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The dual lead pacemaker is seen with the tip of <num> pacer leads projecting over the right atrium and right ventricle. The lung volumes are normal. Normal size of the cardiac silhouette. Normal hilar and mediastinal structures. No pneumonia, no pulmonary edema. No pleural effusions.
<unk> year old woman with icd eval placement // pre mri with icd
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Pa and lateral chest radiographs were provided. There is no focal consolidation, pleural effusion, or pneumothorax. Cardiomediastinal silhouette is normal. There is mild anterior wedging of a lower thoracic vertebral body, likely chronic in nature. A spinal stimulator is noted. The remainder of the bones are intact.
<unk>-year-old male with fever and back pain. evaluate for copd or infiltrate.
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As compared to the previous radiograph, the patient has received a right internal jugular vein catheter. The course of the catheter is unremarkable, the tip of the catheter is difficult to visualize, given that it projects over the pacemaker leads. The tip appears to be located in the mid to lower svc. There is no evidence of complications, notably no pneumothorax. The other monitoring and support devices are constant.
right internal jugular vein catheter.
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Frontal and lateral views of the chest were obtained. There are relatively low lung volumes. Cardiac and mediastinal silhouettes are stable. No definite focal consolidation, pleural effusion, or evidence of pneumothorax is seen. There is central pulmonary vascular engorgement. Coronary artery stenting is noted.
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In comparison with the earlier study of this date, there is now a nasogastric tube in place. It extends well into the stomach, then coils back on itself so that the tip lies in the upper stomach, both below the esophagogastric junction. There is still significant pulmonary edema, though improved since the earlier study.
ng tube placement.
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Comparison is made to the prior study from <unk> at <time> a.m. There is an orogastric tube whose distal tip and side port are within the fundus of the stomach. The tip is pointing cranially towards the head. There is endotracheal tube whose distal tip is <num> cm above the carina at the level of clavicular heads, appropriately sited. Heart size is within normal limits. Lungs are grossly clear. There is a prominent amount of air seen within the fundus of the stomach, unchanged.
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Pa and lateral chest radiograph demonstrate clear lungs bilaterally. No focal consolidation concerning for pneumonia is identified. There is no pleural effusion. Cardiomediastinal and hilar contours are within normal limits, stable in appearance when compared to prior chest radiograph dated <unk>. A round opacity at the left apex is again identified which may reflect a pulmonary nodule.
<unk>-year-old female with fever.
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Heart size is normal. A large hiatal hernia is re- demonstrated. The aorta is demonstrates diffuse atherosclerotic calcifications. Hilar contours are normal. Pulmonary vasculature is not engorged. Streaky opacities in the lung bases likely reflect areas of atelectasis. No focal consolidation, large pleural effusion or pneumothorax is detected, however the extreme left costophrenic angle is excluded from the field of view.
history: <unk>m with fever, crackles right lung base
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Lung volumes are low. The cardiomediastinal silhouette is largely unremarkable. Though the hila appear prominent, no definite consolidation is identified. There is probable left basilar atalectasis. There is no pleural effusion or pneumothorax.
<unk>f with ich, hypoxia
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In comparison with study of <unk>, there is little change in the huge enlargement of the cardiac silhouette with diffuse prominence of the interstitial markings consistent with a combination of known interstitial lung disease and pulmonary edema. The possibility of superimposed pneumonia would be impossible to exclude in the appropriate clinical setting.
interstitial lung disease with worsening hypoxia.
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As compared to the previous radiograph, the patient has received a dobbhoff catheter. The catheter is malpositioned in the right lower airway system. Intermediate removal and repositioning is required. No evidence of complications such as pneumothorax. A wet read was delivered at the time of discovery.
dobbhoff catheter placement.
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Tracheostomy tube remains in unchanged position. Heart size remains mildly enlarged. Mediastinal and hilar contours are stable, with calcification of the aortic knob re- demonstrated. There is no pulmonary vascular congestion. Patchy opacity is noted within the right upper lung field, which appears new compared to the previous exams. Retrocardiac opacity could reflect atelectasis. No large pleural effusion is seen though a small left pleural effusion cannot be completely excluded. There is no pneumothorax. No acute osseous abnormalities are present.
fall, head strike and shoulder pain.
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Moderate cardiomegaly is unchanged from prior exam. There is mild tortuosity of the aorta. There is mild central vascular congestion without frank interstitial edema. Trace bilateral pleural effusions are best visualized on the lateral view. There is no pneumothorax. The osseous structures are grossly unremarkable.
<unk>'s disease, presenting with visual hallucinations and dizziness.
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As compared to the previous radiograph, there is no relevant change. The monitoring and support devices, notably the endotracheal tube, are in constant position. Unchanged moderate cardiomegaly and mild increase in diameter of the pulmonary vessels. No larger pleural effusions. Mild retrocardiac atelectasis.
obesity, hypoventilation syndrome, evaluation.
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Mild to moderate enlargement of the cardiac silhouette is unchanged. The mediastinal and hilar contours are similar. No focal consolidation, pleural effusion or pneumothorax is seen. There is no pulmonary edema identified. No acute osseous abnormalities are visualized.
history: <unk>m with history of chf, dm, htn, hld, presenting with lower extremity edema worsening, concerning for chf exacerbation // evidence of pulmonary edema?
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Frontal and lateral views of the chest. Left pectoral pacemaker leads end in the expected locations of the right atrium and right ventricle. The patient is status post cabg. A small left pleural effusion is unchanged from the preprocedure study. The right lung is clear. No pneumothorax. Cardiac and mediastinal silhouettes and hilar contours are stable with moderate cardiomegaly.
status post pacemaker placement.
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The cardiac silhouette size is normal. The mediastinal and hilar contours are unremarkable. Pulmonary vascularity is normal. The lungs are clear. No pleural effusion or pneumothorax is seen. There are mild degenerative changes in the thoracic spine.
cough for <num> days, sore throat, hoarse voice.
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The lungs remain clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
<unk>f with chest pain, sob, // please eval for any infectious source
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Cardiomediastinal silhouette, pulmonary vasculature, and aorta are within normal limits. There is no consolidation or pleural effusion. Imaged osseous structures are unremarkable.
<unk> year old woman with new cough // r/o effusion
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As compared to the previous radiograph, no relevant change is seen. The lung volumes remain low. There are mild bilateral pleural effusions, combined to basal areas of atelectasis. No cardiomegaly. No overt pulmonary edema.
respiratory distress, evaluation for interval change.
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There is interval placement of an ng tube, with tip terminating in the stomach and sideport at the ge junction. The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. The lungs are well expanded and clear without focal consolidation concerning for pneumonia. Elevation of the left hemidiaphragm with an air distended stomach is again noted.
<unk>f with sbo s/p ngt.
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Right-sided pleural effusion is slightly increased in size. Suspected right posterior basal atelectasis. No pneumothorax. No cardiomegaly. Left lung is clear. No left-sided pleural effusion.
<unk> year old man with pleural effusion after r stab wound // eval for interval change
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As compared to the previous radiograph, the previously placed nasogastric tube has been removed and replaced by a dobbhoff catheter. The proximal course of the catheter is well visible. In the distal third of the esophagus and in the stomach, however, the dobbhoff catheter cannot be visualized. Unchanged right picc line. No evidence of complications. Unchanged atelectatic changes at the left lung bases and in the retrocardiac lung areas, potentially combined with a small left pleural effusion.
recent dobbhoff placement. evaluation.
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The cardiomediastinal and hilar contours are within normal limits and stable. Lung volumes are slightly low when compared to the prior exam. There is no focal consolidation. No pneumothorax or pleural effusion is identified.
<unk> year old man with bilateral wheezing, cough, and elevated wbc count. // rule out pneumonia
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In comparison with the study of <unk>, the endotracheal tube remains somewhat low, approximately <num> cm above the carina. The right subclavian catheter has moved forward, with the tip in the right atrium. Opacification at the left base is consistent with pleural effusion and underlying atelectasis. The right basilar atelectasis has essentially cleared. There is still some indistinctness of pulmonary vessels, though the degree of congestion has improved. The change in tube position has been conveyed to dr. <unk>.
intubation, to assess for change.
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As compared to the previous radiograph, no relevant change is seen. Bilateral chest tubes, endotracheal tube and nasogastric tube are in correct position. The small right pneumothorax is unchanged. Moderate cardiomegaly persists. Known widening of the left-sided aspects of the mediastinum after aortic intervention. Aortic stent graft, valvular replacement and sternal wires are in constant position.
acute desaturation, evaluation for pulmonary process.
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Left picc is identified elbow tip is not clearly delineated. Persistent retrocardiac opacity is again seen as well as increased interstitial markings throughout the lungs. The cardiomediastinal silhouette is unchanged. Pulmonary nodules are better seen on prior ct scan. Expansile lytic lesion of the left lateral fourth rib there is again noted. Posterior fixation hardware seen in the visualized lumbar spine.
<unk>m with treatment for pna // eval pna
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The lungs remain hyperinflated, with flattening of the diaphragms, suggesting chronic obstructive pulmonary disease. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. Left mid lung linear scarring is seen. The cardiac and mediastinal silhouettes are stable and unremarkable with calcification at the aortic knob.
shortness of breath, question pneumonia.
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Portable ap chest radiograph demonstrates moderate right pleural effusions, similar appearance to <unk>, slightly worse than on of <unk>. Left basilar atelectasis has also worsened since most recent radiograph. The heart size remains mildly enlarged. There is no pneumothorax.
shortness of breath, wheezing. concern for pulmonary edema.
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In comparison with the study of <unk>, there again are low lung volumes which accentuate the transverse diameter of the heart. Some residual elevation of pulmonary venous pressure with bilateral atelectatic changes and possible small pleural effusions. There is substantial dilatation of the gas-filled stomach. Right ij catheter tip extends to about the level of the cavoatrial junction.
septic shock, to assess for aspiration.
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Comparison is made to previous study from <unk>. There is a dual-lead left-sided aicd. There are no signs for wire fracture. There is left ventricular prominence. There is some coarsening of the bronchovascular markings without overt pulmonary edema. There are no pneumothoraces. There are hazy densities at the lung bases that may represent atelectasis. This is unchanged.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lung volumes are low, but the lungs appear clear. No pleural effusion or pneumothorax is seen.
<unk>m with chest pain // eval for pneumonia, pnuemothorax
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As compared to the previous radiograph, the patient has been intubated. The endotracheal tube projects approximately <num> cm above the carina. There is minimal increase in extent of the pre-existing pleural effusions and the subsequent areas of atelectasis. Unchanged left central venous access line. No pneumothorax.
motor vehicle accident, multiple lacerations, followup.
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Ap, upright and lateral views of the chest were obtained. There is slight improvement in lung aeration and technique compared with prior. There is right upper lobe consolidation which could represent a small focus of pneumonia. The heart is mildly enlarged. There is no overt chf. Aorta appears unfolded. No large pleural effusion. Bony structures are intact.
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Ap upright and lateral views of the chest were provided. Midline sternotomy wires are again noted. Cardiomegaly is mild. Lung volumes are low. No effusion or overt chf. No pneumothorax. Bony structures are intact.
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As compared to the previous radiograph, there is no relevant change. Low lung volumes. Moderate right pleural effusion with areas of atelectasis at the right lung bases. Moderate cardiomegaly. On the left, areas of mild retrocardiac atelectasis are visualized. The sternal wires show unchanged alignment. Unchanged course of the right picc line and the tracheostomy tube.
tracheostomy, fevers, evaluation for interval change.
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Slight hyperexpansion of the lungs. Small bilateral pleural effusions. No focal pulmonary consolidation or pulmonary edema. The cardiomediastinal silhouette and hila are normal.
<unk> year old woman with multiple myeloma being worked up for auto bmt; r/o cardiac/pulmonary dysfunction.
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The lungs are hyperinflated with flattening of the hemidiaphragms. Moderate cardiomegaly is unchanged. The main pulmonary artery contour is enlarged, also unchanged. There are bibasilar airspace opacities with air bronchograms which may be seen in the setting of atelectasis or consolidation. There is bronchial cuffing in the perihilar regions, perihilar opacities and fluid in the fissures suggesting mild-to-moderate pulmonary edema. There may be small bilateral pleural effusions. There is no pneumothorax. The aorta is calcified and tortuous.
o<num> sats in <unk>s with unclear etiology. evaluate for any acute process.
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Cardiomediastinal and hilar contours are unremarkable. Lungs are clear. No pleural effusion or pneumothorax identified. No osseous abnormality present.
cough and headache for a week.
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The et tube tip lies approximately <num> cm above the carina. An ng type tube is present, tip overlying gastric fundus. The sideport lies in the region of the ge junction. They right <unk>-ganz catheter tip overlies the main pulmonary artery. A left ij central line tip lies in the region of the distal svc/ra junction. Again seen is an ecmo catheter, similar in position. Multiple surgical clips overlie the upper right chest wall and surrounding soft tissues. Again seen is marked widening of the mediastinum, similar to the prior study. Also again seen is increased retrocardiac density, consistent with left lower lobe collapse and/or consolidation and a left pleural effusion cannot be excluded. Also again seen is a right pleural effusion, slightly larger, with fluid now seen in the minor fissure and with fluid/pleural thickening again seen along the right chest wall. There is underlying bibasilar collapse and/or consolidation. Hazy density in the right lung could represent some degree of layering pleural fluid. There is upper zone wrist there is mild upper zone redistribution decreased compared with earlier the same day.
<unk> year old woman s/p pe ..now on ecmo // eval for effusions
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Portable ap chest radiograph to demonstrate the et tube terminating approximately <num> cm above the carina. The ng tube tip and sidehole are below the diaphragm. There is a moderate pneumothorax evidenced in the right costophrenic sulcus. In addition, subcutaneous air is seen along the right hemithorax. Right lateral rib fracture is seen. Pulmonary consolidations involve the entire right lung and are likely due to pulmonary edema, likely represent asymmetric edema, underlying infection not excluded. The heart is moderately enlarged, though evaluation is limited on this projection due to other findings. Findings were discussed by phone by dr. <unk> with dr. <unk> at <time> p.m. On <unk>.
cardiac arrest. cpr performed. evaluation of tube positions.
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Focal region of consolidation is noted in the left mid lung was seen on multiple priors dating back to <unk>. These appear slightly more conspicuous on the current exam likely secondary to overlying scapula. Elsewhere, the lungs are clear. The cardiomediastinal silhouette is stable. Atherosclerotic calcifications noted at the aortic arch. No displaced fractures identified.
<unk>f with slurred speech, weakness // eval for pna
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There are unchanged signs of marked overinflation. Newly appeared are relatively extensive parenchymal opacities in the right upper lobe and in the left upper lobe. Additional opacities are seen at the bases of the right upper lobe. In the appropriate clinical context, the findings are consistent with multifocal pneumonia. At the time of observation and dictation, <time> a.m., on <unk>, the referring physician, <unk>. <unk> was paged for notification and the findings were subsequently discussed over the telephone. No reactive pleural effusions. No cardiomegaly, no hilar or mediastinal changes.
ct copd, low-grade temperature and increased sputum and cough.
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Frontal and lateral views of the chest were obtained. There is moderate cardiomegaly, similar to prior. There is crowding of pulmonary vasculature, exaggerated by low lung volumes. The lungs are otherwise clear without focal or diffuse abnormality. There is no evidence of pleural effusion, pneumothorax, or pneumoperitoneum. Triple lead left chest wall pacer is seen with wires terminating in the right ventricle, right atrium, and left ventricle via the coronary sinus. No new radiopaque foreign bodies. The osseous structures are unremarkable.
<unk>-year-old man with nausea, vomiting, and epigastric pain for two days status post pacer lead placement. evaluate for cardiopulmonary process or free air.
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Lung volumes are low. The right lung base mass is visualized. Linear opacity in the left midlung is most suggestive of atelectasis. There is no large confluent consolidation. The cardiomediastinal silhouette is within normal limits. Posterior spinal fixation hardware is noted.
<unk>f with septic shock, likely urinary in origin, underlying lung ca with mets to brain // eval ? infiltrate
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Left picc tip terminates in the mid svc. An electronic device is seen projecting over the cardiac silhouette. Lung volumes are somewhat low. Mediastinal and hilar contours are unchanged with calcification of aortic knob noted. Heart size is normal. There is no focal consolidation, pleural effusion or pneumothorax. Mild retrocardiac atelectasis is again seen. Clips are noted in the region of the gastroesophageal junction. Marked degenerative changes are noted in both glenohumeral joints. No acute osseous abnormalities detected.
bradycardia, ms. <unk>: portable ap view of the chest.
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There is bibasilar atelectasis. No focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. Surgical clips project over the right upper quadrant.
history: <unk>f with hiv. last cd<num> <unk>. chest discomfort. // ?pneumonia
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There is a cavitating mass in the right upper lobe with associated volume loss and destruction of <num> of the overlying ribs. This is unchanged in appearance when compared to the prior study. An endotracheal tube is in-situ, the tip terminates approximately <num> cm above the level the carina. A nasoenteric tube terminates below the left hemidiaphragm, the tip is not visualized. A left internal jugular catheter terminates in the proximal svc. Prominence of the right hilum is presumed reflect lymphadenopathy versus direct extension of the known mass. Left lung appears grossly clear. No pleural effusion seen.
<unk> year old woman with resp failure, scc, pna, intuabted // eval interval change
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There is persistent alveolar infiltrate in the right lower lung with some interval partial clearing. There continues to be a small amount of volume loss/infiltrate in the retrocardiac region. Overall, the appearance is improved compared to the study from the prior day with persistent right lower lobe infiltrate.
followup, question infiltrate.
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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. Bony structures are unremarkable.
pleuritic chest pain.
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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. Aortic stent partially visualized in the upper abdomen on the lateral view.
<unk> year old man with cad, mi s/p pci, aaa s/p endovascular repair, diverticulitis c/b colovesicular fistula requiring brief diverting ileostomy, prior pre diabetes p/w fsbg <num>
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Shallower inspiration compared with the prior exam. Worsened right perihilar, left perihilar and basilar opacities, may represent edema, pneumonitis or aspiration, with possible component of atelectasis. Linear band of atelectasis at the right lung base is stable. Shallow inspiration accentuates heart size, pulmonary vascularity. There is significant gastric distention.
<unk> year old woman with pod<num> panniculectomy and hernia repair with sbr, previous respiratory distress and icu admission, vomited earlier today // desats --> ?aspiration
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Frontal and lateral chest radiographs were obtained. Prominent interstitial markings are present bilaterally. There is no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal.
patient with hypoxia, history of smoking, assess for pneumonia or emphysema.
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Frontal and lateral views of the chest demonstrate no focal consolidations to suggest pneumonia. The aortic contours are unchanged with dilation of the aortic arch compatible with known dissection. There are stable bibasilar opacities. The trachea remains slightly deviated to the right. There is no pulmonary edema, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is stable. A severe dextroscoliosis is noted.
<unk>-year-old woman with possible stroke and dysarthria, rule out pneumonia.
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Tortuous thoracic aorta. Shallow inspiration accentuates heart size, pulmonary vascularity. Lungs are clear. There is tiny right pleural effusion or thickening, stable.
<unk> year old woman s/p pod#<num> l tka, now w/productive sputum, evaluate for pna/infectious process. // evaluate for pna/infectious process
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Pa and lateral views of the chest provided. Lung volumes are low and there is mild elevation of the right hemidiaphragm again noted. The heart remains mildly enlarged. The aorta is unfolded though this is unchanged with aortic atherosclerotic calcifications noted. There is minimal left basal platelike atelectasis. No focal consolidation concerning for pneumonia. No effusion or pneumothorax. No evidence of edema. Bony structures appear intact with bilateral glenohumeral joint degenerative disease again noted.
<unk>f with weakness // infiltrate?
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As compared to the previous radiograph, the left chest tube, the mediastinal drains, the endotracheal tube, the nasogastric tube and the swan-ganz catheter have all been removed. After tube removal, there is no evidence of a pneumothorax. The lung volumes have decreased. The presence of minimal pleural effusions cannot be excluded. Mild overall unchanged atelectasis at the right lung base and in the retrocardiac lung areas. Mild cardiomegaly. A right venous introduction sheath is in expected position.
status post mitral valve repair.
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Ap upright and lateral views of the chest provided. Lungs are clear. No large effusion or pneumothorax. No signs of congestion or edema. Cardiomediastinal silhouette is normal. Imaged bony structures are intact. Cervical spinal hardware is partially visualized. No free air below the right hemidiaphragm. Spinal scoliosis again noted.
<unk>f with now improved facial droop // assess for pneumonia
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In comparison with the study of <unk>, there is continued moderate cardiomegaly with enlargement of the left ventricle, but no evidence of acute focal pneumonia, vascular congestion, or pleural effusion.
cough, to assess for pneumonia.
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Frontal and lateral views of the chest. Right chest wall port is seen with catheter tip in the mid to lower svc. Streaky left basilar opacities most suggestive of scarring given persistence. Blunting of the posterior costophrenic angles suggest small effusions. The lungs are clear of consolidation or pneumothorax. Prominence of the hilar contour on the right as well as the ap window is compatible with prominent lymph nodes identified on previous ct scan. Cardiomediastinal silhouette is unchanged from most recent exam. Left mastectomy changes are again noted. No acute osseous abnormalities identified.
<unk>-year-old female complains of weakness and shortness of breath.
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In comparison with the study of <unk>, all of the monitoring and support devices have been removed in this patient with valve replacement and intact midline sternal wires. Little change in the degree of widening of the cardiomediastinal silhouette. There is continued indistinctness of pulmonary vessels consistent with elevated pulmonary venous pressure. An area of patchy opacification is seen in the right mid zone laterally with blunting of the costophrenic angle. Some of this may reflect pleural fluid, though the possibility of supervening pneumonia should be considered in the appropriate clinical setting.
cardiac surgery with chest tube removal.
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Pa and lateral views of the chest provided. There is mild cardiac enlargement with hilar congestion noted. There is likely mild interstitial pulmonary edema. Small bilateral pleural effusions are present. Mediastinal contour appears within normal limits. The imaged bony structures appear intact. Degenerative changes at the shoulders partially visualized.
<unk>f with sob, chest pressure, weight gain
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Ap chest radiograph. The ett terminates <num> cm above the carina, but the cuff is hyperinflated. Ngt tip and side hole are in the stomach. Moderate interstitial edema is seen without a large pleural effusion. The heart size is top normal. Atherosclerotic calcifications are noted in the aortic arch. Vertebroplasty of one of the mid thoracic vertebra is noted.
cardiac arrest.
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. There is a triangular opacity projecting over the heart on the lateral view likely reflects chronic atelectasis in the inferior lingula better assessed on prior ct and unchanged from at least <unk>. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with chest pain, dyspnea on exertion // evidence of infiltrate, effusion, volume overload
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Single frontal view of the chest. Left picc terminates in the lower svc. Heart size and cardiomediastinal contours are stable. Lung volumes have slightly improved, though still hypoinflated. There is bibasilar atelectasis without focal consolidation, pleural effusion, or pneumothorax.
power picc exchange.
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Again noted is a large hiatal hernia within the left lower chest. The cardiac, mediastinal and hilar contours otherwise are unchanged. There is atelectasis adjacent to the hernia within the left lung base. The remainder of the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is demonstrated. Multiple clips compatible with prior cholecystectomy are visualized in the right upper quadrant. There is persistent elevation of the right hemidiaphragm.
syncope.
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Frontal and lateral radiographs of the chest were acquired. There is redemonstration of midline sternotomy wires and aortic as well as mitral valve replacements. A vascular stent projects over the region of the right subclavian/brachiocephalic vein. There is subsegmental left lower lung atelectasis, as before. Blunting of the left costophrenic angle is consistent with a small left pleural effusion, not significantly changed. There may be a trace right pleural effusion, also not significantly changed. Mild enlargement of the cardiac silhouette is not significantly changed. The mediastinal contours are normal. There is no pneumothorax. Surgical clips are noted in the bilateral upper abdominal quadrants.
end-stage renal disease, presenting for a possible kidney transplant. preoperative evaluation.
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The cardiac, mediastinal, and hilar contours are normal. There is no mediastinal widening. The lungs are clear. No pleural effusions. A rod overlies the right lateral ribs and the rib fractures seen on concurrent ct torso of t<num> through t<num> are not visible. There is a small amount of subcutaneous air in the right lateral soft tissues, likely from small right pneumothorax seen on ct torso. The small pneumothorax is not seen on this radiograph however probably due to overlying rod. No focal parenchymal opacities.
fall, right-sided chest pain, evaluate for pneumothorax or rib fracture.
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Mild to moderate enlargement of the cardiac silhouette persists. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is present. No acute osseous abnormality is visualized.
history: <unk>f with congestion, wheezing and fever
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Pa and lateral views of the chest were obtained. The heart size is normal. The mediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. There is no focal consolidation concerning for pneumonia.
cough, congestion, chest tightness.
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Cardiac silhouette size is borderline enlarged. Mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Subsegmental atelectasis is demonstrated within the right mid lung field. No focal consolidation, pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>f with <num> seizures-like episodes today. // ?pneumonia
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Since prior, there has been interval removal of a left picc. There is otherwise no significant change in the appearance of the chest with persistent elevation of the right hemidiaphragm and bibasilar atelectasis. The cardiomediastinal contour is unchanged. Tortuosity of the thoracic aorta is also stable.
<unk> year old man with hx of myeloma and cough, evaluate for pneumonia..
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The endotracheal tube is appropriately positioned, ending <num> cm above the level of the carina. An enteric catheter passes below the level of the diaphragm, ending within the stomach. 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 definite pleural effusions. No pneumothorax is seen.
status post intubation. assess endotracheal tube position.
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As compared to previous radiograph from <unk>, there has been substantial change. There has been unilateral progression of the disease, predominantly on the right, with marked increase of the right-sided pleural effusion. Increased right sided pleural fluid accentuates existing opacities, particularly the dense consolidation in the right upper lobe. There is atelectasis of the lower lobes. There has been no substantial change in the left side. Moderate cardiomegaly is unchanged. Monitoring and support devices are unchanged.
<unk>-year-old male patient with esrd, multifocal pna, respiratory failure. study requested for evaluation of fluid status.
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One ap portable view of the chest. A left-sided pacemaker ends with leads in unchanged position. The sternotomy wires are intact. Mediastinal clips and vascular stent in the right upper mediastinum is unchanged. There is moderate cardiomegaly. Compared to prior study, there are new increased diffuse parenchymal opacities, most consistent with mild pulmonary edema. Assessment for focal consolidation is limited due to overlying edema.
recent pneumonia, shortness of breath.
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Pa and lateral views of the chest provided. Port-a-cath resides over the right chest wall with right ij access and catheter tip in the region of the low svc. Subtle opacity is noted in the left lower lobe which could represent a very early pneumonia in the correct clinical setting. Otherwise lungs are clear. No large effusion or pneumothorax. No signs of congestion or edema. Cardiomediastinal silhouette is stable and normal. Bony structures are intact. Clips are noted in the right upper quadrant.
<unk>f with sob // infiltrate
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Increased interstitial markings are seen throughout the lungs which are chronic likely due to underlying interstitial process. Lower lung volumes seen on the current exam and subsequent retrocardiac opacity is likely due to atelectasis. There is no effusion or overt edema. Right apical scarring is again noted. This may also cause increased opacity at the right paratracheal stripe region however underlying lesions such as adenopathy is difficult to exclude.
<unk>f s/p fall with pelvic tenderness // <unk>f s/p fall with pelvic tenderness
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Pa and lateral chest radiograph demonstrates stable cardiomegaly. No evidence to suggest overt pulmonary edema. The aorta is mildly tortuous. Mediastinal and hilar contour otherwise unremakable. There is no pleural effusion or pneumothorax. Several calcified granulomas again noted. Previously noted dialysis catheter is been removed.
<unk> year old female with shortness of breath.
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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 cardiomediastinal contours. Air under the hemidiaphragms is likely consistent with recent laparoscopic surgery, <num> days prior.
chest pain. assess for pneumonia.
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Ap upright and lateral views of the chest were obtained. There is mild cardiomegaly which is stable from prior. The lungs are clear. No large effusion or pneumothorax. Mediastinal contour is stable and normal. Bony structures are intact. No fractures are seen.
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The heart is mild-to-moderately enlarged. Mitral annular calcifications are present. The aortic arch is calcified. The mediastinal and hilar contours appear stable. Streaky basilar opacities are probably due to atelectasis in the setting of low lung volumes. Otherwise, the lungs appear clear. There is no pleural effusion or pneumothorax.
complete heart block.
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A dobhoff tube terminates in the stomach. Left picc terminates in upper svc. Moderate left pleural effusion and small right pleural effusion are similar to prior. The ovoid opacity in the right upper perihilar region is stable is likely a fluid collection in the oblique fissure. Bibasilar consolidation is slightly increased compared to <unk>. No new focal consolidation is identified in the lungs.
<unk> year old woman with acute dyspnea // evaluate for pleural effusion/infections
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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 chest pain and cough.
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Heart size is normal. The aorta remains tortuous. The mediastinal and hilar contours are similar. The pulmonary vasculature is not engorged. Patchy opacities in the lung bases likely reflect areas of atelectasis. No focal consolidation, pleural effusion or pneumothorax is present. Multilevel mild to moderate degenerative changes are seen in the thoracic spine.
history: <unk>f with sepsis
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Frontal and lateral views of the chest were obtained. The patient is status post dual-lead left-sided aicd with leads extending to the expected positions of the right atrium and right ventricle. Patient is status post median sternotomy. There is prominence of the central pulmonary vasculature suggesting mild edema/vascular congestion. The cardiac silhouette remains quite enlarged. Difficult to exclude small pleural effusions. There is bibasilar atelectasis. No discrete focal consolidation is seen, although opacity at the lung bases projected on the lateral view while may be due to overlying soft tissues, consolidation is difficult to exclude.
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The lungs are clear. Cardiac silhouette is normal in size. Low lung volumes contribute to a somewhat crowded hilar region. There is no pleural effusion. There is no pneumothorax.
chest pain.
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A moderate diffuse interstitial abnormality, more severe in the right lung than the left, is similar in appearance to the prior radiograph. The abnormality is similarly to perhaps slightly more prominent that the prior study, although this may be due to the difference in the penetration of the image. These abnormalities are likely for the most part due to the patient's underlying chronic interstitial lung disease. There is no definite evidence of pulmonary edema, although small component of new pulmonary edema cannot be fully excluded given the very abnormal underlying lung. No focal consolidation is present. No definite pleural effusions are present. There is no pneumothorax. The cardiomediastinal silhouette is normal and unchanged.
history of interstitial lung disease with shortness of breath. evaluate for pneumonia or edema.
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Multiple median sternotomy wires are again identified. The cardiomediastinal contours are within normal limits. The bilateral hila are unremarkable. The lungs are clear without focal consolidation. There is no evidence of pulmonary vascular congestion. There is no pneumothorax or pleural effusion.
<unk>f with chest pain s/p mvc, hx of heart transplant <unk> years ago. aware she had one done this am, need another as it was prior to the mvc, evaluate for acute process.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No pulmonary edema is seen. No displaced fracture is identified.
history: <unk>f with cp // eval for cp
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Lumbar fixation hardware is partially imaged. There is a mild dextro convex scoliosis of the thoracic spine. Heart size and mediastinal contours are normal. The lungs are well inflated and clear. There is no mediastinal or hilar lymphadenopathy. Osseous structures are intact.
history: <unk>f with ?erythema nodosum // eval for sarcoid
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The posterior opacity in the lateral view likely reflects the presence of a large fat-containing bochdalek hernia. There are linear densities in the lower lungs, most likely attributable to atelectasis. There is no convincing sign of pneumonia. No signs of chf. The heart size is within normal limits. The aorta is unfolded. The port-a-cath resides over the right chest wall with its tip in the low svc region. The bony structures appear intact. There is a metallic stent in the region of the aorta as well as the common bile duct.
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Right ij catheter ends at approximately the mid svc. Chronic changes of distortion and opacification in both lungs are again seen with increased opacity in the right upper lobe.
<unk>-year-old male with cf exacerbation on iv antibiotics. placement of right ij - concern for migration.
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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 man with esrd being w/u for kidney transplant // r/o fine opacities
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Pa and lateral views of the chest provided. Airspace consolidation is noted within the inferior lingula compatible with pneumonia. Otherwise lungs are clear. No large effusion or pneumothorax. Cardiomediastinal silhouette appears normal. Bony structures are intact.
<unk>f with cough with chest pain. shortness of breath
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Heart size is normal. The aorta is calcified, indicating atherosclerosis. 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 cough, chest pain // ? pna, pleural effusion
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Pa and lateral chest radiographs are provided. There is a patchy opacity in the left lower lobe on both the frontal and lateral views, new since the prior radiograph and consistent with pneumonia. The right lung is predominantly clear. There is no pneumothorax or pleural effusion. The cardiomediastinal silhouette is unchanged. Again seen are compression fractures of t<num> and l<num>, unchanged.
shortness of breath, hypoxia and chills, question pneumonia.
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There is blunting of the right lateral costophrenic angle with adjacent linear opacities in the lung. There is no pleural effusion. The lungs are otherwise clear and the cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with fever // pneumonia or effusion
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Mild pulmonary edema is unchanged from <unk>. More focal and peripheral opacities at the right lung base in the appropriate clinical setting could represent pneumonia. The patient status post median sternotomy with wires intact. Mitral annular calcifications are noted. Small bilateral pleural effusions are noted.
history: <unk>f with confusion, infectious w/u // eval for pneumonia
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Mild cardiomegaly is overall stable compared to the prior exam. There is mild pulmonary vascular congestion with diffuse mild pulmonary edema. Hilar and mediastinal contours are otherwise unremarkable. Small bilateral pleural effusions are persistent. There is no evidence of pneumothorax. The visualized osseous structures are unremarkable. Severe emphysematous changes are also again redemonstrated at the bases of the lungs.
history: <unk>m with orthopnea // ?pulm edema
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Study is essentially unchanged from previous. There is no pneumothorax or pleural effusion. Cardiomediastinal silhouette is stable. Ng tube has coiled within the fundus of the stomach and may be terminating in the ge junction. The lungs are clear
<unk>-year-old male on ventilator. evaluation of respiratory function.