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besides mild left basilar atelectasis, the lungs are clear. there is no effusion or pneumothorax. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
chest pain, dyspnea.
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heart size is mildly enlarged, unchanged. mediastinal contour is similar. there is no overt pulmonary edema demonstrated. patchy atelectasis is seen in the lung bases. no focal consolidation, pleural effusion or pneumothorax is present. mild to moderate degenerative changes are noted in the thoracic spine. moderate to severe degenerative changes are seen involving both glenohumeral and acromioclavicular joints.
history: <unk>f with hypoxia
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as compared to the prior examination, there has been no significant interval change. the patient is status post vats right hilar nodal biopsy, and there is no overt pneumothorax identified. a right chest tube is in unchanged location. small, bilateral pleural effusions are unchanged. allowing for differences in the patient positioning, the cardiomediastinal silhouette is unchanged.
<unk> year old woman s/p right hilar nodal biopsy// please evaluate for pneumothorax
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a port-a-cath terminates in the upper right atrium. the cardiac, mediastinal and hilar contours appear stable. in addition to a small suspected new left-sided pleural effusion, there is vague new opacity at the left lung base, probably involving the left lower lobe and lingula, concerning for pneumonia. surgical clips project over the right axillary region.
breast cancer and chemotherapy with leukopenia, presenting with fever and cough.
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single ap view of the chest. no prior. the lungs are clear of focal consolidation or large effusion. the cardiac silhouette is mildly enlarged for technique. atherosclerotic calcifications noted at the aortic arch. no acute osseous abnormality is identified. no air is seen below the diaphragm.
<unk>-year-old female with abdominal distention and tenderness. left lower quadrant pain. question free air.
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portable single frontal chest radiograph was obtained with the patient in semi-upright position. support and monitoring devices are in their appropriate positions and unchanged. a left chest tube is in place with the tip projecting over the left apex. there is no pneumothorax. there are increased bibasilar opacities with small bilateral pleural effusions. the cardiomediastinal silhouette is stable. there is again extensive subcutaneous emphysema involving the neck and the entire chest. pneumoperitoneum is less well seen. there is an old left humeral head fracture.
patient with perforated jejunum and diaphragm, status post repair, evaluate interval change.
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the lungs are well expanded and clear. the hila and pulmonary vasculatures are normal. no pleural abnormalities or pneumothorax. the cardiomediastinal silhouette is normal. no fractures.
<unk> year old man with esrd for pre kidney transplant eval // pre-transplant evaluation. awaiting organ trasnplant,needs clearance.
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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. again seen is partial resection of the sixth posterior rib on the left. no free air below the right hemidiaphragm is seen.
history: <unk>m with hyperglycemia // ?cpd
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the lungs are clear of focal consolidation or effusion. the cardiomediastinal silhouette is stable. no acute osseous abnormalities identified.
<unk>f with cough, sob // eval for pna
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the lungs are essentially clear noting low lung volumes and portable technique. bibasilar opacities seen on prior particular on the right are not clearly seen. the cardiomediastinal silhouette is within normal limits.
<unk>f with recent aspiuration pna with unresponsive episode // pna?
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cardiomediastinal silhouette is within normal limits. there is no pleural effusion or pneumothorax. there is no chf or focal lung consolidation. there is no evidence of free air beneath the diaphragm. no pneumomediastinum is identified.
<unk> woman with recent endoscopy now with gerd symptoms, evaluate for free air.
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heart size is normal. the mediastinal and hilar contours are unremarkable. a small right pleural effusion is present, increased in size compared to the previous exam. there is associated patchy opacity in the right base which likely reflects atelectasis. the left lung is grossly clear. no pneumothorax is identified. no acute osseous abnormalities detected.
history of mild cirrhosis with hydrothorax <num> weeks ago now with confusion.
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assessment is limited by patient rotation. heart size is at least moderately enlarged. aorta is tortuous. mediastinal contour is difficult to assess given the degree of patient rotation. there may be minimal pulmonary vascular congestion. no large pleural effusion or pneumothorax is seen. linear opacities at the lung bases likely reflect areas of atelectasis. multilevel degenerative changes are noted in the thoracic spine.
history: <unk>f with generalized weakness
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underlying trauma board and other external artifact partially obscure the view. given this, no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. no displaced fracture is seen.
injury.
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no focal consolidation is seen. there is no pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are stable.
history: <unk>m with sob and cp overnight pls eval pna or effusion // history: <unk>m with sob and cp overnight pls eval pna or effusion
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assessment is limited by patient rotation. left-sided pacemaker device with leads terminating in the regions of the right atrium right ventricle appear grossly unchanged. there is moderate cardiomegaly. low lung volumes persist with crowding of bronchovascular structures and probable mild pulmonary vascular congestion. linear and patchy bibasilar airspace opacities may reflect atelectasis. no pleural effusion or pneumothorax is seen. mediastinal and hilar contours are grossly unchanged. s-shaped scoliosis of the thoracolumbar spine with multilevel degenerative changes are again noted. compression deformity of the t<num> vertebral body appears grossly unchanged. partially imaged is cervical spinal fusion hardware. remote right-sided rib fractures are again noted.
history: <unk>f with shortness of breath and fever
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et tube is <num> cm above the carina. right ij swan-ganz catheter appears to terminate in the right main pulmonary artery. left hd catheter terminates in the upper right atrium. left ventricular assist device in standard position. feeding tube traverses past the diaphragm and beyond the inferior margins of this film likely in the stomach. severe cardiomegaly stable. no pneumothorax. no definite large pleural effusions. previously seen bilateral pulmonary opacities have slightly improved. retrocardiac consolidation stable.
<unk> year old man with new ett // eval for position new ett
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slight increase in opacity projecting over the lung bases is likely due to overlying soft tissue. there is subtle increased opacity at the right lung base which could be due to early consolidation versus atelectasis. the left lung is clear. there is no pleural effusion or pneumothorax. the cardiac silhouette is top normal. the mediastinal and hilar contours are unremarkable.
cough.
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no pleural effusion or pneumothorax. bilateral infrahilar parenchymal opacities is probably atelectasis. there is pulmonary vascular congestion. there is mild to moderate interstitial edema. the heart is top-normal in size.
history: <unk>f with shortness of breath. hx of mitral regurg. <num>d post-op from c-section // ?pneumonia or pulmonary edema
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frontal and lateral views of the chest. the lungs remain clear. nipple shadows are identified bilaterally over the lung bases. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormality is identified noting flowing osteophytes in the thoracolumbar spine.
<unk>-year-old male with hyperglycemia.
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no focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. there may be minimal pulmonary vascular congestion.
history: <unk>f with left rib pain s/p fall // please eval for acute infectious process, fracture
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the dobbhoff tube is in place in the interim, the tip located in the stomach. a left upper extremity picc terminates in the distal svc. cholecystectomy clips are noted. there is minimal atelectasis at the left lung base. there is no pleural effusion, pneumothorax or focal airspace consolidation. there is mild prominence of the central vasculature without overt signs of pulmonary edema. there is an unchanged appearance of the mediastinum dating to at least <unk>. cardiac silhouette is normal.
dementia and seizures with recent dobbhoff placement.
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pa and lateral views of the chest. no prior. the lungs are clear. costophrenic angles are sharp. the cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unremarkable.
<unk>-year-old female, pregnant with shortness of breath starting today.
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there is mild enlargement of cardiac silhouette. the mediastinal contours are unchanged. there is mild pulmonary vascular engorgement and small bilateral pleural effusions which have decreased in size compared to the previous exam. patchy bibasilar airspace opacities likely reflect atelectasis, but infection is not fully excluded. no pneumothorax is demonstrated. multilevel degenerative changes are noted in the thoracic spine.
syncope.
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the tracheostomy tube and mild cardiomegaly are unchanged. there is an area platelike atelectasis in the right mid lung that is new. there is also some retrocardiac opacity on the right that may represent an early infiltrate there tiny bilateral effusions.
<unk>f with developmental delay, pmh of pe on eliquis w/ h/o of subcutaneous abdominal wall hematoma p/w r mid abdominal pain s/p trach <unk>. was febrile // ?pneumonia
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the patient is rotated. there are low lung volumes bilaterally. platelike atelectasis is noted in the right lower lung. there is also atelectasis of the left lung. no pneumothorax or pleural effusion. the descending aorta is slightly tortuous or ectatic, overall unchanged from the prior exam. the cardiomediastinal silhouette is unremarkable. there are degenerative changes with anterior osteophytes are noted in the visualized thoracic spine.
<unk>-year-old man, post-operative day <unk>, status-post right glioblastoma resection; evaluate for pneumonia.
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pa and lateral views of the chest were obtained. the heart size is normal. the mediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. there is no focal consolidation concerning for pneumonia.
chest pain radiating down left arm.
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et tube is in standard position with tip ending at <num> cm from carina. left subclavian catheter has been pulled back, but still in upper svc. ng tube ends below the diaphragm. compared to previous radiograph, there are no major interval changes; the right infrahilar consolidation is stable with persistently enlarged right pulmonary artery. the vascular congestion is still mild. there is no pneumothorax or increased pleural effusion.
interval change.
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lungs are hyperinflated with a pectus excavatum deformity. no focal consolidation is identified. the cardiomediastinal silhouette and hilar contours are normal. there is no pleural effusion or pneumothorax.
<unk>f with fever. evaluate for pneumonia.
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a portable radiograph of the chest is provided. there are bilateral lower lobe opacities. the lungs are otherwise clear. the hilar and cardiomediastinal contours are normal. lung volumes are very low. there is a double-lumen catheter terminating near the cavoatrial junction. there is no pneumothorax.
shortness of breath.
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a tracheostomy tube has been placed into the upper airway. the tracheostomy tube is positioned obliquely to vertical. a right subclavian central venous catheter terminates at cavoatrial junction. the enteric catheter extends below the film. partial right middle lobe atelectasis has increased. large bilateral layering effusions are similar.
status post tracheostomy 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. the hilar contours are stable.
history: <unk>m with chest pain // acute process
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pa and lateral chest views were obtained with patient in upright position. comparison is made with the next preceding pa and lateral chest examination of <unk>. mild cardiac enlargement is present with a relative prominence of the left ventricular contour to the left, posteriorly. this finding in conjunction with the moderately widened and elongated thoracic aorta consistent with longstanding systemic hypertension. the pulmonary vasculature, however, is not congested. there is no evidence of any pleural effusion on either side. on previous examination identified triangular-shaped density adjacent to the right cardiac contour consistent with and interpreted as representing collapse of the right middle lobe medial segment has markedly improved, both on the frontal as well on the lateral view. there remains a mild degree of relative under aeration in this area, but progression into total atelectasis in this area, possibly related to bronchostenosis or inclusion cannot be identified. no other new pulmonary abnormalities are seen and no pneumothorax is present in the apical area.
<unk>-year-old female patient with abnormality on previous chest examination, followup for comparison with chest examination and ct scan.
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pa and lateral views of the chest. no prior. the lungs are clear. there is no effusion or pneumothorax. cardiomediastinal silhouette is normal. osseous and soft tissue structures are notable for hypertrophic changes in the spine.
<unk>-year-old male with chest tightness.
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cardiomediastinal silhouette is normal. lung volumes are low without focal consolidation. there is no pneumothorax or pleural effusion. bronchial wall thickening, likely related to chronic small airway disease.
<unk>-year-old woman with dyspnea, chest pain, evaluate for acute process
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when compared to prior, there has been no significant interval change. the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>m with chills, cough // eval for pna
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the lungs are clear. heart and mediastinal contours are normal. no effusion or pneumothorax is present.
a <unk>-year-old woman with chest pain, pneumonia, chf.
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the heart size is normal. the mediastinal and hilar contours are unremarkable. the pulmonary vascularity is normal. there is minimal atelectasis in the lung bases. no focal consolidation, pleural effusion or pneumothorax identified. no acute osseous abnormalities are seen. there is no free air noted under the diaphragms. a vp shunt catheter is seen coursing along the right neck and chest.
chest pain and shortness of breath.
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patient is status post median sternotomy and aortic valve replacement. heart size is borderline enlarged, unchanged. mediastinal and hilar contours are unremarkable. pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is demonstrated. no acute osseous abnormality is detected including no displaced fractures.
history: <unk>m with left rib pain
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compared to the prior study there is no significant interval change. the heart continues to be moderately enlarged. there small bilateral pleural effusions. patchy opacity at the right base is similar appearance compared to prior could be scarring or atelectasis. there is no new infiltrate
<unk> year old man with chronic urine retention and new pe on hepartin gtt w/ prior aspiration of pill with coarse right sided breath sounds // , pneumonitis vs pna? effusion?
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swan-ganz catheter in situ in the right descending pulmonary artery and retraction by <num> mm advised. mild cardiomegaly. no pulmonary edema. no pleural effusions. no airspace consolidation. the major airways are patent.
<unk> year old man with swan catheter in place for chf // interval changes
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single portable supine frontal chest radiograph demonstrates endotracheal tube in appropriate position at the level of the clavicles <num> cm above the level of the carina. an enteric feeding tube is seen coursing midline with tip in stomach and side ports below the level of the diaphragm. hypoinflated lungs with bilateral perihilar interstitial opacities consistent with vascular crowding. right lower lobe atelectasis noted. left lower lobe and retrocardiac opacity present. limited assessment of the left costophrenic angle. no large left pleural effusion. no right pleural effusion. no pneumothorax. mild cardiomegaly, partially accentuated due to low lung volumes. mediastinal contour and hila are otherwise unremarkable. limited assessment of the osseous structures are unremarkable and upper abdomen is within normal limits.
<unk>m with fall, loss of teeth. assess for tooth or pneumothorax.
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pa and lateral views of the chest. the lungs are clear. the cardiac, mediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax.
<unk>-year-old male with history of stroke and diffuse neurologic signs, question of pneumonia.
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the lungs are clear. compared to the baseline radiograph, there has been interval right heart enlargement. however, there is no specific evidence of cardiac decompensation. there is no pneumothorax or pleural effusion.
<unk>-year-old woman with history of remote aortic valve repair with porcine valve presenting with back and chest pain well during work around her house.
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appliances in good position. no pneumothorax. stable basilar opacities. mild improvement right perihilar opacity. probable small pleural effusions. new gastric distention, interval removal of enteric tube. interval removal of endotracheal tube. old left rib fracture.
<unk> year old woman s/p cabg // eval for pneumo
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pa and lateral views of the chest <unk> at <num> <num> are submitted.
<unk> year old woman s/p cabg // eval effusions eval effusions
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the cardiomediastinal silhouette and pulmonary vasculature are unremarkable. the lungs are clear. there is no pleural effusion or pneumothorax.
history: <unk>m with chest pain // eval for pna
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the cardiac silhouette size is top normal. the mediastinal and hilar contours are unremarkable. pulmonary vasculature is normal. no focal consolidation, pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
right upper quadrant pain.
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right-sided central venous catheter seen with tip at or just below the ra/svc junction. the lungs are grossly clear given rotation and positioning. there is no pneumothorax. the cardiomediastinal silhouette is within normal limits.
<unk>m with cvl placement, r ij // eval r ij cvl placement
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there is no pleural effusion or pneumothorax. the lungs appear clear. bony structures are unremarkable.
chest pain.
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cardiac, mediastinal and hilar contours are normal. pulmonary vasculature is normal. lungs are hyperinflated but clear. no focal consolidation, pleural effusion or pneumothorax is present. mild anterior loss of height of a mid thoracic vertebral body is unchanged.
history: <unk>f with altered mental status
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a portable frontal chest radiograph again demonstrates a right chest wall port with the catheter terminating in the low svc. bilateral surgical clips are again noted, reflecting prior breast surgery. lung volumes are slightly lower compared to prior exam, accentuating cardiac size and bronchovascular crowding. allowing for this, the cardiomediastinal silhouette is normal and there is no focal consolidation, appreciable pleural effusion, or pneumothorax. the visualized upper abdomen is unremarkable.
history: <unk>f with fever, immunocompromised
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frontal and lateral chest radiographs demonstrate interval increase in cardiac silhouette in patient with known severe cardiomegaly. finding may represent worsening of the same versus pericardial effusion. there is a small right pleural effusion. faint retrocardiac opacification likely reflects atelectasis. remainder of the lungs is clear.
question chf due to shortness of breath.
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single portable view of the chest. the degree of pulmonary vascular engorgement is unchanged. the left greater than right pleural effusions are not significantly changed. the cardiomediastinal silhouette is stable. median sternotomy wires and mediastinal clips are again seen.
<unk>-year-old female with dyspnea.
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there is no pleural effusion or pneumothorax. the lungs appear clear.
new onset of atrial fibrillation.
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one ap portable upright view of the chest. there are bilateral deformities of the glenohumeral joints. the upper lung zones are clear. there is slight increase in interstitial markings compared to prior study which may represent mild interstitial edema. no pleural effusions. no pneumothorax. the cardiac, mediastinal, and hilar contours are normal.
shortness of breath and tachycardia, evaluate for acute process.
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the enodtracheal tube is slightly high, <num> cm from the carina, with the chin in the flexed position. an enteric tube is present with the tip in the stomach. two central venous catheters are in unchanged position. since prior exam, there is increased opacity at the right base. the extensive parenchymal opacities on the left are unchanged. there is no pulmonary edema, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is normal.
hypoxia and emesis. evaluate for worsening pneumonia.
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lung is well inflated and clear. cardiomediastinal silhouette is normal. there is no pleural effusion or pneumothorax.
<unk> years old woman with recent history of pneumonia, followup x-ray.
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frontal and lateral views of the chest demonstrates normal lung volumes. there is no pleural effusion, focal consolidation or pneumothorax. hilar and mediastinal silhouettes are unremarkable. heart size is normal. cephalization of pumonary vasculature appears long standing. there is no pulmonary edema. partially imaged upper abdomen is unremarkable.
shortness of breath and palpitations.
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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>m with cough // r/p pneumonia
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lung volumes are low with mild bibasilar atelectasis. the lungs are otherwise clear. there is no pleural effusion or pneumothorax. cardiomediastinal silhouette is unremarkable. there is heavy calcification of the aortic knob.
history: <unk>f with altered mental status, dementia, copd, hypoxia // evidence of pneumonia
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a left pigtail catheter is unchanged in position. the lung volumes are low. a left apical pneumothorax is again seen, which is essentially unchanged in size. there is no evidence of pneumonia. there is a small right effusion. the cardiomediastinal silhouette and hilar contours are normal.
evaluate chest tube placement.
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the cardiomediastinal silhouette is unremarkable and unchanged since the prior examination. the pulmonary vasculature is mildly indistinct with cephalization. the bilateral hila are mildly prominent, though no definite consolidation is identified. midline sternal wires are well aligned and intact. a cardiac stent is noted. there has been prior valve replacement. right-sided pacemaker leads are unchanged. there is no pleural effusion or pneumothorax. linear atelectasis is noted.
<unk>m with ams, tenderness over l spine, hx of prostate ca.
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there is no consolidation, pleural effusion, or pneumothorax. cardiomediastinal and hilar silhouettes are normal size.
history: <unk>m with pharyngitis, dysnpea, asthma // eval ? infiltrate, pneumomediastinum, ptx
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there is a focal opacity in the left lower lobe likely suggestive of an infiltrative process. no other focal opacities are seen. the heart size is normal. the hilar and the mediastinal contours are unremarkable. the visualized osseous structures are unremarkable. there is no pleural effusion or pneumothorax.
<unk>-year-old male with cough and rhonchi, specifically in the left lower lobe, who presents for evaluation.
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single portable view of the chest. the lungs are clear of consolidation, large effusion or pulmonary vascular congestion. there is no pneumothorax. the cardiomediastinal silhouette is normal. no acute osseous abnormalities.
<unk>-year-old male with chest pain and shortness of breath with cough.
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the lungs are clear without focal consolidation, effusion, or edema. the cardiomediastinal silhouette is normal. no acute osseous abnormalities identified.
<unk>m with chills, fever // acute process?
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frontal and lateral views of the chest were performed. there is no pleural effusion or pneumothorax. there is equivocal opacification of the right middle lobe, best demonstrated on the lateral view. the cardiac and mediastinal contours are normal. the hilar and pleural structures are normal. the imaged upper abdomen is unremarkable.
cough and wheeze, rule out pneumonia.
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in comparison to the chest radiographs obtained <unk>, no significant changes are appreciated. lungs are fully expanded and clear without consolidations or suspicious pulmonary nodules. no pleural abnormalities. severe cardiomegaly is unchanged. no pulmonary vascular congestion or pulmonary edema. cardiomediastinal hilar silhouettes otherwise normal. there is partial opacification of the thoracic anterior longitudinal ligament. in the mid thoracic spine, there is either disruption of this ossified ligament or incompletely joined bridging syndesmophytes.
<unk> year old man with sob // r/o acute cp process
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compared to the prior study the more medial chest tube has been removed. no pneumothorax is visualized. there is increased volume loss at the bases. right upper quadrant drain and right-sided chest tube are unchanged.
esophagogastrectomy.
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portable semi-erect chest <unk> at <time> is submitted
<unk>m s/p l parietal gun shot wound with sah and bone/bullet material which crosses midline into the r occipital hemisphere. // interval change interval change
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heart size is normal. the aorta is tortuous and calcified. hilar contours are unremarkable. there is no evidence for pulmonary edema, pulmonary consolidation, or pleural effusion. eventration of the right hemidiaphragm is noted. dextroconvex lower thoracic scoliosis has increased since the prior exam.
<unk>f with cough. evaluate for pneumonia .
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compared to the prior study there is no significant interval change.
<unk> year old man with dementia, cva, afib, dchf, aspiration pna, acutely desat'ed to <num>s, was found to be drooling, concern for aspiration vs flash pulm edema. // r?o acute infiltrative process vs flash pulmonary edema
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a right pigtail catheter is again seen in the right hemithorax, largely unchanged in position. there is a residual consolidation at the base of the right lung and moderate bibasilar atelectasis. the upper lungs are clear. the cardiomediastinal silhouette and hilar contours are normal. there is no appreciable pneumothorax.
pneumonia and lung abscess status post chest tube placement. evaluation for interval change.
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the lungs are clear, the cardiomediastinal silhouette and hila are normal. there is no pleural effusion and no pneumothorax.
<unk>-year-old with gi bleed.
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the nasogastric tube has its side port near the gastroesophageal junction. the lung volumes are moderate. new bilateral layering pleural effusions are noted. small to moderate on the right, and moderate on the left. there is new bibasilar atelectasis. subcutaneous air in the left supraclavicular region is noted.
<unk> year old woman s/p debulk for primary peritoneal cancer with <num> bowel resections, persistent nausea now status post ngt placement.
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as compared to prior chest radiograph from <unk>, there has been interval increase in density and extension of an opacity in the right mid lung zone. there has also been interval progression of opacities in the right lower lung. left lung is clear. costophrenic sulci are blunted bilaterally, likely related to pleural thickening. there is no pneumothorax. the cardiomediastinal and hilar contours are within normal limits.
<unk>-year-old male patient with cirrhosis, encephalopathy, new o<num> requirement. study requested for evaluation of interval change.
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cardiomediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. lungs are well-expanded and clear without focal consolidation concerning for pneumonia.
<unk>f with chest pain // ?pneumonia
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the patient has been extubated. the right port-a-cath is in unchanged position. bilateral chest tubes in unchanged position. right-sided pneumothorax is slightly decreased in size. the parenchymal opacities are unchanged. the cardiomediastinal silhouette is unchanged.
<unk> year old man with ptx. // pt enlarging, or stable?
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there are new, left greater than right basilar opacities. the mid and upper lung fields are clear. no definite pleural effusion and no pneumothorax. heart size is likely top-normal given ap projection. unchanged prominence of the right hilum may reflect lymphadenopathy seen on prior cross-sectional imaging. cardiomediastinal hilar silhouettes are otherwise normal.
<unk>f with epigastric discomfort, n/v, cp, and sob. // please eval for consolidation.
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lung volumes are low, which leads to bronchovascular crowding. no focal consolidation is identified. there is chronic scarring at the left lung base. the cardiomediastinal silhouette and hilar contours are stable. there is no pleural effusion or pneumothorax. a right chest dual lead pacemaker is in unchanged position.
<unk>f with chest pain and wheezing, evaluate for pneumonia.
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pa and lateral radiographs of the chest demonstrate clear lungs. there is no pneumothorax or pleural effusion. hilar and cardiomediastinal contours are normal. pulmonary vascularity is normal.
cough and congestion for two days in patient with history of smoking.
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sternotomy wires and mediastinal clips are unchanged. there has been interval removal of the right ij central venous catheter. the heart size is at the upper limits of normal. the mediastinal and hilar contours are unremarkable. a small left pleural effusion is present, prior right effusion has cleared. there is no overt evidence of edema or failure. no pulmonary consolidation is present. there is no pneumothorax.
<unk>-year-old male status post cabg three weeks ago, now with shortness of breath.
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a right-sided picc remains in place terminating at the level of the mid svc. cardiomediastinal silhouette and hilar contours are normal. there is no evidence of fluid overload. lungs are clear without focal consolidation. there is no pleural effusion or pneumothorax.
aml with febrile neutropenia.
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single portable upright chest radiograph was obtained. the lungs are well inflated and clear. no focal consolidation, effusion, or pneumothorax is present. the cardiac and mediastinal contours are normal. left-sided subclavian line projects over the left brachiocephalic/svc junction.
<unk>-year-old man with multiple myeloma, fevers, day <num> status post autologous stem cell transplant.
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the lungs are clear. the cardiomediastinal silhouette is normal. no acute osseous abnormalities identified. mild mid to lower thoracic dextroscoliosis is noted.
<unk>f with sob // eval for cm, chf
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slightly limited evaluation due to patient positioning. the lungs are well inflated. lower lobe opacity best seen on lateral projection is consistent with a hiatal hernia. the lungs are clear. no pleural effusion or pneumothorax. stable mild cardiomegaly noted. mild calcification of the aortic arch is present. mediastinal contour and hila are unremarkable. limited evaluation of the osseous structures are notable for dextroscoliosis with apex at the mid thoracic spine.
<unk>f with dementia/<unk>'s disease presents with worsening mental status and weakness. assess for pneumonia.
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unchanged cardiomediastinal contours. prominent hila in addition to bilateral faint patchy opacities suggest mild-to-moderate pulmonary edema. right infrarenal opacification is stable since <unk> and likely reflects atelectasis and scarring. no pleural effusion or pneumothorax evident.
dyspnea. concern for pulmonary edema versus pneumothorax.
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frontal and lateral chest radiographs demonstrate slightly low lung volumes which mildly exaggerates the cardiac silhouette. a coronary stent is again noted projecting over the left heart border. there is mild bronchial wall inflammation, with peribronchial cuffing in the upper left hilum. no definite focal consolidation, pleural effusion, or pneumothorax is seen. the visualized upper abdomen is unremarkable.
evaluate for pulmonary process in a patient with chest pain.
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lung volumes are lower compared to the previous radiograph. a left-sided aicd/ pacemaker device is again noted with leads in unchanged positions. mild cardiomegaly with a left ventricular predominance is again seen. the mediastinal and hilar contours are unchanged. pulmonary vasculature is not engorged. linear and patchy bibasilar opacities likely reflect areas of atelectasis. no pleural effusion or pneumothorax is clearly identified. moderate multilevel degenerative changes are seen in the thoracic spine.
history: <unk>m with hypoxia
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inspiratory volumes are borderline low. allowing for this, the heart is not enlarged. the mediastinal contours are within normal limits. no chf, focal infiltrate, or effusion is detected.
<unk>-year-old female with chest pain. evaluate for acute cardiopulmonary process.
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the cardiomediastinal and hilar contours are within normal limits. the lungs are clear without focal consolidation, pleural effusion or pneumothorax. a metastatic lucent lesion of the right seventh rib is re- demonstrated.
<unk>f with sob, metastatic renal cell carcinoma.
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there is evidence of volume loss in the left hemithorax with elevation of the left hemidiaphragm compatible with prior resection. the left lung appears clear without pneumothorax, focal consolidation, or pleural effusion. the right lung is clear. the cardiomediastinal silhouette is within normal limits. there is slight leftward shift of mediastinal structures due to left-sided volume loss. the visualized upper abdomen is unremarkable.
hypoxemia, status post resection for adenocarcinoma of the lung, here to evaluate for acute cardiopulmonary process.
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supine portable view of the chest, rotated to the patient's right shows clear but hyperexpanded lungs and mild cardiomegaly. there is no focal consolidation, pleural effusion or pneumothorax. the right hilus is too large and too radiodense and there may be right hilar adenopathy. descending aorta appears slightly tortuous. partial imaged upper abdomen is unremarkable.
patient with left hip fracture. study obtained for preoperative planning.
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pa and lateral views of the chest. the lungs are clear. cardiomediastinal silhouette is normal. osseous and soft tissue structures are unremarkable. no free air is seen below the diaphragm.
<unk>-year-old female with guarding and epigastric abdominal pain.
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a portable view of the chest and abdomen show a new ng tube ending in the stomach. a right port ends at the cavoatrial junction. the lungs are grossly clear. the cardiomediastinal and hilar contours are unchanged. there is no pneumothorax or pleural effusion.
<unk> year old woman with sbo with newly replcaced ng tube.
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a right total shoulder prosthesis is noted. a rounded calcific density measuring approximately <num> mm overlying the left sternoclavicular joint is consistent with a granuloma. there is no focal consolidation, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is within normal limits. slight density posterior to the right hemidiaphragm may represent mild pleural thickening or a tiny right effusion.
<unk>m with weakness, evaluate for pneumonia.
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mild enlargement of the cardiac silhouette is noted. the aorta is slightly tortuous. mediastinal and hilar contours are within normal limits. the pulmonary vasculature is normal. no focal consolidation, pleural effusion or pneumothorax is present. moderate multilevel degenerative changes are seen in the thoracic spine.
history: <unk>f with shortness of breath and dizziness.
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ap upright and lateral views the chest provided demonstrate cardiomegaly without signs of congestion or edema. no large effusion or pneumothorax. no convincing evidence for pneumonia. a pectus excavatum deformity of the sternum is noted. degenerative spurring is noted in the thoracic spine.
<unk>m with vomiting, evaluate for infiltrate, ich
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pa and lateral views of the chest provided. midline sternotomy wires and multiple mediastinal clips are noted. there is mild interstitial pulmonary edema. no large effusion or pneumothorax. no convincing signs of pneumonia. the heart size is mildly enlarged. the mediastinal contour appears normal. bony structures appear intact.
<unk>m w/ pmh cad, hld, a fib, cabg (<unk>) p/w cp. cp occurred last night - substernal, non radiating, relieved w/ nitroglycerin. typical of cp which occurs <num>/year since cabg.