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In comparison with the study of <unk>, there is some indistinctness of pulmonary vessels, consistent with the clinical impression of elevated pulmonary venous pressure. Cardiac silhouette remains at the upper limits of normal in size. No definite vascular congestion or acute focal pneumonia.
dyspnea on exertion, to assess for pulmonary edema.
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There is moderate right apical pneumothorax and atelectasis in the right lower lung likely of the lower lobe. There is no shift of the mediastinum or other signs of tension. There is no focal consolidation or pleural effusion. The cardiomediastinal silhouette is normal. The imaged upper abdomen is unremarkable. There are no displaced fractures.
history: <unk>f with fall, severe r sided rib pain // ? acute process, s/p fall
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Frontal and lateral radiographs of the chest demonstrate normal heart size. Lungs are clear. Hilar and mediastinal contours are normal. No pneumothorax or pleural effusion. No displaced rib fracture.
chest pain, nonproductive cough and chills. evaluate for infiltrate or opacity.
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Comparison is made to prior study from <unk>. There are developing areas of opacity in the right mid and lower lung field, which can represent pneumonia given the patient's immunocompromised state. There is a left side ij catheter whose distal lead tip in the distal svc, stable. There is a globular appearance of the heart size. Visualized lung apices are clear. There is prominent interstitial markings which are stable.
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Lines and tubes: et tube, enteric tube are in unchanged position. There is another tube overlying the upper abdomen and projecting over the left lower hemi thorax, of unclear location. Lungs: persistent irregular opacities diffusely in both lungs with marked prominence of interstitial markings and left upper lobe haziness. Surgical sutures project over the left mid zone as before. Pleura: bilateral pleural effusions remain unchanged. Mediastinum: no change in cardiomediastinal silhouette. Bony thorax: no change
<unk> year old woman with lung cancer and pneumonia // pt intubated with pneumonia and lung ca, assess for worsening dz intubated
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As compared to the prior examination dated <unk>, there has been interval right upper lobe collapse. Stable left lower lobe atelectasis is noted. There is no significant pleural effusion, pneumothorax, or pulmonary edema identified. The heart and mediastinum are enlarged, stable from prior exam. Redemonstrated is a right internal jugular venous line which terminates in the mid svc. Median sternotomy wires are well aligned and intact. The patient is status post thoracic aortic aneurysm repair with a metallic stent seen across the aortic knob. Findings were conveyed by dr. <unk> to dr. <unk> <unk> telephone at <time> on <unk>, <unk> min after discovery.
shortness of breath, evaluate for pneumonia.
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The lungs are well expanded and clear. There is no consolidation, effusion, or pneumothorax. Cardiac and mediastinal contours are normal.
palpitations and chest pain.
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No pneumothorax following left thoracentesis. Appearance of left lower lobe mass is unchanged. There are small bilateral pleural effusions. Moderate cardiomegaly as well as tortuosity of the descending thoracic aorta is also stable.
<unk> year old man s/p left thoracentesis, evaluate for left pneumothorax.
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The cardiac and mediastinal silhouettes are stable. Again, the aorta is tortuous with possible mild dilatation of the ascending aorta. No focal consolidation is seen. There is no pleural effusion or pneumothorax.
history: <unk>f with bipolar disorder and h/o ?copd who presents with chest pressure and htn // please evaluate for any acute process
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An endotracheal tube terminates <num> cm above the carina. An orograstric tube terminates within the stomach. Again seen is hyperexpansion of the lungs, compatible with known copd. Bibasilar consolidations have improved since <unk>, . There is no pneumothorax, focal consolidation, or pleural effusion.
pneumonia.
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Pa and lateral images of the chest. The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.
pleuritic chest pain.
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Pa and lateral views of the chest were provided demonstrating no focal consolidation, effusion or pneumothorax. The cardiomediastinal silhouette is normal. The imaged bony structures are intact. No free air below the right hemidiaphragm.
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Single semi-erect ap portable view of the chest was obtained. Dual-lead left-sided pacemaker is seen with leads extending to the expected positions of the right atrium and right ventricle. There are perihilar and bibasilar opacities which may relate to fluid overload, although underlying infection or aspiration cannot be excluded in the appropriate clinical setting. No large pleural effusions are seen, although trace pleural effusions be difficult to exclude. The cardiac silhouette is top normal. The aortic knob is calcified. No pneumothorax is seen.
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Single frontal view of the chest demonstrates et tube with tip projecting <num> cm above the carina. An enteric tube traverses below the diaphragm inferiorly out of view. Low lung volumes are unchanged. The heart size is top normal, with minimal unfolding in the thoracic aorta and arch calcifications. The lungs are clear with the exception of trace subsegmental atelectasis in the left base. Previously seen periaortic lucency one day prior persists, which remains concerning for pneumomediastinum and/or pneumopericardium. There is no pneumothorax, pulmonary edema, or large right effusion.
<unk>-year-old female with intracranial hemorrhage status post intubation with question of pneumomediastinum.
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Heart size, mediastinal and hilar contours are within normal limits and without change. Interval increase in small left pleural effusion as well as worsening of adjacent left basilar lung opacity. Right lung and pleural surfaces are clear.
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Right subclavian catheter tip terminates in the lower svc. Cardiac size is normal. The lungs are clear. There is no pneumothorax or pleural effusion.
<unk> year old woman with cough neutropenic // r/o infection
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As compared to the previous radiograph, there is no relevant change. Huge left pleural effusion with cardiomegaly and areas of atelectasis at both lung bases, left more than right. The extent and severity of the diffuse bilateral parenchymal opacities is also unchanged. No pneumothorax, no new parenchymal changes.
status post septic shock, evaluation of fluid overload.
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Compared to the immediate prior radiograph of earlier the same day, the patient has been intubated with the endotracheal tube ending <num> cm from the carina. A new enteric tube ends within the decompressed stomach. Moderate interstitial edema has increased slightly compared with the prior study. The right apical hydropneumothorax and right base opacities are unchanged. The cardiomediastinal silhouette is within normal limits.
<unk> year old man who was intubated // ett placement
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Since the previous exam, the patient has been extubated. The nasogastric tube has been removed. The right jugular line is in adequate position and unchanged. Status post median sternotomy for cabg. Considering the different position, there is no significant change in the bilateral moderate pleural effusion, more important on the left side. Bibasilar atelectasis. There is slight amelioration of the cephalization of the pulmonary vessels.
assess pulmonary edema.
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Patient is status post median sternotomy. There is grossly stable enlargement of the cardiomediastinal silhouette. Loculated right pleural effusion with atelectasis again seen. There is decreased aeration of the right lung as compared to the prior study, which may in part be due to differences in patient position. The left lung is grossly clear.
<unk> year old man with fatigue. // evaluate for pneumonia, pulmonary edema.
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Comparison is made to previous study from <unk>. There is a nasogastric tube whose tip and side port are below ge junction. Heart size is within normal limits. Lungs are grossly clear. There are no focal consolidation, pleural effusions or pneumothoraces.
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Portable semi-upright radiograph of the chest demonstrates a retrocardiac opacity consisent with atelectasis. Additionally, there is a small right-sided pleural effusion with adjacent atelectasis. Cardiomediastinal and hilar contours are unremarkable. A right-sided central venous line ends in the mid svc. Nasogastric tube courses into the stomach and out of the field of view.
<unk>-year-old female with subdural hematoma. evaluate nasogastric tube placement.
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There is mild persisting but decreased pulmonary edema and right pleural effusion. No pneumothorax identified. The size the cardiac silhouette is enlarged but unchanged.
<unk> year old man with acute hematemesis vs hemoptysis // please evaluate for evidence of aspiration or evidence of dah
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Single ap view of the chest was obtained for review. A right chest port is noted with tip near the cavoatrial junction. Cardiomediastinal and hilar contours are unchanged. There are small bilateral pleural effusions, right greater than left. There is no pneumothorax. Multiple masses are seen within both lungs, better assessed by concurrent chest cta.
pain and shortness of breath.
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Heart is normal size and mediastinal contours are unremarkable. Lucent appearance of the upper lungs, right more than left, and hyperinflation is suggestive of underlying emphysema. Diffuse bilateral interstitial opacities with prominence of the hilar structures may represent mild pulmonary interstitial edema, however, an atypical infection may have a similar appearance. Opacification of the left costophrenic angle may represent pleural thickening or a small pleural effusion.
history: <unk> with sob // r/o acute process
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Pa and lateral views of the chest are obtained. Midline sternotomy wires are noted. The heart is mildly enlarged. The lungs appear clear bilaterally. No pleural effusion or pneumothorax is seen. Mediastinal contour is unremarkable. Bony structures are intact. There is no free air below the right hemidiaphragm.
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The distal end of the ng tube is not included in this study. It goes probably in abdominal left inferior quadrant. Please refer to the concurrent abdominal x-ray. The lungs are otherwise clear. Mediastinal and cardiac contours are normal. There is no pleural effusion or pneumothorax. A surgical drain projects in the abdominal midline.
ng tube.
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Lung volumes are slightly low. The heart size is mildly enlarged. Mediastinal and hilar contours are normal. Pulmonary vascularity is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities are detected. Soft tissue calcification noted within the right proximal arm is possibly dystrophic, and not completely assessed on this exam.
chest pain and shortness of breath.
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Heart size is normal. Mediastinal and hilar contours are normal. Pulmonary vascularity is normal and the lungs are clear. No pleural effusion or pneumothorax is present. No acute osseous abnormality seen.
elevated white count.
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Pa and lateral views of the chest. The lungs remain clear. Cardiomediastinal silhouette is normal. Osseous and soft tissue structures are unremarkable.
<unk>-year-old female bradycardia and chest pain.
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Interval removal of the left chest tube. No pneumothorax identified. There is a persisting small left pleural effusion with subjacent atelectasis. The right lung demonstrates no consolidation, pleural effusion or pneumothorax. The size of the cardiac silhouette is enlarged but unchanged. The sternotomy wires are intact. A left chest wall single lead aicd is present. Gaseous distention of the stomach.
<unk> year old man s/p ct pulled out at <num>pm // eval for reaccumulation ptx, eval for change in effusion
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Multiple ap views of the chest provided showing first placement of abdominal off down the right mainstem bronchus in subsequently placement of a dobbhoff down the left mainstem bronchus. Patient is status post median sternotomy with wires intact and proper alignment. Mild cardiomegaly and mild engorgement the pulmonary vessels are unchanged. Asymmetry of the lung bases with increased opacification on the right may represent pneumonia. No pleural effusion or pneumothorax. Hilar and cardiomediastinal contours are normal.
dobhoff placenemnt // dobhoff placenemnt
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Pa and lateral views of the chest provided. Tracheostomy tube projects over the mediastinum. Lung volumes are low. 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 shortness of breath
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Left port-a-cath line tip terminates in the upper right atrium, unchanged. Tracheostomy tube terminates in the upper to mid thoracic trachea. The lungs are normally expanded and clear. There is no focal opacity to suggest pneumonia. Heart size is normal. The mediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. As on prior studies there is gaseous distention of the stomach and loops of bowel in the upper abdomen, likely:
<unk>f with trach, cough // eval infiltrate
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Lungs are well-expanded and clear. The cardiomediastinal silhouette is unremarkable. There is no pleural effusion comp pulmonary edema, pneumothorax, or focal consolidation.
history: <unk>f with altered mental status and leukocytosis // r/o infiltrate
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A left chest tube is in unchanged position. There is no pneumothorax. Subcutaneous emphysema is noted. There is new left lower lobe atelectasis as well as a small left pleural effusion. The right lung is clear. The cardiomediastinal silhouette is within normal limits.
<unk> year old woman with recent vats presenting with left sided chest pain and sob. evaluate for etiology of shortness of breath.
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As compared to the previous radiograph, there is no relevant change. Calcified granuloma at the right lung base. Normal size of the cardiac silhouette. Minimal atelectasis in the retrocardiac lung region. Scoliosis with subsequent asymmetry of the rib cage. No acute lung changes.
dental abscess, evaluation.
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Frontal and lateral views of the chest were obtained. There is mild left base atelectasis. No definite focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are unremarkable. No displaced rib fracture is seen.
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The entire right lung is collapsed and there is a large tension pneumothorax with depression of the right hemidiaphragm and shift of the trachea and mediastinal contents towards the left. An endotracheal tube is seen terminating approximately <num> cm above the carina. A nasogastric tube is noted to terminate in the stomach.
recent intubation, evaluate ett.
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There is a port-a-cath terminating at the cavoatrial junction. The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. Patchy scarring at each lung apex appears unchanged. Otherwise, the lungs appear clear.
chemotherapy and fever. history of breast cancer.
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Transvenous right atrial and right ventricular pacer leads remain in unchanged position. Median sternotomy wires and mitral valve replacement are unchanged. The heart is moderately enlarged, stable. There is however a small radiolucency surrounding the heart, for which a small pericardial effusion cannot be excluded. There is no new focal consolidation, pleural effusion or pneumothorax. There is mild interstitial edema. Chronic pericardial calcification is again noted.
<unk>f w/ af, s/p mvr, presenting for anticoagulation, developed a cough and with crackles in l lung base and elevated jvp. // please assess for pulmonary edema/infiltrate please assess for pulmonary edema/infiltrate
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Comparison is made to prior study from <unk>. There is a left-sided central venous line and enteric tube which are unchanged in position. Heart size is upper limits of normal. There are bilateral pleural effusions and opacities at the lung bases. There is mild pulmonary interstitial edema. There are no pneumothoraces.
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Frontal and lateral views of the chest were obtained. Patient is status post median sternotomy and cabg. There are low lung volumes. Relative opacity over the left lung base may be due to overlying soft tissue, although underlying atelectasis or pleural effusion is not excluded. The left hemidiaphragm is relatively obscured. Cardiac silhouette is enlarged, which may in part relate to epicardial fat pad. A tubular structure projects over the right upper abdomen. The stomach contains a large air-fluid level. Evidence of dish is seen along the spine.
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Ap view of the chest. Endotracheal tube measures <num> cm from the carina. The enteric tube ends off into the stomach. Again seen is mild pulmonary vascular congestion. There is no pleural effusion or pneumothorax. No focal consolidation.
central line placement. evaluate for pneumothorax.
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As compared to the prior examination dated <unk>, there has been no significant interval change. Minimal linear atelectasis is noted at the left lung base. There is no evidence of lobar consolidation, pleural effusion, pneumothorax, or frank pulmonary edema. The aorta is tortuous and contains calcifications. The cardiomediastinal silhouette is otherwise unremarkable. .
history: <unk>f with chest ppain after seizure // ro chf, pneumonia
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Two ap single views of the chest were obtained with patient in semi-upright position. Comparison is made with the next preceding pa and lateral chest examination of <unk>. The present frontal views with patient in rather left-sided tilted position demonstrate again normal heart size and absence of any pulmonary congestion. Noted are again linear peripheral lung densities compatible with scar formations. The somewhat low positioned and slightly flattened diaphragms are suggestive of some element of copd, but no acute infiltrates can be identified. No pneumothorax in the apical area and the lateral pleural sinuses are free.
<unk>-year-old male patient with gastroparesis and coughing up thick sputum, evaluate for possible pneumonia.
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A right subclavian infusion port is in place with the tip projecting over the cavoatrial junction. Cardiomediastinal silhouette and hilar contours are normal. Lungs are clear. There is no pleural effusion or pneumothorax. Cervical fixation hardware is incompletely imaged. A surgical clip projects over the left axilla. Mild dextroscoliosis is noted.
breast cancer status post recent port placement. confirm port placement.
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Cardiac silhouette size is normal. The aorta is mildly tortuous. Mediastinal and hilar contours are otherwise unchanged. The pulmonary vascularity is normal. Lungs are clear without focal consolidation. Blunting of the left costophrenic angle posteriorly is chronic, likely reflecting mild pleural thickening. No pleural effusion or pneumothorax is detected. There are mild degenerative changes in the thoracic spine.
mild cough and altered mental status.
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Patient is status post median sternotomy. The cardiac silhouette is moderate to markedly enlarged, possibly slightly increased as compared to the prior study. No definite focal consolidation is seen. There is no large pleural effusion or pneumothorax. The aorta is calcified. There is mild central pulmonary vascular engorgement.
history: <unk>f with sob, cp // chf?
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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs which are clear. There is no focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable.
status post motor vehicle collision.
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As compared to the previous radiograph, the pleural effusion on the right has decreased. A right basal parenchymal opacity is now visually more apparent than on the previous image. The abnormality might represent an infectious process such as pneumonia or aspiration, but could also reflect reexpansion edema caused by the resolution of the pre-existing pleural effusion. The retrocardiac atelectasis has minimally decreased in severity. The pre-existing pulmonary opacities, notably at the left lung base and the left perihilar areas, have minimally increased in extent. The size of the cardiac silhouette is unchanged.
evaluation for interval change.
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Re-identified is thoracic spine fixation hardware, including bilateral rods with transpedicular screws. Ekg overlying the chest. The cardiomediastinal silhouette is stable. Aortic arch calcifications are noted. Cardiac silhouette is not enlarged. The hila are unremarkable. The right suprahilar opacity is favored to represent normal bronchovascular structures given presence on prior exams, however difficult to exclude superimposed perihilar pneumonia in the appropriate clinical setting. Otherwise, there is no focal lung consolidation. There is no pneumothorax or pleural effusion.
<unk>-year-old man with rhonchi on exam, evaluate for pneumonia.
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with cough // pna?
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Pa and lateral views of the chest provided. Small pneumothorax of the right lung apex cannot be excluded. Linear scarring of the right midlung and stable thickening of the right lateral pleura is seen. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen. Port-a-cath remains in place terminating at the cavoatrial junction.
history: <unk>f with sharp right-sided chest pain // eval for pneumothorax
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There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema identified. The heart is normal in size. Mediastinal and hilar contours are normal.
bronchitis versus pneumonia, scant hemoptysis.
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Frontal and lateral views of the chest were obtained. The heart is of normal size with stable cardiomediastinal contours. Bibasilar atelectasis is similar to prior. No focal consolidation, substantial pleural effusion, or pneumothorax. No radiopaque foreign body.
<unk>-year-old female with productive cough and shortness of breath. evaluate for infiltrate.
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The right port-a-cath appears intact and ends at the cavoatrial junction. The patient has a neoesophagus. The tip of the right chest tube is in the right hemithorax. Bilateral moderate-to-large pleural effusions, with apparent interval re-accumulation of pleural fluid on the right and interval improvement on the left. Cardiomegaly. No pneumothorax.
<unk> year old man with esophageal cancer, s/p r pleurodesis <unk>; evaluate for interval change.
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As compared to the previous radiograph, there is minimally improved ventilation at the right lung base. Otherwise the radiograph is unchanged. Moderate cardiomegaly with moderate pulmonary edema and right pleural effusion. Bilateral basal areas of atelectasis. No evidence of newly occurred focal parenchymal opacity suggesting pneumonia. Unchanged position of right central venous access line.
status post cabg, altered mental status, evaluation for interval change.
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The lungs are clear. There are no signs of previous asbestos exposure. The aorta is tortuous. The cardiac and mediastinal contours are normal. No pleural effusion.
patient with shortness of breath, exposure to asbestos and history of smoking. no comparison.
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One portable semi-erect ap view of the chest. There is no evidence of free air. The lungs are clear. The cardiac, mediastinal, and hilar contours are normal. There is no evidence of pleural effusion or pneumothorax. Hiatal hernia is better seen on concurrent ct from today.
llq pain. question of free air.
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Portable frontal radiograph of the chest demonstrates the et tube ending <num> cm above the carina. An ng tube is within stomach. Normal heart size, mediastinal and hilar contours. No focal consolidation, pleural effusion or pneumothorax. Perihilar bronchial wall cuffing which can be seen in the setting of reactive airways disease.
asthma, intubated and severe hypercarbia. evaluate for acute process.
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The lungs are well-expanded and clear. No focal consolidation, effusion, edema, or pneumothorax. The heart is normal in size. The mediastinum is not widened. The descending thoracic aorta is slightly tortuous. The hilar grossly unremarkable. A <num>-mm right lower lobe opacity is a calcified granuloma or vessel-on-end. No obvious pulmonary mass. Multilevel degenerative changes, particularly in the lower thoracic spine, are moderate. Bowel gas pattern the partially visualized upper abdomen is nonspecific. No subdiaphragmatic free air.
<unk>-year-old man with possible new diagnosis of neoplasm. evaluate for pulmonary effusion, metastases.
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Cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is present. Mild deformity of the right ninth lateral rib may reflect a nondisplaced rib fracture.
history: <unk>m with trauma to right ribs.
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An endotracheal tube terminates <num> cm superior to the carina, just above the clavicular heads. A right-sided picc terminates in the lower svc. The distal end of an enteric tube projects over the gastric body, though the proximal portion is coiled in the hypopharynx. Lungs are fully expanded and clear. Heart size is top-normal. Cardiomediastinal hilar silhouettes are normal. No pleural abnormality.
<unk> year old man s/p intubation // tube placement
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Lung volumes are low. Coarsened lung markings are likely secondary to chronic lung disease. Calcified pleural plaques layer on the bilateral hemidiaphragms and seen along the left pleura. Cardiomegaly and aortic arch calcifications are mild.
<unk>-year-old man with delirium.
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Tip of endotracheal tube terminates within <num> cm of the carina, as communicated by telephone to dr. <unk> at <time> a.m. On <unk> at the time of discovery. Lung volumes are extremely low. Bibasilar retrocardiac opacities are present and most likely represent atelectasis. No visible pneumothorax.
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Frontal and lateral radiographs of the chest demonstrate a right chest wall port catheter with the tip terminating in the mid portion of the svc. This is unchanged since <unk>. Otherwise, the lungs are clear and the cardiac and mediastinal contours are normal.
lymphoma. assess line placement.
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This is a very rotated film. The tracheostomy tube is in good location. The peg tube is seen at the very bottom of the film projecting over the gastric bubble. Evaluation of the lungs is limited due to rotation of the film; however, fluid overload is still present.
status post fall in bathroom, trach, and peg placement.
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When compared to prior, there has been no significant interval change. Blunting of the left posterior costophrenic angle is compatible with small effusion. The lungs are clear of consolidation over pulmonary edema. Cardiomediastinal silhouette is stable noting median sternotomy wires and mediastinal clips. Right picc is no longer visualized.
<unk>f with sore throat // pna
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The lungs are hyperinflated but clear without consolidation. There is biapical pleural based scarring as on prior, as well as likely scarring at the right upper lung laterally. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f s.p fall // any cpd or fxs
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A left-sided central line is seen with its tip ending in the mid svc. There is some streaky opacity at the base of the right lung which may represent atelectasis or scarring. There is some mild elevation of the right hemidiaphragm. The left lung is clear. The cardiomediastinal silhouette and hilar contours are normal. There is a small pleural effusion on the right with no evidence of pneumothorax.
history pancreatic cancer with mild shortness of breath. evaluation for abnormality.
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Lung volumes are low. Linear opacities in the bilateral lung bases likely represent subsegmental atelectasis. The mediastinal contour, hila, and cardiac silhouette are normal. No pleural effusion or pneumothorax. A bb is noted over the right lateral ninth rib without underlying fracture. No osseous abnormality within the limits of plain radiography.
<unk>m with l mid-axillary rib pain intermittently since tues/wed up to <unk> no other sxs. // evaluation of ribs for fracture or pna on l side
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Pa and lateral views of the chest provided. Lung volumes low. Allowing for this, the lungs are clear. Heart size cannot be assessed. Mediastinal contour is normal. Bony structures are intact.
<unk>m s/p fall <num>wks ago, ongoing pain, new doe
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Slightly rotated positioning. An et tube is present, tip approximately <num> cm above the carina. An ng tube is present, tip extends beneath diaphragm. The sideport if present with lie above the ge junction. Cardiomegaly is unchanged. There is evidence of chf, with upper zone redistribution, vascular plethora, interstitial edema and diffuse vascular blurring, unchanged. There is prominent opacity in the right lower zone, unchanged. This likely represents a combination of a pleural effusion with underlying collapse and/or consolidation. Increased retrocardiac density is unchanged. However, the left pleural sulcus is better seen, suggesting decrease in size of left pleural effusion.
<unk> with cad s/p stent in <unk>, hfpef, dm copd and chronic anemia with hypercarib resp failure <unk> copd exacerbation and acute renal failure now with r lung effusion and re-intubated, on cpap now. // ?interval
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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 cough // ? pneumonia
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A swan-ganz catheter tip is located in the main pulmonary artery, slightly pulled back from the prior study but in appropriate position. Pacemaker leads in the right atrium, right ventricle and coronary sinus are unchanged. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. The cardiac silhouette remains enlarged. The imaged upper abdomen is unremarkable. The bones are intact.
<unk>-year-old woman with swan in place for titration of milrinone drip. question swan placement.
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There are relatively low lung volumes. Subtle bibasilar opacities are most likely due to atelectasis, underlying aspiration is not excluded. The aorta is tortuous and likely exaggerated by ap, portable technique and low lung volumes. The cardiac silhouette is top-normal. No large pleural effusion or pneumothorax is seen.
history: <unk>m with known r basal ganglia bleed on coumadin // ? extension of ich
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Cardiomediastinal contours are normal. The lungs are clear. There is no pneumothorax or pleural effusion. There are mild degenerative changes in the thoracic spine
history: <unk>f with <num> week of cough, productive green sputum // ?pneumonia
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Ap and lateral views of the chest. Low lung volumes are seen with secondary crowding of the bronchovascular markings. The lungs are clear of consolidation, effusion or vascular congestion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified.
<unk>-year-old female with pain status post fall from standing.
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Portable ap chest radiograph demonstrates a right ij catheter terminating in the mid svc. There is some right basilar atelectasis. Lung volumes are low. The cardiomediastinal silhouette is stable. There is no pneumothorax.
right ij catheter repositioning.
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Mild pulmonary edema is unchanged. No new focal opacity. Previously seen left upper lung bulla is unchanged. No evidence of pneumothorax. No pleural effusion. Severe cardiomegaly is unchanged. Dense aortic calcifications and an old right rib fracture are again noted.
<unk> year old man with severe emphysema, pna, chf with tachycardia and sob. // please assess for pneumo
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The cardiomediastinal and hilar contours are within normal limits. The lung fields are clear. There is no pneumothorax, fracture or dislocation. Limited assessment of the abdomen is unremarkable.
<unk> year old woman with cough, shortness of breath // eval for pneumonia
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There is no consolidation, pulmonary edema, pleural effusion, or pneumothorax. Tubular bronchiectatic changes in the left lower lobe are stable from the prior exam. A sclerotic lesion in the right first rib is stable and consistent with a bone island. The cardiomediastinal silhouette is normal.
weakness and weight loss.
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Pa and lateral views of the chest were provided. The patient is known to have extensive pulmonary fibrosis, which in comparison with a prior chest radiograph from <unk> appears similar in overall extent and severity. No definite evidence for a superimposed pneumonia. No effusion or pneumothorax is seen. Overall, cardiomediastinal silhouette appears grossly stable. The bony structures are intact.
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The lungs are relatively well inflated, and innumerable widespread bilateral pulmonary nodules, better characterized on recent prior ct, compatible with known metastatic disease. The heart is mildly enlarged, unchanged. Dense calcifications in the aortic arch and abdominal aorta are noted. No focal consolidation concerning for pneumonia is identified.
<unk> year old woman with metastatic vulvular cancer with low grade temps. // please evaluate for cause of fever.
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The lungs are clear without focal consolidation, pleural effusion or pneumothorax. There is no pulmonary edema. The heart is normal in size, and the mediastinal contours are normal.
<unk>-year-old male with cough. evaluate for infectious process.
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Comparison is made to the previous study from <unk> at <time> a.m. There is again seen low inspiratory effort. There is atelectasis at the left mid lung which is stable. The cardiac silhouette is prominent but stable. There is no overt pulmonary edema or definite consolidation. There is some elevation/eventration of the right hemidiaphragm.
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There appears to be a nodular opacity in the right apex, but unclear whether this may be due to overlapping structures. The lungs are otherwise free of focal consolidations, pleural effusions or pneumothorax. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk> year old man with complex pmhx including hx of squamous cell skin cancer, cardiac issues, ra, presenting for eval with concerns for nph // eval for possible infection.
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The lung volumes are normal. Minimal bilateral pleural effusions are seen, combined to a small left basal plate-like atelectasis. No pneumonia is present. However, the presence of pleural effusion can sometimes be indicative of potential pulmonary embolism, notably if associated with atelectatic changes. If this impression is consistent with the clinical presentation, ct angiography of the pulmonary artery should be considered. At the time of observation and dictation, <time> p.m., on the <unk>, the referring physician, <unk>. <unk>, was paged for notification and the findings were discussed over the telephone.
cough and fever, rule out pneumonia.
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Pa and lateral views of the chest provided. Left chest wall aicd extends into the region of the right ventricle, unchanged in position. The lungs are clear. No signs of pneumonia or chf. No pleural effusion or pneumothorax is seen. The cardiomediastinal silhouette appears normal. Atherosclerotic calcification again seen along the aortic knob. Imaged bony structures appear intact. A calcified structure in the left paraspinal region of the upper abdomen corresponds with a left renal calcification seen on prior ct.
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No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable, as are the hilar contours. No pulmonary edema is seen.
influenza like illness and cough, rule out pneumonia.
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Subtle lower lobe opacities are seen which may be due to atelectasis, aspiration, or infection. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal. Mediastinal contours are unremarkable.
<unk>m hyperglycemia today in the context of not taking insulin x<num> days. please eval for any cardiopulm change // <unk>m hyperglycemia today in the context of not taking insulin x<num> days. please eval for any cardiopulm change
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Pa and lateral views of the chest. The lungs are clear. There is no consolidation, effusion, or pulmonary vascular congestion. Cardiac silhouette is top normal in size. No acute osseous abnormality is detected.
<unk>-year-old female with chest pain.
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Severe cardiomegaly is stable. Mitral annulus is noted. Left pleural effusion and adjacent atelectasis have resolved. Small right effusion and adjacent atelectasis have decreased. Mild vascular congestion has improved. There is no pneumothorax. Sternal wires are aligned
<unk>f hx mitral valve stenosis s/p repair at <unk> c/b unrepairable perivalvular leak, valvular afib on coumadin, dchf (lvef <unk>% in <unk>), cad s/p rca stent <unk>, pulmonary hypertension secondary to r to l shunting through an iatrogenic asd presents with typical cardiac chest pain. // assess for edema
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As compared to the previous radiograph, the dobbhoff catheter has been pulled back. The tip of the catheter now projects over the gastroesophageal junction. There is no evidence of pneumothorax. For correct positioning in the stomach, the tube needs to be advanced by approximately <num> cm.
new nasogastric tube placement. evaluation.
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Right-sided vascular stents are again noted. There is a right basilar opacity likely representing moderate right pleural effusion which is new since <unk>. Cardiomegaly appears stable. The mediastinum is widened likely due to portable ap technique. Patchy opacity in the right upper lobe may represent consolidation or loculated fluid. Linear opacities in the left lung most likely represent atelectasis. There are coils in the upper abdomen. No acute osseous abnormality identified.
<unk>-year-old woman with hypotension. evaluate for pulmonary edema.
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Pa and lateral views of the chest were obtained. Heart is normal in size and cardiomediastinal contour is unremarkable. Lungs are well expanded and clear. There is no pleural effusion or pneumothorax. Gastric bubble is noted without evidence of free air under the diaphragm.
<unk>-year-old woman with epigastric pain radiating to the back, evaluate for cardiopulmonary process or presence of subdiaphragmatic free air.
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. A retrocardiac opacity is compatible with a hiatal hernia. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
history: <unk>m with possible fish bone in esophagus; // patient points to the sternal notch when describing discomfort;
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Portable ap frontal image of the chest. The lungs are well expanded. Mild interstitial abnormality of unclear etiology is seen. The lungs are otherwise clear. There is no pleural effusion or pneumothorax. Cardiomediastinal silhouette is unremarkable.
central chest pain, history acs.
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No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. There is mild prominence of the central pulmonary vasculature which may be due to pulmonary vascular engorgement without overt pulmonary edema.
history: <unk>f with chest pain // eval for chf/pneumonia