Frontal_Image_Path
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Heart size is normal. Mediastinal and hilar contours are within normal limits. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. No acute osseous abnormality is visualized.
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history: <unk>f with chest pain
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The cardiac, mediastinal and hilar contours appear unchanged. Hemidiaphragms are flattened suggesting hyperinflation. There is no definite pleural effusion, although a small effusion would be difficult to exclude on the right, where there is persistent patchy posterior opacification in the right lower lobe. Although the opacity seems more extensive on the frontal view, it is suspected that for the most part opacities have improved given substantial decrease on the lateral view. However, opacification may wax and wane, not discernable on recent radiographs from <unk> for example, but present on earlier ones from <unk>, with a very similar configuration. Bones show abnormal sclerosis, which suggest metastatic disease, although not otherwise assessed in detail.
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shortness of breath. history of copd.
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Cardiac silhouette size remains mildly enlarged. The aortic knob is calcified. Mediastinal and hilar contours are unchanged. Rightward tracheal deviation at the thoracic inlet due to a left-sided masses compatible with known thyroid goiter, unchanged. Mild pulmonary vascular congestion and interstitial pulmonary edema appear slightly worse in the interval. Ill-defined perihilar opacities are are not substantially changed in the interval. Small bilateral pleural effusions are also similar in size. No pneumothorax is identified. Patient is status post right shoulder arthroplasty. Multiple remote bilateral rib fractures are re- demonstrated.
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history: <unk>f with shortness of breath, recent pneumonia diagnosis // assess for evolving infiltrate?
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Ap and lateral views of the chest. Again seen are mild interstitial opacities suggestive of interstitial edema. On the lateral view, there is increased opacity projecting over the lower lobes not definitively identified on the frontal noting that the left lung base is not well evaluated due to overlying soft tissues. Superiorly the lungs are clear. There is no effusion. Cardiac silhouette is stable with multiple clips and median sternotomy wires. Surgical clips also seen in the neck on the right. Trachea is deviated to the right at the thoracic inlet similar to prior. Degenerative changes seen at the left shoulder.
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<unk>-year-old female with hypoxia and productive cough for <num> week.
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As compared to the previous radiograph, the right picc line has been removed. Moderate cardiomegaly persists. No pulmonary edema. No pleural effusions. No pneumonia.
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chronic non-healing ulcer. pre-operative radiograph.
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The cardiac, mediastinal and hilar contours are normal. Lungs are clear and the pulmonary vasculature is normal. No pleural effusion or pneumothorax is demonstrated. Endotracheal tube terminates approximately <num> cm from the carina. Orogastric tube tip courses below the left diaphragm, off the inferior borders of the film. Radiopaque markers are noted projecting over the midline lower thoracic spine, which may be the distal aspects of spinal catheters.
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history: <unk>m with status epilepticus // evaluate tube placement, eval for aspiration / pneumonia
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Frontal and lateral views of the chest were obtained. There is mild lingular atelectasis/scarring. No focal consolidation, large pleural effusion, or evidence of pneumothorax is seen. The cardiac silhouette is top normal. The mediastinal and hilar contours are unremarkable.
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Ap and lateral chest radiograph demonstrate clear lungs bilaterally with no focal consolidation concerning for pneumonia. Cardiomediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax identified. No air under the right hemidiaphragm is seen.
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<unk>-year-old female with chest pain.
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Two portable semi erect chest radiographs demonstrate an endotracheal tube which on the second image is <num> cm above the level of the carina. An enteric tube traverses the thorax in an uncomplicated course in the anticipated location of the esophagus. Heart appears enlarged. Pulmonary vascular congestion is noted without evidence of overt pulmonary edema. Blunting of bilateral costophrenic angles may reflect small effusions bilaterally. There is no pneumothorax.
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<unk>-year-old female status post intubation.
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Left-sided ijv cvp in situ with the tip in the proximal to mid svc. Pulmonary hyperinflation with emphysematous changes seen in the upper lung zones. The heart size is normal. Marked bibasilar (right more than left) airspace consolidation again visualized which shows mild progression compared to prior imaging. Findings are concerning for aspiration pneumonia.
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<unk> year old man with pmhx bladder prostate cancer. admitted with nausea, vomiting, and purulent drainage biliary tube drainage. // evaluate for interval change
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As compared to the previous radiograph, the patient has been intubated. The tip of the endotracheal tube projects <num> cm above the carina. The dobbhoff tube is in correct position. The other monitoring and support devices are constant. Constant appearance of the lung parenchyma and the cardiac silhouette as well as the stented aorta.
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endotracheal tube.
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is stable. Hilar configuration unchanged. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
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<unk> year old man with htn, asthma presenting w/<num>-wk hx of lethargy, cough, sob // eval for infection
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Both lungs are clear without any focal opacities of concern. Heart size, mediastinal and hilar contours are normal. There is no pleural effusion.
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Patient is known to have a left hilar mass seen on chest radiograph from <num> day earlier. Please refer to subsequent ct chest for further details. Subtle opacity in the left mid lung peripherally is concerning for pneumonia. Cardiac silhouette appears normal in size. No pneumothorax. Bony structures appear demineralized, though intact.
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The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable. Median sternotomy wires are noted.
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history: <unk>m with sob/doe // sob
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A moderate left and small right pleural effusion are grossly unchanged. Cardiomediastinal silhouette is overall unchanged. There is a background of mild pulmonary edema, similar to prior. There is no pneumothorax.
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<unk>-year-old man with history a copd, with increased sob while walking tonight
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Frontal and lateral views of the chest demonstrate low lung volumes. There is no pleural effusion, focal consolidation or pneumothorax. Hilar and mediastinal silhouettes are unchanged. Mild-to-moderate cardiomegaly is again noted. There is no pulmonary edema. Multiple surgical clips project over hilar and mediastinal silhouette. Sternotomy wires are in place. Remote right-sided rib fractures are visualized.
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chest pressure.
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No focal consolidation is seen peer there is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable. No pulmonary edema is seen.
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history: <unk>m with palpitations // acute process
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The lungs are clear. No pulmonary edema, pleural effusion, pneumothorax, or pneumonia. Mild bibasilar atelectasis is noted. The heart size is top normal. There is unfolding of the thoracic aorta. The hilar contours and pleural surfaces are unremarkable. Bony structures are intact. No free air below the right hemidiaphragm.
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<unk>f with ams // eval for any evidence of infection
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The heart size is normal. The hilar and mediastinal contours are normal. No focal consolidations concerning for pneumonia are identified. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable. There is no evidence of pneumomediastinum.
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history: <unk>m with abdominal pain s/p vomiting, abd tender // please eval for free air.
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Pa and lateral views of the chest provided. Right chest wall port-a-cath is again noted with catheter tip extending to the mid svc. There is increased left basal atelectasis. A nodule is again noted in the left upper lung measuring up to <num> mm in diameter. This finding is unchanged from most recent prior chest radiograph though was not seen on a prior chest ct from <unk>. No additional nodules are seen. No large effusion or pneumothorax. Cardiomediastinal silhouette is unchanged. Bony structures are intact. Partially imaged catheter tubing noted in the upper abdomen.
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<unk>f with weakness and hyponatremia, history of metastatic colon cancer.
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Linear atelectasis or scarring in the right middle lobe is new since <unk>. The lungs are otherwise clear. No acute focal consolidation. The cardiomediastinal contours are unchanged. No pleural effusions or pneumothorax.
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<unk> year old woman with coungh, fever // eval for infiltrate
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Left picc tip terminates in <unk> upper svc. <unk> heart size is normal. Mediastinal and hilar contours are unchanged, with calcification noted at <unk> aortic arch. Lungs are clear. No pleural effusion or pneumothorax is visualized. No acute osseous abnormality seen. Surgical skin <unk> project over <unk> upper midline abdomen, with a biliary drain partially imaged within <unk> midline upper abdomen.
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picc placed for antibiotics due to chronic abscess with difficulty flushing . picc has been pulled out a couple centimeters, please evaluate line.
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Comparison is made to prior study from <unk>. The endotracheal tube, right-sided picc line, and feeding tube are unchanged in position. There is persistent cardiomegaly. There is a right-sided pleural effusion which appears stable. There is again seen prominence of the pulmonary interstitial markings bilaterally, which are unchanged. There are no pneumothoraces identified.
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
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<unk>m with dyspnea and cough // pna?
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As compared to chest radiograph from <num> day prior, support devices remain in similar position. Widespread opacities have not substantially changed. Bilateral pleural thickening and pleural calcifications unchanged. Mild cardiomegaly. No pneumothorax.
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<unk> year old man with respiratory failure, intubated // et tube placement, interval change
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Frontal and lateral views of the chest were obtained. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable and the hilar contours. Coronary stenting is noted. There is no overt pulmonary edema. No displaced fracture is seen.
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Single frontal view of the chest was obtained. There has been interval placement of a right-sided large-bore central venous catheter which terminates in the right atrium. The cardiac and mediastinal silhouettes are stable. There is stable prominence of the perihilar vasculature which may be due to vascular congestion as well as bibasilar opacities which could relate to atelectasis and scarring, underlying infection or aspiration is not excluded. Old right-sided rib fractures are again seen.
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In comparison with chest radiograph from <num> day earlier, there is no significant change. Enteric feeding tube terminates in the proximal stomach with side ports beyond the gastroesophageal junction. There is no focal consolidation, effusion, or pneumothorax. Mediastinal and hilar contours are stable. Heart size is normal.
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<unk>m hx dm<num>/esrd s/p spk c/b nstemi presented to osh with nausea/emesis here w/ ileus vs sbo now with a low grade temp, productive cough // assess for pneumonia, assess location of ng
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In comparison with study of <unk>, there is little change and no evidence of acute cardiopulmonary disease. The patient has taken a slightly better inspiration. Again there is enlargement of the cardiac silhouette, but no vascular congestion or pleural effusion.
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parietal tumor excision.
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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. No displaced fracture is seen.
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central substernal chest pain.
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Cardiac, mediastinal and hilar contours are normal. Lungs are clear and the pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are visualized.
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cough, fever.
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The cardiomediastinal silhouette is unremarkable. The lungs are grossly clear there is no specific evidence of tuberculosis as clinically questioned. There is no significant interval change from the prior study.
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<unk> year old man with hx of ltbi sp inh, smoker, reporting malaise and cough. // <unk> year old man with hx of ltbi sp inh, smoker, reporting malaise and cough.
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The lungs are clear. Cardiac silhouette is exaggerated by low lung volumes. There is no pleural effusion or pneumothorax. There is a chronic-appearing deformity of the sternum; however, the bones are not well visualized on this non-dedicated view.
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alzheimer's status post fall.
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Allowing for differences in technique and projection, there has been overall minimal change in the appearance of the chest, with the exception of slight worsening in the extent of pulmonary edema.
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No previous images. There is obliquity of the patient on all images, which somewhat obscures detail. Cardiac silhouette is within upper limits of normal in size and there is some tortuosity of the aorta. No definite pulmonary edema, pleural effusion, or acute focal pneumonia. There is some elevation of the right hemidiaphragmatic contour on all images.
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tachycardia, to assess for pulmonary edema.
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Compared with the study of <unk>, small to moderate left pleural effusion with adjacent atelectasis is grossly unchanged. Left basilar opacity likely represents a combination of pleural fluid and atelectasis, but superimposed infection/consolidation is not excluded. No focal consolidation in the right lung. No change in the cardiomediastinal silhouettes. Calcification of the trachea is again noted.
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<unk>f with weakness. please evaluate for acute process.
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Moderate cardiomegaly and pulmonary vascular congestion without associated pulmonary edema appear similar to prior studies. There is no pleural effusion, focal consolidation, or pneumothorax. The cardiomediastinal silhouette is stable.
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<unk> year old man with erosion of peg, evaluate prior surgery.
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There is thinning interval repositioning of a nasogastric dobbhoff tube. The nasogastric tube terminates within a moderately-sized hiatal hernia, in the supradiaphragmatic portion. There has been no other significant interval change.
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<unk>-year-old woman with nasogastric tube placement.
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There is no focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
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history: <unk>f with r sided cp // eval for ptx
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The lungs remain clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified. Surgical clips in the right upper quadrant suggest prior cholecystectomy.
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<unk>f with epigastric pain // eval cardiomegaly, pna
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Frontal and lateral views of the chest were obtained. There is no focal consolidation, pleural effusion or pneumothorax. Mild right basilar atelectasis is unchanged. The previously seen left lower lung opacity is not with well visualized. Heart size is normal. Mediastinal silhouette and hilar contours are normal.
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confusion. evaluate for interval progression of opacities.
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In comparison to the prior exam the recently developed extensive right-sided parenchymal opacities have almost completely resolved with minimal residual opacity in the right middle lobe, seen best on the lateral radiograph. However, a wedge-shaped opacity noted in the posterior segment of right upper lobe has slightly increased in size and density since <unk> and is associated with elevation of the minor fissure. Questionable new nodules are also seen in the left lower lobe. Heart size and hilar contours are stable. There are no pleural effusions.
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<unk>-year-old woman with pneumonia, question resolving pneumonia.
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In comparison with the study of <unk>, the patient has taken a somewhat better inspiration. There is still opacification in the retrocardiac region. Although most likely due to volume loss in the left lower lobe, in the appropriate clinical setting, supervening pneumonia would have to be considered. Mild right basilar atelectatic change. No evidence of pulmonary edema.
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renal failure with hypoxia.
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The lungs are hyperinflated and clear. Severe emphysematous changes are noted. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.
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<unk>f with hypotension // ? pna
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Opacification in the right midlung and in the retrocardiac left lung base could reflect aspiration or pneumonia. Persistent interstitial prominence is noted, possibly from interstitial edema or underlying disease. The heart is mildly enlarged. Small bilateral pleural effusions are noted. There is no pneumothorax.
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history: <unk>m with hypoxia // eval for pna
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An endotracheal tube terminates about <num> cm above the carina. An orogastric tube courses into the stomach. Its tip terminates in the left upper quadrant. Within the limitations of technique, the cardiac, mediastinal and hilar contours appear within normal limits and the lungs appear clear. There is no definite pleural effusion or pneumothorax.
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status post endotracheal intubation.
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Pa and lateral views of the chest provided. There is an external artifact overlying the left neck and right mediastinum, which limits assessment of a true pneumomediastinum. Otherwise, the lungs are clear. There is no effusion or pneumothorax. The cardiomediastinal silhouette is normal. Imaged bony structures are intact. No free air below the right hemidiaphragm is seen.
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history: <unk>f with ivdu and possible hand infection
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A left-sided port-a-cath terminates in the mid superior vena cava, as seen previously. No pneumothorax is seen. No focal consolidation or pleural effusion is detected on this view; the right costophrenic angle is slightly incompletely imaged. Heart and mediastinal contours are within normal limits and stable.
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<unk>-year-old female with cellulitis and port-a-cath for home infusion.
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
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<unk>m with back pain // back pain
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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs without focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable.
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evaluate for fracture or consolidation in a <unk>-year-old woman with chest pain status post fall.
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A right internal jugular line ends in the low superior vena cava. There is a small to moderate left pleural effusion. There is no focal consolidation or pneumothorax. The aortic knob is calcified. The aortic silhouette is mildly enlarged.
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history: <unk>m with r ij // eval for r ij placement
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Pa and lateral views of the chest were provided. Lungs are clear bilaterally. No signs of pneumonia or chf. No pleural effusion or pneumothorax. Heart and mediastinal contours are normal. Bony structures are intact. No free air below the right hemidiaphragm.
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Ap and lateral chest radiograph demonstrates clear lungs bilaterally. There is no pleural effusion or pneumothorax. Cardiomediastinal contours are within normal limits. No air under the right hemidiaphragm is identified. Osseous structures are unremarkable.
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<unk>-year-old male with fever and shortness of breath.
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There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal contour is normal.
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<unk>m with chest pain, evaluate for acute process
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Lung volumes are low. Elevation of the right hemidiaphragm is unchanged from the ct examination of <unk>. No focal opacity to suggest pneumonia is seen. No pneumothorax or significant pleural effusion is present. No overt pulmonary edema. The heart size is normal.
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chest pain. hypoglycemia.
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As compared to the previous radiograph, there is no relevant change. The lung volumes have minimally decreased. The appearance of the neoesophagus is constant. The parenchymal opacities at the right lung base have not substantially changed. The size of the cardiac silhouette is constant. Constant normal appearance of the left lung.
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adenocarcinoma, status post esophagectomy. status post repair of a persisting leak. evaluation for interval change.
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Cardiac contours unchanged. Bibasilar atelectasis again noted. No pleural effusions. No pneumothorax. Left picc tip in the lower svc. Posterior vertebral fusion hardware appears intact though partially visualized.
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<unk> year old woman s/p tracheobronchoplasty // please evaluate for interval change
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The heart is mildly enlarged. Mediastinal and hilar contours are within normal limits. The pulmonary vasculature is normal and the lungs are clear. No focal consolidation, pleural effusion or pneumothorax is seen. Multilevel degenerative changes are noted in the thoracic spine.
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lower gi bleed, cough.
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The et tube is <num> cm above the carina. The ng tube tip is in the stomach. Right-sided picc line tip is at the cavoatrial junction. There is dense retrocardiac opacity compatible with volume loss/infiltrate/ effusion. There is increased hazy vasculature on the left. There is a more focal area of consolidation in the left mid lung. Old rib fractures are again noted on the right.
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<unk> year old woman s/p intubation for alcohol withdrawal and agitation // <unk> year old woman s/p intubation for alcohol withdrawal and agitation
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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.
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<unk>f with sudden onset chest pain <num> days prior // ptx?
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Portable semi-upright ap chest radiograph provided. There has been placement of an ng tube which is seen in the distal esophagus. Advancement is needed for more optimal positioning. Lung volumes are quite low, limiting further evaluation.
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Ap upright portable chest radiograph is obtained. A picc line is again seen in the right arm extending to the level of the superior vena cava. The heart is poorly visualized, though appears moderately enlarged. Bilateral pleural effusions are again noted, right greater than left. There is pulmonary edema which is similar in extent compared with prior. Mediastinal contour is unchanged. Old left and right rib cage deformities are again noted. Hardware is noted in the left proximal humerus.
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Bronchial valve is in place. No pneumothorax. Left basilar scarring or atelectasis, stable. Right lung clear. No pleural effusion.
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<unk> year old man with hx of valve placement for lung reduction // r/o pneumothorax
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The patient is status post median sternotomy and cabg. Low lung volumes are present which accentuates mediastinal widening and the size of the heart. The cardiac silhouette size is at least mildly enlarged. The aorta is tortuous. There is crowding of the bronchovascular structures without overt pulmonary edema. Patchy bibasilar airspace opacities may reflect atelectasis but infection cannot be excluded. No pleural effusion or pneumothorax is identified. No acute osseous abnormality is seen.
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history: <unk>m with right sided chest pain and fever
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New tracheostomy is in adequate position ending <num> cm above carina. There are, however, new small radiolucencies on the left side of the trachea could be compatible with new pneumomediastinum. The tracheal wall is well seen throughout those radiolucencies so it is less likely an inflated balloon. There is also some subcutaneous air in left lower neck. There is no pneumothorax. Bibasilar atelectasis, consolidation and mild pleural effusion are unchanged. Right port-a-cath is in adequate position.
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patient with new tracheostomy, evaluation for pneumothorax or pneumomediastinum.
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Pa and lateral views of the chest provided demonstrate no focal consolidation, effusion or pneumothorax. The lungs appear hyperinflated with flattened diaphragms suggestive of underlying emphysema. The cardiomediastinal silhouette appears normal. The imaged bony structures appear intact. There is no free air below the right hemidiaphragm.
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Left-sided port-a-cath tip terminates at the svc/right atrial junction. Heart size is normal. The mediastinal and hilar contours are unchanged. There is mild upper zone vascular redistribution. Patchy opacities in lung bases likely reflect areas of atelectasis. No focal consolidation, pleural effusion or pneumothorax is identified. Clip is noted in the left upper quadrant of the abdomen.
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history: <unk>m with history of new glioblastoma, on immunosuppression in ed with weakness, altered mental status// please evaluate for infectious process
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No previous images. There is hyperexpansion of the lungs with flattening of the hemidiaphragms consistent with the clinical diagnosis of chronic pulmonary disease. Enlargement of the cardiac silhouette is seen. Mild prominence of interstitial markings could reflect elevated pulmonary venous pressure, chronic lung disease, or both. No evidence of acute focal pneumonia.
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copd with dyspnea on exertion.
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The cardiac silhouette size is difficult to assess given the presence of a moderate to large left pleural effusion, increased from the prior ct. The aorta demonstrates diffuse calcification and mild tortuosity. There is no pulmonary vascular congestion. The right lung is clear. Left basilar compressive atelectasis is noted. No pneumothorax is demonstrated. There are mild degenerative changes in the thoracic spine. Partially imaged is cervical spine fusion hardware. No acute osseous abnormalities.
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shortness of breath.
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Lateral view is limited due to patient motion. The right-sided port-a-cath tip terminates in the upper svc. Cardiac, mediastinal and hilar contours are normal. Pulmonary vascularity is normal. Lungs are clear. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
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shortness of breath, cough.
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There is a small left pleural effusion and probable trace right pleural effusion. Possible trace right pleural effusion is noted. Increased interstitial markings are seen bilaterally, particularly at the bases. This could be in part due to atelectasis given effusions although chronic interstitial process or potentially aspiration is possible. There is moderate cardiomegaly. Atherosclerotic calcifications are seen at the aortic arch. Median sternotomy wires are intact. No acute osseous abnormalities.
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<unk>m with sob // eval for pulmonary edema
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No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable and unremarkable. No overt pulmonary edema is seen.
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palpitations.
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The endotracheal tube ends <num> cm above the level of the carina. A right internal jugular central venous catheter ends in the low svc. A large-bore tunneled right internal jugular central venous catheter ends in the high right atrium, unchanged. A dobbhoff tube ends within the stomach. Lung volumes are low, decreased compared to the prior study. Heterogeneous opacities at the left lung base are increased, likely secondary to pneumonia, although atelectasis could have a similar appearance. The right lung is clear, allowing for bronchovascular crowding. The heart size is normal. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen.
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liver disease with pneumonia, intubated. evaluate for interval change.
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Frontal and lateral views of the chest were obtained. There are relatively low lung volumes. There is elevation of the right hemidiaphragm and there is bibasilar atelectasis. Bibasilar opacities most likely relate to atelectasis, although an early infection or aspiration is not excluded in the appropriate clinical setting. There is prominence of the central pulmonary vasculature suggesting mild pulmonary edema which may be accentuated by low lung volumes. There is slight blunting of the right costophrenic angle and there may be a trace right pleural effusion. No large pleural effusion is seen bilaterally. The cardiac and mediastinal silhouettes are unremarkable. No evidence of pneumothorax is seen.
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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette, with calcification of the aortic knob. Again seen is a <num> cm mass in the left mid lung, which corresponds to a mass seen on prior ct and is unchanged. The opacity in the lingula or left lower lobe inferior to this mass is improved compared to <unk>. No new focal consolidation to suggest bacterial pneumonia is identified. There is no pleural effusion or pneumothorax. The visualized upper abdomen is unremarkable.
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cough. evaluate for pneumonia.
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Pa and lateral views of the chest provided. Suture material in the left mid lung noted as well as a single fiducial clip in the right mid lung. There is persistent irregular opacity in the right upper lung which is somewhat atypical for pneumonia. In this patient with history of lung cancer, findings may be related to tumor related complication suggests hemorrhage. Consider ct to further assess. No large effusion or pneumothorax is seen. Heart size appears within normal limits.
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<unk>m with pna at osh, hx lung ca // pna?
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Nasogastric tube was initially placed in the mid thoracic esophagus, but has been subsequently advanced on serial radiographs with eventual location in the distal stomach. Otherwise, little change in the appearance of the chest since the recent radiograph from earlier the same date except for improving aeration at the right lung base.
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Upright ap and lateral views of the chest demonstrate vague bilateral perihilar ground glass opacities which in an asthmatic favors an atypical airways infection/inflammatory process. Difficult to exclude congestion and edema however and clinical correlation is advised. Sternotomy wires are noted. No pneumothorax or effusion.
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<unk>f with hx asthma presenting w/ cough and hypoxia
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As compared to the previous radiograph, a line placement was attempted. There is no evidence of pneumothorax or other complications. The lung volumes remain low. Moderate elevation of the left hemidiaphragm with atelectasis at the left lung bases. Moderate cardiomegaly. No larger pleural effusions. No pneumonia.
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line placement attempt, evaluation for pneumothorax.
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Ng tube terminates in the stomach and its side port is positioned at ge junction. Vp shunt catheter is again noted. Moderate right pleural effusion and small left pleural effusion is similar to the <num> hr prior. There is mild pulmonary edema in the right lung more than left. Cardiac silhouette is borderline enlarged. Sternotomy wires are intact.
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<unk> year old woman s/p ngt placement // eval ngt placement
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The patient is rotated. Lung volumes are low, overall unchanged. Large right pleural effusion has decreased in size, now moderate. Small left pleural effusion is overall unchanged. Interval decrease in edema, now mild. Bilateral atelectasis is overall unchanged. The heart is mildly enlarged and overall unchanged. No pneumothorax. The trachea is deviated rightward and could be potentially explain by a predominantly larger left goiter a noted on recent ct; however, deviation is slightly more prominent on radiograph compared to prior exams in in the setting of recent left internal jugular vein placement, correlation for possible hematoma is recommended. The left internal jugular vein catheter tip crosses the midline and courses upward in the svc with the tip now in the upper svc. The ett is in standard position. An enteric tube traverses the midline and ends in the right upper quadrant in an air-filled stomach - the side port is probably at the gastroesophageal junction and should be advanced. The single-lead cardiac device is unchanged.
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<unk> year old woman with septic shock, chf exacerbation, hypoxemic respiratory failure, intubated // please evalute for interval change
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<num> portable ap upright view of the chest. There is marked enlargement of the cardiac silhouette. There has been an interval increase in pulmonary vascular engorgement and pulmonary edema. No definite pleural effusion however there may be a small left pleural effusion. No pneumothorax. More confluent opacity in the right lung base likely represents engorged pulmonary vasculature/edema however pneumonia cannot be completely ruled out.
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shortness of breath, chf.
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The lungs are well inflated and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax. Visualized upper abdomen is unremarkable. Osseous structures are grossly intact.
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syncope, status post fall, evaluate for acute cardiopulmonary process.
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The lungs are hyperinflated but clear. No pulmonary edema, pleural effusion or pneumothorax. The cardiac and mediastinal contours are normal. Linear metallic density projecting over the central chest is of uncertain location.
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history: <unk>m with altered mental status // acute cardiopulmonary disease
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The endotracheal tube and ng tube have been removed. The swan-ganz catheter has been removed and there continues to be a right ij cordis with tip in the svc. There is dense retrocardiac opacity, consistent with volume loss/infiltrate/effusion. There continues to be alveolar infiltrate in the left mid lung and right lower lung with some interval partial clearing of the upper lobes. The heart is severely enlarged and is slightly larger than on the prior study. The overall impression is that of chf that is better in some areas and worsened in others.
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status post cabg, hypoxia.
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Lung volumes are low. The cardiomediastinal silhouette is unchanged. Again noted is tortuosity of the thoracic aorta. In the right infrahilar region, there is a opacity which was not definitively seen on prior examination though this may be related to technique and poor inspiration. Opacity is also seen in the posterior portion of the chest on the lateral view. In the appropriate clinical context, this may represent pneumonia.
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history: <unk>m with increasing confusion // eval for pneumonia
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As compared to the previous radiograph, there is a newly appeared right basal parenchymal opacity with air bronchograms and unsharp margins. The opacity is likely to represent pneumonia. This change could possibly be caused by aspiration. Atelectasis at the left lung base. Borderline size of the cardiac silhouette without pulmonary edema. No evidence of pleural effusions. At the time of observation and dictation, <time> a.m., the referring physician, <unk>. <unk>, covered by dr. <unk> was paged for notification and the findings were subsequently discussed over the telephone.
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fever and new o<num> requirements.
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Cardiac silhouette size is mild to moderately enlarged. The aorta is tortuous and diffusely calcified. The mediastinal and hilar contours are otherwise unremarkable. There is mild pulmonary vascular congestion without overt pulmonary edema. Lungs appear hyperinflated. Scarring in the lung apices is present. No focal consolidation, pleural effusion or pneumothorax is demonstrated. No acute osseous abnormality is present.
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history: <unk>f with altered mental status
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The lungs are clear of airspace or interstitial opacity. The cardiomediastinal silhouette is unremarkable. Coronary calcifications in at least the lad are moderate to severe. No pleural effusions or pneumothorax. No acute or aggressive osseus changes.
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<unk> year old man with recent unexplained weight loss; remote history of cigarette smoking // evaluate for parenchymal lung disease
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In comparison with study of <unk>, there are continued low lung volumes with substantial enlargement of the cardiac silhouette and pulmonary edema. Bibasilar atelectatic changes are evident.
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pulmonary edema.
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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.
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history: <unk>f with mvc, rear ended
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Frontal and lateral views of the chest were obtained. The lungs remain hyperinflated with flattening of the diaphragms. Again there are extensive fibrotic changes bilaterally, worse in the upper lungs but also seen in the mid and lower lungs. Again there is superior retraction of the hila and bilateral pleural plaques seen, left greater than right. The previously seen right base consolidation has improved in the interval. Cardiac and mediastinal silhouettes are stable.
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The cardiomediastinal silhouette and pulmonary vasculature are normal. The lungs are clear. There is no pleural effusion or pneumothorax. While study is not tailored to evaluate for rib fractures, no definite displaced fracture is identified.
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history: <unk>m with chest pain after a fall // eval for any rib fx
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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. No acute osseous abnormality is detected.
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history: <unk>f with chest pain
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Subtle linear configuration patchy left base opacity is most likely due to atelectasis rather than pneumonia. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No displaced fracture is seen.
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history: <unk>f with left posterior chest pain // eval for acute process
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As compared to the previous radiograph, there is no relevant change. Minimal atelectasis at the lung bases, appearing slightly more extensive on the right, given patient rotation. Calcified valvular annulus. Moderate cardiomegaly without overt pulmonary edema. No pleural effusions. No pneumothorax. Unchanged course of the pacemaker leads.
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chronic heart failure, evaluation for interval change.
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Ap and lateral views of the chest. When compared to prior common there is new right basilar opacity compatible with pneumonia. There are persistent small bilateral pleural effusions. Cardiomegaly is unchanged. Vertebroplasty changes seen in the lower thoracic spine as on prior.
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<unk>-year-old female with cough and nausea.
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Improved lung volumes bilaterally.the lungs are clear without focal consolidation. Previously noted left base opacity has improved. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Right port-a-cath position unchanged.
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<unk> year old woman with leukemia - ? infection // r/o consolidation
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Lung volumes are lower compared to the prior study, accentuating the cardiac silhouette and bronchovascular structures. With this limitation in mind, there is stable cardiomegaly, accompanied by pulmonary vascular congestion and bilateral interstitial edema. Overall severity is probably similar to the prior study allowing for lung volume differences between the exams. Known mediastinal and hilar lymphadenopathy are shown to better detail on recent cta of the chest of <unk>. Bibasilar lung opacities show continued improvement since <unk>, and may have represented a dependent pulmonary edema in this patient with known upper lobe emphysema, or potentially an aspiration event. Infectious pneumonia is considered less likely given the rapid improvement, but continued radiographic followup would be helpful to document resolution.
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