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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>m with dm<num> with fever/chills and possible diabetic ketoacidosis.
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The heart size is normal. The mediastinal contours are unremarkable. Left lower lobe consolidative perihilar opacity is new compared with the prior exam and is concerning for pneumonia. Right lung is grossly clear. No pleural effusion or pneumothorax is present. There are multilevel degenerative changes in the thoracic spine.
history of pneumonia with cough and shortness of breath.
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Endotracheal tube tip is <num> cm from the carina. Enteric tube seen within the stomach, side-port past the ge junction.lungs are grossly clear. There is no confluent consolidation, large effusion or pneumothorax based on this portable film. Cardiomediastinal silhouette is within normal limits.
<unk>f with intubation // eval tube position
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In comparison is chest radiograph obtained <num> days prior, there has been interval placement of a vp shunt. Lungs are fully expanded and clear without consolidations or suspicious pulmonary nodules. No pleural abnormalities. Heart size is top normal. Cardiomediastinal and hilar silhouettes are normal. Dobhoff the tube terminates in the mid gastric body. A right-sided ij central venous catheter terminates in the lower svc.
<unk> year old woman. intracranial hemorrhage. fever. // <unk> year old woman. intracranial hemorrhage. fever.
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Cardiac silhouette is at the upper limits of normal in size and there is no vascular congestion, pleural effusion, or acute pneumonia. Liver shunt is seen.
cirrhosis, evaluation for renal transplant.
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As compared to the previous radiograph, there is increasing retrocardiac density, likely to be caused by atelectasis. Subsequent increase in blunting of the left hemidiaphragmatic contour. In the interval, the patient has received a new right central venous access line. Unchanged normal size of the cardiac silhouette. Unremarkable right lung.
multiple seizures, line placement.
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There is no pleural effusion, pneumothorax or focal airspace consolidation. Linear atelectasis is seen in the lung bases, on the lateral view only. There is no evidence for "crack lung." the heart size is normal. The hilar structures and mediastinal contours are unremarkable. There is no free air seen under in the diaphragm or within the mediastinum.
chest pain, vomiting, and crack inhalation. evaluate for pneumothorax or pneumomediastinum.
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. Tortuosity of the descending thoracic aorta is again noted. Left chest wall dual lead pacing device is in stable position.
<unk>m with confusion // r/o infiltrate
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The lung volumes are low. However, there is no evidence of fibrosis. Scarring at both lateral aspects of the chest on the frontal radiograph, however, could suggest the presence of minimal fibrotic changes. There is no pleural calcification and no obvious pleural thickening. Punctate calcifications in the left upper lobe suggest prior exposure to tb. Borderline size of the cardiac silhouette. No pulmonary edema. Mild tortuosity of the thoracic aorta.
copd
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The lungs are moderately well inflated. Retrocardiac opacity likely represents atelectasis. Mild vascular congestion is unchanged. Interval increase in small right pleural effusion. No pneumothorax. There is persistent severe cardiomegaly. Mediastinal contour and hila are unchanged. .
<unk>m with sob. assess for pleural effusion
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The patient has been intubated, and the endotracheal tube terminates <num> cm above the carina. A right picc line is unchanged and terminates in the lower svc. An ng tube passes below the diaphragm, into the stomach, and out of view. Patient has had prior right lung wedge resection, with stable right-sided volume loss. No larger pleural effusions or pneumothorax.
<unk>m with nsclc s/p resection and xrt (<num> months ago), hiv/aids (cd<num> nadir of <num>, cd<num> pending for current hospitalization), chronic hyponatremia ( <num>) who presented with electrolyte abnormalities and anorexia. he was given gentle ivf which was complicated by pulmonary edema, pleural effusions. he developed worsening hypoxia, sputum production, effusion, edema. he was treated with diuresis, thoracentesis, antibiotics (levoflox later changed to zosyn). however, patient continued to decompensate, and was intubated overnight <unk> for worsening respiratory distress
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As compared to the previous radiograph, the monitoring and support devices are constant. The pre-existing parenchymal opacities, described in correct resting on previous examinations, are constant in severity and extent. The opacities are slightly more severe on the left than on the right. Bilateral blunting of the costophrenic sinuses, likely caused by minimal pleural effusions, is also unchanged. Finally, the borderline size of the cardiac silhouette is still present.
worsening pneumonia, fever, evaluation for acute process.
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The heart is at the upper limits of normal size. There is mild unfolding of the thoracic aorta. The mediastinal and hilar contours appear unchanged. The patient is status post coronary artery bypass graft surgery. <unk> kerley b lines suggest mild congestive changes, but without frank congestive heart failure. Streaky left posterior basilar opacity appears unchanged and suggests minor atelectasis or scarring. The lungs are hyperinflated.
chest pain. known coronary artery disease.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lung volumes are low. This result in crowding of bronchovascular structures at the lung bases. No areas of consolidation are identified. Linear atelectasis is demonstrated at the left lung base. . No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
<unk> year old man with cirrhosis, confusion // eval for pna
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Pa and lateral views of the chest were provided. Lungs are clear bilaterally without focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette appears normal. No free air below the right hemidiaphragm. No displaced rib fractures are seen. There is a mild scoliosis centered at the tl junction.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There are no pleural effusions or pneumothorax. Bony structures are unremarkable.
cough, nasal congestion and body aches.
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Heart size is normal. Cardiomediastinal silhouette and hilar contours are unremarkable. Atherosclerotic calcifications are noted within the aortic arch. Lungs are clear. There is no pleural effusion or pneumothorax. Scattered pleural plaques are again noted and unchanged.
weakness.
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Single frontal view of the chest shows increased air space opacity at the right lung base compatible with lobar pneumonia. The heart size is mildly enlarged, possibly due to technique. Mediastinal and hilar contours are grossly normal. No pleural effusion or pneumothorax.
shortness of breath and productive cough.
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The patient is slightly rotated. Ett in standard position. Enteric tube traverses the diaphragm and its tip is not seen. External respiratory tubing projects over the mediastinum and left lower hemithorax limiting evaluation. The heart size is mild-to-moderately enlarged, overall unchanged. Lung volumes are low. No focal consolidation. Small to moderate bilateral dependent pleural effusions, greater on the right. Mild-to-moderate prominence of the pulmonary vasculature with pulmonary edema. No pneumothorax.
<unk> year old woman with failure of transplanted kidney, volume overload // please assess interval change
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A portable frontal chest radiograph demonstrates a new moderate right pleural effusion with a right chest pleurx catheter in place. There is no pneumothorax. An apparent increase in heart size is likely secondary to the portable technique. There is no focal consolidation concerning for pneumonia.
recent right pleurx catheter placement. evaluate for pneumothorax.
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In comparison with the study of <unk>, the left ij catheter tip remains in the lower portion of the svc. There is little change in the appearance of the heart and lungs with mild enlargement of the cardiac silhouette and evidence of elevated pulmonary venous pressure. Elevation of the indistinct right hemidiaphragm is consistent with effusion and atelectasis on this side. Minimal atelectasis at the left base.
hep c with lip and copd.
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The lungs are well expanded. A <num> cm rounded mass is again noted in the left upper lung, similar to prior exam. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.
<unk> year old man with left lung nodule // assess for progression of lung mass or evidence of new lesions
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Heart size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vascularity is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. A pectus deformity is noted. No acute osseous abnormalities are otherwise demonstrated.
chest pain.
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Frontal portable radiograph of the chest demonstrates bibasilar atelectasis. There is mild cardiomegaly. The hilar contours are unremarkable. There is no pneumothorax, consolidation, or pleural effusion.
history: <unk>f with chest pain x<num> day // chest pain
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Ap portable semi upright view of the chest. Endotracheal tube is again seen with its tip residing <num> cm above the carinal. Orogastric tube has been intervally advanced with its tip now well positioned in the left upper abdomen in the expected location of the stomach. Patient is somewhat rotated which limits the evaluation. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact.
<unk> year old man with drug overdose, intubated // eval og tube reposition
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The cardiac silhouette is stably prominent. The pulmonary vasculature is mildly indistinct. No definite pleural effusion or pneumothorax is identified. Left lower lobe opacity, in the appropriate clinical context, may be consistent with pneumonia. There is mild peribronchial cuffing.
<unk>m with nash decompensated ?infectious // eval for pna
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Overall, the appearances are similar to the prior study. The opacities in the right lung are slightly improved. The previously seen question temperature probe is no longer visualized. Otherwise, lines and tubes and parenchymal findings are similar to the prior study. As before, the left hemidiaphragm and left costophrenic sulcus are excluded from the film. Incidental note is made of well corticated tapering of both collapse distal clavicles, question postsurgical.
<unk> year old man with pna intubated // interval change?
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No focal opacity to suggest pneumonia is seen. No pleural effusion or pneumothorax is present. There may be mild vascular congestion; however, no overt pulmonary edema. The heart size is top normal.
cough and mid epigastric pain.
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The tip of the endotracheal tube projects over the lower trachea at the level of the carina. The enteric feeding tube has been removed. Mild left basilar atelectasis. No pleural effusion or pneumothorax identified. The size the cardiac silhouette is within normal limits. There is significant gaseous distention of the stomach.
<unk> year old woman with choroid plexus papilloma tumor post op day <num> resection, extubated today, became apneic // re-intubated after extubation
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Right-sided chest tube pigtail projects over the right upper lobe, in a slightly higher position compared to the supine radiograph from <unk>.heart size is within normal limits allowing for technique. Mediastinal and hilar contours are grossly unremarkable. There is no evidence for pulmonary consolidation, pulmonary edema, or sizable pleural effusion. There is no pneumothorax.
<unk> year old woman with chest tube // eval for interval change, to be done on <unk> in am
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There is no pneumothorax, pneumomediastinum or air seen underneath the diaphragm. There is no pleural effusion or focal airspace consolidation. The cardiac mediastinal contours are normal. There are no concerning osseous lesions.
esophageal cancer status post dilation <num> week prior now with pain. evaluate for free air.
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Low lung volumes are again noted. The lungs are clear of consolidation, effusion, or edema. The cardiomediastinal silhouette is mildly enlarged, unchanged. No acute osseous abnormalities identified. Surgical clips seen in the upper abdomen.
<unk>m with exertional sob // pneumonia?
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The lungs are clear bilaterally, without evidence of focal consolidations, pleural effusions or pneumothorax. The mediastinum, hila, and heart are within normal limits. No acute osseous abnormalities.
<unk> year old woman with s/p kidney transplant now needing a pancreas transplant // please assess for any cardiopulmonary abnormalities
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There is a new, ill-defined opacity in the right upper lung field. Differential includes small focus of pneumonia or less likely neoplasm. The ill-defined margins favor an infectious process, and it would be reasonable to treat for pneumonia with followup radiographs in <num> weeks to document resolution. If the opacity is still seen on followup radiographs, chest ct should be performed at that time. No other suspicious lesion is seen. There is no pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.
<unk> year old woman with <num> weeks of cough, history of lung cancer and rhonchi on exam // please rule out penumonia or mass
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Frontal and lateral chest radiographs demonstrate mild increase in heart size, which may be due to image acquisition during different phases of the cardiac cycle. The lungs demonstrate normal volumes and are clear. The pleural surfaces are normal, without pleural effusion or pneumothorax.
shortness of breath and elevated d-dimer.
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Heart size is normal. The patient is status post median sternotomy and aortic valve replacement. The aorta is tortuous. Pulmonary vasculature is not engorged. Scarring is noted within both lung apices. No pleural effusion, focal consolidation or pneumothorax is identified. The osseous structures are diffusely demineralized with moderate to severe multilevel degenerative changes noted in the imaged thoracic spine. Remote fracture of the distal left clavicle is noted.
history: <unk>m with weakness
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As compared to the previous radiograph, there is a newly appeared, massive opacity of the lung parenchyma in the left mid and lower lung zones. In addition, a new opacity has appeared at the right lung bases. There is evidence of volume loss at both the left and right lung bases. In the appropriate clinical setting, these changes are consistent with pneumonia. At the time of observation and dictation, the referring physician <unk>. <unk> was paged for notification, <time> a.m., <unk>.
episode of coughing and desaturation, evaluation for pneumonia.
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The cardiac, mediastinal and hilar contours appear unchanged. The aortic arch is again densely calcified. The descending aorta shows more patchy calcification. The heart appears borderline in size. The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The bones are probably demineralized.
generalized weakness and lightheadedness.
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A dual lead pacemaker/icd device appears unchanged. Left-sided abandoned pacer wires are also similar. Cardiac enlargement, as well as the mediastinal and hilar contours appear similar. Indistinct upper zone redistribution of pulmonary vasculature and perihilar fullness is somewhat increased suggesting mild-to-moderate interstitial pulmonary edema. Mild elevation of the right hemidiaphragm is similar. There is no definite pleural effusion or pneumothorax. Degenerative changes along the lower and mid thoracic spines are similar. No free air is demonstrated.
abdominal pain. question free air.
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Pa and lateral views of the chest. The lungs are clear. The cardiomediastinal silhouette is normal. No acute osseous abnormalities detected.
<unk>-year-old female with productive cough.
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As compared to the previous radiograph, no relevant change is seen. The monitoring and support devices are in constant position. Constant appearance of the cardiac silhouette. The lung parenchyma is unremarkable. No evidence of opacities suggestive of pneumonia. No pleural effusions. No pneumothorax.
fever, intubation, known cerebral bleeding.
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Pa and lateral views of the chest were reviewed. Compared to this prior study, mild cardiomegaly is unchanged. The lungs are clear and there is no evidence of vascular congestion, pleural effusion, or pneumothorax. There are no concerning osseous or soft tissue lesions.
increasing cough.
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There is no focal consolidation, pleural effusion, or pneumothorax. Cardiomediastinal silhouette is normal. Multiple rib deformities consistent with the patient's known history of multiple myeloma are little changed from <unk>.
history of multiple myeloma, chest congestion, and cough. low-grade fevers for five days.
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A large well-circumscribed gas distended structure in the left lower chest measures approximately <unk>.<num> x <num> cm and likely reflects a large hiatal hernia or herniation of the stomach into the chest cavity. Its presence limits the assessment of the heart size. The mediastinum continues to show calcified atherosclerotic disease of the aortic knob, but no apparent widening was appreciated. The lungs demonstrate bibasilar atelectasis, likely from mass effect to the herniated stomach. There is no large pleural effusion or pneumothorax.
<unk>-year-old female with shortness of breath.
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Left basilar linear marking near the costophrenic angle is again noted, likely reflecting atelectasis. The lungs are otherwise clear of focal consolidation, pleural effusions or pneumothoraces. The cardiac mediastinal silhouette is within normal limits.
<unk>f with chest pain // eval for pna, ptx
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Compared to <unk>, there is a new partially well defined (lateral margin in not clearly seen) rounded density projecting over the right mid lung. Whether this is a mass, infection or infarction depends upon chronicity, unfortunately unknown. Additionally, there is greater heterogenous opacification of the right lower lobe, that could be pneumonia or a condition such as bronchioloalveolar carcinoma since there was similar but less extensive opacification in this region in <unk>. There is a small right pleural effusion. Moderate cardiomegaly is a little worse. A left chest wall pacemaker sends transvenous leads to the right atrium and right ventricle. There is no pneumothorax.
chest pain, question acute process.
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A left pectoral pacemaker/aicd with leads terminating in the right atrium and right ventricle is unchanged. There is no lead disruption or fracture. The lungs are clear. There is no pleural effusion, pneumothorax or focal airspace consolidation. The cardiac silhouette is top-normal in size but unchanged. The mediastinal and hilar structures are unremarkable. The pulmonary vasculature is normal.
new onset shortness of breath. evaluate for heart failure.
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The lungs are mildly overinflated, similar to the prior. The cardiomediastinal silhouette and pulmonary vasculature are unremarkable. Known numerous subcentimeter nodules are not well appreciated on the current examination, and are better seen on comparison ct. There is no focal consolidation. Minimal bibasilar scarring is unchanged. There is no pleural effusion or pneumothorax.
<unk>m with hypotension, hyperglycemia // eval ? infiltrate
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Since prior, patient has been intubated. Endotracheal tube ends approximately <num> cm above the carina. Right picc ends at the cavoatrial junction. No change to right atrial and right ventricular pacing leads. There is increased opacity in the left hemi thorax diffusely. There is no pneumothorax.
<unk> year old man intubated, evaluate endotracheal tube placement.
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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>m with chest pain, cough
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Lungs well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.
<unk>m with polysubstance abuse with marood emesis this morning.
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Cardiac silhouette size is mildly enlarged. The mediastinal contours are unremarkable. Previous pattern of pulmonary edema has improved with only mild pulmonary vascular congestion remaining. Aeration of the lung bases is incorrect streaky opacities, potentially atelectasis. A small right pleural effusion is noted. No pneumothorax is identified. No acute osseous abnormality is seen.
<unk> year old man with chf, ?mediastinal widening/aortic dissection
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Portable single frontal chest radiograph was obtained. The lungs are fully expanded and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax.
chest pain, evaluate for mediastinal abnormalities.
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Bedside ap radiograph of the chest demonstrates interval improvement in the extent of pulmonary edema compared to yesterday. There is right lower lobe collapse and extensive atelectasis of the left lower lobe, both of which have progressed. The left costophrenic angle now appears sharper, indicating interval clearance of the pleural effusion. There is likely persistent small right pleural effusion. The upper lung fields are clear. Slight widening of the upper mediastinum is consistent with vascular engorgement. There is no pneumothorax. The new right internal jugular central venous catheter along with the pre-existing right internal jugular catheter terminates appropriately in the lower svc. An endotracheal tube terminates no less than <num> cm above the carina. An orogastric tube courses into the stomach and out of the field of view.
respiratory failure.
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A right picc has been retracted and ends in the upper superior vena cava. Right lower lobe collapse has improved. Left lower lobe collapse has worsened. Parenchymal opacities are unchanged on the right and worse on the left. Mild pulmonary vascular congestion is also unchanged. The cardiac and mediastinal contours are stable.
<unk> year old man with hypoxia evaluate for interval change.
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Frontal and lateral views of the chest are obtained. The lungs are clear without focal consolidation. No pleural effusions or pneumothorax is seen. Cardiac and mediastinal silhouettes are unremarkable.
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The heart size is normal. The mediastinal and hilar contours are within normal limits. The pulmonary vascularity is normal. Hyperinflation of the lungs is unchanged. Linear opacity within the left lung base likely reflects subsegmental atelectasis. No focal consolidation or pneumothorax is present. No pleural effusion is clearly noted, with minimal blunting of the left costophrenic angle on the lateral view possibly attributable to minimal pleural fat as seen on the recent ct. Mild loss of height of a lower thoracic vertebral body is unchanged. There are no acute osseous abnormalities. No free air is demonstrated under the diaphragms.
abdominal pain.
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Right internal jugular central venous catheter terminates in the low svc just above the superior cavoatrial junction. No pneumothorax. There has been interval removal of the swan-ganz catheter. Postoperative mediastinum and cardiac borders are stable. Lung volumes are low with increased bibasilar atelectasis and residual small left pleural effusion.
<unk> year old man s/p cabg and new cvl // check line placement
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There has been interval resolution of bilateral opacities and pulmonary edema. No new focal consolidations. The cardiomediastinal and hilar contours are normal. The pleural surfaces are normal. Interval removal of right ij central venous catheter. No pneumothoraces.
<unk> year old woman needing follow up to x ray <unk> and ct <unk> with mycoplasma pna // resolution? any abnormalities?
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The lungs are hyperinflated. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. There is a new nodular focus projecting over the right upper lung, not necessarily significant, but possibly a lung nodule, which should be excluded.
patient with asthma, now with shortness of breath and cough. evaluate for evidence of pneumonia.
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Pa and lateral views of the chest provided. Left sided chest tube, mediastinal drain, and swan <unk> catheter have been removed. Right-sided chest tube and right ij sheath are in unchanged positions. There is a minimal right apical pneumothorax. There is no mediastinal shift.
<unk> year old woman with s/p cabg- <num> of <num> cts d/c'd // evaluate for pneumothorax
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No previous images. There is a nodular opacification in the retrocardiac region consistent with the lesion seen on ct study of <unk>. Cardiac silhouette is mildly enlarged, so there is no evidence of vascular congestion, pleural effusion, or acute focal pneumonia.
sarcoma and fever, to assess for pneumonia.
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Frontal and lateral views of the chest. Increased interstitial markings are seen when compared to prior suggestive of edema. Trace bilateral effusions again noted. There is no new consolidation. Cardiomediastinal silhouette is unchanged. Median sternotomy wires and mediastinal clips again seen. Moderate hiatal hernia is again noted. Surgical clips in the right upper quadrant. No acute osseous abnormality is detected.
<unk>-year-old female with shortness of breath.
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The lungs are clear without focal consolidation, effusion, or edema. Surgical chain sutures seen adjacent to the left heart border. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities, hypertrophic changes are noted in the spine
<unk>m with confusion // eval for pneumonia
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with chest pain and shortness of breath // eval for pneumonia, chf
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Tip of endotracheal tube terminates <num> cm above the carina, swan-ganz catheter has been repositioned to terminate in the distal right pulmonary artery, nasogastric tube terminates below the diaphragm, and midline drains and bilateral chest tubes remain in place, with no visible pleural line to suggest pneumothorax. However, the right hemidiaphragm contour is unusually sharp and the right upper quadrant appears slightly hyperlucent, a finding that could potentially indicate a basilar pneumothorax. Attention to this region on followup radiograph may be helpful in this regard. Cardiomediastinal widening has slightly decreased since the prior postoperative radiograph in this patient with history of aortic dissection repair. Moderate layering left pleural effusion is present as well as left retrocardiac atelectasis.
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Endotracheal tube terminates approximately <num> cm above the level of the carina. Enteric tube courses below the level of the diaphragm into the left upper quadrant, inferior aspect not included on the image. The lungs remain hyperinflated and there is mild left basilar atelectasis. Spiculated left upper lobe pulmonary nodules seen on <unk> ct, subtle suggestion of which is seen on the current study, better assessed on ct. There now appears to be increased opacity in that region along the left mid lung, underlying infection not excluded. Additional smaller bilateral pulmonary nodules also better assessed on ct. Patient has known destructive lesions involving the right sixth and ninth ribs which are also seen on this study. There is questionable lucency also involving the lateral right seventh rib. Right chest wall opacity associated with the right sixth rib is discussed with lesion again seen. No large pleural effusion is seen. There is no evidence of pneumothorax. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>m s/p ett // eval for tube placement
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This portable view of the chest demonstrates a new or newly apparent right apical pneumothorax, small in volume. Right chest tube is in unchanged position. There is persistent bibasilar atelectasis, in keeping with low lung volumes. Nasogastric tube passes into the stomach. A right chest wall pacer is in unchanged position. The median sternotomy wires are in unchanged alignment. There is widening of the mediastinal contours, unchanged from prior study. If there has been recent attempted line placement, this could reflect presence of mediastinal hemorrhage, and clinical correlation is again advised, however review of many prior chest radiographs shows a similarly wide mediastinum in years past. Free air under the right hemidiaphragm, is compatible with recent abdominal surgery. Dr. <unk> was informed of these findings at <num> p.m. On <unk> by dr. <unk>.
<unk>-year-old male status post partial right nephrectomy. evaluate for pneumothorax. chest tube on waterseal.
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Pa and lateral views of the chest provided. Lungs remain hyperinflated with flattened diaphragms suggesting copd. The heart is unchanged and normal in size. Mediastinal contours normal. No pleural effusion or pneumothorax. Bony structures appear grossly intact.
<unk>f with weakness // infiltrate?
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Extensive bullous emphysema is seen most pronounced in the lung apices. The lungs are hyperinflated. Heart size is within normal limits. The mediastinal and hilar contours are unchanged. Clip in the right hilum appears unchanged. Interstitial abnormality within the lung bases appears chronic. No focal consolidation is demonstrated. There is no pneumothorax, pleural effusion, or evidence of pulmonary vascular congestion. Cholecystectomy clips are seen within the right upper quadrant the abdomen. No endotracheal tube is identified.
alcohol intoxication, altered mental status, unknown trauma.
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There is patchy opacity at the right lung base. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>m with chest pain x <num> weeks // infiltrate effusion edema
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The heart size is normal. The hilar and mediastinal contours are within normal limits. There is no pneumothorax, focal consolidation, or pleural effusion.
chest pain.
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As compared to the previous radiograph, the tip of the nasogastric tube that was newly placed is well visible in the middle parts of the stomach. As noted on the previous examination, there is extensive free intra-abdominal air after picc tube placement. The visible parts of the thorax look unchanged.
nasogastric tube placement.
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Pa and lateral views of the chest provided. Lung volumes are low limiting evaluation. There is nodular and ground-glass opacity in the right lower lung concerning for pneumonia. On the lateral view a subtle double density is noted projecting over the heart which may represent atelectasis in the region of the right middle lobe. Left lung is clear. Cardiomediastinal silhouette appears grossly stable. No bony abnormalities.
<unk>m with leukocytosis // ? pna
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The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. There is no evidence of free intraperitoneal air.
abdominal pain. evaluate for pneumoperitoneum.
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Lungs are slightly low in volume but clear. No focal consolidation, pleural effusion or pneumothorax is identified. The heart is normal in size with normal cardiomediastinal contours.
<unk>-year-old male with chest pain, assess for pneumonia or acute process.
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There is a new right-sided ij which appears to terminate in the low svc. Again seen are opacities overlying the mid to upper left lung concerning for pneumonia. Mild cardiomegaly is persistent. Mild bibasilar atelectasis and small bilateral pleural effusions are stable. There is no evidence of a pneumothorax.
history of new central line placement. please evaluate.
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Single ap view of the chest provided. Patient is status post median sternotomy with wires intact and properly aligned. Tracheostomy tube is in standard position. No pneumothorax. A moderate, right pleural effusion is mildly improved. A small, left pleural effusion was not imaged on the prior examination. Collapse of the right lower lobe is worsened. Hilar are normal. Mild atelectasis, moderate consolidation and a small left pleural effusion are unchanged from <unk>.
<unk> year old man with dyspnea s/p suctioning, h/o nstemi // any interval change?
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Single frontal radiograph of the chest demonstrates clear lungs. The cardiac, hilar, and mediastinal contours are normal. No pleural effusion or pneumothorax. Again noted is a suture line in the right mid lung field from prior surgery. Osseous structures are normal.
shortness of breath.
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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.
<unk> year old man with fever and ivda, evaluate for pneumonia
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As compared to the previous radiograph, the lung volumes have decreased. As a consequence, the size of the cardiac silhouette has slightly increased but there is no evidence of overt pulmonary edema. Moderate retrocardiac atelectasis. No evidence of pneumonia. Unchanged position of the pacemaker generator and the pacemaker leads. Unchanged alignment of the sternal wires and the valvular replacement.
evaluation for acute process.
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Portable frontal radiograph of the chest demonstrates the right internal jugular central venous catheter now ending at the cavoatrial junction. Otherwise, there is no significant change from <num> hours prior. Stable cardiomediastinal silhouette. No pleural effusion or pneumothorax.
history: <unk>f with r-ij, just pulled back after other film // evaluate central line placement
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The heart is stable in size. The aorta is tortuous and calcified at its knob. Bilateral airspace opacities are seen and are increased from the prior examination consistent suggestive of pulmonary edema and more confluent areas suggest possible underlying infection. No pneumothorax or large pleural effusion is seen.
<unk> year old woman with stroke, cough // infiltrate?
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Interval advancement of the feeding tube, now extending into the body of the stomach. The tip of the endotracheal tube projects <num> cm in the carina. A right picc line is unchanged. Moderate right pleural effusion with subjacent atelectasis. Unchanged opacities at the left lung base. No pneumothorax identified. Degenerative changes at the right shoulder.
<unk> year old man with ogt tube advancement // position
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An nasogastric tube courses beyond the diaphragm with side port beyond the expected location of the gastroesophageal junction. Lung volumes are slightly smaller than on previous examination with increased bibasilar opacification consistent with atelectasis. The mediastinal contours, cardiac borders, and right hemi diaphragm are stable. A small left pleural effusion is present, unchanged.
<unk> year old woman with new ngt placement. // please verify ngt placement.
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Left lower lobe opacity is worrisome for pneumonia. There is also right base opacity to a lesser extent, which may be due to atelectasis, but aspiration or additional site of pneumonia not excluded. No large pleural effusion is seen although a trace pleural effusion be difficult to exclude on the left. There is no pneumothorax. Cardiac silhouette is top-normal. The aorta is calcified and tortuous
history: <unk>m with dementia, fever. // pneumonia?
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The previously seen layering right pleural effusion has increased, now large and causing adjacent compressive atelectasis and mild leftward midline shift. There may be a small left pleural effusion, incompletely evaluated on this single ap radiograph. The mediastinal contour is difficult to evaluate due to effusion, but is likely stable. Pulmonary vascular congestion and mild pulmonary edema are present. There is no focal consolidation or pneumothorax.
<unk>f with dyspnea, evaluate for pulmonary edema.
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The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. No rib fracture is identified.
fall. evaluate for left rib fracture.
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Pa and lateral views of the chest provided. A right ij central venous catheter is seen with its tip terminating at the level of the mid svc. The lungs are clear without focal consolidation or pneumothorax. The cardiomediastinal silhouette appears normal. Spinal scoliosis is noted in the thoracolumbar junction. No acute displaced fractures are seen.
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The lungs are hyperinflated without focal consolidation concerning for pneumonia, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged, and there is no overt pulmonary edema. Evidence of a small hiatal hernia is unchanged. The cardiomediastinal and hilar contours are within normal limits. Kyphosis of the thoracic spine and mild loss of height of multiple vertebral bodies is not significantly changed from the prior study. There is evidence of old injury to the right mid-shaft of the clavicle.
confusion, here to evaluate for pneumonia.
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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. Some degenerative changes are seen, most noted in the mid thoracic spine.
history: <unk>f with pancreatitis // eval for effusion
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There is an indeterminate opacity in the left upper lobe lateral to the aortic arch. 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.
history: <unk>f with confusion // ?pna
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The cardiac and mediastinal silhouettes are within normal limits. There no focal pulmonary opacities, pleural effusions, or evidence of pneumothorax. Osseous structures are unremarkable. When compared to the prior examination, there is improvement in the right middle lobe changes without new opacity.
productive cough for <num> days. past history of vocal cord cancer and pulmonary nodule. question pneumonia.
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Lungs are clear. Cardiomediastinal silhouette is within normal limits. Atherosclerotic calcifications noted at the aortic arch. No acute osseous abnormalities.
<unk>m with ams, tremors x <num> day // stroke? bleed?
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear.
cough and fever.
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Compared to the cxr on <unk>, the left lung base opacity is more prominent. There is a definite left-sided pleural effusion with adjacent atelectasis; however, cannot exclude an underlying pneumonia or pulmonary infarction in this region. The right lung is free of consolidations or large pleural effusions. No pneumothorax bilaterally. The right internal jugular catheter is unchanged in position, terminating in the cavoatrial junction. Median sternotomy wires are unchanged. The mediastinum and hila are within normal limits. Heart size is within upper limits of normal. No acute osseous abnormalities.
<unk> year old man with cabg // r/o inf, eff
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The lungs are clear. There is no effusion or pneumothorax. The cardiomediastinal silhouette is normal. No acute osseous abnormalities.
<unk>m with chest pain // acute process?
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Right picc seen with tip in the ra svc junction. There has been interval resolution of the previously seen vascular congestion with mild edema. There may be small pleural effusions. There is retrocardiac opacity which silhouettes the medial hemidiaphragm the descending thoracic aorta. Faint right basilar opacity is also noted with slight nodular component projecting over the posterior eighth rib. Cardiomediastinal silhouette is within normal limits.
<unk> year old man with aids, hodgkins on chemo, new fever // pna?
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Mild cardiomegaly is unchanged. The hilar and mediastinal contours are stable since the <unk> examination. There is central pulmonary vascular engorgement, but without overt edema, overall slightly less prominent in comparison to the <unk> study. There is no pneumothorax, focal consolidation, or pleural effusion.
worsening hypoxia with history of chf.
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Frontal and lateral views of the chest. Right chest wall port seen with catheter tip in the upper svc, similar to prior. There is mild blunting of the right lateral costophrenic angle which could be due to a trace effusion. Focal opacity in the retrocardiac region on the lateral view which is not confirmed on the frontal may be due to atelectasis given the low lung volumes and similar the appearance compared to exam from <unk>. The cardiomediastinal silhouette is top normal. No acute osseous abnormalities detected.
<unk>-year-old male with shortness of breath.