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The lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. Osseous structures are normal.
evaluation of patient with right lower lobe crackles.
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The lungs are symmetrically well expanded and well aerated without focal consolidation, pleural effusion or pneumothorax. No pulmonary nodules are identified. Minimal biapical pleural thickening is seen. The pulmonary vasculature is not engorged. The cardiomediastinal and hilar contours are within normal limits. No acute osseous abnormality is detected.
recent weight loss with past history of positive ppd and inh therapy, here to evaluate for evidence of tuberculosis.
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Patchy right base opacity is worrisome for pneumonia. No pleural effusion or pneumothorax is seen. The cardiac silhouette is mildly enlarged. The aorta is calcified.
history: <unk>f with productive ocugh // ? pna
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Single portable view of the chest. Correlation to prior chest ct <unk>. Left chest wall port is seen with catheter tip at the ra-svc junction. Enteric tube is seen with tip in the gastric body with side port past the ge junction. Lungs are clear of confluent consolidation. Left-sided effusion was better seen on ct chest. There is spiculated pleural-based opacity at the right lung apex which may be due to radiation. Lungs are otherwise clear without confluent consolidation. Cardiac silhouette is stable. No acute osseous abnormality is identified. Excreted contrast is seen within the kidneys bilaterally notable for right greater than left hydronephrosis.
<unk>-year-old female with small-bowel obstruction, now with ng tube placement at bedside.
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Pa and lateral views of the chest provided. Midline sternotomy wires are again noted. The heart is mildly enlarged. The lung volumes are low. There is mild interstitial pulmonary edema, similar in overall appearance as compared with the recent prior exam. No large effusion or pneumothorax. No convincing evidence for pneumonia. Mediastinal contour is unchanged. Bony structures are intact.
<unk>f with sob
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New small left pleural effusion, small area left basilar atelectasis. Shallow inspiration accentuates heart size. . Thoracolumbar curve. Chronic fracture right clavicle.
<unk> year old woman with copd and new o<num> requirement // r/o consolidation vs edema
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Pa and lateral views of the chest. The lungs are clear without consolidation, effusion or pulmonary vascular congestion. The cardiomediastinal silhouette is within normal limits. Mild mid thoracic dextroscoliosis is identified.
<unk>-year-old female with strep and prolonged cough and fatigue.
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Pa and lateral views of the chest provided. Overall there has been no significant change from the prior exam. The heart remains mildly enlarged with hilar congestion and minimal interstitial edema. No large effusion or pneumothorax is seen. Bony structures are intact.
<unk>m with weakness, hx of chf // eval for infiltrate, effusion, edema
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Frontal lateral chest radiographs demonstrate well expanded lungs. Mild interstital prominance likely represents underlying chronic underlying disease as seen on patient's prior studies without an acute superimposed process. The pleural surfaces are normal without pleural effusion or pneumothorax. Heart size is minimally enlarged however has improved from prior study. Mediastinal contour is normal. Slight hilar prominence is unchanged and is compatible with lymphadenopathy seen on ct from <unk>. Limited assessment of the upper abdomen is unremarkable without evidence of intraperitoneal air.
chf exacerbation, nausea, vomiting. assess for acute cardiopulmonary disease.
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No focal consolidation, pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal to mildly enlarged. Mediastinal hilar contours are unremarkable. There may be minimal vascular congestion.
history: <unk>f with subjective fevers // infiltrate?
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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.
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Portable semi-upright radiograph of the chest demonstrates massive diffuse asymmetric pulmonary edema, right worse than left. Moderately severe cardiomegaly is unchanged. There is a small left-sided pleural effusion with adjacent atelectasis, and some right basilar atelectasis as well. There is no pneumothorax.
<unk>-year-old female with heart failure, peripheral vascular disease, and acute hypoxia concerning for flash pulmonary edema. evaluate for pulmonary edema.
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Left chest wall dual lead pacing device is again noted. The lungs are slightly hyperinflated. There is no focal consolidation or effusion. There is no pulmonary edema. Surgical clips project over the left mid lung and the left neck, similar to prior. No acute osseous abnormalities identified. Hypertrophic changes are noted in the spine.
<unk>m with cad, recurrent pain, had recent rib fractures // please evaluate for infectious process
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Heart size is normal. Prominence of the right hilum is compatible with underlying lymphadenopathy. Aorta is unfolded. Consolidative opacification within the right upper lobe is compatible with pneumonia. Minimal atelectatic changes are noted in the lung bases. No pleural effusion, pneumothorax, or pulmonary vascular congestion is demonstrated. Cholecystectomy clips are present in the right upper quadrant of the abdomen.
new onset chest pain.
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Ap upright and lateral views of the chest provided. There is no effusion or pneumothorax. Patchy density in the right lower lobe and possibly the left lower lobe is new since <unk>. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. Widening of the left ac joint is similar to prior. No free air below the right hemidiaphragm is seen.
history: <unk>m with fever, cough // evaluate for infiltrate
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The cardiomediastinal silhouette is stable with a top normal heart size. No focal consolidations pleural effusions, or pneumothorax are seen. Again seen are multiple healed rib fractures that are unchanged in appearance.
h<unk> year old man with hx waldenstroms macroglobulinemia w/ persistent cough // eval for pneumonia
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Lung volumes are low, and the heart is mildly enlarged. There is central pulmonary vascular congestion and interstitial edema. Pulmonary artery is enlarged. No focal consolidation or pleural effusion is seen. There is no pneumothorax.
<unk>-year-old female with diabetes mellitus, hypertension, end-stage renal disease presents with cough, fever for <num> days, and coarse crackles on physical exam. evaluate for pneumonia and pulmonary edema.
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Compared to <unk>, undo right-sided central line is present, tip over distal most svc. No pneumothorax is detected. Otherwise, no significant change is detected. The heart is not enlarged. There is no chf, focal infiltrate, or effusion. There is left convex curvature of the spine --<unk> scoliosis versus artifact of positioning.
<unk> year old woman with fever leukocytosis // r/o infection
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Frontal and lateral views of the chest were obtained. A large bulla in the right upper lobe is unchanged. There is no focal consolidation, pleural effusion, or pneumothorax. Mild interstitial pulmonary edema and cardiomegaly are similar to <unk>. No displaced rib fracture is identified.
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Frontal and lateral chest radiographdemonstrates well expanded and clear lungs.no pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable. Limited assessment of the upper abdomen is within normal limits. Multiple clips are present within the anterior chest wall.
chest pain. assess for pneumonia.
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Since the recent study of a few hours earlier, there has been improvement in the extent of pulmonary edema. Otherwise, no relevant short-interval change.
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The cardiomediastinal and hilar contours are stable. Surgical clips are seen projected over the left hemi thorax as before. A large subpulmonic left pleural effusion is again demonstrated and similar in extent to <unk>. Opacity at the left base suggests compressive atelectasis. The right lung is clear. There is no pneumothorax. Postsurgical changes in the left hemi thorax are stable.
<unk> year old man with lymphoma // history of pleural effusions. please assess for changes.
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The lungs are clear without consolidation, effusion, or edema. There is a <num> mm nodular density projecting over the anterior right sixth rib. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with chest pain // r/o infiltrate
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Single frontal view of the chest was obtained. Right basilar opacity previously noted to represent pleural effusion and atelectasis with the right hemidiaphragm remaining elevated. A lateral view would be helpful for further evaluation. The left lung is clear. Cardiac and mediastinal silhouettes are stable.
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Lungs are hyperinflated without focal consolidation. Partially calcified pleural based opacity abutting the left hemidiaphragm is unchanged since <unk>. Cardiac silhouette is moderately enlarged. Single lead pacing device is noted with leads at the right ventricular apex. Mid thoracic dextroscoliosis is noted.
<unk>m with l sided cp // eval for consolidation
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<num> views were obtained of the chest. The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The heart is normal in size with normal mediastinal and hilar contours. Left clavicular fracture is better assessed on concurrently obtained dedicated clavicle views.
fall. arm and clavicular pain.
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Comparison is made to previous study from <unk>. No pneumothoraces are identified. There are thoracotomy changes with partial resection of the right sixth rib posteriorly. There is subcutaneous emphysema within the right lateral chest. There is persistent cardiomegaly. There are small bilateral pleural effusions. There are right-sided chest tubes with tips at the right apex and right base. Overall, these findings appear stable.
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Ap upright and lateral views of the chest provided. Suture material of the right lower lung is better visualized on same-day ct abdomen pelvis. Lungs appear grossly clear without definite signs of pneumonia, edema, effusion or pneumothorax. The heart size is mildly enlarged. The aorta appears unfolded. Bony structures appear intact though degenerative changes are notable at the right shoulder.
<unk>f with shorntess of breath // acute process?
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No pneumothorax is identified. The finding on the prior radiograph likely represented a skin fold. There is mild bibasilar atelectasis. No opacity to suggest pneumonia is identified. There is no pulmonary edema. Small bilateral pleural effusions are present. The cardiomediastinal silhouette is normal. A right internal jugular central venous catheter is present with the tip in the low svc. An enteric tube courses below the diaphragm with the tip out of the field of view. Surgical sutures and a drain are noted in the right upper quadrant.
status post liver resection with possible pneumothorax seen on a portable of radiograph from <unk>.
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
<unk>f with a fib // acute process?
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Lung volumes are low. The lateral radiograph is degraded by motion artifact. There is vascular crowding but no frank pulmonary edema. Appearance of the cardiomediastinal silhouette is unchanged. There is no pleural effusion or pneumothorax.
history: <unk>m with chest pain, hx of cocaine abuse // evaluate for acute process
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Pa and lateral chest radiograph demonstrates clear lungs bilaterally. In cardiomediastinal and hilar contours are within normal limits. There is no pleural effusion or pneumothorax. Visualized osseous structures are intact. No free air is identified under the right hemidiaphragm.
<unk>m with fasculations // ? mass
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The lungs are well expanded. Compared with the prior exam there has been interval improvement of interstitial pulmonary edema, although it is not completely resolved. Confluent consolidations are seen in the right lower lobe, new compared with <unk>. There is trace fluid in the minor fissure in the right. Mild cardiomegaly is stable. There is no layering pleural effusion or pneumothorax. Sternotomy wires are intact
<unk>-year-old female with chest pain.
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The right lateral chest is not fully included on the image. Endotracheal tube terminates <num> cm above the carina. Enteric tube courses below the diaphragm, out of the field of view. Partially imaged right sided chest tube is noted which appears to course to the mediastinum. There is extensive left chest wall subcutaneous emphysema and multiple displaced left-sided rib fractures, including left third through seventh ribs, and possibly eighth rib. The left diaphragm is obscured which may be due to atelectasis, aspiration, pleural effusion, pulmonary contusion. The right lung is not well assessed, but is lower in volume than that on the left. Relative opacity projecting over the partially imaged right lung could be due to layering pleural effusion, aspiration, and/or pulmonary contusion. Dual lead left-sided pacer device has leads extending to the expected positions of the right atrium and right ventricle.
history: <unk>m with cpr, chest tube on r // ? ptx on l, s/p chest tube on r. intubated
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A right pectoral pacemaker sends leads to the right atrium and right ventricle. Two right-sided chest tubes, a right midline catheter, the left ij central venous line, et tube and nasogastric tube are unchanged in position. Sternotomy wires are intact and aligned. There is no pneumothorax. Slightly increased opacification at the left base is most likely due to atelectasis. The heart and mediastinum are within normal limits despite the projection.
<unk> year old woman with ett // ett
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There is an opacity obscuring the inferior right heart border which projects over the anterior heart on lateral view. The left lung is clear. The cardiomediastinal and hilar contours normal. There is no pleural effusion or pneumothorax.
<unk>f with fever, cough, evaluate for pneumonia.
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Mild cardiomegaly and mild pulmonary vascular congestion are unchanged. Patient is post median sternotomy for cabg with intact median sternotomy wires, an unchanged prosthetic valve, and unchanged mediastinal clips. Mediastinal silhouette is normal. The lungs are clear without focal consolidation, effusion, or pneumothorax.
<unk> year old man with history of chf, morning time mild hemoptysis. evaluate for lung lesion.
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Single ap upright portable view of the chest was obtained. The patient is status post median sternotomy and cabg. There is moderate pulmonary edema. Bibasilar opacities are seen, which could relate to prominent vascular structures, although underlying consolidation due to aspiration is not excluded. No large pleural effusion is seen, although a trace right pleural effusion would be difficult to exclude. The cardiac silhouette is top normal to mildly enlarged. The aorta is calcified. Right paratracheal opacity is seen, which could be due to prominent vascular structures; however, underlying consolidation is not excluded. Chronic-appearing deformity of the proximal left humerus is partially imaged.
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In comparison with study of <unk>, there is continued evidence of postoperative change in the right hemithorax. The loculated appearance of the pleural fluid at the right base may have increased somewhat. The left lung remains essentially clear.
pleural effusion.
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Frontal and lateral radiographs of the chest demonstrate stablely enlarged cardiac sillouete. Normal mediastinal contours. The lungs are clear. No pleural effusion or pneumothorax. Colonic interposition is noted under the right diaphragm.
rigors, question pneumonia
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Pa and lateral chest radiographs were obtained. The lungs are well inflated and clear. Bilateral calcified breast implants project over the lower lungs. No effusion or pneumothorax is present. The heart and mediastinal contours are normal. There is loss of height and endplate sclerosis of a lower thoracic vertebral body which has progressed since <unk>.
<unk>-year-old woman with lymphoma and fever.
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The lungs are hyperinflated but clear. Previously noted pleural effusions are no longer visualized. Cardiomediastinal silhouette is within normal limits. Prosthetic aortic valve and median sternotomy wires are again noted. No acute osseous abnormalities.
<unk>m with <num> hrs chest tightness, // r/o infection, mediastinal abnormalities
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Moderate enlargement of the cardiac silhouette is re- demonstrated. The mediastinal and hilar contours are unremarkable. Mild pulmonary vascular congestion is noted without overt pulmonary edema. There is minimal atelectasis in the lung bases, but no focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormality is visualized.
history: <unk>f with code stroke.
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Frontal radiograph of the chest. Cardiac sillouette is stably enlarged. Chronic bibasilar atelectasis is more severe today on the right than before, should be evaluated with ct scanning, if not already performed.
shortness of breath.
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The lungs are clear. There is no consolidation or effusion. The cardiomediastinal silhouette is normal. No acute osseous abnormalities.
<unk>f with ha relapsing remitting fevers // r/o intrapulm process
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As compared to the previous radiograph, the lung volumes have increased, likely reflecting improved ventilation. However, extent of the pre-existing bilateral pleural effusion is constant. Moderate areas of atelectasis, left more than right. No newly appeared parenchymal opacities. Unchanged size of the cardiac silhouette.
shortness of breath, possible pneumonia, evaluation.
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These are two views during dobhoff placement. On the second film the feeding tube tip is in the stomach. Ng tube is been removed. The right ij line is unchanged. The appearance the lungs are unchanged.
<unk> year old man with new dobhoff tube. // this is a <num>-step dobhoff placement, evaluate dobhoff tube placement.
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There is a moderate left-sided pleural effusion with associated opacity, probably due to atelectasis. Similar but less striking findings are present on the right with a small effusion. There is new prominence of the pulmonary vascularity, which appears mildly distended and indistinct suggesting mild vascular congestion. The heart is again mildly enlarged. The aortic arch is calcified.
shortness of breath.
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Cardiac, mediastinal and hilar contours are unremarkable. The aorta is mildly tortuous. The pulmonary vasculature is normal. Patchy opacity within the left lung base likely reflects an area of atelectasis. No focal consolidation, pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities.
history: <unk>m with altered mental status
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The cardiac, mediastinal and hilar contours are unchanged, with the heart size within normal limits. Pulmonary vascularity is normal and the lungs are clear. No pleural effusion, pneumothorax, or focal consolidation is demonstrated. Comminuted fracture of the right distal clavicle is present.
fall onto right shoulder with pain, syncope.
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Frontal and lateral views of the chest. Lungs remain clear without focal consolidation, effusion or pneumothorax. Linear left basilar opacity suggestive of atelectasis versus scar. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified.
<unk>-year-old female with dyspnea on exertion with fall on to left shoulder.
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Compared with <unk> an allowing for rotated positioning, the overall appearance is probably is slightly worse. Inspiratory volumes are quite low obscuring part of the cardiomediastinal silhouette. Again seen are bibasilar opacities that likely represent a combination of pleural fluid and underlying collapse and/or consolidation. There is vascular plethora and vascular blurring, consistent with chf -- this is probably slightly worse, but they could be exacerbated by low inspiratory volumes and changes at the bases. Tubing or probe is seen is now seen overlying the mediastinum. It courses left, question due to hiatal hernia. Right subclavian picc line tip overlies cavoatrial junction.
<unk> year old woman admitted for pna (now resolved), oropharygeal dysphagia, known pleural effusions. previously weaned off o<num>, now with new o<num> requirement. // hypoxemia
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An et tube is present, tip approximately <num> cm above the carina, at the level of the upper clavicular heads. Right ij central line tip lies in the region of the svc/ra junction. An ng type tube is likely present, not well visualized. It most likely extends beneath the diaphragm to overlie the proximal stomach, but a be more completely and better visualized on films obtained with the increased penetration. There are low inspiratory volumes. There is dense opacification of the mid and lower zones of left lung, with obscuration of the cardiac silhouette and hemidiaphragm. This has clearly increased compared with <unk> and <unk>. Aside from minimal atelectasis in the right upper zone and possible minimal upper zone redistribution, the right lung is grossly clear, without focal consolidation or effusion. Based on the appearance of the right heart border, the cardiomediastinal silhouette likely remains midline.
<unk>m obese, otherwise previously healthy, who was found to have large r parieto-temporal lobe mass, now s/p partial resection via r crani w/frozen path consistent with gbm and mri showing multiple likely ischemic infarcts - acute desaturation with moving // interval changes
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The tip of the patient's tunneled right-sided hickman catheter remains at the level of the svc right atrial junction or proximal right atrium with no change in the coarse or position. Minimal fluid or subsegmental atelectasis seen in the minor fissure. The lungs are otherwise clear and the heart and mediastinal contours are unchanged. There is superior displacement of the distal left clavicle at the acromioclavicular joint where degenerative changes are seen.
<unk> year old man with aml and right tunnelled hickman with sutures which have broken. // please evaluate for displacement of cvl tip.
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Pa and lateral chest radiograph through the chest demonstrates low lung volumes with mild elevation of the right hemidiaphragm, present on prior examination and unchanged. No focal consolidation is identified, concerning for pneumonia. The cardiomediastinal and hilar contours are within normal limits. There is no pleural effusion or pneumothorax identified. No evidence of free air is seen beneath the diaphragms.
<unk>-year-old female with complaint of increasing abdominal pain and shortness of breath.
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Cardiac and hilar contours are normal. The aorta is mildly tortuous. Lungs are clear and the pulmonary vascularity is normal. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities detected.
epigastric pain for <num> weeks.
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No previous images. The heart is normal in size and there is no vascular congestion or pleural effusion. On the frontal view, there is suggestion of some hazy opacification with preservation of lung markings on the left. However, this is not appreciated on the lateral view and most likely represents merely overlying soft tissues. No convincing evidence of acute pneumonia.
aspiration risk with possible left lower lobe pneumonia.
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Pa and lateral radiographs of the chest demonstrate clear lungs and normal hilar and cardiomediastinal contours. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal.
<unk>-year-old woman with shortness of breath for one month and new-onset right-sided pleuritic chest pain. evaluate for pneumonia. at this time, the patient has no leukocytosis or fever.
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Low lung volumes are present. Heterogeneous opacities at the right lung base are most consistent with an infectious process. Minimal patchy and linear opacity is also noted in the left mid lung field. Heart size is normal. Mediastinal contours are normal. No pleural effusions. No pneumothorax. Given that the right heart border is seen through these opacities, the process is likely in the right lower lobe.
shortness of breath. evaluate for pneumonia.
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Is comparison of previous radiograph, due to patient position, there is an apparent increase in extent of the small to moderate right pleural effusion. On the left, the retrocardiac atelectasis is minimally increased. Unchanged appearance of the cardiac silhouette. Unchanged appearance of the lung parenchyma.
<unk> year old man with new afib rvr, pulm edema, effusion // pulm edema, effusion
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Mild increased opacification at the left base suggestive of small effusion and atelectasis. No evidence of acute focal pneumonia. Cervical hardware is partially visualized on this study.
fever after surgery.
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Bilateral hazy opacities, in particular overlying the lower lobes, are noted, suggestive of moderate pulmonary edema. The cardiomediastinal silhouette appears enlarged. There are also small bilateral pleural effusions. Bibasilar opacities, which is more pronounced in the retrocardiac region, likely reflect compressive atelectasis. Post-surgical changes are noted in the left axilla. There is no pneumothorax. No acute fractures are identified.
hypoxia.
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Diffuse hazy opacification of both lung fields is likely related to soft tissue attenuation or underpenetration on technique. Retrocardiac opacification with streaky opacities in lower lobes on the lateral radiograph most likely reflects atelectasis in the setting as decreased lung volumes. However, in the appropriate clinical context, a superimposed infection is not entirely excluded. There is no overt pulmonary edema. No pleural effusion or pneumothorax is present. The cardiomediastinal silhouette is within normal limits allowing for decreased lung volumes. The trachea is midline.
fever and malaise, here to evaluate for pneumonia.
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The et tube appears to terminate in the right mainstem bronchus and must be retracted. There is an ng tube which terminates below the diaphragm likely in the body of the stomach. There is resultant left basilar atelectasis. No pleural effusion or pneumothorax is identified. The visualized osseous structures are unremarkable.
history of subarachnoid hemorrhage status post et tube placement, please evaluate.
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Lungs are fully expanded and clear without consolidations or effusions. Heart size is normal. Cardiomediastinal and hilar silhouettes are normal. Pleural surfaces are normal. An implanted port within the right internal jugular central venous catheter is unchanged in position.
<unk> year old man with aml w/ cough // ? pneumonia
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Ap portable upright view of the chest. In this patient with known left lower lobe mass, a fiducial marker projects over the cardiac silhouette. There is interval improvement in overall aeration in the left upper lobe. Mild persistent perihilar opacity persists which may represent residual atelectasis or may be related to known hilar mass. There is stable blunting of the right cp angle which may represent pleural thickening or tiny effusion. The cardiomediastinal silhouette appears grossly unchanged. The imaged osseous structures appear intact.
<unk>f with pna and worsening dyspnea, history lung cancer.
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Portable ap chest radiograph. The lungs are clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.
<unk> year old man with acute psychosis // eval for consolidation
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No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. Heart and mediastinal contours are within normal limits.
<unk>-year-old female with palpitations and headache.
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The support devices are in standard position and unchanged. Interval worsening of mild interstitial edema with increasing right lower lobe opacity. Mild to moderate cardiomegaly. No pneumothorax.
<unk> year old man hodgkins, periampular pancreatic adenocarcinoma, known liver mets s/p hepatectomy with prior pleural effusions // assess for interval change; please prefrom <unk> at <unk> am radiology rounds
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Significant interval improvement, with marked decrease in the bilateral airspace opacities predominantly in the upper lobes. There is persistent dense left retrocardiac opacity. No pneumothorax. No significant pleural effusions. The nasogastric tube has been removed.
<unk> year old man with s/p acdf with neck hematoma // eval for pna and interval change
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A right port-a-cath is unchanged with the tip in the low svc. A left subclavian central venous catheter is unchanged with the tip in the mid svc. The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The mediastinal contours are normal. The heart size is at the upper limits of normal, though unchanged.
hodgkin's lymphoma with cough and fever. evaluate for pneumonia.
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Single portable view of the chest is compared to the previous exam from <unk>. There has been significant interval progression of the bilateral air space disease which is more confluent in the right mid lung and at the right base. There has been interval development of confluent consolidation at the left lung base as well. Lung apices are grossly clear. Cardiomediastinal silhouette is stable as are the osseous and soft tissue structures.
<unk>-year-old male with cough, fever and tachycardia and hypoxia. recent pneumonia.
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Pa and lateral views of the chest. The lungs remain clear. The cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.
<unk>-year-old male with torn achilles, to operating room in a.m. preop evaluation.
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Pa and lateral views are submitted. However, lateral view is degraded by overlying motion artifact.
<unk> year old man with fever <num> // <unk> year old man with fever <num> <unk> year old man with fever <num>
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Heart size remains moderately enlarged, unchanged. The aorta is tortuous with dilatation of the ascending aorta better appreciated on the previous ct. Focal rightward tracheal deviation at the level of the thoracic inlet is due to a multinodular enlarged left thyroid gland, unchanged. Hilar contours are unchanged, and pulmonary vasculature is not engorged. No focal consolidation, pleural effusion or pneumothorax is present. Previously noted pulmonary nodules are not well assessed on the current exam. Multilevel moderate degenerative changes are seen in the thoracic spine.
history: <unk>f with chest pain, shortness of breath
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Cardiac silhouette is upper limits of normal. There are new bilateral pleural effusions, left greater than right. There is a developing infiltrate within the right perihilar area and left retrocardiac region. Close attention to these areas are recommended on subsequent followup films.
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The lungs are well expanded and clear. Minimal leftward tracheal deviation has been present since at least the radiograph from <unk> and may be related to goiter. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
<unk>-year-old female with weakness. evaluate for evidence of pneumonia.
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Ap and lateral views of the chest are provided. The patient was positioned upright. The lungs are mostly clear, though there may be mild left basal atelectasis. No clear signs of pneumonia or chf. No large effusion or pneumothorax seen. The heart size appears normal. The aorta is unfolded with atherosclerotic calcifications along the wall of the thoracic aorta. Bony structures are intact.
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The lung volumes are very low. Retrocardiac opacities could be due to atelectasis or pneumonia in the right clinical setting. Widened mediastinal contours and cardiomegaly are likely accentuated by ap technique. Pulmonary edema is mild. A left pleural effusion is small.
<unk> year old man with cough // post op r/o atelectasis/pna
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Single ap upright portable view of the chest was obtained. A dual-lead left-sided pacemaker is unchanged in position. The cardiac and mediastinal silhouettes are stable. There are bibasilar opacities, which may be due to atelectasis, although underlying aspiration or infection is not excluded. No large pleural effusions or pneumothorax. There is gaseous distention of the partially imaged stomach.
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Pa and lateral views of the chest. The lungs are clear of focal consolidation or effusion. The cardiomediastinal silhouette is normal. No acute osseous abnormality is identified. Umbilical piercing is identified.
<unk>-year-old female with productive cough and fevers for <num> days.
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Endotracheal tube now terminates approximately <num> cm above the level of the carina, could be withdrawn by <num>-<num> cm. Enteric tube courses below the diaphragm, terminating in the expected location of the stomach. The lungs are relatively hyperinflated. Cardiac silhouette remains enlarged. Mediastinal contours are stable. Streaky left base retrocardiac opacity likely represents atelectasis. No pneumothorax or large pleural effusion is seen.
history: <unk>f with s/p et tube exchange // eval et tube placement
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Frontal and lateral views of the chest. The lungs are clear without focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. No acute osseous abnormality is identified.
<unk>-year-old male with chest pain.
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Pa and lateral views of the chest provided. Port-a-cath resides over the right chest wall with catheter tip extending to the level of the mid to low svc. There is vague patchy opacity in the left mid lung which is concerning for an early pneumonia. Otherwise, the lungs appear essentially clear. No pleural effusion or pneumothorax is seen. Cardiomediastinal silhouette appears within normal limits. Bony structures are intact.
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Pa and lateral views of the chest were provided. The lungs appear clear bilaterally without focal consolidation, effusion or pneumothorax. The cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm.
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Pa and lateral views of the chest demonstrate the lungs are well expanded and clear. There is no focal consolidation concerning for pneumonia. No pneumothorax, pleural effusion, or overt pulmonary edema is identified. A right subclavian approach port-a-cath terminates at the cavoatrial junction. The cardiomediastinal silhouette is unremarkable.
<unk>-year-old female with shortness of breath. evaluation for infection.
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Heart size is normal. The aortic knob is calcified. Mediastinal contours are unremarkable. There is no pulmonary edema. Ill-defined opacities within both lung bases are concerning for pneumonia or aspiration. No pleural effusion or pneumothorax is clearly identified. There are multilevel degenerative changes in the thoracic spine. Degenerative changes are also noted within the right shoulder with narrowing of the acromiohumeral interval suggestive of rotator cuff disease.
cough, failed antibiotic treatment twice.
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Frontal and lateral views of the chest were obtained. The heart is of normal size with normal cardiomediastinal contours. The lungs are clear without focal or diffuse abnormality. A feeding tube terminates below the diaphragm. No new radiopaque foreign body. Osseous structures are unremarkable.
<unk>-year-old male with cirrhosis. evaluate for pneumonia.
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The lungs are clear. There is stable cardiac enlargement. The mediastinal contours are normal. There are no pleural abnormalities.
<unk> year old woman with fevers and cough. // rule out pneumonia
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Pa and lateral views of the chest provided demonstrate no focal consolidation, effusion, or pneumothorax. The heart and mediastinal contours appear normal. Bony structures are intact. There is no free air below the right hemidiaphragm.
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There is moderate cardiomegaly. The mediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. The lungs are well expanded with mild prominence of pulmonary vasculature, indicating vascular congestion. There is no frank edema or focal consolidation concerning for pneumonia. The upper abdomen is unremarkable. No acute osseous abnormality is detected.
<unk>f with shortness of breath and chest pain // r/o chf/pneumonia
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Right upper lobe consolidation is now more evident and increased opacity in the right lower lobe. In addition, increased haziness over the left lung indicating increased and effusion. Retrocardiac increased density may indicate the left lower lobe atelectasis.
<unk> year old woman with a urinothorax. // ?chest tube placement, ?pleural effusion characterization
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The heart is mild to moderately enlarged. The mediastinal and hilar contours appear unchanged. There is a mild interstitial abnormality suggestive of mild congestion, but improved since the prior examination. There is no definite pleural effusion or pneumothorax, although it is noted that the left lung apex is partly obscured by chin flexion. Patchy basilar opacities have considerably improved, and although there are still probably small pleural effusions on each side, these appear smaller. Mild rightward convex curvature is centered at the thoracolumbar junction. Surgical clips project over the right upper quadrant.
tremor and weakness.
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As compared to the previous radiograph, there is mild progression of the pre-existing and pre-described potentially infectious right lower lobe opacity. The opacity is now accompanied by a small right pleural effusion. On the left, a retrocardiac plate-like atelectasis is seen in almost unchanged manner. No new left-sided opacity has occurred in the interval. The lung volumes remain overall low, the drains in the upper abdomen are in unchanged position.
assessment for flank pain, questionable left lower lobe consolidation.
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Frontal radiograph of the chest demonstrates interval removal of a left-sided chest tube. There is no pneumothorax. The previously seen left pleural thickening is unchanged since the prior study. There has been interval improvement in aeration of the left lower lung. The cardiomediastinal contours are stable in appearance. The right lung is unchanged compared to the prior study. Right subclavian line is also unchanged in position.
<unk>-year-old female with pyelonephritis and kidney abscess with resultant left empyema, status post chest tube removal. evaluation 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 nasogastric tube has been changed and shows a normal course. There is unchanged evidence of bilateral basal opacities, left more than right, combined to a small left pleural effusion. Unchanged course and position of the left picc line. No new opacities. Near normal appearance of the right lung.
endocarditis, intubation, evaluation.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear apart from subsegmental atelectasis in the lingula. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>m with tachycardia, cough
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Ap portable supine chest x-ray shows low lung volume but without consolidation or nodules. Cardiomediastinal silhouette is normal. Tubular opacity in the right upper paramediastinal border is due to azygos lobe. Left pleural drain has tip ending at the left lung base. There is no pleural effusion or pneumothorax.
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Pulmonary vascular congestion and associated pulmonary edema are moderate. There is no pleural effusion, pneumothorax, or focal consolidation. The lungs are mildly hyperexpanded. Cardiomediastinal silhouette is normal. The osseous structures and upper abdomen are unremarkable
<unk>m with stroke, evaluate for chf/pneumonia.
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There are bibasilar opacities right greater than left concerning for pneumonia particularly in the right lower lung.no pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Irregularity in the left posterior eighth rib is noted without definite fracture line, correspond with clinical site of pain.
<unk> year old woman with cough, left anterior chest wall pain // r/o infiltrate, r/o rib fx