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Right-sided internal jugular central venous catheter terminates in the low svc without evidence of pneumothorax. Patchy left base opacity is worrisome for pneumonia. Medial right base opacity is felt to more likely due to overlap of vascular structures or atelectasis. No large pleural effusion is seen. Cardiac and mediastinal silhouettes are unremarkable. There is mild central pulmonary vascular engorgement.
history: <unk>m with pneumonia, large volume resuscitation // evaluate for pulmonary edema
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Following removal of right-sided chest tube, there is no definite pneumothorax, unchanged position of central venous catheter and interval removal of mediastinal drains. Cardiomediastinal contours are stable in appearance. Improving bibasilar atelectasis and persistent small left pleural effusion. Unusual configuration of right hemidiaphragm is without change and may reflect diaphragmatic eventration or morgagni hernia.
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Frontal and lateral views of the chest. Left chest wall dual-lead pacing device again seen with lead tips in the right atrium and right ventricular apex. The lungs are clear without consolidation, effusion, or edema. Cardiomediastinal silhouette is stable. Hypertrophic changes again noted in the spine.
<unk>-year-old female with cough and fever.
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Cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. There is no focal lung consolidation.
<unk> year old man lives in shelters, uncontrolled diabetes. chest x-ray to assess for tb // tb rule out
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The cardiomediastinal contours are within normal limits. Lungs and pleural surfaces are clear, and no acute skeletal abnormalities are detected.
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In comparison with the earlier study of this date, there has been placement of an endotracheal tube with its tip approximately <num> cm above the carina. Continued low lung volumes with the pulmonary vascular congestion appearing less prominent. Bibasilar atelectasis with probable small left effusion.
respiratory distress, now with intubation.
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Pa and lateral chest radiograph demonstrates hyperinflated lungs and flattening of the diaphragms. The heart is enlarged. There is no evidence to suggest pulmonary edema. There is no pleural effusion. No focal opacity convincing for pneumonia is identified. Note is made of a severe compression deformity at the l<num> level with vertebroplasty changes.
<unk>-year-old female with weakness.
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There is a persistent subpulmonic right pleural effusion with a predominantly posterior loculation that is unchanged since <unk>. The right pigtail drainage catheter lies anterior and lateral to the posterior loculation. The larger, right thoracostomy tube reaches the midline, also in anterior to the posterior loculation. Another pigtail catheter situated in the left hemithorax has fully drained the effusion on that side. Heart size is normal. The probable hematoma at the thoracic inlet still deviates the trachea substantially to the left and narrows the lumen by approximately <unk>.
<unk>-year-old man with stage <num>b esophageal cancer who has completed chemoradiation,s/p laparoscopic esophagogastrectomy; evaluate for interval change.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The chest is hyperinflated. There is no pleural effusion or pneumothorax. No focal opacity is visualized. The bones are probably demineralized.
recent aspiration.
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Lung volumes are unchanged compared to the prior study. The trachea is central. The heart remains enlarged. There is persistent enlargement of the bilateral hila and upper lobe pulmonary vasculature, in addition there is perihilar airspace opacity consistent with pulmonary edema. This is slightly more prominent than on the prior study. Left lower lobe atelectasis. No definite pleural effusion seen. No pneumothorax seen.
<unk> year old woman with h/o copd, chf, ?cough acute hypoxic respiratory failure on bipap // reeval for acute pulm process
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Low lung volumes and mild elevation of the right hemidiaphragm persist. The very inferior right costophrenic angle is not fully included on the image. There is right basilar atelectasis. Right mid lung scarring/chronic change again seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. No overt pulmonary edema is seen.
history: <unk>m with dizzy and weak // acute process?
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Frontal and lateral views of the chest demonstrate normal lung volumes. There is no focal consolidation, pleural effusion or pneumothorax. The hilar and mediastinal silhouettes are unremarkable. The heart size is normal. There is no pulmonary edema. Partially imaged upper abdomen is unremarkable.
persistent cough.
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Single frontal view of the chest was obtained. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top normal, likely accentuated by ap technique. Mediastinal contours are unremarkable. No pulmonary edema is seen.
new onset third-degree heart block.
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Right-sided port-a-cath terminates in the low svc without evidence of pneumothorax.no definite focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>m with pancreatic cancer and fever // ?pna
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Frontal and lateral views of the chest were obtained. Again, there is opacification of the right base posteriorly and laterally consistent with pleural thickening seen on previous ct. Opacity is slightly less prominent on the current study as compared to the prior. There is persistent blunting of the right costophrenic angle, again possibly due to combination of pleural thickening and a small pleural effusion. No new focal consolidation is seen. There is no evidence of pneumothorax. The cardiac and mediastinal silhouettes are unremarkable. Degenerative changes are seen on spine.
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Lung volumes are low which limits the evaluation. There is no focal consolidation, pleural effusion, or pneumothorax. There is crowding of the pulmonary vasculature but no signs of pulmonary edema. A right chest wall port with catheter tip in the right atrium is new since the prior study. The cardiomediastinal silhouette is unremarkable. Bones are intact.
<unk>-year-old man with catatonic schizoaffective disorder, no respiratory symptoms or wbc. any signs of pneumonia?
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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.
<unk> year old man with chest pain. evaluate for acute process.
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Extensive reticulation and small pulmonary nodules, most profuse at the lung bases, have progressed since <unk>. There is no consolidation, large lung mass, appreciable pleural effusion or findings of central adenopathy. The cardiomediastinal silhouette is normal. A right port-a-cath ends in the right atrium just beyond the superior atriocaval junction.
colon cancer, cough, and dyspnea.
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with cough, sob // eval for pna
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No focal consolidation, pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal. Mediastinal and hilar contours are unremarkable.
dizziness.
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A bedside ap radiograph of the chest demonstrates minimal enlargement in the moderate right pleural effusion. The moderate left pleural effusion appears stable, with some improvement in left lower lobe atelectasis as evidenced by increased translucency through the heart. There is no pneumothorax and the lungs are otherwise clear. The pulmonary vascularity is normal and there is no edema. Atherosclerotic calcifications in the aortic arch are again noted. The implanted pacemaker and its leads are unchanged and appropriately positioned.
increasing shortness of breath in a patient with known pleural effusions and history of lymphoma.
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Cardiomediastinal contours are normal. No focal areas of consolidation are present to suggest the presence of pneumonia.
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Chest pa and lateral radiograph demonstrates unremarkable mediastinal, hilar, and cardiac contours. Lungs are clear. No pleural effusion, pneumothorax, or pneumomediastinum evident.
subglottic stenosis status post dilatation.
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In comparison with study of <unk>, there has been substantial decrease in the bilateral opacifications. This most likely reflects some clearing of asymmetric pulmonary edema, though supervening pneumonia could not be excluded in the appropriate clinical setting. Endotracheal tube and nasogastric tube have been removed.
pneumonia versus congestive failure.
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. There is no free intraperitoneal air.
<unk>m with epigastric pain, vomiting // evaluate for pneumonia, acs
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Heart size is normal with tortuosity of the thoracic aorta. Hilar contours are mildly prominent. A left-sided port-a-cath terminates in the cavoatrial junction. There are diffuse reticular pulmonary opacities which correspond to findings on prior chest ct. There is a spiculated mass in the right lung field measuring approximately <num> cm corresponding to previous lesion seen on ct but appears to have enlarged. There is no pleural effusion or pneumothorax.
hypoxia.
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Removal of right internal jugular vascular catheter with no visible pneumothorax. Stable widening of cardiomediastinal contours. Persistent pulmonary vascular congestion and mild pulmonary edema. Unchanged left retrocardiac opacity, likely a combination of pleural effusion and atelectasis.
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As compared to the previous radiograph, the position of the right-sided chest tube and the left port-a-cath are unchanged. There is no evidence of right pneumothorax. The pigtail catheter is in constant position. The appearance of the lung parenchyma is unchanged. No pleural effusion on the right. On the left, a linear atelectasis is seen at the left lung base. Borderline size of the cardiac silhouette. No pulmonary edema.
chest tube placement. rule out pneumothorax.
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Right chest wall pacer lead projects over the left ventricle. Again seen, is moderate bilateral interstitial and airspace opacities most pronounced at the lung bases. A right upper lobe opacity is also present and likely represents a combination of atelectasis and pleural fluid. There is no pneumothorax. There are bibasilar pleural effusions. Enlarged cardiac silhouette is unchanged. Dense retrocardiac atelectasis is also present.
<unk> year old man with pulmonary edema now with elevated lactate, interval change.
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As compared to <unk> chest radiograph, a left chest tube has apparently been repositioned, with side-port now external to the pleural space. Bilateral moderate size pneumothoraces are unchanged. Cardiomediastinal contours are stable. Bibasilar atelectasis has improved on the left and worsened on the right. Small pleural effusions are present bilaterally.
<unk> year old woman s/p cabg with bilateral ct for chyle leak // eval pneumo
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Cardiac silhouette is mildly enlarged. Mild pulmonary vascular congestion is present without frank interstitial or alveolar edema. Patchy and linear opacity in left retrocardiac region favors atelectasis, but aspiration and early focus of pneumonia could produce a similar radiographic appearance. Followup radiographs may be helpful in this regard.
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A right chest wall port-a-cath terminates in the lower svc. Left-sided pacemaker with single lead is seen in the right ventricle. Hepatobiliary stents are seen below the diaphragm. As compared to prior chest radiograph from <unk>, there has been interval placement of a right-sided chest tube which enters the right lateral chest wall and terminates in the right apical region. There is evidence of a small hydropneumothorax on the right with interval decrease of right-sided pleural effusion. There is some bronchovascular crowding and atelectasis at the left lower lobe. Surgical sutures are seen in the left lower lobe. The heart and mediastinal contours are within normal limits.
<unk>-year-old male patient with recent chest tube insertion.
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As compared to the previous radiograph, there is no relevant change. The right-sided picc line and the esophageal stent are in unchanged position. Appearance of the lung parenchyma is constant, with known apical scars, left more than right. Very subtle basal parenchymal changes documented on the ct examination from <unk> and likely reflecting the sequela of chronic aspiration are not clearly seen on the chest x-ray.
esophageal carcinoma, recurrent fever spikes, evaluation for pneumonia.
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In comparison with the study of <unk>, there are continued low lung volumes with the monitoring and support devices remaining in place. Obscuration of the left hemidiaphragm is consistent with volume loss in the left lower lobe. There may be small bilateral pleural effusions. The previous area of nonatelectatic lung at the left base shows some evidence of reexpansion pulmonary edema. Atelectatic changes persist at the right base.
respiratory distress with left lower lobe collapse.
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. No free intraperitoneal air identified.
<unk>f with epigastric pain // eval for pna
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Pleural catheters remain in place in the lower right hemithorax. Moderate right apical and loculated right basilar hydropneumothorax components appear unchanged allowing for differences in patient positioning between the studies. Overall, the appearance of the chest is not appreciably changed allowing for positional differences.
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The cardiac silhouette size appears mildly enlarged but similar compared to the prior study. Mediastinal and hilar contours are unchanged. Mild to moderate pulmonary edema and small right pleural effusion are identified, new in the interval. Patchy atelectasis is also seen in the lung bases. No pneumothorax is present. There are no acute osseous abnormalities.
history: <unk>f with recent nstemi, presents with fatigue, chest pain, elevated bnp
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As compared to the previous radiograph, there is a new moderate left-sided pleural effusion, with substantial atelectasis in the left lower lobe. On the right, no pleural effusion is seen. The pre-existing likely subpulmonic pleural effusion is completely resolved. No evidence of pulmonary edema or pneumonia. No pneumothorax. Normal size of the cardiac silhouette.
cirrhosis, history of effusion, evaluation.
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The lungs are clear without consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. There is no free intraperitoneal air.
<unk>m with n/v, hypergycemia // eval for infiltrate
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The lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen.
<unk>f with chest pain // r/o pna
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The patient is status post median sternotomy. Heart size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Lung volumes are low. Mild atelectasis is noted at the lung bases, with no focal consolidation. No pleural effusion or pneumothorax is present. There is no focal consolidation. There are no concerning osseous abnormalities.
history: <unk>f with myasthenia presents with shortness of breath
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Frontal and lateral views of the chest were obtained. The heart is of normal size with normal cardiomediastinal silhouette. The lungs are clear without any focal opacities, pleural effusions or pneumothoraces.
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Heart size is top normal. The mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Patchy opacity in the left lower lobe most likely reflects atelectasis. A small left pleural effusion is likely present. The right lung is clear. No pneumothorax is identified. Remote left third anterior rib fracture is identified, but no acutely displaced fractures are otherwise seen.
left lateral chest wall pain after fall.
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The lungs are well expanded and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces pleural surfaces are normal. There is no pleural effusion or pneumothorax.
chest pain. evaluate for pneumonia.
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Lung volumes are low. Heart size is normal. Mediastinal and hilar contours are unremarkable. There is no pulmonary vascular congestion. Patchy bibasilar airspace opacities are most likely reflective of atelectasis. There is no pleural effusion or pneumothorax. No displaced fractures are identified.
pain in the chest after bike crash.
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The lungs are clear. There is no focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with r lower chest pain // ?consolidation
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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. Slight subpleural scarring is noted at each lung apex. Otherwise, the lungs appear clear. Aside from mild-to-moderate rightward convex curvature centered along the mid thoracic spine, bony structures are unremarkable.
pleuritic chest pain.
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As compared to the previous radiograph, no relevant change is seen. Moderate cardiomegaly with tortuosity of the thoracic aorta. No pleural effusions. No focal parenchymal opacity suggesting pneumonia. The hilar and mediastinal structures are unremarkable.
evaluation for intrathoracic pathology.
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The patient remains intubated. An orogastric tube courses into the stomach, its inferior extent not imaged. The cardiac, mediastinal and hilar contours appears stable. Lung volumes are low. There is no pleural effusion or pneumothorax. What is new is extensive opacification of the right upper lung worrisome for aspiration or pneumonia.
left middle cerebral artery thrombectomy.
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As compared to the previous radiograph, there is a minimal increase in severity of the parenchymal opacities on the left. The right parenchymal opacities are unchanged. Unchanged moderate cardiomegaly without pleural effusions but at low lung volumes. Severe tortuosity of the thoracic aorta.
wegener's disease, worsening hypoxia, evaluation.
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As compared to the previous image, no relevant change is seen. Normal size of the cardiac silhouette. Unchanged appearance of the mediastinum. Moderate tortuosity of the thoracic aorta. No pleural effusions, no pneumonia, no pulmonary edema. No lung nodules suspicious for metastatic disease.
melanoma, rule out metastatic disease.
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A large right pleural effusion is similar to <unk>, allowing for difference in modality. There is adjacent compressive atelectasis and leftward shift of the normally midline mediastinal structures. Retrocardiac opacity may represent atelectasis or consolidation. No pneumothorax. No radiopaque foreign body.
shortness of breath for one week and nonproductive cough.
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Right-sided pleurx catheter in similar position. No pneumothorax. Linear opacity projecting to the right apex is the major fissure pulled superiorly as demonstrated on ct. Parenchymal opacities and innumerable nodules have not significantly changed. Moderate left small right pleural effusion are again noted.
<unk> year old woman with pleural effusion // eval
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Frontal and lateral views of the chest demonstrate low lung volumes, similar as compared to prior exam in <unk>. Allowing for such, the cardiomediastinal silhouette is unremarkable. The lungs are clear. There is no pneumothorax, vascular congestion, or pleural effusion. There is anterior bridging osteophytosis in the lower thoracic spine. No wedge deformity is noted.
<unk>-year-old male with chest pain. question acute process.
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Interval worsening of the mild interstitial edema and pulmonary vascular engorgement. Multiple deformed rib fractures are seen on the right. The cardiopericardial silhouette is compare above. No pneumothorax.
<unk> year old man s/p mvc w/ multiple rib fxs bilterally, pulmonary contusion // interval change
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Left picc line tip is either in the upper svc or possibly in the azygos vein. Lateral radiograph may be helpful. Tracheostomy. Enteric tube tip is well below diaphragm, not included on the radiograph. Very shallow inspiration. Stable cardiopulmonary findings, aside for mildly worsened left basilar atelectasis. Mildly distended loop of bowel left upper quadrant, likely splenic flexure of the colon.
<unk> year old woman with picc that is no longer drawing back // confirm placement of picc
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Pa and lateral views of the chest demonstrates the lungs are well expanded and clear. There is a dual lead pacemaker device with leads terminating in the right atrium and right ventricle, as before. Additionally, a port-a-cath is in place projecting over the right chest, terminating in the mid to lower svc, as before. There is no evidence of pneumothorax. Left apical pleural thickening is again seen, previously described is postradiation fibrosis. The breast shadows are asymmetrical, in keeping with left breast prosthesis. The cardiomediastinal silhouette is unremarkable and no focal pneumonia is present. There is no pleural effusion.
shortness of breath on exertion.
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Right chest wall port is again noted. There is minimal residual right basilar atelectasis. The lungs are otherwise clear despite low lung volumes. The cardiomediastinal silhouette is stable. Old healed left eighth rib fracture is noted.
<unk>m with weakness, ams // infiltrate
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In comparison with the study of <unk>, there is little change and no evidence of acute cardiopulmonary disease. Specifically, no pneumonia, vascular congestion, or pleural effusion.
hemoptysis for two weeks.
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Heart size remains mild to moderately enlarged. The mediastinal and hilar contours are unchanged. No overt pulmonary edema is demonstrated. Patchy opacities in the lung bases likely reflect atelectasis. No focal consolidation, pleural effusion or pneumothorax is present. There are moderate degenerative changes noted in the thoracic spine. Rounded calcifications in the region of the right glenohumeral joint may reflect loose bodies.
history: <unk>f with right -sided weakness and altered mental status status post fall
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Frontal and lateral views of the chest were obtained. Subtle opacity projecting over the lateral right mid hemithorax is stable as compared to the prior study and may relate to overlapping structures. No new focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable and unremarkable, as are the hilar contours.
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Gastric pull-through in the chest. Enteric tube has been placed a which is in the stomach and extends below the diaphragm.. No other interval change.
<unk>m p/w cold leg (complete occlusion distal to l eia) now s/p l groin cutdown, thromboembolectomy, fasciatomies // tube placement
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There is a heterogeneous opacity in the right lower lobe. Cardiomediastinal and hilar contours are unchanged. Note is made of a left-sided bochdalek's hernia. Scarring is seen at the right greater than left lung apices. No pneumothorax.
history: <unk>f with sob // pna
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The cardiac, mediastinal and hilar contours appear unchanged. A pigtail drainage catheter has been placed in the lower left pleural space. The large majority of a loculated pleural effusion has been drained with a moderate residual quantity and parenchymal opacity which can probably be attributable to atelectasis, although an infectious etiology is not excluded by this study. Elsewhere, the lungs remain clear. A small pleural effusion on the right is unchanged. There is no pneumothorax.
status post pigtail placement for pleural effusion.
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Cardiac and mediastinal contours are within normal limits. Apparent enlargement of the left hilum is likely due to mild enlargement of the left lower lobe pulmonary artery due to pulmonary embolism as demonstrated on ct. Focal opacity within the left lower lobe is compatible with infarction. Streaky opacity in the right lower lobe may reflect an additional site of developing infarction or atelectasis. Small left pleural effusion is noted. No pneumothorax is identified. Mild degenerative changes are present in the thoracic spine.
history: <unk>m with pulmonary emboli and question of left pulmonary artery erosion on ct
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Lung volumes are minimally hyperinflated. There is no focal airspace opacity worrisome for pneumonia. The heart is not enlarged. The mediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. Curvilinear tubular structures appear to localize to the anterior chest wall, relating to the costochondral junctions.
persistent cough and fatigue. evaluate for worsening pneumonia.
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There has been interval removal of the left pleural and mediastinal drains. Endotracheal tube is no less than <num> cm from the carina. Swan-ganz catheter tip is seen within the proximal right pulmonary artery. An enteric tube is seen within the stomach. Sternotomy wires are intact. There is a hazy opacity within the right lower lobe, likely a pleural effusion which is either stable or improved. There is obscuration of the left lower lobe, which could represent increased effusion and/or atelectasis. There is increased pulmonary and mediastinal vasculature congestion. There is no pneumothorax.
<unk>-year-old female patient status post cabg and chest tube removal. study requested for evaluation of pneumothorax.
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Multiple diffuse rounded opacities, many of which were previously identified on chest ct from <unk>, are present and are consistent with known metastatic pulmonary nodules. Some nodules identified on prior chest ct examination are difficult to appreciate on today's film. Overall, size of the right perihilar and upper lobe lesions are not essentially changed. The mediastinal and hilar contours are stable. A right port-a-cath catheter terminates in the low svc. There is no definite pneumothorax or pleural effusions.
<unk>-year-old man status post endobronchial biopsies. study requested for evaluation of pneumothorax.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax. Surgical clips projecting over the left upper quadrant are again seen.
<unk> year old woman with recently diagnosed and treated breast cancer, now with productive cough, low energy // pneumonia?
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As compared to the previous radiograph, the patient has received a left pectoral pacemaker. The pacemaker wires project over the right atrium and right ventricle, respectively. There is no evidence of pneumothorax. The leads are intact. No pleural effusions. No pulmonary edema. Normal size of the cardiac silhouette.
new pacemaker placement, rule out pneumothorax.
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The lungs are relatively hyperinflated but clear without consolidation, effusion, or edema. Moderate cardiac enlargement is noted compatible with patient's history. No acute osseous abnormalities.
<unk>-year-old male with chest pain, weakness. history of cardiomyopathy.
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Pa and lateral views of the chest provided. Port-a-cath remains implanted in the right chest wall with catheter extending to the region of the mid svc. Nipple shadows are noted bilaterally. The lungs are clear without evidence of pneumonia or chf. Hyperinflation of the lungs suggests underlying copd. The heart and mediastinal contours are stable. The bony structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with cough x <num> days, evaluate for pneumonia.
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The lungs are clear. The heart and mediastinal structures are unremarkable in appearance. The bony thorax is grossly intact. There is no significant interval change.
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Portable frontal radiograph of the chest demonstrates mildly hyperinflated lungs with flattened diaphragms, indicative of chronic lung disease. There is a nodular area of opacity at the right lateral lung field, which corresponds to the nodule better seen on the prior ct. No pneumothorax is appreciated. Illdefined opacity in the right lower lobe may correspond to post procedural hemorrhage. The cardiac and hilar contours are normal. Aortic and carotid calcifications are seen. The lungs are otherwise clear. No pleural effusion is detected.
status post right transbronchial biopsy of nodule. evaluate for pneumothorax.
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There is a left pectoral pacemaker identified with two intact leads terminating within the right atrium and right ventricle, respectively. Streaky left basilar, retrocardiac opacities are new from <unk>. There may be a small left pleural effusion. Lungs are hyperinflated, but otherwise clear. Aside from atherosclerotic calcification in the aortic knob, cardiomediastinal silhouette is normal. Transvenous right atrial ventricular pacer leads are in standard placements. There are no findings of cardiac decompensation.
history: <unk>f with chest pain // infiltrate?
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Heart size is normal. Hilar contours are unremarkable. There are widespread left greater than right opacities compatible with pulmonary edema which is exaggerated by extremely low lung volumes and concurrent left lung base atelectasis. There is no effusion or pneumothorax. Endotracheal tube is in place, <num> cm cranial to the carina in standard position. A right internal jugular approach central venous catheter terminates at the distal svc. An upper enteric tube is in place in the distal stomach out of view of imaging.
status post arrest with intubation. evaluate placement.
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Ap upright and lateral views of the chest provided. Lung volumes are low. There is hilar congestion without frank pulmonary edema. The heart is moderately enlarged. No large pleural effusion is seen. No pneumothorax. No convincing evidence for pneumonia. Mediastinal contour is stable. Bony structures are intact. No free air below the right hemidiaphragm.
<unk>f with fever and dyspnea.
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Compared to the prior study. The heart is slightly larger in the aorta is more tortuous. There is plate like atelectasis in the left lower lung. There is no definite infiltrate. There is a small left effusion.
<unk> s/p laminectomy now febrile // ? consolidation
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No previous images. The heart is normal in size and lungs are clear without vascular congestion or pleural effusion.
elevated white count, to assess for pneumonia.
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The heart size is normal. The hilar and mediastinal contours are normal. The lungs are clear without evidence of focal consolidations concerning for pneumonia. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.
history of fever. please evaluate for pneumonia.
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Lung volumes are relatively low with secondary bibasilar atelectasis. Superiorly, lungs are clear. The cardiomediastinal silhouette is stable. No acute osseous abnormalities.
<unk>m w/ diplopia, eval for cardiopulm change
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Dual lead left-sided pacer device is again seen unchanged in position, with the tip in the expected positions of the right atrium and right ventricle. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. There is no overt pulmonary edema.
palpitations.
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The et tube is present in standard position. An enteric tube is present with tip in the upper stomach and side holes at the ge junction. A left axillary dual lead pacemaker is noted with tips terminating in the right atrium and right ventricle. A <num> cm metallic foreign object with two linear components and two curvilinear components projects in the left mid lung just beneath the left mainstem bronchus. The lateral scout view from the outside hospital ct abdomen pelvis shows this object in an unexpected orientation for the left lower lobe bronchus. This object is definitely iatrogenic and suspected to be cardiac related. The heart size is top normal. The mediastinal and hilar contours are unremarkable. There is no pneumothorax. There is a layering moderate right pleural effusion. The lungs are well-expanded. Pulmonary edema is mild. There is no focal consolidation concerning for pneumonia.
<unk>f intubated.
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Single portable frontal chest radiograph demonstrates normal heart size. Unchanged blunting of the costophrenic angles bilaterally consistent with bilateral moderate pleural effusions with bilateral lower lung opacities likely a combination of atelectasis and pulmonary edema. Pneumonia cannot be excluded. Unchanged mediastinal and hilar contours. Stable degenerative changes of left shoulder. No pneumothorax. Interval removal of dobbhoff tube.
hypoxia, rule out pneumonia or chf.
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In comparison with study of <unk>, allowing for the portable supine technique and low lung volumes, there may be little change. Again there is an enlargement of the cardiac silhouette with tortuosity of the aorta. Pulmonary vascularity is essentially within normal limits. Atelectatic changes are seen at both bases and there may be small pleural effusions.
chf.
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Heart size is normal. Mediastinal and hilar contours are within normal limits. Pulmonary vasculature is not engorged. Minimal atelectasis is noted in the right lung base. Remainder of the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. No acute osseous abnormalities seen. Fiducial marker is noted within the region of the liver dome.
history: <unk>m with right chest pain
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Exam is limited secondary to overlying trauma board. A right apical opacity is seen compatible with known contusions seen on subsequent ct. Trace right pneumothorax is not identified. There are multiple right-sided rib fractures also better characterized on ct scan. Left-sided rib fractures are better seen as subacute on ct scan. The cardiomediastinal silhouette is within normal limits for technique.
trauma, fall.
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Mild cardiomegaly is stable. Mediastinal and hilar contours are unchanged with a prominent left hilar density corresponding with minimally enlarged left pulmonary artery (with preservation of normal diameter centrally), better evident on cta performed <unk>. Lungs are clear. Moderate peribronchial cuffing identified consistent with reported history of asthma and upper respiratory infection. No focal pulmonary opacification identified. Multilevel degenerative change detected.
significant asthma with influenza and pneumonia per imaging at outside hospital. please assess for resolution. the patient is wheezing currently, but no fever or productive cough.
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There are moderate bilateral pleural effusions that have increased somewhat compared to the study from a week ago. There is hazy alveolar infiltrate right greater than left. The right-sided large bore central line is unchanged. There compressive changes at the bases.
<unk> year old man with bmt // fluid status
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Lung volumes are slightly low. Linear opacity at the left base is unchanged since <unk> and may reflect scarring. There is no evidence of pneumonia. The cardiomediastinal silhouette and hilar contours are normal. There is no pleural effusion or pneumothorax. There are surgical drains in the right upper quadrant.
<unk> year old man with complex hx related to acute pancreatitis now with fever and cough.
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The lung volumes are normal. There is no evidence of pleural effusions. No focal or diffuse lung parenchymal abnormalities. In particular, no atelectatic changes or nodules are seen. Normal size of the cardiac silhouette. Normal appearance of the hilar and mediastinal structures.
renal cell carcinoma, six weeks of cough, dyspnea on exertion, evaluation.
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The lungs are clear; the previous pulmonary edema has resolved. There is no evidence of pneumonia, pneumothorax, or pleural effusion. Cardiac silhouette is normal in size.
<unk> year old woman with morgagni hernia, s/p lap diaphragmatic repair // eval for post-op changes
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The endotracheal tube, left pectoral infuse-a-port, and ng tube are unchanged in position. Extensive bilateral airspace opacities are similar in extent to the most recent radiographs. Chronic right middle lobe atelectasis is unchanged. There is no pneumothorax. Small bilateral pleural effusions are unchanged.
<unk> year old woman with air emboli post-port placement // ? interval improvement in pulmonary edema
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There are streaky bibasilar opacities, right greater than left. Superiorly, the lungs are clear. There is no effusion or edema. Cardiac silhouette is slightly enlarged and there is tortuosity of the thoracic aorta. No acute osseous abnormalities.
<unk>m with <unk>, referred to ed by pcp for concern for chf // ?chf
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The lungs are well expanded and clear. There is indistinctness of the right paratracheal stripe. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
<unk>-year-old male with alcohol intoxication, coughing with scattered rhonchi. evaluate for aspiration or an infiltrate.
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An enteric tube is in-situ, the tip is in the stomach. A left-sided jj stent is incompletely visualized. A right-sided port-a-cath terminates in the right atrium. No consolidation, pneumothorax or pleural effusion seen. Left basilar atelectasis.
<unk> year old woman with sbo s/p new ngt placement // please assess for ng placement
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The lung volumes are low. A retrocardiac opacity is present, and likely atelectasis. No other focal airspace opacities are identified. There vascular engorgement and mild pulmonary edema. There are small bilateral pleural effusions. There is no pneumothorax. The mediastinal contours are normal. The heart is mildly enlarged.
respiratory distress. evaluate for an acute process.
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Left picc terminates in the low svc. Right ij catheter terminates in the mid svc. Bilateral mid and lower lung parenchymal opacities have progressed, representing multifocal pneumonia. Superimposed pulmonary edema cannot be excluded. Upper lung zones are relatively spared. Stable appearance of the cardiomediastinal silhouette. No large pleural effusions. No pneumothorax.
<unk> y/o m with a h/o tobacco and etoh use, chronic pancreatitis c/b pseudocyst <unk>, c. diff colitis, and uc, who originally presented for n/v/d and abdominal pain, c-diff positive, course complicated by hypoxic respiratory failure <unk> pna, nstemi, anuria <unk> atn from contrast and diuresis, hemolytic anemia and thrombocytopenia of unclear etiology, and odynophagia. called out to the floor <unk>, after icu stay which began with admission on <unk>. his overall clinical picture remains quite difficult to piece together. // assess for hypoxia
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>f with cough, uri
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In comparison with the study of <unk>, there is continued enlargement of the cardiac silhouette without appreciable vascular congestion. The discordancy raises the possibility of cardiomyopathy. No acute focal pneumonia.
cough, to assess for pneumonia.