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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.
history: <unk>f with chest pain, pleuritic, pls eval for pna or edema // history: <unk>f with chest pain, pleuritic, pls eval for pna or edema
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Frontal and lateral views of the chest were obtained. Retrocardiac air-fluid level is likely due to a hiatal hernia, with adjacent atelectasis. No definite focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac silhouette is top normal. The aorta is tortuous. The patient is rotated somewhat to the left. Degenerative changes are seen along the spine.
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Et tube is <num> cm from the carina. There is a dobbhoff tube positioned within the stomach. Since prior radiograph, there is increase in retrocardiac and left lower lung opacification, likely atelectasis and pleural effusion; however, a focal consolidation cannot be excluded. Lung volumes are low. There is no other definite focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is enlarged but unchanged.
<unk>-year-old man status post i&d of jaw abscess. please assess for interval change.
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Frontal and lateral views of the chest. The lungs are clear without focal consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is within normal limits. Median sternotomy wires and prosthetic aortic valve are identified. Atherosclerotic calcifications seen at the aortic arch. Hypertrophic changes are seen in the spine. No definite acute fracture is seen.
<unk>-year-old male status post fall with headache.
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As compared to the previous radiograph, the malpositioned left picc line has been pulled back. The tip of the line now projects over the axilla. Two chest tubes on the left are in situ. There also is a series of surgical clips projecting over the left chest wall. The extent of a basally and laterally distributed pleural effusion is constant. There is unchanged evidence of relatively extensive left basal atelectasis. The left hemithorax is unchanged in appearence. The right lung continues to be normal.
status post thoracotomy, evaluation for pleural effusions.
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Frontal and lateral views of the chest were obtained. The heart size and cardiomediastinal contours are normal. The lungs are clear. No focal consolidation, pleural effusion, or pneumothorax. A fracture of the proximal right clavicle appears chronic. The osseous structures are otherwise unremarkable. The inferior-most sternotomy wire appears fractured. No subdiaphragmatic radiopaque foreign body.
<unk>-year-old male with ingestion of razor blades.
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The patient is status post right pneumonectomy with rightward shift of mediastinal structures and opacification of the right hemithorax compatible with pleural calcifications and fluid. Chain sutures are again noted within the left upper and lower lung fields compatible with prior wedge resections. No focal consolidation is identified. Blunting of the left costophrenic angle is chronic. No pneumothorax or large pleural effusion is identified on the left. No pulmonary vascular congestion is noted. There are no acute osseous abnormalities.
shortness of breath.
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As compared to the previous radiograph, the extent of the apical pneumothorax is unchanged in the range of <num> to <num> cm. The amount of the right pleural effusion has substantially increased, the effusion now fills approximately half of the right hemithorax. The right chest tube is in unchanged position. Moderate left hilar enlargement. The left lungs are unremarkable.
stage iv non-small-cell lung cancer. followup.
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>m with ivdu, fever, r-hand infection at injection site // evaluate for acute process, retained needle, sequellae of endocarditis
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The endotracheal tube is in satisfactory position, <num> cm above the carina. There is new moderate pulmonary edema with small bilateral pleural effusions. Fluid is seen within the minor fissure. The cardiac silhouette is moderately enlarged. Enlargement of the mediastinum is unchanged from <unk>. There is no pneumothorax.
gi bleed status post intubation, evaluate for et tube position.
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The heart and great vessels are normal. The lungs are clear of an active process and well-expanded. There is no pleural effusion or pneumothorax.
<unk> year old woman <unk> post-partum now with fever of unknown origin // is there e/o pna?
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Right upper lobe consolidation is worrisome for pneumonia. There is subtle lucency centrally within the consolidation which could be due to aerated lung but cavitation is not excluded. There is a smaller region of consolidation in the left upper lobe. No pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are stable.
history: <unk>f with cough, fever // eval for pna
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Mild cardiomegaly is unchanged. Calcified aortic arch is unchanged. Lungs are clear without focal consolidation, pleural effusion, or pneumothorax.
<unk>m with syncope, weakness. evaluate for acute process.
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There has been little change in comparison to prior study from <unk>, with reticulonodular opacities again visualized bilaterally and largely unchanged. Right apex and left lower lobe areas of conglomeration of nodules remain unchanged. There is no evidence of focal consolidations, effusions, or pneumothoraces. Degenerative changes are again visualized throughout the thoracic spine along with stable wedge compression deformity.
evaluation of patient with history of possible sarcoid, on steroid therapy, for evaluation of previously seen infiltrates.
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Single frontal view of the chest. Right picc terminates in the lower svc. Heart size and cardiomediastinal contours are normal. Lung volumes are low with improved bibasilar linear opacities consistent with atelectasis. No focal consolidation, pleural effusion, or pneumothorax.
cough and shortness of breath.
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The patient is slightly rotated to the right on this portable frontal chest radiograph. Bilateral pleural effusions appear increased compared with priors. There is emphysema and increasing interstitial abnormality within the right lung more than the left. The heart size remains normal, note is made of marked mitral annular calcification. Opacity projecting behind the heart likely reflects a fluid-filled hiatal hernia. There is no pneumothorax.
<unk>-year-old female with shortness of breath, question interval change.
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The tracheostomy appears in standard position. There is a left-sided chest tube which abuts the mediastinum. Again noted is the feeding tube looped in the hypopharynx, yet extending down below the diaphragm with the tip out of view of the film. The right subclavian catheter ends in the low svc. Again seen is bilateral perihilar opacification which could be secondary to atelectasis or pneumonia, unchanged compared to the prior exam. No new focal consolidations are seen. There is no pneumothorax or pleural effusions. The heart size is normal.
<unk>-year-old man status post motor vehicle accident. history of diaphragmatic rupture who presents for evaluation after left chest tube was placed on waterseal.
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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs which are without focal consolidation, pleural effusion, or pneumothorax. There is mild right base atelectasis. The visualized upper abdomen is unremarkable. No fracture is identified. A nodular opacity lateral to the right hilum is seen only on frontal view and is likely in the skin, but is incompletely characterized.
status post assault, with chest wall pain.
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Pa and lateral views of the chest are provided. Clips are noted in the left upper quadrant. The lung volumes are somewhat low. There is some bronchovascular crowding in the lower lungs without convincing evidence of pneumonia or chf. No pleural effusion or pneumothorax is seen. The cardiomediastinal silhouette appears normal. Bony structures are intact. No free air below the right hemidiaphragm.
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The lungs are clear without focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. Surgical clips are noted in the right upper quadrant.
<unk>m with cirrhosis who presents with abdominal distention // eval for pneumonia
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Midline sternotomy wires and prosthetic valves are unchanged. The right-sided ij central venous catheter tip sits in the mid svc. The cardiac and mediastinal contours are stable. There continues to be bibasilar atelectasis, more prominent on the right than the left, with a small right pleural effusion. Bilateral chest drains are in place; a tiny left pneumothorax is unchanged from prior exam.
<unk>-year-old woman status post aortic valve replacement.
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A port-a-cath terminates in the superior vena cava. The cardiac, mediastinal and hilar contours appear unchanged. The lungs appear clear. A trace pleural effusion is again noted, as seen on the prior ct and perhaps a little larger.
right chest pain.
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Ap portable upright view of the chest. Multiple internal intact sternal wires and numerous surgical clips are unchanged in position. Again seen is central pulmonary vascular congestion without overt edema. There is no pneumothorax, focal consolidation, or pleural effusion.
<unk> year old man with increased work of breathing // ? acute pulmonary process
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with pna- persistent pain and sob // r/o pna
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Frontal and lateral radiographs of the chest demonstrate normal heart size, mediastinal and hilar contours. The lungs are clear. No pleural effusion or pneumothorax.
chest pain, question pneumonia
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Increased interstitial markings diffusely and bilaterally suggests interstitial edema versus atypical infection per no large pleural effusion is seen. There is no pneumothorax. The aorta is tortuous. The cardiac silhouette is not enlarged. Right-sided port-a-cath terminates at the cavoatrial junction/ proximal right atrium.
history: <unk>m with c/f lymphomatous meningitis, fever, occipital headache, neck stiffness // eval for pna. nchct for evidence of ich, safety of lp
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The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. The lungs are well expanded and clear without focal consolidation. The upper abdomen is unremarkable.
right leg weakness.
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Compared to the prior study patient has taken a deeper breath. There are persistent bilateral patchy and rounded opacities which may represent multifocal pneumonia and/or pulmonary edema, although these could also represent coalescing metastatic lesions as seen on previous chest ct. A small right pleural effusion is present. There is no pneumothorax.
<unk> year old man with metastatic osteosarcoma with acute on chronic chf who presented with sob, evaluate for pulmonary edema
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As compared to the previous radiograph, the right costophrenic angle is now clear. Borderline size of the cardiac silhouette. No evidence of recent pneumonia. However, a small atelectasis is seen at the right lung base. No pulmonary edema.
persistent oxygen requirements, evaluation for pneumonia.
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There has been interval resolution of diffuse bilateral opacities seen on the most recent prior film. Currently, the lungs are well expanded and clear. There is mild cardiomegaly, and the mediastinal and hilar contours are stable. There is no pulmonary edema or pulmonary vascular congestion.
<unk>-year-old with increased shortness of breath.
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The lungs remain hyperinflated. There is slight blunting of the posterior left costophrenic angle and a trace pleural effusion is not excluded. There is a nodular opacity projecting over the left mid lung, measuring approximately <num> cm, not seen on the prior study. Cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with confusion today // eval pna
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In comparison to the chest radiograph obtained <num> day prior, there has been interval removal of a pericardial drain. Heart size in cardia <unk> mediastinal silhouettes are unchanged. Lungs are fully expanded and clear without focal consolidation. No pleural effusions or pneumothorax.
<unk> year old woman with cardiac tampenade // evaluate for pericardial fluid
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A right-sided picc line terminates at the cavoatrial junction, as before. The cardiac, mediastinal and hilar contours appear unchanged. The aorta is tortuous. There is no pleural effusion or pneumothorax. A left upper apical granuloma appears unchanged.
hypotension and fever. history of osteomyelitis.
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In comparison with the study of <unk>, there is little overall change. Monitoring and support devices are unchanged. There are slightly lower lung volumes. There is some continued opacification at the left base consistent with volume loss in the left lower lobe. The right lung is essentially clear and there is no definite vascular congestion.
intubation with fever.
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Pa and lateral views of the chest. There is better aeration of the lungs bilaterally compared to prior study. There is some residual left basilar retrocardiac atelectasis. No pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are normal.
abdominal surgery two weeks ago. evaluate for pneumonia.
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As compared to a previous radiograph, there is unchanged evidence of mild to moderate interstitial pulmonary edema. In the interval, a small right pleural effusion has newly developed. Unchanged are the bilateral areas of basal atelectasis. No newly appeared focal parenchymal opacity. Unchanged borderline size of the cardiac silhouette.
hypoxemic respiratory failure, pneumonia, evaluation for interval change.
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The lungs are hyperinflated. Blunting of the right lateral costophrenic angle is chronic and likely due to component pleural scarring. Superimposed trace effusions are also possible. Streaky left basilar opacities are likely atelectasis. There is mild pulmonary vascular congestion without overt edema. Cardiac enlargement is stable compared to prior. Atherosclerotic calcifications noted at the aortic arch. No acute osseous abnormalities.
<unk>m with sob, acute onset, hx of chf // <unk> for pulmonary edema
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Bibasilar, left worse than right atelectasis. No large pleural effusion. No focal consolidation to suggest a focal pneumonia. No edema. The heart is mildly enlarged. The descending aorta is tortuous. No acute osseous abnormality.
history: <unk>m with shortness of breath // ?edema
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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 patient has also received a nasogastric tube. The right central venous access line is unchanged. No evidence of complications, lung volumes remain low. The bilateral basal changes, reflecting a combination of atelectasis and pleural effusions are constant in appearance. Constant cardiomegaly and moderate fluid overload.
recent intubation, assessment for endotracheal tube placement.
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Single frontal view of the chest was obtained. There are relatively low lung volumes. The cardiac and mediastinal silhouettes are stable with the cardiac silhouette enlarged and the aorta calcified and tortuous. Increased interstitial markings persist likely relating to patient's chronic interstitial disease. No pleural effusion or pneumothorax is seen.
<unk>-year-old female with history of shortness of breath, tachypnea, pulmonary fibrosis, coughing blood.
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As compared to the previous radiograph, there is no relevant change. Both right paramediastinal and hilar structures could be slightly less dense than on the previous exam. There is no evidence for acute pneumonia. No pleural effusions. Normal size of the cardiac silhouette. Unchanged right pectoral port-a-cath.
mds, progression to leukemia, neutropenic fevers.
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Pa and lateral views of the chest. The lungs are clear. There is no consolidation, effusion, or vascular congestion. Cardiac silhouette is enlarged, particularly the left atrium. Atherosclerotic calcifications noted at the aortic arch. The no acute osseous abnormality detected.
<unk>-year-old male with chest pain.
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Frontal and lateral views of the chest were obtained. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are unremarkable.
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Comparison is made to previous study from <unk>. The right ij line is again too low, within the right atrium. This should be pulled back <num> cm for more optimal placement. There is a nasogastric tube whose tip and side port are within the body of the stomach. The heart size is within normal limits. There are low lung volumes with atelectasis at the lung bases. There are no pneumothoraces.
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Borderline enlargement of the cardiac silhouette is re- demonstrated with coronary artery stents re- visualized on the lateral view. Aorta remains mildly tortuous. Mediastinal and hilar contours otherwise are unchanged. Pulmonary vasculature is normal in the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Lungs are mildly hyperinflated. <num> mm nodular opacity projecting over the right lung apex is noted, which could be within the lung or osseous structures.
chest pain
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There is moderate cardiomegaly. The patient is status post cardiac surgery. There is left retrocardiac atelectasis as well as a possible small left pleural effusion vs skin fold. No focal airspace opacity is seen otherwise. Mild pulmonary vascular engorgement is present. No frank pulmonary edema. There is no pneumothorax.
<unk>-year-old man with hypotension. evaluate for pneumonia or effusion.
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Cardiac, mediastinal and hilar contours are normal. Calcified right hilar lymph nodes are again noted compatible with prior granulomatous disease. Pulmonary vasculature is normal. Small left pleural effusion is similar in size compared to the previous radiograph. There is minimal left basilar pleural thickening as well. Lungs are clear without focal consolidation. Apical scarring is again noted bilaterally. No pneumothorax is present. There are mild degenerative changes noted in the mid thoracic spine. No subdiaphragmatic free air is present.
history: <unk>m with upper abdominal pain, pneumonia last month
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
<unk>m with motor vehicle crash. evaluate for trauma
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An et tube is present, tip approximately <num> cm above the carina on this lordotic film. Pacemaker type leads overlie the chest. There are low inspiratory volumes. The cardiomediastinal silhouette is prominent, but likely accentuated by technique and unchanged. Hazy density at the left lung base is consistent with a small to moderate left effusion, with underlying collapse and/or consolidation. Minimal patchy opacity again noted in the right cardiophrenic region. There is vascular plethora, though this is likely also accentuated by technique and appears slightly improved compared with the earlier study. No right effusion identified.
<unk> year old man with pea arrest s/p cpr due to hypoxemia. // interval change, pulmonary htn
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<num> mm calcified nodular opacity projecting over the lateral right lung base most likely represents a calcified granuloma. There may be a second calcified granuloma versus bone spur at the right lung apex, medially. No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with ams // evidence of pneumonia
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Et tube tip approximately <num> cm above the carina, at the level of the mid clavicular heads . Ng tube not well seen through the lower mediastinum, though it appears to extend beneath the diaphragm, off the film. Right ij central line is unchanged, with tip at cavoatrial junction. No pneumothorax detected. Again seen are extensive nodular and confluent opacities in both lungs, most pronounced along the periphery of the right lung. Right and left costophrenic angles are both obscured, suggesting bilateral pleural effusions. The cardiomediastinal silhouette is unchanged.
<unk> year old man with ards // any interval change?
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>m with ha and lightheadedness s/p fall
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Pa and lateral views of the chest. Left pleural effusion appears slightly larger compared to prior study. Patient has known extensive mediastinal and hilar lymphadenopathy. The mass-like consolidation in the left lung with multiple nodules in the right lung are better seen on prior ct. The appearance is unchanged compared to <unk>. No pneumothorax. Cardiac size is normal.
allergic reaction after premedication, crackles on exam.
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Ap upright and lateral views of the chest provided. Lung volumes are low limiting assessment. Overlying ekg leads are present. There is mild left basilar atelectasis without convincing evidence for pneumonia. No large effusion or pneumothorax. Heart size is normal. The aorta is unfolded with calcifications noted. Bony structures appear grossly intact.
<unk>m with ftt, recent falls, decreased bs r base
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There are increased vascular markings with upper re-distribution and hilar prominence bilaterally with more confluent opacity in the right mid lung. The cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
<unk>-year-old man with acute onset of shortness of breath. acute mi. evaluate for evidence of chf.
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Ap and lateral views of the chest. Patient's thoracic kyphosis is accentuated. Within this limitation, the lungs are grossly clear. The cardiomediastinal silhouette is unchanged given differences in positioning. No acute osseous abnormalities detected. No large pleural effusion.
<unk>-year-old female with fever.
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Patient is status post median sternotomy, cabg, and coronary artery stenting. Moderate cardiomegaly is present. The aorta is tortuous and diffusely calcified. There is mild pulmonary vascular congestion. Hilar contours are otherwise unremarkable. Patchy atelectasis is demonstrated the lung bases without focal consolidation. No large pleural effusion or pneumothorax is demonstrated. No acute osseous abnormality is present.
history: <unk>m with severe chest pain, hypotension // eval for pneumothorax, acute process
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The lungs are clear. There is mild cardiomegaly, unchanged from prior studies. The hilar and cardiomediastinal contours are otherwise normal. There is no pneumothorax. There is no pleural effusion. Pulmonary vascularity is normal.
<unk>-year-old woman with hypoglycemia.
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The lungs are well-expanded with stable vascular congestion. Improved right lower lobe heterogeneous opacity is most consistent with atelectasis and asymmetric edema. Interval increase in retrocardiac opacity persistent small left pleural effusion. No right pleural effusion. No pneumothorax. Mild cardiomegaly is stable. Mediastinal contour and hila are unremarkable. Mild prominence of the right hilus is stable dating back to ct chest dated <unk>.
<unk>f with xfer from osh hypoxic to <num>s hx of chf. assess for interval change in pulm edema, eval for pna
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Interval removal of right-sided chest tube, with persistent moderate right apical pneumothorax, with visceral pleural line at the level of the third posterior right rib, not appreciably changed allowing for positional differences of the patient. Lung volumes are slightly improved compared to previous study with associated improved aeration at the right lung base. Otherwise, no relevant short interval changes since the previous study performed about one hour earlier.
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Single portable ap view through the chest demonstrates cardiomegaly. Cephalization of vasculature, as well as diffuse patchy opacities, particularly to lateral to the right hilum, is reflective of mild pulmonary edema. No large pleural effusion is seen. There is no pneumothorax. A radiopaque tubular structure is identified projecting over the left neck soft tissues.
<unk>-year-old female with dyspnea and left internal jugular line placement.
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A right picc ends at the brachiocephalic/svc junction, somewhat high in position. There is no focal opacity to suggest pneumonia. Cardiomediastinal and hilar contour normal. There is a large pleural effusion or pneumothorax.
<unk>-year-old woman with fever to <num>, decubitus ulcer and a recent spine surgery, evaluate for pneumonia.
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A single portable radiograph of the chest was acquired. A linear horizontal artifact extends across the lower portion of this image. The inferior-most portion of the left costophrenic angle is excluded from this radiograph. The lungs are well expanded. There is minimal bibasilar atelectasis. The lungs are otherwise clear. The heart size is normal. Tortuosity of the thoracic aorta is redemonstrated. There are no definite pleural effusions. No pneumothorax is seen.
aaa, status post bypass, now with chest and abdominal pain. evaluate for acute process.
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Again seen are diffuse parenchymal consolidations, unchanged in appearance from the prior study. The heart size is moderately enlarged and there is evidence of some pulmonary vascular congestion and a small loculated pleural effusion on the right. No evidence of pneumothorax.
persistent multifocal pneumonia and pulmonary edema status post cardioversion with increasing oxygen requirement. evaluation for interval change.
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The cardiomediastinal silhouettes are within normal limits. The bilateral hila are unremarkable. There is a right lower lobe patchy opacity with associated signs of volume loss including inferior displacement of the minor fissure and right hilum. Otherwise, lungs are clear. There is no pulmonary vascular congestion or pulmonary edema. There is no pneumothorax or pleural effusion.
<unk>m with ams s/p fall, evaluate for fracture or bleed.
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There is bilateral lower lobe volume loss with alveolar infiltrates in the lower lobes. There is pulmonary vascular redistribution with hazy buys bilateral vasculature. The heart size is mildly enlarged. There bilateral pleural effusions are small. The right ij line tip is in the svc.
<unk> year old man with recent disseminated adenovirus infection in <unk> c/b kidney transplant failure, now with altered mental status, supplemental oxygen requirement // eval for interval change
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The lungs remain well expanded and clear. The heart and mediastinal structures are unremarkable. The bony thorax is grossly intact
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No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. The hilar contours are stable.
trauma and cough/fever.
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Ap upright and lateral views of the chest provided. Mild left basilar atelectasis is noted. The heart is top normal in size. No signs of pneumonia or chf. Ossific density at the lung apices likely represents calcified scar. Bony structures are intact.
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In comparison with the study of <unk>, the left subclavian picc line appears to have been pulled back so that it is in the brachiocephalic vein. The lung volumes have slightly improved, though there is dense opacification in the retrocardiac area with blunting of the costophrenic angle. This most likely reflects substantial volume loss in the left lower lobe with small pleural effusions. No definite vascular congestion.
picc placement.
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Lung volumes are low. The cardiac silhouette is unremarkable. The pulmonary vasculature is normal. There is no pleural effusion or pneumothorax. No focal consolidation is identified.
history: <unk>m with ascites, acute renal failure // edema
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There is increased volume loss in the right upper lung with a similar right lateral pleural thickening. The overall appearance suggests a loculated pleural effusion in the right hemithorax. Likewise, there is a persistent lenticular collection along the left upper hemithorax as well as thickening along fissures. This is again most likely to represent a loculated pleural effusion. Compared to the prior study, more dense opacification is suspected in the left lower lobe within the retrocardiac region that may reflect a superimposed process, although, aside from the fact that it is new since <unk>, acuity is uncertain. Considerable background opacification appears fairly chronic within both lungs bilaterally. There are also increasing, but small free-flowing components of pleural effusion suspected bilaterally based on the lateral view. The patient is status post sternotomy and coronary artery bypass graft surgery. A pacemaker/icd device with two leads appears unchanged with leads again terminating in the right atrium and ventricle. The bones appear demineralized with multiple similar compression deformities and bony demineralization.
cough. reportedly, a recent pneumonia seen on radiographs.
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Pa and lateral chest radiograph demonstrate clear lungs bilaterally. Cardiomediastinal and hilar contours are within normal limits. There is no pleural effusion or pneumothorax. Visualized osseous structures are without acute abnormality.
<unk>-year-old male with excessive vomiting.
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Large left and moderate right layering pleural effusions have increased compared with the prior study. There is no pneumothorax or focal consolidation. Endotracheal tube terminates <num> cm from the carina. A left picc terminates in the mid svc, and a right ij central venous catheter terminates in the distal svc. Enteric tube courses below the diaphragm and outside of the field of view. Multiple mediastinal clips are unchanged.
<unk>m s/p lap convert to open ccy c/b retained stone s/p ercp c/b post-ercp pancreatitis, wopn with spontaneous perforation s/p ex-lap/pancreatic debridement,washout <unk> // interval assesment
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As compared to the previous radiograph, the patient was intubated. The tip of the endotracheal tube projects <num> cm above the carina. No evidence of complications. The bilateral parenchymal opacities as well as moderate cardiomegaly of the patient are unchanged as compared to the previous images.
evaluation for endotracheal tube placement.
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The lungs are well expanded and clear. Left-sided apical pleural calcifications are re-identified. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. A new right-sided port-a-cath catheter ends at the cavoatrial junction.
cough.
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Endotracheal tube tip terminates approximately <num> cm from the carina. An enteric tube tip is within the stomach. Cardiac, mediastinal and hilar contours are normal. There are low lung volumes which cause crowding of bronchovascular structures. No pulmonary edema, focal consolidation or pneumothorax is identified. Mild atelectasis is seen in the lung bases. There are no acutely displaced fractures.
history: <unk>m with intubation
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Interval removal of right-sided chest tube is seen without appreciable pneumothorax. Post-wedge resection changes are seen without pleural effusion or atelectasis. Heart is normal in size, with normal cardiomediastinal silhouette.
status post right vats wedge resection of metastatic sarcoma, now status post right chest tube removal, assess for pneumothorax.
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The cardiac silhoutte is moderate to severely enlarged. The mediastinum is normal in width and there is no pulmonary vascular congestion. No right lung opacity is seen. The retrocardiac portion of the left lung may be opacified, however, this area is not well seen due to enlargement of the cardiac silhouette. There are small bilateral pleural effusions. No pneumothorax is identified.
<unk> year old woman with cough for <num> months // lesions?
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Assessment is limited by patient rotation. Heart size appears mildly enlarged. The mediastinal and hilar contours are grossly unremarkable with atherosclerotic calcifications noted diffusely in the aorta. There is mild pulmonary edema with bibasilar patchy airspace opacities, potentially atelectasis. Small to moderate size bilateral pleural effusions are noted, larger on the right. No large pneumothorax is identified. No displaced fractures are seen. Marked degenerative changes are noted involving both glenohumeral joints.
history: <unk>m with altered mental status, hypoxia
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. There appears to be two right jugular venous catheters, one terminating in right brachiocephalic vein and another terminating in upper to mid svc. A left approach mediastinal tube has been removed. A right approach mediastinal to and right chest tube are in unchanged position. There is no pneumothorax. Left lower lobe opacity is new, concerning for aspiration and/or pneumonia. Lung volume is low. There is no large pleural effusion. Borderline enlarged cardiac silhouette is exaggerated by low lung volumes.
eval ptx-on water seal <unk> year old woman with s/p mini mvr // eval ptx-on water seal
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The patient is status post median sternotomy and cabg. The cardiac silhouette size is normal. The aorta demonstrates diffuse atherosclerotic calcifications. Mild pulmonary vascular congestion is demonstrated, as well as patchy opacities in the lung bases that could reflect atelectasis. Infection however is not excluded. Small bilateral pleural effusions are demonstrated. There is no pneumothorax. Marked degenerative changes of the right glenohumeral joint are noted. Moderate degenerative changes within the thoracic spine are also seen.
rales, dyspnea.
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The heart is at the upper limits of normal size. The mediastinal and hilar contours appear unchanged. There is no pleural effusion or pneumothorax. There is at least one very small calcified nodule in the right lower lung consistent with a granuloma and not significantly changed. Otherwise, the lungs appear clear. Cholecystectomy clips project over the right upper quadrant. Bony structures are unremarkable.
dyspnea and chest pain.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is an opacity in the posterior left lower lobe that obscures the hemidiaphragm suggesting pneumonia. Elsewhere, the lungs remain clear. There are no pleural effusions or pneumothorax. Mild degenerative changes are similar along the mid to lower thoracic spine.
cough.
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Frontal and lateral views of the chest. The lungs are clear of consolidation, effusion or pulmonary vascular congestion. Cardiomediastinal silhouette is within normal limits. Mid-to-lower thoracic dextroscoliosis is identified. No acute osseous abnormality is detected.
<unk>-year-old female with alzheimer's and dementia, question acute change in behavior.
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The lungs are normally expanded and clear. Heart size is top normal likely exaggerated by ap technique. The mediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. Included osseous structures are unremarkable. There are surgical clips in the right upper quadrant.
<unk>f with dyspnea, asthma flare
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Frontal and lateral views of the chest demonstrate normal cardiac and mediastinal silhouettes. The lungs are clear without infiltrate or effusion. The bony thorax is normal. There is no evidence of tb.
question prior tb infection.
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The heart is normal in size. The mediastinal and hilar contours appear unchanged. There is no pleural effusion or pneumothorax. Mild degenerative changes along the mid thoracic spine are stable.
dyspnea and asthma.
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Single ap view of the chest provided. An et tube terminates <num> cm above the carina. A right central venous line ends at the cavoatrial junction. Surgical hardware is unchanged. Mild interstitial edema, bibasilar atelectasis and left greater than right small to moderate pleural effusions are unchanged. No pneumothorax. Hilar and cardiomediastinal contours are unchanged.
<unk> year old woman with gib s/p intubation // is ett in place?
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As compared to the previous radiograph, the patient has received a dobbhoff catheter. The tip of the catheter projects over the middle parts of the stomach, its course is unremarkable. There is no evidence of complications, notably no pneumothorax. Unchanged appearance of the lung parenchyma and of the cardiac silhouette.
status post nasogastric tube placement. evaluation.
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Overall, there is very little interval change in comparison to the prior study from the day before. Endotracheal tube appears in place in the mid trachea. Chest tube appears in place on the right impinging on the mediastinum. Enteric tube traverses to the stomach. Again noted is massive air collection in the soft tissues causing multiple horizontal lines which overly the entire thorax and any potential pneumothorax would be very difficult to diagnose. Within these limitations, there is no evidence of a definite persisting right pneumothorax. The previously noted pneumomediastinum has continued to decrease from <unk>. There is no change in appearance of the lung parenchyma or the hemidiaphragms. Multiple bilateral rib fractures are again noted.
history of copd status post fall with bilateral rib fractures and right pneumothorax, evaluation for interval change.
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Pa and lateral views of the chest. On the current exam, the lungs appear clear. Areas of ground-glass identified on chest ct are not clearly identified. There is no effusion or new consolidation. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormality detected.
<unk>-year-old male with recent pneumonia presenting with tachycardia and seizure.
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There are peripheral opacities in bilateral lungs, which could be pneumonia. The pattern of opacification is not typical for pulmonary edema. There is no pleural effusion or pneumothorax. Cardiomediastinal silhouette is normal size.
<unk> year old woman with persistant asthma, steroid dependent, recently in icu for asthma exacerbation, now with recurrent hypoxia, please assess for pulmonary edema // ? pulmonary edema
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Cardiac silhouette is enlarged with mild vascular congestion without frank edema. Lungs are clear. There is no large pleural effusion or pneumothorax. Endotracheal tube is in place, <num> cm cranial to the carina; however, the endotracheal cuff is inflated to a greater diameter in the trachea. A right internal jugular sheath is in place.
bright red blood per rectum, status post emergent extended right hemicolectomy. assess position of endotracheal tube.
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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. Left-sided port-a-cath is again seen, terminating in the mid to lower svc.
history: <unk>f with chemo, general malaise // eval pna
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As compared to the previous radiograph, all monitoring and support devices, with exception of the right internal jugular vein catheter, have been removed. There is unchanged evidence of moderate cardiomegaly. Status post valvular replacement and cabg. The lung volumes remain low. No overt pulmonary edema. No pneumothorax. No pleural effusions.
status post cabg, chest tube removal, rule out pneumothorax.
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Frontal and lateral views of the chest are compared to previous exam from <unk>. The lungs are clear. There is no effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.
<unk>-year-old male with chest pain.
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There is no focal consolidation, pleural effusion or pneumothorax. No evidence of pulmonary edema. Heart size is top-normal. No acute osseous abnormalities are identified.
history: <unk>f with pmh copd, presented with dyspnea // please eval for pneumonia
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In comparison with the previous study of <unk>, nasogastric tube has been pushed forward with the tip in the mid body of the stomach. The side port is probably just distal to the esophagogastric junction. There is some increased opacification at the bases with poor definition of the hemidiaphragms, especially on the left. This is consistent with volume loss in the lower lungs and pleural effusion. There is indistinctness of engorged pulmonary vessels, consistent with some elevation of pulmonary venous pressure. The endotracheal tube and right ij catheter remain in good position.
ng tube position.
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Pa and lateral views of the chest provided. Overall, no significant change is seen with severe emphysema again noted. There has been prior resection of the left upper lobe which accounts for the left apical cap and the slight upward retraction of the left hilum. A subtle nodular opacity is seen projecting over the left mid to upper lung which measures approximately <num> mm, and is better characterized on the prior ct chest dated <unk>. No superimposed pneumonia, effusion or pneumothorax. Cardiomediastinal silhouette is stable. Bony structures are intact.
<unk>m with hypoxia // r/o acute process