess for infectious process
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there is retrocardiac opacity, better appreciated on the lateral view, possibly localized to the lateral right lower lobe. there is no pleural abnormality. the heart is top-normal in size. there is no mediastinal or hilar abnormality.
<unk> year old woman with mild cough, pleuritic chest pain // ? pneumonia or other explanation for cough and chest pain
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tracheostomy. stable appearance of biapical pleural thickening. right picc line tip near cavoatrial junction. stable pleural effusions. stable bibasilar opacities, likely atelectasis. stable mild interstitial prominence. no pneumothorax. postoperative changes. mild worsening right mid lung capacity, may represent developing pneumonitis. .
<unk> year old woman w/trach/peg, new desat, hotn, tachycardia // eval for changes
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lungs are clear without focal consolidation or effusion. there is mild pulmonary vascular congestion without pulmonary edema. moderate cardiomegaly is again noted as well as atherosclerotic calcifications at the arch. nodular opacity at the left lung base may represent a nipple shadow.
<unk>m with sob, known chf/cardiomyopathy, rle swelling // evaluate for acute procesas
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there is continued improved aeration of the right upper lobe with decreased density of the right upper lobe consolidation and improvement in the left lower lung consolidation. the ett, right picc line, bilateral chest tubes and bilateral bronchial stents are in unchanged satisfactory position. the ng tube terminates at the ge junction with the side hole in the mid esophagus.
<unk> year old woman with mediastinal mass growing actinomyces // please evaluate interval change
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pa and lateral views of the chest demonstrate no acute cardiopulmonary process. the cardiomediastinal, pleural and pulmonary structures are unremarkable. there is no pneumothorax or pleural effusion. there is no consolidation. the cardiac silhouette is normal.
non-productive cough, evaluate for pneumonia.
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the cardiac, mediastinal and hilar contours are normal. the pulmonary vascularity is normal and the lungs are clear. no pleural effusion or pneumothorax is present. no acute osseous abnormality is detected.
cough and fever.
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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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again seen is complete opacification of the left hemithorax with possible minimal left sided mediastinal shift in a rotated film. given minimal mediastinal shift, there is effective left-sided volume loss with possible pleural fluid. tracheal stent is visualized in left mainstem bronchus. no air bronchograms. right lung is without focal consolidation, pleural effusion, or pneumothorax. no bony abnormality is detected.
male with left lung collapse. assess for interval change.
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the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. no fracture is identified.
chest pain.
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evaluation on the lateral radiograph is limited due to poor inspiration. within this limitation, there is no focal consolidation concerning for pneumonia. there is no pleural effusion or pneumothorax. the cardiomediastinal and hilar contours are within normal limits.
<unk>-year-old woman with fever, here to evaluate for pneumonia.
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there is mild to moderate enlargement of cardiac silhouette, unchanged. the aorta demonstrates calcified atherosclerotic disease and remains tortuous. there is mild upper zone vascular redistribution, similar to the previous study compatible with mild pulmonary vascular congestion. no focal consolidation or pneumothorax is visualized. blunting of the costophrenic angles posteriorly on the lateral view is possibly reflective of trace bilateral pleural effusions. multilevel degenerative changes are seen in the thoracic spine.
history: <unk>f with shortness of breath
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pa and lateral radiographs of the chest demonstrate bibasilar atelectasis and a subtle right infrahilar airspace opacity obscuring the right heart border. the lungs are otherwise clear. the hilar and cardiomediastinal contours are normal. there is no pneumothorax or pleural effusion. pulmonary vascularity is normal.
shortness of breath. evaluate for pneumonia.
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cardiac silhouette size is mildly enlarged. the mediastinal contour is unremarkable. perihilar haziness with vascular indistinctness and upper zone vascular redistribution is compatible with mild pulmonary edema. small bilateral pleural effusions are demonstrated, larger on the left. no pneumothorax is identified. no acute osseous abnormality is detected.
<unk>m with likely acute renal failure, and dyspnea on exertion for <num> days
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ett in situ with the tip above the level of the medial clavicles <num> mm above the carina. right-sided subclavian cvp in situ with the tip at the cavoatrial junction. no right-sided pneumothorax. there is discrepancy between the lung volumes. there is airspace opacification seen in the medial aspect of the right lower lobe with obscuration of the right diaphragmatic pleural surface. the left costophrenic sulcus appears fairly deep, but this has been stable since <unk> and there was no basal pneumothorax seen on the abdominal ct done <unk>. dense opacification of the left lower lobe has progressed, probably collapse. pleural effusions are likely, but the volumes are hard to determine. the left costophrenic angle is incompletely imaged.
<unk> year old man s/p mvc, intubated and sedated. // please assess for interval changes
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the heart is at the upper limits of normal size. the mediastinal and hilar contours appear unchanged. there is new patchy opacity involving the superior segment of the left lower lobe and probably also the left upper lobe to a lesser degree. minimal streaky opacification also projects over the right upper lobe. these findings suggest pneumonia. there is no pleural effusion or pneumothorax. bony structures appear within normal limits.
altered mental status, confusion and tachycardia.
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the heart size is normal. the hilar and mediastinal contours are normal. the lungs are clear. there is no pleural effusion or pneumothorax. the visualized osseous structures are unremarkable.
history of cough. please evaluate for pneumonia.
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the tip of the right picc line terminates near the superior cavoatrial junction. no pneumothorax is seen. the patient is markedly rotated as compared to prior; there is no substantial change in the mild to moderate left pleural effusion and atelectasis.
<unk> year old woman with picc // assess picc position assess picc 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. left clavicular fracture is again noted. cervical stabilization hardware is visualized.
<unk> year old man with <num> month h/o persistent cough despite treatment with antibiotics + inhalers. attention to rll. // r/o infiltrate or other underlying pathology. **** please call wet read to <unk> ****
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pa and lateral radiographs demonstrate markedly low lung volumes. there is minimal bilateral lower lobe atelectasis. the lungs are otherwise clear. there is no pneumothorax or pleural effusion. the hilar and cardiomediastinal contours are normal. pulmonary vascularity is normal.
<unk>-year-old woman with substernal chest pain. evaluate for pneumothorax.
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there is new right middle lobe airspace opacity. the cardiac silhouette and mediastinal contours are normal. the pleural surfaces are normal.
<unk>-year-old female with fever and cough, question pneumonia in the right posterior base.
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heart size remains mildly enlarged. the mediastinal and hilar contours are within normal limits. pulmonary vasculature is normal. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is present. no acute osseous abnormality is detected.
history: <unk>m with confusion
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the cardiomediastinal and hilar contours are within normal limits. there is atelectasis at the left lung base. otherwise, no focal consolidations concerning for pneumonia are identified. there are no pleural effusions, pneumothorax or pulmonary edema. visualized osseous structures are grossly unremarkable.
<unk>-year-old female patient with lupus and emphysema, presenting with wheezing. study requested to rule out pleural effusion or pneumonia.
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pa and lateral views of the chest provided. elevated right hemidiaphragm with right basilar atelectasis/scarring noted. no large effusion or pneumothorax. cardiomediastinal silhouette is normal. no signs of pneumonia or edema. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>f with hypoxia // ?pna
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a right-sided port-a-cath is present, unchanged in appearance. an oxygen mask is present and tubing overlies the left hemithorax. the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
<unk>f with severe dyspnea // eval for acute procss
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pa and lateral views of the chest. the ascending aorta is tortuous and possibly dilated. previously seen left lower lobe opacity is again seen, not significantly changed. no pleural effusion or pneumothorax. the cardiomediastinal and hilar contours are stable.
pneumonia, flu, asthma.
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cardiac silhouette size is normal. the aorta is mildly tortuous. the mediastinal and hilar contours are otherwise unremarkable. pulmonary vasculature is not engorged. lungs are hyperinflated but clear. no focal consolidation, pleural effusion or pneumothorax is present. there are mild degenerative changes noted in the thoracic spine.
history: <unk>m with chest pain // ?pneumonia or widened mediastinum
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again, there is moderate pulmonary edema, not significantly changed from the prior exam. right basilar atelectasis is stable. there is no new consolidation. there is no pleural effusion or pneumothorax. the aorta is tortuous and calcified. the heart is moderately enlarged.
copd, volume overload, and shortness of breath. evaluate for change.
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heart size is mildly enlarged. the aorta is tortuous and calcified. the mediastinal and hilar contours are unremarkable. there is crowding of bronchovascular structures with mild pulmonary vascular engorgement. emphysematous changes are noted within the lung apices. patchy opacities in the lung bases likely reflect areas of atelectasis. no pleural effusion or pneumothorax is present. a surgical anchor is noted within the left humeral head.
history: <unk>m status post tpa for mca stroke
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there is a dual-lead pacemaker/icd device with leads again terminating in the right atrium and ventricle, respectively. the heart appears mildly enlarged. the mediastinal and hilar contours appear unchanged. the lungs appear clear. moderate degenerative changes involve the right acromioclavicular joint.
lower extremity edema and pancreatic cancer.
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no significant interval change. the lungs are clear. no focal consolidation, pulmonary edema, pleural effusion, or pneumothorax. the heart is normal in size. no mediastinal widening. the hila are within normal limits and unchanged. slight elevation of the left hemidiaphragm is unchanged. mild degenerative changes with are overall similar.
<unk> year old man with mantle cell lymphoma // pre bmt
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portable upright chest radiograph <unk> at <time> is submitted.
<unk> year old woman with rll lung cancer s/p rll lobectomy // rule-out pneumothorax, hemothroax rule-out pneumothorax, hemothroax
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the lungs are mildly hyperinflated, but clear. no evidence of pneumonia, pulmonary edema, or pleural effusion. heart size is normal. no gross osseous acute deformity of the ribs or significant compression deformity of the thoracic spine, although chest radiographs provided limited assessment for such. ossification of the anterior longitudinal ligament throughout the majority of the thoracic spine is indicative of diffuse idiopathic skeletal hyperostosis.
history: <unk>m with history of copd presenting with chest pain after elevator door closed on him. evaluate for heart failure and/or pneumonia.
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previously noted perihilar opacities have resolved. the lungs are now essentially clear. cardiomediastinal silhouette is stable. median sternotomy wires are intact. no acute osseous abnormalities
<unk>m with dyspnea on exertion // r/o acute process
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pa and lateral chest views were obtained with patient in upright position. analysis is performed in direct comparison with the next preceding similar study of <unk>. the heart size remains normal. no configurational abnormality is present. thoracic aorta is markedly widened and elongated but no local contour abnormalities are identified. remarkable is the absence of any significant wall calcifications in this generally widened and elongated aorta. pulmonary vasculature is not congested. no signs of acute or chronic parenchymal infiltrates are present and the lateral and posterior pleural sinuses are free. no evidence of pneumothorax in the apical area.
<unk>-year-old male patient with cough for two and a half weeks, fever daily since <unk>. nonsmoker, crackles in bilateral lower lung fields, no wheezing or pleural rub, no leg swelling or jugular vein distention, evaluate for pneumonia.
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cardiac, mediastinal and hilar contours are normal. lungs are clear and the pulmonary vascularity is normal. no pleural effusion or pneumothorax is present. no acute osseous abnormalities are seen.
substernal chest pain.
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pa and lateral views of the chest provided. previously noted central venous catheter has been removed. 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, renal transplant // eval for pna
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as compared to prior chest radiograph from earlier this morning, there is no significant change. no pneumothorax identified. moderate sized left-sided pleural effusion is unchanged. platelike atelectasis is again seen in the left upper lobe. known left perihilar mass and associated atelectasis is better assessed on prior ct examination.
<unk> year old woman with worsening pleuritic pain following <unk> today // please re-eval for ptx given progressive pain please re-eval for ptx given progressive pain
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the lungs are clear. there is no pulmonary edema. the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen.
history: <unk>f with lower extremity edema. evaluate for pulmonary edema.
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mild enlargement of the cardiac silhouette is noted. the aorta is tortuous. mild leftward deviation of the trachea due to a prominent right superior mediastinal convex structure may reflect an enlarged right thyroid lobe. pulmonary vasculature is normal. lungs are hyperinflated but clear. no pleural effusion or pneumothorax is demonstrated. no acute osseous abnormality is detected. mild degenerative changes are seen in the thoracic spine.
history: <unk>m with intermittent confusion/altered mental stauts
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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.
fevers.
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cardiac, mediastinal and hilar contours appear normal. pulmonary vasculature is normal. lungs are hyperinflated. no focal consolidation, pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
history: <unk>m with cough and subjective fever
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patient status post fundoplication. cardiomediastinal contours are unremarkable. bilateral low lung volumes. lungs are clear. no pleural effusion. no pneumothorax or pneumoperitoneum in this single portable upright radiograph. ng tube courses beyond the diaphragm and likely terminates in the stomach. epidural catheter in standard position. suture lines visualized.
<unk> year old woman with hiatal hernia s/p open repair with fundoplication // eval post-op baseline in pacu
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ap and lateral views of the chest. the lungs are hyperinflated but are clear. focal opacity projects over the anterior right <num>th rib is thought to be calcification of the costochondral cartilage. the lungs are otherwise notable for right apical calcified scarring. small hiatal hernia is noted. no acute osseous abnormalities detected.
<unk>-year-old female with left lower rib pain with fever and cough. question pneumonia.
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in comparison with the study of <unk>, there is stable large right pleural effusion and atelectasis, which is causing significant opacification of the right hemithorax. the vascular congestion and heterogeneous opacity in the left lung could represent worsening edema or superimposed consolidation. there is persistent left lower lobe atelectasis. enlargement of the cardiac silhouette is stable. tracheostomy tube remains in good position.
<unk> year old man with sepsis and respiratory failure // interval
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heart size is top-normal. the aorta remains mildly tortuous. the mediastinal and hilar contours are unremarkable. pulmonary vasculature is not engorged. numerous punctate calcifications throughout the lungs are unchanged. no focal consolidation, pleural effusion or pneumothorax is seen. there mild degenerative changes in the thoracic spine. possible loose body is noted in the right glenohumeral joint.
history: <unk>f with chills, cough
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lung volumes are low. the cardiac, mediastinal and hilar contours appear stable. there are small bilateral pleural effusions, greater on the right than left, with streaky opacitie suggesting associated minor atelectasis; otherwise the lungs appear clear. bones appear demineralized.
status post fall with hip fracture. preoperative study.
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transesophageal tube has been removed. hazy opacity is noted in the right infrahilar region, which in the appropriate clinical context, may represent aspiration/ right middle lobe pneumonia. there is no large pleural effusion or pneumothorax.
<unk> year old man with history of alcoholic cirrhosis s/p tips with acute onset chills. // please evaluate for pneumonia.
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the lungs are clear. the cardiomediastinal silhouette is within normal limits. hypertrophic changes are noted in the spine.
<unk>m with leukocytosis, cough // presence of infiltrate
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side port of the ng tube is below the ge junction. there is mild pulmonary vascular congestion. hazy right basilar opacity appears more dense compared to prior, probably a combination of fluid as well as atelectasis. there is no pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. there is trace free air below the right hemidiaphragm, within expected limits on postoperative day <num>.
<unk> year old woman with ngt // position