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a portable view of the chest shows a left picc ending in the right atrium, it can be pulled back approximately <num>- <num> cm. there is increased opacification in the left midlung since prior. appearance of right lower lobe abscesses and pleural effusions are stable. there is no pneumothorax. cardiomediastinal silhouette is unchanged.
<unk> year old man with copd, hydropneumothorax, rll abscesses with l picc placed last admission assess positioning.
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there has been an interval increase in the amount of pulmonary vascular congestion and pulmonary edema. no focal infiltrate suggestive of pneumonia. there is no pneumothorax. no pleural effusions are seen. the et tube ends approximately <num> cm from the carina. the heart size is stable. the hilar and mediastinal contours are unchanged.
<unk>-year-old male status post re-do posterior laminectomy and fusion, who presents for evaluation of post-op altered mental status, tachycardia, hypertension, and rising lactate.
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cardiac silhouette size remains mildly enlarged. the aortic knob is calcified. there is mild pulmonary edema with small bilateral pleural effusions, larger on the left. more focal opacity in the left lung base could reflect atelectasis, but pneumonia is not excluded. no pneumothorax is present. no acute osseous abnormalities detected.
history: <unk>m with dyspnea and hypoxia
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pa and lateral chest views have been obtained with patient in upright position. the heart is mildly enlarged. the configuration demonstrates a relative prominence of the left ventricular contour to the left and posteriorly. the thoracic aorta is mildly widened and elongated, but no local contour abnormalities are present. the pulmonary vasculature demonstrates an upper zone redistribution pattern, but there is no evidence of interstitial or alveolar edema and the lateral and posterior pleural sinuses are free. a permanent pacer is seen in left anterior axillary position connected to two intracavitary electrodes with termination points compatible with right atrial appendage and right ventricular apical portion. skeletal structures demonstrate a mildly accentuated kyphotic curvature and somewhat demineralized vertebral bodies, but no evidence of compression fracture or other skeletal abnormalities in the thoracic area. patient was unable to elevate left arm for the lateral view related to recent pacemaker placement. our records do not include a previous chest examination available for comparison.
<unk>-year-old female patient status post dual-chamber permanent pacemaker placement via left cephalic vein on <unk>. evaluate lead position.
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lung volumes are low. the cardiomediastinal silhouette and pulmonary vasculature are normal. the lungs are clear. there is no pleural effusion or pneumothorax. no radio-opaque foreign body noted in the course of the gastrointestinal tract.
history: <unk>f sent in to eval for swallowing razor blade.. pt denied after the fact however still requires medical clearance. // r/o fb
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frontal lateral views of the chest. the lungs are clear of consolidation, effusion, or pulmonary vascular congestion. the cardiomediastinal silhouette is within normal limits. hypertrophic changes in the spine.
<unk>-year-old male with chest pain.
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heart size is normal. the aorta is tortuous. the mediastinal and hilar contours are unremarkable. the pulmonary vasculature is normal. lungs are clear. there is no pleural effusion or pneumothorax. no acute osseous abnormalities detected.
history: <unk>m with fevers/chills, cough and chest pain // please eval for pneumonia
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the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. the heart is normal in size with normal cardiomediastinal contours.
<unk>-year-old with left-sided chest pain, assess for pneumonia.
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the lungs are hypoinflated with crowding of vasculature. no pleural effusion or pneumothorax. heart is top-normal in size. mediastinal contour and hila are unremarkable. there are intact median sternotomy wires as well as mediastinal and left hilar clips. limited assessment of the osseous structures are unremarkable. no displaced rib fracture. visualized bowel gas pattern is nonobstructed.
<unk>m with r rib pain s/p mvc. assess for contusion, right rib fracture
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a frontal chest radiograph again demonstrates a right central catheter with the tip in the upper svc and the endotracheal tube and nasogastric tubes in proper position. the cardiomediastinal silhouette is unchanged. bilateral layering pleural effusions are noted. given the change in patient position, it is difficult to tell if these effusions are new or increased. the area of pneumonia is substantially covered by the layering fluid and difficult to evaluate. there is no pneumothorax.
pneumonia, evaluate for interval change.
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pa and lateral views of the chest provided. port-a-cath again seen residing over the left chest wall with catheter tip in the region of the low svc. 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 sickle cell crisis // ? infiltrate
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interval volume loss of the left lung with increased opacification vertically along the periphery of the left mid to lower lung. persistent blunting of the left costophrenic angle, concerning for pleural effusion was may be partially loculated. the right lung is clear. no pneumothorax is seen. the cardiac and mediastinal silhouettes are stable.
<unk> year old man with dyspnea and recent history of tube throacostomy/chest tube // evaluate for effusion
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the lungs are clear. there is no focal consolidation, effusion, or edema cardiomediastinal silhouette is stable. no acute osseous abnormalities.
<unk>f with cp // eval pneumonia
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pa and lateral views of the chest are compared to previous exam from <unk>. right picc is no longer seen. increased interstitial markings are seen throughout the lungs. there is blunting of the posterior costophrenic angles, which may represent small effusions, although smaller when compared to prior. streaky right basilar opacity may be due to atelectasis. no acute osseous abnormality detected.
<unk>-year-old female with shortness of breath.
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the lung volumes are normal. normal size of cardiac silhouette. no pleural effusions. no focal parenchymal opacity suggesting pneumonia. no pulmonary edema. no pneumothorax. normal hilar and mediastinal contours. surgical clips in right upper quadrant consistent with prior cholecystectomy.
<unk> year old woman with arthralgias // ? hilar <unk> or infiltrate
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frontal radiograph of the chest shows interval left pleural catheter placement with substantial improvement in left-sided pleural effusion. there is no change in the small right pleural effusion. monitoring and support devices are unchanged. no pneumothorax.
mrsa bacteremia and endocarditis with pleural effusion status post chest tube placement.
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since prior, there has been a increased opacity at the left lung base compatible with a worsening effusion. lingular opacity is also increased. the mediastinal contour is unremarkable. the left cardiac border is obscured. the right lung is hyperinflated but grossly clear. there is no pneumothorax. a right chest wall port a catheter ends in the proximal right atrium. lymphangitic spread better seen on prior ct.
<unk>m with prior pleural effusions, interval change.
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pa and lateral chest radiographs demonstrate left basilar atelectasis seen only on the frontal view. there is no definite focal consolidation, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is normal.
altered mental status. evaluate for pneumonia.
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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>f with history of chest pain
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cardiac silhouette size is borderline enlarged. mediastinal and hilar contours are normal. lungs are clear. no focal consolidation, pleural effusion or pneumothorax is identified. pulmonary vasculature is normal. an azygos fissure is incidentally noted. no acute osseous abnormality is visualized.
history: <unk>f found "swimming" in the <unk>, pulled out after two hours.
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the heart size is within normal limits. mediastinal contours demonstrate calcified atherosclerotic disease of the aortic knob. the lung volumes are low but clear of consolidation. there is no large pleural effusion or pneumothorax.
<unk>-year-old male with fever and altered mental status.
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new sternotomy. partially loculated mild left pleural effusion has improved. improved bibasilar atelectasis. small right pleural effusion similar. heart size at the upper limits of normal has improved. normal pulmonary vascularity. no edema. no pneumothorax.
<unk> year old man with s/p cabg // eval postop changes
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portable upright chest radiograph <unk> at <time>
<unk> year old man with chf exacerbation // eval for interval change eval for interval change
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the cardiac, mediastinal and hilar contours appear stable. there is a new opacity in the left lower lung obscuring the left cardiac border, probably in the lingula for the most part. elsewhere the lungs remain clear. there is no pleural effusion or pneumothorax.
cough and shortness of breath.
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frontal and lateral radiograph of the chest were acquired. lung volumes are slightly low, causing crowding of the bronchovasculature. there is minimal right lower lung atelectasis. the lungs are otherwise clear. the heart size is normal. the mediastinal contours are normal. there are no pleural effusions. no pneumothorax is seen. multilevel degenerative changes of the thoracolumbar spine are noted. anterior wedging of an upper lumbar vertebral body is not significantly changed compared to ct from <unk>. surgical clips are noted in the right upper abdominal quadrant. suture anchors are seen in the left humeral head.
unwitnessed fall two days ago, presenting with bradykinesia for the past month as well as neurological complaints at home including multiple falls and possible drooling. assess for acute intrathoracic process.
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oblique images of the chest show that the previously seen fullness in the left hilum was likely due to superimposition of normal vascular structures. the abnormal mediastinal contour persists and most likely represents a tortuous aorta. lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax.
evaluate previously seen fullness in the left hilum and possible dilated ascending aorta.
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pa and lateral views of the chest provided. lungs are clear. cardiomediastinal and hilar contours are normal. the no pleural effusions.
<unk> year old woman with history of lynch sydnrome and endometrial cancer, presents with rhonchi l base x <num> week, cough x <num> weeks, productive of yellow sputum
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opacity projecting over the right mid lung is again noted likely representative of the scarring versus atelectasis. chronic left upper lobe volume loss is again noted. the lungs are otherwise clear. cardiac and mediastinal silhouettes appear stable with atherosclerotic calcifications at the aortic arch. there is no pleural effusion or pneumothorax. the bones appear diffusely osteopenic but there is no evidence of an acute fracture.
hypoglycemia.
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portable upright chest radiograph demonstrates minimal right basilar opacification, most likely reflecting atelectasis. there is no large focal consolidation, pleural effusion, or pneumothorax. the cardiac silhouette is normal in size, the mediastinal contours are normal.
<unk>-year-old male with multiple fractures status post helmeted motorcycle collision, now with fever.
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endotracheal tube tip terminates approximately <num> cm from the carina. an enteric tube is noted coursing below the left hemidiaphragm, off the inferior borders of the film. the heart size is normal. the aorta is slightly unfolded. there are low lung volumes with crowding of the bronchovascular structures and mild pulmonary vascular congestion. more focal opacity within the retrocardiac region could reflect an area of atelectasis, but infection or aspiration are also possible. no pleural effusion or pneumothorax is seen. no acute osseous abnormalities demonstrated.
endotracheal tube placement.
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there are small suspect bilateral pleural effusions, both subpulmonic. associated patchy atelectasis is noted posteriorly on the lateral view but otherwise, the lungs appear clear. the bones appear demineralized.
fever and back pain.
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frontal and lateral chest radiographs demonstrate mildly low lung volumes which exaggerates the cardiac silhouette. allowing for this, the cardiomediastinal silhouette is within normal limits. there is no focal consolidation, pleural effusion, or pneumothorax. the visualized upper abdomen is unremarkable. degenerative changes of the thoracic spine are seen.
evaluate for pneumonia in a <unk>-year-old woman with fever and right upper quadrant pain.
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable.
history: <unk>f with chest pain
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right ij, et and enteric tubes are in constant position, however the tip of the enteric tube is beyond the field of view. median sternotomy wires and mediastinal surgical clips are re- demonstrated. there may be small bilateral pleural effusions. bilateral airspace opacities compatible with known airspace and interstitial disease is not appreciably changed. no new focal opacities are detected. there is no cardiomegaly. the mediastinal and hilar contours are normal.
<unk> year old man with s/p avr cabg // ? 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>f with pancreatitis, sob, chest pain.
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pa and lateral chest views have been obtained with patient in semi-upright position. comparison is made with a similar pa and lateral chest examination obtained on <unk>. the previously described cardiomegaly persists, rather unchanged. position of previously described permanent pacer in left anterior axillary position unaltered. the pacer is connected to a single intracavitary electrode. the distal terminal wire enforcement is well identified and appears in unchanged position as identified on pa and lateral chest views. the distal point of the electrode points to the left and anteriorly which is indicative of the apical area of the right ventricle. comparison of the pulmonary vasculature as seen on the frontal view demonstrates that the previously existing perivascular haze has decreased indicating improvement of pulmonary venous congestion. no new parenchymal infiltrates are seen, the pleural sinuses are free and no pneumothorax exists in the apical area.
<unk>-year-old male patient with history of cardiomyopathy, chf, lv ejection fraction <unk>% and atrial fibrillation. patient is status post icd implant on <unk>. check ventricular lead position as today the ventricular lead threshold is significantly higher.
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the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified.
<unk>m <unk>- smoke/ debris exposure, l toe injury from fall // acute lung process? l great toe injury?
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frontal and lateral radiographs of the chest demonstrate clear lungs with no focal consolidation. the cardiac and mediastinal contours are normal. a slightly calcified aorta is noted. no pneumothorax or pleural effusion is identified.
hepatocellular carcinoma with new liver transplant. evaluate for pleural effusion.
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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. spinal hardware is partially imaged but not well assessed on this study, and appears new compared to the prior study.
history: <unk>f s/p fall p/w fever // ?acute intrapulmonary process
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the cardiomediastinal shadow is top normal. mild prominence/congestion of the pulmonary vasculature. mild interstitial thickening. no airspace consolidation. pleural effusion if present, is not large. no pneumothorax. no sinister bony lesions.
<unk> year old man with cirrhosis, prolonged hospital stay, fevers // r/o acute infectious process
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heart size is mildy enlarged. mediastinal contours normal. there is no pleural effusion or pneumothorax. there is no focal lung consolidation. right humoral deformity appears chronic. of note, chest radiographs are limited for the evaluation of chest wall trauma.
<unk>-year-old woman with fall, evaluate for pneumonia.
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ap upright and lateral views of the chest provided. midline sternotomy wires again noted. prosthetic cardiac valve is noted. there is diffuse ground-glass opacity which is concerning for moderate to severe pulmonary edema. difficult to exclude a superimposed pneumonia. no large effusion or pneumothorax. heart and mediastinal contours are stable. atherosclerotic calcification of the aortic knob is again noted. severe degenerative disease at the left shoulder is again noted.
<unk>f with weakness
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there are linear bibasilar opacities as on prior suggestive of atelectasis versus scarring. blunting of the right lateral costophrenic angle is also chronic, potentially due to underlying pleural thickening. the lungs are otherwise clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>m with hypotension // eval for chf/pneumonia
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the heart size is top normal. the hilar and mediastinal contours are normal. there is no large pleural effusion or pneumothorax. the visualized osseous structures are unremarkable.
history of right shoulder and neck pain. please evaluate.
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no focal consolidation is identified. there is an irregularly marginated <num> cm nodule in the right upper lobe which contains apparent calcification, but superimposition over the rib limits this assessment. the cardiomediastinal silhouette and hilar contours are normal. there is no pleural effusion or pneumothorax. median sternotomy wires and surgical clips are noted.
<unk> year old man with chest discomfort, n/v // eval for cardiopulmonary process
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heart size is mildly enlarged, increased since <unk>. additionally, there is prominence of the pulmonary interstitium, consistent with mild pulmonary edema. bilateral pleural effusions are trace. lungs are mildly hyperinflated. no focal airspace consolidation or pneumothorax. mediastinal and hilar structures are unchanged. calcifications are seen within left carotid bifurcation and coronary arteries.
cough, evaluate for pneumonia.
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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 free air is identified below the hemidiaphragms.
left upper quadrant pain.
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frontal and lateral chest radiograph demonstrates unremarkable cardiomediastinal and hilar contours. lungs are clear. no pleural effusion or pneumothorax is seen.
cough, fever, wheezing, evaluate for pneumonia.
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feeding tube tip in the mid stomach. shallow inspiration. stable minimal bibasilar opacities. normal heart size, pulmonary vascularity.
<unk> year old man with ftt, needs dobhoff // ng tube placement
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the cardiac silhouette size remains mildly enlarged but unchanged. the mediastinal contours are similar. low lung volumes results in crowding of the bronchovascular structures with mild pulmonary vascular congestion. no frank pulmonary edema is present. patchy bibasilar airspace opacities likely reflect atelectasis. no pneumothorax or pleural effusion is noted. there are no acute osseous abnormalities.
history: <unk>m with esrd on dialysis presenting with weakness, hypertension, in setting of missing <num> dialysis sessions. wheezing on exam. denies shortness of breath.
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a nasogastric tube terminates in the stomach. the heart is normal in size. the mediastinal and hilar contours appear unchanged. blunting of each costophrenic sulcus suggests likely small pleural effusions. a persistent retrocardiac opacity is similar to the prior study and could be seen with atelectasis. an infectious etiology cannot be excluded, however. no free air is demonstrated.
abdominal distention and recent perforated appendix. status post nasogastric tube replacement.
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small right pleural effusion is unchanged. moderate left pleural effusion is likely stable, however there is worsening opacity at the left base which obscures the left heart border and left hemidiaphragm. left pleural drain has been removed. heart size is not well evaluated but likely within normal limits. the left upper and right lung are relatively clear. mediastinal hilar contours are normal. there is no large pneumothorax. left picc is coiled in the left brachiocephalic vein and should be repositioned.
<unk> year old woman // eval for pneumo/effusion
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the lung volumes are low. the heart size is top normal, possibly exaggerated by low lung volumes. no focal consolidation, pleural effusion, or pneumothorax is seen.
a <unk>-year-old female with dyspnea.
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moderate cardiomegaly is re- demonstrated, unchanged compared to the prior exam. the aorta is tortuous and diffusely calcified. linear atelectasis is noted within the right lung base. no focal consolidation, pleural effusion or pneumothorax is detected. there is no pulmonary vascular congestion. elevation of the right hemidiaphragm is similar. multilevel degenerative changes are seen within the thoracic spine and the right ac joint.
acute kidney injury of unclear etiology.
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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.
<unk> year old woman with cough for <num> weeks and desaturations with ambulation // please evaluate for consolidation
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single portable view of the chest. left-sided pleural effusion is seen both clearing inferiorly and projecting over the mid to upper thoracic cavity. the enlarged mediastinal contour is compatible with mediastinal, para-aortic hematoma identified on ct scan. the cardiac silhouette is within normal limits. no acute osseous abnormalities detected.
<unk>-year-old female with hypotension.
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endotracheal tube in appropriate position. the heart is enlarged. the pulmonary arteries are enlarged bilaterally. there is no pleural effusion pneumothorax. no focal consolidation.
<unk>-year-old presents after cardiac arrest due to pulmonary embolism, status post thrombolysis, evaluate ett position.
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frontal and lateral chest radiographs demonstrate an unchanged cardiomediastinal silhouette and fairly well-aerated lungs without focal consolidation, pleural effusion, or pneumothorax.
history: <unk>f with shortness of breath // eval for pna
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pa and lateral views of the chest provided. the lungs are hyperinflated though clear without focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>f with pmh of asthma, p/w acute onset of shortness of breath.
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as compared to the prior radiograph there is no significant change. the endotracheal tube is <num> cm from the carina. ng tube is seen coursing below the diaphragm. there are small bilateral pleural effusions. there are no new parenchymal opacities. cardiomediastinal silhouette is unchanged.
<unk>-year-old man status post c<num>-<num> laminectomy and c<num>-t<num> posterior fusion, now intubated for respiratory distress. please assess for interval change. comparison to prior radiograph from <unk>.
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lung volumes are low. heart size is normal. the mediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax.
history: <unk>m s/p fall, hx of diarrhea, no abd pain; no cough/sob/cp //
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frontal and lateral chest radiograph demonstrates well expanded and clear lungs.no pleural effusion or pneumothorax. heart size, mediastinal contour, and hila are unremarkable. limited assessment of the upper abdomen is within normal limits.
<num> weeks of cough, fever, night sweats. assess for pneumonia.
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<num> new areas of infiltrate in the lower lungs, larger <num> in the posterior left lower lobe. linear band of atelectasis right lung base. minimal scarring left upper lung. .
history: <unk>m with hyponatremia and ams. also had recent lung infection // xray- r/o pnacxt head- cerebral edema? sdh? ischemai
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no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. lung volumes are low with elevation of the right hemidiaphragm, as seen previously. heart and mediastinal contours are stable.
<unk>-year-old male with chest pain radiating to the back and cough.
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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. surgical clips project over the left axillary region. bony structures are unremarkable.
mid sternal pleuritic chest pain. history of breast cancer.
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the cardiomediastinal and hilar contours are normal. the lungs are clear. there is no pleural effusion or pneumothorax.
<unk>-year-old female with sudden onset of sharp chest pain.
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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. no subdiaphragmatic free air.
history: <unk>m with epigastric pain // pneumonia?
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portable chest radiograph demonstrates a tortuous thoracic aorta. mediastinal and hilar contours are otherwise unremarkable. pulmonary vasculature engorgement and minimally increased heart size. bibasilar atelectasis present. no pleural effusion or pneumothorax evident.
fever, recent stem cell transplant. concern for infiltrate.
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the lungs are hyperinflated but clear. normal pleura and mediastinal surfaces.
history: <unk>m with chest pain // r/o infiltrate
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a right internal jugular central venous catheter tip terminates in the upper svc. no pneumothorax is identified. moderate enlargement of the cardiac silhouette is similar to the previous study. mediastinal contours are relatively unchanged. there is mild pulmonary edema, new in the interval, with moderate size left and small to moderate right bilateral pleural effusions, also new in the interval. bibasilar airspace opacities may reflect atelectasis though infection is not excluded.
history: <unk>f with central line placement
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visualized appliances in good position. left basilar consolidation is improved. right basilar opacities mildly worsened, likely atelectasis, consider pneumonitis if clinically appropriate. small right pleural effusion is partially seen, more apparent. improved left pleural effusion. normal heart size, pulmonary vascularity. hyperlucent right lung is stable. no pneumothorax.
<unk> year old woman with left pleural effusion // r/o pneumothorax
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pa and lateral views of the chest provided. left pacemaker and leads are in standard positioning, unchanged. patient is status post median sternotomy with wires intact and properly aligned. lungs are well inflated and grossly clear. no pleural effusion or pneumothorax. hilar contours are normal. severe cardiomegaly is unchanged.
<unk> year old man s/<unk> crt-d via left subclavian vein // r/o ptx; check lead positions
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pa and lateral chest radiographs demonstrate right lower lobe opacification, consistent with pneumonia. there is also hyperexpansion and flattening of the diaphragms consistent with known copd. there are two contiguous compression fractures in the mid thoracic spine, markedly worsened from <unk>. there ap diameter of the chest has increased since this prior. there is no pleural effusion or pneumothorax. mild cardiomegaly is unchanged.
copd and lower extremity edema. concern for pneumonia or chf.
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portable frontal image of the chest. median sternotomy wires are noted. the lungs are well expanded. opacity in the right lung base likely represents atelectasis. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is mildly enlarged. healedl left rib fractures are noted.
dyspnea and low saturation, with gi bleed.
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portable semi upright radiograph of the chest demonstrates low lung volumes with resultant bronchovascular crowding. right basilar opacification has increased in density on this study, concerning for worsening pneumonia or aspiration. there are small bilateral pleural effusions. the cardiomediastinal contours are unchanged. no pneumothorax. a right-sided picc line ends in the distal svc.
<unk> year old man with multifocal pna and acute aspiration event // evaluate for interval change
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frontal and lateral views of the chest demonstrate a linear opacity at the left lung base, which was worse <unk> year ago. there is no dense consolidation or pleural effusion. the heart and mediastinum are normal. there is no pneumothorax.
status post renal transplant presenting with <unk> and history of pulmonary nodules, evaluate for pulmonary pathology.
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lung volumes are low. there is no focal lung consolidation. cardiomediastinal silhouettes and hila are normal. there is no pleural effusions and no pneumothorax.
<unk>-year-old with seizures.
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compared to chest radiograph from <unk>, there is little overall change. small bilateral pleural effusions are unchanged. moderate cardiomegaly is stable. there is central vascular congestion with mild interstitial pulmonary edema. no pneumothorax. no focal parenchymal opacity. chronic right posterior deformity is noted. no new rib fractures identified on this non-rib-dedicated radiograph. compression deformity of the upper thoracic spine, better assessed on prior ct from <unk>, correlates with a chronic t<num> compression fracture. extensive calcification along the costochondral junction.
<unk>f with multiple falls from her wheelchair and history of pathological fractures. // we are looking for pathological fractures and hemothorax.
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stable heart size and mediastinal and hilar contours. unchanged position of a right chest wall dual lead pacemaker. there is a new lingular opacity. the right lung is clear. no pleural effusion or pneumothorax.
history: <unk>m with generalized weakness // eval for pneumonia
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frontal and lateral radiographs of the chest when compared to prior study demonstrates increase in lung volumes with development of moderate left pleural effusion. the rounded opacity in the left middle lung corresponds to the mass seen on recent pet-ct from <unk>. the remainder of the left and right lung is clear. the cardiac and mediastinal contours are normal. no pneumothorax is appreciated.
metastatic adenocarcinoma. evaluate for interval change.
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pa and lateral views of the chest. the lungs are clear focal consolidation or effusion. chain sutures projects over the right mid lung laterally, unchanged. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities detected.
<unk>-year-old female with fever.
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frontal and lateral radiographs of the chest demonstrate persistent moderate-sized right-sided pleural effusion with adjacent atelectasis, and tiny left-sided pleural effusion. multiple nodular opacifications are seen in the bilateral lungs, which are unchanged from the prior study. the cardiomediastinal and hilar contours are unchanged. no pneumothorax.
<unk>-year-old man with pleural effusion status post thoracoscopy. evaluate for persistence of effusion.
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pa and lateral views of the chest demonstrate an elevated right hemidiaphragm and low lung volumes, unchanged. plate-like atelectasis atelectasis is again noted in the left lung base. no pneumothorax or pleural effusion is noted. the cardiomediastinal silhouette is unremarkable. an abandoned vp shunt is noted in the region of the right apex.
new oxygen requirement.
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the ett terminates <num> cm above the carina. the tip of the ng tube is not visualized, however the side hole appears to be above the diaphragm. the vascular congestion appears to have worsened bilaterally in comparison to the prior chest radiograph. large unchanged pleural effusions. stable enlargement of the cardiac silhouette. the mediastinal and hilar contours are stable. no pneumothorax is seen. there are no acute osseous abnormalities.
<unk>m with worsening resp status and ?aspiration pna // et tube placement
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the heart is enlarged, similar to prior. prominent bilateral hilar markings are consistent with pulmonary artery enlargement. left pleural effusion has decreased in size over the interval, and is now small in size. retrocardiac opacity may represent compressive atelectasis or aspiration, however pneumonia could be considered in the appropriate clinical setting. no pneumothorax.
history: <unk>f with cp, pls eval pna and effusion // history: <unk>f with cp, pls eval pna and effusion
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lung volumes are normal. there is no focal consolidation, effusion, or pneumothorax. there is no central vascular congestion or overt pulmonary edema. mediastinal and hilar contours are normal. heart is normal size.
history: <unk>m with hiv, cough // ?pna
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the lungs are clear. there is no focal consolidation, pleural effusion or pneumothorax. the cardiac silhouette is normal. the osseous structures are unremarkable.
<unk>-year-old woman with copd, right middle lobe pneumonia with in-hospital from <unk>, needs followup x-ray to check for resolution.
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heart size is normal. aortic calcifications at the knob. cardiomediastinal silhouette and hilar contours are normal. re- demonstration of mild elevation of the left hemidiaphragm. biapical lucencies correspond to emphysema. lungs otherwise clear. no effusion or pneumothorax.
chest pain.
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lungs are well inflated and clear. there is no pleural effusion. the heart size is normal. the mediastinal and hilar contours are normal.
<unk> year old woman with history of positive ppd // eval active tb
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pa and lateral chest radiographs demonstrate clear lungs bilaterally. cardiomediastinal and hilar contours are within normal limits. there is no pleural effusion. visualized osseous structures are unremarkable.
<unk>-year-old female with chest pain and on chemotherapy.
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previously seen right lung sided picc is no longer present. hyperinflated lungs persist. stable position of dual lead left-sided pacemaker. stable cardiomediastinal silhouette. no focal consolidation is seen. no large pleural effusion. no evidence of pneumothorax.stable biapical pleural thickening.
history: <unk>f with severe as p/w ams and failure to thrive, crackles on exam // evaluate for consolidation, pulm edema
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the lungs are clear. the hilar and cardiomediastinal contours are normal. there is no pneumothorax. there is no pleural effusion. pulmonary vascularity is normal.
<unk>-year-old woman with fever. evaluate for pneumonia.
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there is mild cardiomegaly. the ascending aorta may be prominent. there is mild rightward tracheal deviation at the level of the aortic arch. lung fields are clear.
history: <unk>f with chest pain // acute process
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lung volumes are low with bibasilar atelectasis. the et tube terminates <num> cm from the carina. heart size is normal. the mediastinal and hilar contours are unremarkable. there is no large pleural effusion or pneumothorax.
<unk>m with s/p intubation // ?tube placement
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the et tube has been repositioned and is now <num> cm above the carina. the left jugular line is in unchanged position in the mid svc. the ng tube extends below the diaphragm including the side port. bilateral multifocal consolidation is unchanged from this morning. no change in left lower lobe collapse, and small bilateral pleural effusions. cardiomediastinal silhouette is normal. no pneumothorax.
patient with granulomatosis polyangitis and respiratory failure. tube placement (discussed with dr. <unk>, <unk> tube had been pulled back).
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the lungs are well expanded and clear. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax.
<unk>-year-old male with cough and rhinorrhea.
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the heart is normal in size. the aorta is mildly tortuous. the aortic arch is calcified. the pulmonary interstitium appears irregular and there is a patchy peripheral opacification suggesting a substantial interstitial abnormality. although lung volumes are low, there may be an emphysematous component noting relative lucency and attenuation of bronchovascular structures in the upper lung. associated with slight elevation of the left hemidiaphragm is predominantly streaky focal opacification in the left lower lobe, which may be due to chronic scarring or atelectasis, although an infectious cause is hard to completely exclude. there is no pneumothorax or pleural effusion. the bones appear demineralized. there are mild degenerative changes along the thoracic spine.
chest pain.
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there is left lower lobe airspace opacity, without pleural effusion or pneumothorax. moderate scoliosis of the thoracic spine is present. the cardiac and mediastinal contours are normal.
<unk>-year-old female with pharyngitis and persistent fever, rule out pneumonia.
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the cardiomediastinal contours are within normal limits. the bilateral hila are unremarkable. the lungs are clear without focal consolidation. there is no evidence of pulmonary vascular congestion. there is no pneumothorax or pleural effusion.
<unk>f with chest pain, evaluate for acute cardiopulmonary process.
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in comparison to prior chest radiograph, the left lower lobe consolidation and right upper lobe opacity have resolved with a residual right upper lobe scar. the cardiomediastinal and hilar contours are normal. possible trace right pleural effusion best seen on lateral. the left pleural surfaces are normal. no pneumothorax. the osseous structures are stable.
<unk> year old woman with asx. // <unk> on previous abnormal cxr