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The lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen.
history: <unk>f with chest pain // cardiopulmonary process?
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A left-sided pacer/ defibrillator and dual leads are in unchanged position. The heart is enlarged but stable in size from the prior examination on <unk>. Lung volumes are low. Bilateral pulmonary opacities are increased from the prior examination and asymmetrically involve the right lung. There is mild pulmonary vascular congestion there is elevation of the right hemidiaphragm, as before. There is no definite pleural effusion or pneumothorax. Persistent right apical opacity likely represents a small, resolving hematoma associated with prior chest tube placement, which is decreased in size from multiple prior exams.
history: <unk>m with hypoxia // eval for pulmonary edema
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There is patchy left base opacity worrisome for left lower lobe pneumonia. The right lung is likely clear. A small focal opacity in the right medial lung base on the ap view, most likely represents vascular structure though additional site of consolidation is not excluded. Trace left pleural effusion is seen. The cardiac silhouette is mildly enlarged. The aorta is somewhat tortuous.
cough.
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The lungs are clear without focal opacity, pulmonary edema, pleural effusion or pneumothorax. Opacity silhouetting the left heart border represents an epicardial fat pad. The cardiac and mediastinal contours are normal. There is no free air beneath the right hemidiaphragm.
history: <unk>m with dyspnea, abd distention // please eval for any evidence of infection. please eval for any evidence of obstruction
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Lung volumes are low. The patient is status post cabg and median sternotomy wires are intact. There are left greater than right bibasilar opacities which may represent atelectasis. More conspiuous left basilar opacity obscures the costophrenic angle, possible effusion. There is no pneumothorax. The cardiac silhouette is not enlarged. The imaged upper abdomen demonstrates multiple dilated air-filled loops of bowel concerning for an obstruction.
history of vomiting and hypotension, evaluate for pneumonia.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. No focal consolidation. Reaccumulation of large left pleural effusion with minimal air component. Left hemithorax postsurgical changes are stable from prior.
<unk> year old man with lymphoma // cough with increased white count. previous pneumothorax with prior pigtail placement. assess for abnormalities.
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The lungs are clear without focal consolidation, pleural effusion, or pneumothorax. The pulmonary vasculature is not engorged. The cardiomediastinal and hilar contours are within normal limits. There is no evidence of pneumomediastinum. No free air is seen beneath the right hemidiaphragm. A loosely coiled density projecting over the right neck on the frontal view is likely external to the patient.
chest pain status post upper endoscopy, here to evaluate for evidence of esophageal perforation.
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Heart size and cardiomediastinal contours are normal. Lungs are clear without focal consolidation, pleural effusion, or pneumothorax.
history: <unk>f with chest pain // r/o pna, chf
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Left internal jugular venous catheter terminates in low svc. Tracheostomy tube is in unchanged position. There is no consolidation, pneumothorax, or large pleural effusion. Cardiomediastinal silhouette is normal size.
history: <unk>m with new l ij // eval central line placement
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Cardiomediastinal silhouette is unchanged. There is no pleural effusion or pneumothorax. There is no focal lung consolidation, but diffuse interstitial changes are similar to prior radiograph. Vp shunt projects over the right anterior chest.
<unk>-year-old woman with fevers, evaluate for pneumonia.
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Overall lung volumes are low.the lungs are clear without focal consolidation or evidence of apical mass. No pleural effusion or pneumothorax is seen. The aorta is tortuous. Heart size is normal.
<unk>m with ptosis, pls eval pancoasts tumor on cxr //
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A left port-a-cath is unchanged in position with the tip terminating in the proximal right atrium. The lungs are symmetrically well expanded and well aerated without focal consolidation, concerning for pneumonia, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged. The cardiomediastinal and hilar contours are within normal limits. No acute osseous abnormality is detected.
fever, here to evaluate for pneumonia.
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Indwelling support and monitoring devices are remarkable for tip of endotracheal tube terminating <num> cm above the carina, and cardiomediastinal contours are stable. Bilateral, asymmetrically distributed airspace opacities affecting the right lung to a greater degree than the left, appear similar to the recent study, and could reflect a combination of pulmonary edema and pneumonia. Moderate, apparently partially loculated right pleural effusion is also unchanged.
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The lungs are clear besides minimal left basilar atelectasis. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk> year old woman with asthma exacerbation // r/o infiltrate
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Comparison is made to previous study from <unk>. There is a right-sided central venous catheter with distal lead tip at the proximal right atrium. There is unchanged cardiomegaly. There is calcification in thoracic aorta and some tortuosity. There is persistent left retrocardiac opacity and left-sided pleural effusion which appear stable. There is some mild pulmonary edema. There are no pneumothoraces.
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Cardiomediastinal contours are normal. The lungs are clear. There is no pneumothorax or pleural effusion. The osseous structures are unremarkable
<unk> year old woman with see above. // patient with cough productive of yellow sputum, blood tinged, please assess.
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There is minimal left lower lung atelectasis. The lungs are otherwise clear. The heart size is normal. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen.
cough and fever.
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Pa and lateral chest radiograph demonstrate clear lungs bilaterally. Cardiomediastinal and hilar contours are within normal limits. There is no pleural effusion or pneumothorax. There is no displaced rib fracture identified. There is no air under the right hemidiaphragm.
history: <unk>m with r rib pain s/p mvc // ? r rib fracture
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The lungs are symmetrically well expanded and clear. There is no focal consolidation concerning for pneumonia. Mild blunting of the costophrenic angles may represent very trace pleural fluid or pleural parenchymal scarring, similar in appearance to the most recent prior study. No significant pleural effusion is detected and there is no pneumothorax. The pulmonary vasculature is not engorged. The cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits.
chills and weakness, here to evaluate for pneumonia.
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Patient is status post median sternotomy and mitral valve replacement. Heart size, mediastinal and hilar contours are normal. Lungs are well expanded and grossly clear. No pleural effusion or acute skeletal finding.
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The heart appears mildly enlarged. The aorta is mildly tortuous and calcified. Allowing for differences in technique, the cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear. Surgical clips project over the right upper quadrant. There is again slight rightward convex curvature centered along the mid thoracic spine with small-to-moderate marginal mid thoracic osteophytes.
chest and left arm pain.
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Interval worsening of patchy right lower lobe opacity, probably reflecting patchy atelectasis, but co-existing pneumonia is possible in the appropriate clinical setting. Small right pleural effusion is apparently new or increased. Within the left lung, a linear focus of atelectasis has developed in the left lower lobe. Otherwise, no relevant change since recent radiograph.
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Bibasilar opacities are concerning for pneumonia. The heart is top size and normal, and there is mild pulmonary edema. There are small bilateral pleural effusions. An endotracheal tube is in appropriate position, and a nasoenteric tube terminates below the view of this radiograph.
<unk>-year-old female with pneumonia, endotracheal tube.
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Lung volumes are low but improved since the next most recent radiograph. Bibasilar atelectasis is worse on the left but unchanged on the right. There is likely a new small left pleural effusion. The cardiomediastinal silhouette and hilar contours are normal. There is no pneumothorax. An ng tube terminates in the stomach.
status post fall, status post ex lap, splenectomy now with cough, sputum production, desats. evaluate for pneumonia.
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New left-sided pleurx catheter with a medial course. Moderate to large loculated effusion slightly decreased since the prior. No visualized pneumothorax. Small right-sided effusion. Bibasilar opacities and retrocardiac opacity can be atelectasis. No pulmonary edema.
<unk> year old man with severe as with left pleural effusion s/p pleurx // pleurx placement
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Heart size is normal. Mediastinal and hilar contours are unremarkable, and there is no pulmonary vascular engorgement. Lungs are clear. No pleural effusion or pneumothorax is identified. There are no displaced fractures identified.
confusion after fall.
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There is mild left basal atelectasis. Otherwise lungs appear clear. No large effusion or pneumothorax is seen. The cardiomediastinal silhouette is unchanged. Bony structures are intact.
<unk>m with malaise, infectious work-up // eval pna
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Endotracheal tube terminates <num> cm above the carina. Enteric tube courses below the diaphragm, out of the field of view, with side port likely in the proximal stomach. No focal consolidation is seen. There is no large pleural effusion or pneumothorax. Possible mild pulmonary vascular congestion. The cardiac silhouette is mildly enlarged. Mediastinal contours are likely accentuated by a ap portable technique.
history: <unk>f with large sah // eval for aneurismal bleed
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The lungs are clear. There is no evidence of pneumonia, pneumothorax, or pleural effusion. Cardiac size is mildly enlarged, stable. There is also a very tortuous aorta.
<unk> year old man with worsening cough and chills // please eval for pna
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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 large right supraclav lad
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Right chest wall dual lead lumen central venous catheter is again seen. Increased interstitial markings seen in the lungs bilaterally, a chronic finding. Blunting of the bilateral costophrenic angles could be due to scarring or small effusions. Linear right basilar opacities are likely scarring as they are chronic. There is no focal consolidation. Cardiomediastinal silhouette is stable. Median sternotomy wires and mediastinal clips are again noted as are surgical clips in the right upper quadrant.
<unk>m with sob, esrd // eval for pulmonary edema
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Right lung base opacity is improved. Left lung base opacity is stable. The bibasilar opacities are likely due to atelectasis. There are probably small bilateral pleural effusions. Cardiomediastinal silhouette is normal size.
<unk> y/o m p/w persistent, non-productive rhonchous cough, temp: <unk>.<num>, <unk>% o<num> on ra. high aspiration risk. // r/o pneumonia
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Lungs are clear. Moderate cardiomegaly is stable. Re- demonstration of elongated descending aorta. There has been interval removal of the right internal jugular venous central line. No evidence of pneumothorax, pulmonary edema, or pleural effusions. No focal consolidations are noted.
<unk>m with renal transplant here w/ syncope // ? ptx, effusion, consolidation
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Left picc and right sided central venous catheter tips remain in unchanged positions. Cardiac, mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. Numerous clips are noted in the left upper quadrant of the abdomen. Oral contrast material is seen within bowel loops within the upper abdomen with several scattered air-fluid levels.
history: <unk>m with recurrent small bowel obstruction, unable to tolerate gj tube feeds,
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Heart size, mediastinal and hilar contours are normal. Lungs are slightly overexpanded but grossly clear. There are no pleural effusions or pneumothoraces.
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A pacemaker/icd device has two ventricular leads and a single right atrial lead. The device projects over the right upper hemithorax. The heart is moderate-to-severely enlarged. The main pulmonary artery contour is prominent. The aortic arch is calcified. The diaphragmatic contour on the left is indistinct but the significance is difficult to judge given cardiomegaly. The lungs are difficult to assess in this area and it is also difficult to exclude a small left-sided pleural effusion. However, there is no evidence for pleural effusion on the right. Otherwise, aside from streaky lingular atelectasis, the visualized lungs appear clear. Mild rightward convex is curvature centered along the mid thoracic spine. Surgical clips project along the left axilla.
elevated troponin.
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Post right upper lobectomy. Stable moderate partially loculated right-sided effusion and persistent right juxta hilar opacity. Interval increase in subsegmental atelectasis of the left base.
<unk> year old woman pod<num> from r upper lobectomy // change in intrathoracic process
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In comparison with the earlier same day study, re-demonstrated are multiple median sternotomy wires and mediastinal surgical clips. There are low lung volumes, likely accentuating the size of the cardiac silhouette, unchanged from prior. The hila are within normal limits. There is an unchanged moderate right pleural effusion with fluid tracking along the right pleural space. Smaller left pleural effusion is also unchanged. There is right more than left bibasilar atelectasis. There is no new focal lung consolidation. There is no pulmonary vascular congestion or pulmonary edema. There is no pneumothorax.
<unk>-year-old man with pleural effusions, now status post chest tube removal, evaluate for interval change.
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Frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation or pneumothorax. Hilar and mediastinal silhouettes are unchanged. Mild aortic tortuosity is unchanged since prior. There is no pulmonary edema. Heart size is normal. Multiple surgical clips project over right upper abdomen. Partially imaged upper abdomen is unremarkable.
cough and fever.
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Pa and lateral chest radiographs demonstrate numerous pleural plaques. However, there is no focal consolidation, pleural effusion, or pneumothorax. The heart size is top normal.
lightheadedness.
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Overall appearance of the chest is unchanged compared to prior studies. There is persistent elevation of the right hemidiaphragm. The heart is normal in size, with stable medial style contours and tortuosity of the thoracic aorta. No displaced rib fracture, pneumothorax, or pleural effusion is identified.
history: <unk>f with fall // please evaluate for acute injury, process
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The lungs are clear without consolidation, effusion, or vascular congestion. The heart is borderline enlarged as on prior. No acute osseous abnormalities identified.
<unk>f with tearing epigastric pain, bp <unk>s // r/o dissection
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The lungs are clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax. There is no pleural effusion. Pulmonary vascularity is normal.
<unk>-year-old man with acute onset abdominal pain, nausea, and vomiting.
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The cardiomediastinal and hilar contours are normal. The lung volumes are low but clear of lobar consolidation; low volumes likely contribute to crowding of bronchovascular structures. There is no pleural effusion or pneumothorax.
<unk>-year-old male with fever, body aches, and cough.
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The lung volumes are normal. Normal size of the cardiac silhouette. Normal hilar and mediastinal structures. No pleural effusions. No evidence of focal or diffuse lung disease, in particular no evidence of pulmonary fibrosis.
hepatic granulomas, rule out sarcoid.
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Compared to the prior study there is increased hazy opacity in both lower lung lobes compatible with volume loss/infiltrate. This is slightly worsened compared to the study from the prior day. The et tube, ng tube, and left subclavian line are unchanged
<unk> year old woman with head trauma, weaning to extubate. // any evidence of new infiltrate?
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>f with chest pain
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In comparison with study of <unk>, the endotracheal tube has been removed. Left jugular catheter tip again extends to the region of the junction of the brachiocephalic vein and superior vena cava. There are continued low lung volumes with atelectatic changes at the left base. The pulmonary vascularity is essentially within normal limits, though it could be minimally elevated.
post-operative with probable fluid overload.
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There is widening of the mediastinum. There is extensive subcutaneous emphysema in the soft tissues of the right neck. Opacity of the left hemithorax is consistent with large pleural effusion. Right apical pneumothorax is better seen on concurrent ct of the torso.
history: <unk>m s/p mvc*** warning *** multiple patients with same last name! // please eval for traumatic injury
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Cardiac silhouette size remains mild to moderately enlarged, unchanged. The aorta is markedly tortuous, as seen previously. Mediastinal and hilar contours are unchanged. Lungs are hyperinflated. Minimal streaky retrocardiac opacity likely reflects atelectasis, without focal consolidation. Pulmonary vasculature is not engorged. Minimal blunting of the left costophrenic sulcus may reflect a trace pleural effusion. No right pleural effusion or pneumothorax is present. No acute osseous abnormality is detected.
<unk>f with shortness of breath, malaise since <num> days ago, ekg changes.
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Lung volumes are low. This accentuates the size of the cardiac silhouette which appears borderline enlarged but unchanged. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is present. Minimal bibasilar atelectasis is noted. There are no acute osseous abnormalities.
history: <unk>f with dypsnea
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Right pleural effusion has apparently decreased in size with only a small amount of fluid remaining, predominantly within the fissures. However, based on the configuration of the right hemidiaphragm, there may be a subpulmonic component of the effusion resulting in lateral peaking of the right hemidiaphragm. On the left, could be a small amount of fluid posteriorly in the posterior costophrenic sulcus. Cardiomediastinal contours are stable in appearance with persistent tortuosity of the thoracic aorta. Lungs are clear except for minimal linear atelectasis in the left mid and lower lung regions. Marked degenerative changes are present at both shoulders.
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There is bibasilar atelectasis, and the lungs are otherwise clear of focal consolidation, pleural effusion or pneumothorax. The heart size is normal. The mediastinal contours are normal.
<unk> year old female with history of lung adenocarcinoma presents with <num> day of weakness
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Cardiac, mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is identified. The osseous structures are diffusely demineralized with mild loss of height of <num> adjacent mid thoracic vertebral bodies, likely chronic.
history: <unk>f with chills, <unk>'s disease
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In comparison with study of <unk>, there are substantially lower lung volumes which enhance the transverse diameter of the heart on this single frontal view. The monitoring and support devices remain in place. Pulmonary vascularity is essentially within normal limits. Mild atelectatic changes are seen at the bases and there is some blunting of the costophrenic angles, which could reflect small pleural effusions.
liver transplant, to assess for change.
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An endotracheal tube terminates in the lower trachea. Lung volumes are low. A left pectoral dual lead aicd is in place. A nasogastric tube enters the stomach, tip not visualized. A calcified left ventricular aneurysm is re-demonstrated. Marked cardiomegaly despite the projection is unchanged. There is no pneumothorax. Mild pulmonary edema is unchanged. There are likely stable small bilateral pleural effusions. Retrocardiac airspace opacification may be due to infection or atelectasis.
<unk> year old woman with pneumonia, intubated. // any interval change in pulm edema?
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Supine portable ap view of the chest provided. The ng tube descends along the thoracic midline, though the tip is not imaged. The endotracheal tube is seen with its tip <num> cm above the carina. A layering right pleural effusion likely accounts for increased veil-like opacity in the right lung. Lower lobe opacities may represent atelectasis, aspiration, or possibly pneumonia.
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There is persistent volume loss of the right lung with a right-sided pleural effusion which is likely at least partially loculated. Fluoro strain is stable to possibly slightly decreased as compared to the prior study. Right mid lung opacity may be combination of fissural fluid and atelectasis, but underlying consolidation is not excluded. No definite pneumothorax is seen. The left lung is clear. The cardiac and mediastinal silhouettes are similar.
history: <unk>f with hx of nsclc cb effusion recently drained, with lle pain. // please evaluate for acute cardiopulmonary process
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The lungs are clear, the cardiomediastinal silhouette and hila are normal. There is no pleural effusion and no pneumothorax.
<unk>-year-old man with hyperglycemia. please assess for pneumonia.
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As compared to the previous radiograph, the lung volumes have slightly increased. This could be the effect of increased ventilatory pressure. As a consequence, the extent of the pre-existing pleural effusion is slightly less severe than before. Moreover, the areas of basal atelectasis have overall decreased, right more than left. Small effusions persist. Also persisting are signs of mild fluid overload. No pneumothorax. Unchanged appearance of the aortic contour.
aaa, evaluation for pleural effusions.
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In comparison with the study of <unk>, the monitoring and support devices remain in good position. There are mild atelectatic changes at the left base without evidence of acute focal pneumonia or vascular congestion.
elevated white count after traumatic head injury.
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Heart size is normal. Mediastinal and hilar contours are unremarkable. There is no pulmonary edema. Minimal linear opacities in both lung bases likely reflect subsegmental atelectasis. There is no focal consolidation, pleural effusion or pneumothorax. Please note that the extreme right costophrenic angle is excluded from the field of view. There are no acute osseous abnormalities.
dyspnea and cough.
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The lungs are clear without consolidation or pneumothorax. Blunting of the left posterior costophrenic angle raises possibility of small effusion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified. Surgical clip projects over the left upper quadrant.
<unk>m with cp s/p fall // chest pain
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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.
history: <unk>f with diverticulitis, sudden onset pain hours ago // ? free air under diaphragm
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
<unk> year old woman with oral herpes who appears sick with temp <unk>.
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As compared to the previous radiograph, the patient has received a new endotracheal tube. The tip of the tube projects <num> cm above the carina, the tube could be advanced by <num>-<num> cm. The nasogastric tube is unchanged. No pneumothorax. Unchanged borderline size of the cardiac silhouette without pulmonary edema.
endotracheal tube placement.
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New pneumoperitoneum is severe; pneumomediastinum is small, if any. The left lung is almost entirely collapsed. Right lung is well expanded and grossly clear. An endotracheal tube projects off the midline at an acute angle more than <num> cm from the carina. A right internal jugular line ends in the low svc. There is no pneumothorax. Heart is normal size and there is no edema.
<unk>-year-old male with possible recurrent cholangitis status post ercp with concern for perforation.
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Mild cardiomegaly with a left ventricular predominance is re- demonstrated. The mediastinal and hilar contours are unchanged in configuration. Pulmonary vasculature is not engorged. Minimal streaky opacities in the left lower lobe are compatible with atelectasis. No focal consolidation, pleural effusion or pneumothorax is seen. Heterotopic ossification about the mid and distal left clavicle are again noted along with a chronic type <num> left ac joint separation.
history: <unk>m with altered mental status, chest pain
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Pa and lateral views of the chest. The lungs are well expanded and clear of focal consolidation, effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. Surgical clips project over the left axilla. No acute osseous abnormality is identified.
<unk>-year-old female with chest pain.
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Lung volumes are low but the lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. There is mild stable cardiomegaly. No acute fractures are identified.
fall with pain.
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Ap single view of the chest shows interval reduction of lung volume with increased right lung opacification due to pleural effusion and right lower lobe consolidation suspicious for pneumonia. Left lung base opacity is more likely atelectasis. Heart size is enlarged due to the lung volume. There is no pneumothorax. Right picc ends in cavoatrial junction. Abdominal catheters are related to recent pancreatic surgery. Plastic biliary stent has been removed. There is also moderate gastric distention.
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Pa and lateral views of the chest demonstrate normal lung volumes without focal consolidation, pleural effusion or pneumothorax. The hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is no pulmonary edema. Partially imaged upper abdomen is unremarkable.
cough, assess for pneumonia.
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Heart size is normal. Mediastinal and hilar contours are normal. Pulmonary vasculature is not engorged. Clips are noted within the left chest wall anterolaterally. Calcified granuloma in the right lung base is unchanged. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. No acute osseous abnormality is detected.
history: <unk>m with severe abdominal pain out of proportion to exam, history of previous arterial occlusion
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Frontal and lateral views of the chest were obtained. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are unremarkable. No displaced fracture is seen.
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Two pa and <num> lateral view of the chest. Again seen is elevation of left hemidiaphragm. Relatively linear left basilar opacities are most suggestive of atelectasis. Opacity projecting over the right lung base on <num> of the frontal views is due to patient's hand. The right lung is clear. Cardiomediastinal silhouette is unchanged. No acute osseous abnormality noted.
<unk>-year-old male with cough and fever.
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Frontal and lateral chest radiographs demonstrate mild cardiomegaly and hyperinflated lungs with severe emphysematous changes again noted. No focal consolidation, pleural effusion, or pneumothorax. Left apical radiation fibrosis is unchanged. There is no appreciable pulmonary edema. Surgical clips are noted projecting over the left mid upper lung and axilla, as before, with evidence of prior left mastectomy.
history: <unk>f with acute shortness of breath, left shoulder pain.
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As compared to the previous radiograph, the patient has undergone abdominal surgery. Sternal wires are in unchanged alignment. There is evidence of valvular replacement. The drain is overlying the left hemithorax. The lung volumes have decreased, with newly appeared atelectatic areas at both lung bases. In addition, there is mild blunting of the right costophrenic sinus, likely reflecting the presence of a small right pleural effusion. Unchanged size of the cardiac silhouette. No pneumothorax.
questionable pneumonia or pleural effusion.
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Sternotomy wires are intact. Et tube is <num> cm above the level of the carina in appropriate position. Ng tube enters into the stomach and out of view. Swan-ganz catheter tip is at outflow tract. Pacemaker-like device projects over left pectoral region with lead tip in the right ventricle. Elevated left hemidiaphragm is as seen on ct with mild left lower lobe atelectasis. No pneumothorax, pulmonary edema, focal opacity or pleural effusion. Heart size is normal with normal mediastinal contour and hila. No bony abnormality.
status post-cabg and chest tube removal. assess for pneumothorax.
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Heart size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion, focal consolidation or pneumothorax is present. There are mild degenerative changes seen in the thoracic spine.
history: <unk>m with cough
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. Prior right picc is no longer seen. No acute osseous abnormalities.
<unk>m with chest pain // eval for pna
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The lung volumes are normal. Normal size of the cardiac silhouette. Mild tortuosity of the thoracic aorta. No pleural effusions. No parenchymal abnormalities. No pneumothorax. Normal hilar and mediastinal contours.
gastrointestinal bleeding, colonoscopy one week ago. evaluation for free intra-abdominal air.
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Frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is no pulmonary edema.
altered mental status.
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Lungs are clear. There is no pleural effusion or pneumothorax. The heart is normal in size. Normal cardiomediastinal silhouette.
upper thoracic back pain after mvc. assess for injury.
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The lungs are hyperinflated. Chronic changes are identified at the right upper lung. There is however new hazy opacity in the left suprahilar region localizing to the left upper lobe on the lateral exam concerning for infection. No other new region of consolidation identified on the background of diffusely increased interstitial markings throughout the lungs which are chronic. The cardiomediastinal silhouette is within normal limits. Atherosclerotic calcifications are noted at the aortic arch. No acute osseous abnormalities.
<unk>f with dyspenia x <num> days, fever and malaise. has had some cough. // pnemonia
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The right picc line ends at the cavoatrial junction. Bilateral low lung volumes persist are overall unchanged. Bilateral focal patchy opacities, greater on the right, are more prominent compared to the exam earlier today. Heart is now mild to moderately enlarged, increased and new from the exam earlier on the same day. Slight blunting of the right costophrenic angle suggests a possible small pleural effusion. No definite left pleural effusion.
<unk> year old man with crohn's s/p resection of terminal ileum secondary to crohn stricture with end ileostomy <unk> p/w high ileostomy output s/p ileostomy reversal ileocolonic anastomosis, now with hypoxia after ct scan // evaluate for acute change
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Compared is made to prior radiographs from <unk>. Heart size is upper limits of normal. There is persistent mild interstitial prominence without overt pulmonary edema. There is no focal consolidation. There are no pneumothoraces.
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There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits. Mild irregularity of the proximal aspect of the left third and fourth ribs may relate to prior rib fracture. There is a chronic appearing deformity of the right clavicle with extensive callus formation and widening of the right sternoclavicular interval, possibly posttraumatic in origin.
<unk>m with hx of epilepsy with abnormal movements, evaluate for pneumonia.
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The right lower lung opacities, atelectasis, and loculated pleural effusion have improved since the prior exam; however, there is a new pleural loculation in the right upper peripheral hemithorax measuring <num> x <num> cm. There is also decrease in left lower lung opacities. There is resolution of pulmonary edema. The mediastinal and cardiac contours are unchanged. There is no pneumothorax. Surgical clip in upper mediastinum is unchanged.
patient with empyema, still draining <unk><num> cc. follow up.
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In comparison with the study of <unk>, the monitoring and support devices are essentially unchanged. The bilateral parenchymal opacities at the left base have somewhat decreased. The opacification at the right base is essentially unchanged.
resolving ards.
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Severe cardiomegaly is unchanged. There is tortuosity of the thoracic aorta. The pulmonary arteries remain prominent. Pulmonary vascular congestion is not visualized. Bilateral pleural effusions are unchanged. Previously seen scattered pulmonary nodules including a spiculated nodule in the left upper lobe are better demonstrated on the prior chest ct. Small bilateral pleural effusions are again seen. There is no pneumothorax. Again seen is herniation of the left inferior lung through a left inferolateral chest wall defect, better seen on the prior chest ct. There are no acute osseous abnormalities. Deformity of the left distal clavicle is suggestive of prior trauma.
hypotension.
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with persistent cough // assess for pna
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Ap view of the chest provided. As compared to prior study, degree of pulmonary edema is not significantly changed. There is slight increase in retrocardiac atelectasis. No large pleural effusions are seen. Mild cardiomegaly remains stable. Swan-ganz catheter has been retracted slight and terminates in right main pulmonary artery. Endotracheal tube is in appropriate position. Nasogastric tube courses towards the stomach and out of view.
<unk> year old woman with heart failure, respiratory failure // eval for interval changed, ett and pa catheter placement
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Vascular catheter and feeding tube remain in place, with tip of feeding tube in the proximal stomach. Improved lung volumes compared to the previous study, as well as near resolution of previously reported pulmonary edema and markedly improved aeration at the right lung base. There remains dense opacity in left retrocardiac region, possibly a combination of atelectasis and effusion, but underlying infectious process in this region is also possible. Right pleural effusion has decreased in size with only a small residual effusion remaining.
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Since the prior exam, a new pigtail catheter has been placed. It overlies the right upper lung zone. The right pneumothorax has decreased in size and is now small, measuring approximately <num> mm in width. There is no evidence of tension physiology. There is no left pneumothorax. The lungs are clear without consolidation or edema. There is no pleural effusion. The cardiomediastinal silhouette is normal.
status post pigtail catheter placement for right pneumothorax. evaluate for change.
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The ett, left ij central venous catheter, and enteric tube are unchanged from prior. There is increased pulmonary venous congestion. There is also worsening bilateral pleural effusion. There is left lower lobe atelectasis. No consolidation. The cardiomediastinal silhouette is normal. No pneumothorax. No fractures.
<unk> year old woman with urosepsis afib // evaluate for pulmonary edema
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The heart size is within normal limits. The mediastinal and hilar contours appear unremarkable. The lungs are clear of consolidation but, within the limitations of the patient's body habitus, show subtle upper lobe bronchiectasis. There is no pleural effusion or pneumothorax. Moderate degenerative changes are seen in the bilateral glenohumeral as well as acromioclavicular joints.
<unk>-year-old female with chronic back pain, increasing fatigue, and leg swelling.
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As compared to the previous radiograph, the lung volumes are slightly increased, potentially reflecting improved ventilation or increased ventilatory pressure. The endotracheal tube and the nasogastric tube are in unchanged position. Unchanged bilateral pleural effusions, unchanged moderate cardiomegaly with retrocardiac atelectasis. Signs of mild pulmonary edema remain present.
respiratory failure, evaluation for pulmonary edema.
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The patient is rotated towards the left and the chin obscures the upper lung apices, bilaterally. Additionally, lung volumes are low leading to crowding of the bronchovascular structures. Within these limitations, there is mild cardiomegaly and central pulmonary vascular congestion. Left retrocardiac streaky opacity likely reflects atelectasis. There is no lobar consolidation, pleural effusion, or pneumothorax.
history: <unk>m with cough, hypotension // eval for pna
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The cardiac silhouette size remains mildly enlarged but unchanged. The mediastinal contours are similar. Low lung volumes results in crowding of the bronchovascular structures with mild pulmonary vascular congestion. No frank pulmonary edema is present. Patchy bibasilar airspace opacities likely reflect atelectasis. No pneumothorax or pleural effusion is noted. There are no acute osseous abnormalities.
history: <unk>m with esrd on dialysis presenting with weakness, hypertension, in setting of missing <num> dialysis sessions. wheezing on exam. denies shortness of breath.
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New mild pulmonary edema is seen along with continued moderate cardiac enlargement. Bibasilar atelectasis is seen, and no consolidation or pleural effusion is seen. Left cardiac pacemaker has appropriate placement with wires ending at the right atrium and right ventricle.
<unk>-year-old man with shortness of breath, fever, abdominal pain, positive blood cultures. evaluate for shortness breath, pulmonary edema, pneumonia.