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As compared to the previous radiograph, there is no relevant change. Low lung volumes. Patient rotation. Atelectasis in the retrocardiac lung areas. Normal size of the cardiac silhouette. No pneumonia, no pulmonary edema.
als, evaluation for pneumonia or aspiration.
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Cardiac, mediastinal and hilar contours are within normal limits. New consolidative opacities seen within the right lower lobe concerning for pneumonia. Left lung is clear. No pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities.
history: <unk>f with cough, hemoptysis
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Compared to the prior study there is a slight increase in the alveolar edema with ill-defined vascularity bilaterally and more consolidated areas of infiltrate in the lower lungs. There bilateral pleural effusions. .
<unk> year old man with iph who is now in the ticu for resp distress and <unk> // eval for pulmonary edema
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There is no radiographic evidence for focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. Heart and mediastinal contours are within normal limits.
<unk> year old female with <num> weeks of cough.
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A right-sided picc terminates in the low svc and is in appropriate position. Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. There is very minimal, linear atelectasis at the left base, improved from the prior study. No pleural effusion or pneumothorax is seen.
<unk> year old woman admitted from home with right sided picc line, please evaluate for placement // please varify line appropriately placed
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The heart size is top-normal, but stable. The lungs are clear and well inflated. There is no consolidation or pleural effusion. No pneumothorax. Osseous structures are intact.
history: <unk>m with chest/shoulder pain // eval for consolidation, pulmonary edema
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Pigtail right pleural catheter remains in place, with persistent loculated pleural fluid at the right apex, but no visible pneumothorax. Right juxtahilar mass is again demonstrated with associated bronchial narrowing and post-obstructive atelectasis involving the right middle and right upper lobes. Associated central hilar and mediastinal lymphadenopathy are noted and have been more fully characterized on recent cta of the chest.
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Well inflated lungs are clear. There are no pleural effusions or pneumothorax. The cardiomediastinal and hilar contours are normal. Pulmonary vascularity is normal. There is prominent gaseous distention of the stomach. Partially evaluated is an anterior cervical fusion.
<unk>-year-old female with cough. evaluate for atypical pneumonia. pa and lateral chest radiographs
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In comparison with the study of <unk>, the monitoring and support devices are unchanged, except for removal of the nasogastric tube. Cardiac silhouette remains within normal limits. No vascular congestion is appreciated. The opacification at the right base has essentially cleared.
epiglottitis with secretions, to assess for volume overload and infection.
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The cardiomediastinal and hilar contours are within normal limits. The lung fields are clear. The lungs are mildly hyperinflated. There are tiny bilateral pleural effusions. There is no pneumothorax, fracture or dislocation. Limited assessment of the abdomen is unremarkable.
history: <unk>f with chest pain // pneumonia? pneumothorax?
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There has been continued clearing of the acute diffuse abnormal opacification present for the last several weeks overlying a background of fibrosis of severe interstitial lung disease. There has been interval removal of left internal jugular central venous catheter. Tracheostomy tube appears unchanged.
<unk> year old man with respiratory failure s/p trach/peg, now w/ fever // infiltrate
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In comparison with the study of <unk>, there is increasing opacification at the left base consistent with some combination of pleural effusion and volume loss in the left lower lobe. Otherwise, the monitoring and support devices remain in place and the right lung is clear. There are lower lung volumes than on the previous study.
cabg.
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A right upper extremity picc line is unchanged in position, with its tip in the mid svc. The lung volumes are slightly decreased compared with prior, accentuating the pulmonary vasculature. There is no pleural effusion or pneumothorax. The cardiac silhouette and mediastinal contours are normal.
<unk>-year-old male status post c<num>-<num> fusion with fever, rule out pneumonia.
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Frontal and lateral chest radiographs demonstrate the right chest wall port which terminates in the right atrium. The lungs are well-aerated, without focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable.
evaluate for pneumonia in a patient with elevated temperature.
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The heart is mildly enlarged. Aortic knob is calcified. The pulmonary vascularity is not engorged. Streaky bibasilar airspace opacities likely reflect atelectasis. No pleural effusion or pneumothorax is seen. There are multilevel degenerative changes in the thoracic spine. No displaced fractures are evident.
mid back pain and possible fall. patient confused with poor recall.
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Single semi-erect ap portable view of the chest was obtained. Underlying soft tissues cause some underpenetration. Given this, there appears to be moderate pulmonary vascular congestion/edema. The cardiomediastinal silhouette is enlarged. Slight blunting of the left costophrenic angle is most likely due to overlying soft tissue, although very trace pleural effusion cannot be excluded. No right pleural effusion is seen. There is no pneumothorax. No focal consolidation is seen.
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A left-sided subcutaneous aicd is noted, new in the interval, with lead projecting over the mediastinum, just to the left of midline. Heart size is top normal. Mediastinal and hilar contours are within normal limits. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. No acute osseus abnormalities are present.
history: <unk>m with chf, icd placement presents with chest pain // evaluation for cardiopulmonary process for chest pain
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Frontal and lateral chest radiograph demonstrates interval removal of right-sided chest tube with resultant small apical pneumothorax. There is no evidence of tension. There is a persistent large left pleural effusion with bibasilar opacities which appears improved on the left and slightly worse on the right. This opacification is most likely atelectasis although the differential diagnosis includes aspiration and pneumonia. A right subclavian line terminates at the level of the mid to low svc. Cardiomediastinal silhouette remains stable.
<unk>-year-old female status post esophagectomy now status post chest tube removal.
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Mild cardiomegaly is unchanged. There is new mild pulmonary edema, evidenced by peribronchial cuffing and increased interstitial lung markings. No new focal consolidation, pleural effusion, or pneumothorax. Lung volumes are slightly lower. Enteric tube courses below the left hemidiaphragm and out of view.
<unk> year old man with alcoholic hepatitis, <unk>, hfref, now with worsening cough. evaluate for infection or volume overload.
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The lungs are well-expanded and clear. No focal consolidation, effusion, edema, or pneumothorax. The heart size is normal. The mediastinum is not widened. There is mild dextroconvex scoliosis of the thoracic spine, unchanged. No acute osseous abnormality.
history: <unk>m with chest pain // please eval for any infiltrates
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The cardiomediastinal and hilar contours are within normal limits. The lung fields are clear. There is no pneumothorax, fracture or dislocation. Limited assessment of the abdomen is unremarkable.
<unk> year old man with stage iib (pt<num>n<num>m<num>s<num>) non-seminomatous germ cell tumor s/p r orchiectomy <unk> w/ enlarging rp mass biopsied to be embryonal carcinoma now s/p ep x<num> cycles. // surveillance
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Diffusely increased interstitial markings are unchanged. No focal consolidation, pleural effusion or pneumothorax identified. The size of the cardiomediastinal silhouette is within normal limits. Calcification of the aortic arch is noted. There are marked degenerative changes of both the glenohumeral and acromioclavicular joints.
<unk> year old woman with r hip infection to or tomorrow // pre-op surg: <unk> (r hip revision arthroplasty/girdlestone)
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Right hemodialysis catheter ends in the right atrium. Left internal jugular central venous line ends at the brachiocephalic junction. An enteric tube ends off the imaged portion of the screen. There are diffuse bilateral pulmonary opacities which have slightly progressed. Cardiac silhouette is not well assessed. No evidence of pneumothorax.
increased oxygen demand over <num> hours, evaluate for change.
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Ap upright and lateral views of the chest are provided. There is mild left basilar atelectasis. There is no focal consolidation to suggest the presence of pneumonia. No pleural effusion or pneumothorax. Cardiomediastinal silhouette appears normal. Bony structures are intact.
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<num> views were obtained of the chest. On the lateral view, a small region of new consolidation in the right middle lobe and/or lingula augments the anterior opacity of the right juxtacardiac mediastinal fat collection. Localization of possible pneumonia might be possible with oblique views. There is no pleural effusion or pneumothorax. The heart is normal in size with normal cardiomediastinal contours.
chest pain, assess for pneumonia.
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In comparison with the study of <unk>, the nasogastric tube has been removed. Right subclavian catheter tip is in the mid-to-lower portion of the svc. Dual- channel pacer device remains in place. There is again substantial enlargement of the cardiac silhouette with evidence of pulmonary edema. Possibility of supervening pneumonia would have to be considered in the appropriate clinical setting.
cirrhosis with duodenal perforation and worsening pulmonary edema.
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There is an endotracheal tube, nasogastric tube, right ij central line, and left-sided aicd, which are unchanged in position and appropriately sited. There is a persistent left retrocardiac opacity. There is a left-sided pleural effusion. The right lung appears well aerated. There are no pneumothoraces.
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There is small bilateral pleural effusions, left larger than right. The opacification at the left lung base is possibly pneumonia in correct clinical setting. Compared to the prior radiograph from <unk>, left lung base opacification and pleural effusion is increased. There is no pneumothorax. Cardiomediastinal and hilar silhouettes are normal size. Right-sided dialysis catheter terminates in the right atrium, unchanged in position.
<unk> year old man with lll pna // interval change
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There is biapical scarring. Linear bibasilar opacities are most compatible with atelectasis. The lungs are otherwise clear. Right-sided central venous catheter is no longer visualized. The cardiomediastinal silhouette is within normal limits. Surgical clips project over the mid upper abdomen.
<unk>m with sob, cough // eval for consolidation
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Pa and lateral views of the chest provided. Patient is slightly leftward rotated. 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 syncope, wbc elevation, feeling unwell
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There is no consolidation, pleural effusion, or pneumothorax. Cardiomediastinal and hilar are normal size. Mild dextroscoliosis of the thoracic spine is unchanged.
?infiltrate <unk> year old woman hx copd with cough and wheezing // ?infiltrate
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Mild elevation of the right hemidiaphragm is unchanged from previous studies. Faint linear opacities at both lung bases are suggestive of mild atelectasis, also unchanged from prior studies. There is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal silhouette is within normal limits.
<unk>m with cough and shortness breath, evaluate for consolidation.
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The lungs are well expanded clear. Mediastinal contours, hila, and cardiac silhouette are normal. No pleural effusion or pneumothorax.
<unk>f with cough // ?pneumonia
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There is a moderate-sized left pleural effusion which is increased in size from the prior exam in <unk>. There is no right pleural effusion. The lungs are clear without pulmonary edema, consolidation, or pneumothorax. A small calcified granuloma in the right mid-to-lower lung zone is unchanged from prior exams. The cardiac size is mildly enlarged, unchanged from prior exams. Mediastinal contours are normal. The aorta is tortuous with mild calcifications. Degenerative changes of the lower thoracic and upper lumbar spine are unchanged.
new atrial fibrillation and ankle swelling.
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The lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen.
history: <unk>m with shortness of breath. evaluate for heart failure or pneumonia.
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Ap portable supine view of the chest. Tracheostomy tube and picc line are unchanged in position. A vp shunt traverses the right hemi thorax. Lungs are clear. Cardiomediastinal silhouette appears normal. No acute osseous abnormalities.
<unk>f with neurosurgery, abdominal surgery, ams, ruq tenderness, mild hypoxia, s/p trach
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No focal opacity to suggest pneumonia is seen. No pleural effusion or pneumothorax is present. There is cephalization of the vasculature suggestive of mild fluid overload. There is mild to moderate cardiomegaly.
atrial fibrillation.
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Compared to the prior examination, there has been minimal interval change. There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema identified. Redemonstrated is biapical pleural thickening. The heart size is normal. Mediastinal contours are stable.
history of cll status post transplant, now with pain in the right upper quadrant with inspiration.
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Since <unk>, a left pleural effusion is smaller. The mediastinum is midline suggesting a component of collapse. The left and right lungs are otherwise clear. The heart is enlarged but partially obscured by the effusion. There is no pneumothorax.
febrile neutropenia, evaluate for acute process.
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In comparison with study of <unk>, little overall change. Monitoring and support devices remain in place. Continued opacification at the left base obscuring the hemidiaphragm and costophrenic angle, consistent with substantial volume loss in the left lower lobe and pleural effusion. No evidence of pulmonary vascular congestion.
intubation.
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Patient is status post left upper lobe wedge resection with postoperative changes noted. There has been interval removal of the right ij central line. Cardiomediastinal silhouette is unchanged. Opacity at the left lung base, not significantly changed compared to multiple prior studies, likely reflects layering pleural effusion. There is minimal pleural effusion on the right. Focal opacity at the right mid to lower lung is worsening and may reflect pneumonia. There is no pneumothorax.
<unk> year old woman with tb, new fever // interval change
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Lung volumes are low. Linear densities at the left lung base likely represent atelectasis. No pleural effusion or pneumothorax is detected. Heart size appears top normal, likely exaggerated by ap technique.
<unk>-year-old female with chest pain.
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The cardiomediastinal and hilar contours are within normal limits. Lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax.
confusion, word finding difficulty for three days. evaluate for acute process.
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There is no evidence of pneumothorax. Right sided opacities have slightly decreased, however the left-sided pleural effusion has slightly increased since <num> am of the same day and since the <unk> exam. Additional streaky opacities at bilateral lung bases are consistent with atelectasis. A picc terminates in the mid to low svc.
<unk>-year-old woman status post right thoracentesis, check for pneumothorax.
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Midline sternotomy wires are unchanged. The heart size is at the upper limits of normal. The mediastinal and hilar contours appear unremarkable. Opacity at the right lung base is compatible with components of atelectasis of the anterior-basal segment of the right lower lobe as well as a small right pleural effusion. Mild blunting of the left costophrenic angle suggests a trace amount of pleural fluid in that location. There is no pneumothorax. No displaced rib fracture is noted.
<unk>-year-old male with decreased breath sounds and clinical concern for rib fracture.
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Pa and lateral views of the chest are compared to previous exam from <unk> and ct chest from <unk>. Right apical scarring is again seen. The lungs are otherwise clear without effusion or consolidation. Cardiomediastinal silhouette is within normal limits, noting a tortuous aorta. Density projecting over the thoracic spine on the lateral view is compatible with bone island identified on prior ct scan. No free air seen below the diaphragm.
<unk>-year-old female with substernal epigastric burning pain.
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Since the prior exam, there are new bilateral ground glass opacities, consistent with increasing mild pulmonary edema. A linear opacity in the left mid lung zone is consistent with linear atelectasis, and unchanged from the prior exam. There is no new consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is enlarged, and unchanged from the prior exam.
end-stage renal disease. evaluate for pneumonia.
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A left chest wall pacemaker is present leads in the lower right atrium and right ventricle. There is no focal consolidation, pleural effusion or pneumothorax. There is mild cardiomegaly. Degenerative changes are present within the right shoulder.
<unk>f with infected pacemaker wound // r/o intrathoracic process
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Previous swan-ganz catheter has been removed. Right icd has appropriate single lead placement. New left lvad device has been placed without pneumothorax. Severe cardiomegaly continues without overt pulmonary edema. The lateral view shows a loculated posterior left mild pleural effusion and adjacent atelectasis. The lungs are otherwise clear. The mediastinal and hilar contours are normal.
<unk>-year-old woman status post lvad implant with ongoing shortness of breath and cough. please evaluate for pleural effusions and size.
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Degree of retrocardiac opacity has increased since prior and there is silhouetting of the descending thoracic aorta. Elsewhere, lungs are clear. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormality.
<unk>m with chest pain // eval for acute process
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Ap and lateral views of chest were reviewed. The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. There is no focal consolidation concerning for pneumonia.
change in mental status.
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No focal consolidation, pleural effusion or pneumothorax identified. The size the cardiomediastinal silhouette is within normal limits.
<unk> year old woman with liver transplant, mild leukocytosis // please eval for consolidation or infiltrate
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The lungs are well expanded and clear. Mediastinal contours, hila, and cardiac silhouette are normal. No pneumothorax or pleural effusion.
<unk>f with dyspnea
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As compared to the previous radiograph, there is unchanged evidence of moderate pulmonary edema and moderate cardiomegaly. A pre-existing zone of opacity along the right heart border is minimally decreased in extent and likely represents atelectasis. No larger pleural effusions are visualized. No evidence of pneumonia.
pre-existing opacity. evaluation.
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The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. A small rounded opacity is seen overlying the right hemithorax. This is most likely due to a nipple shadow or overlapping structures at the costochondral junction. The cardiomediastinal silhouette is normal.
history of pneumonia diagnosed at an outside hospital. evaluate for resolution.
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The lungs are well inflated and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax. Degenerative changes are seen throughout the thoracic spine.
<unk>f with neck pain s/p fall. evaluate for acute infectious process.
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The heart is enlarged, but similar in size to prior examinations. There is moderate to severe pulmonary edema, which is new from <unk>. There may be small layering pleural effusions. No pneumothorax.
<unk> year old woman with severe chf and as triggered with hypoxia and hypotension // fluid
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Ett in standard position. Enteric tube tip over the stomach. Unchanged position of the left central venous catheter with tip in the low svc. Right subclavian line tip projects over the upper svc, unchanged. A right ij central venous catheter has been removed in the interim. Interval progression of left lower lobe opacity is likely atelectasis and possible small pleural effusion. Interval increase in right upper mediastinal opacity without were convexity suggest right upper lobe atelectasis. No pneumothorax.
<unk> year old woman with edema/effusions // interval change
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Minimal, if any improvement compared to the prior exam. Persistent small right pleural effusion that is perhaps minimally decreased and persistent stable right lower lung atelectasis. Stable right pleural thickening. The previously noted right lower lobe opacity slightly obscuring the right hemidiaphragm, best seen on the lateral view, is slightly improved and less conspicuous today. Right lung pulmonary vascular congestion is better today. Trace left pleural effusion is best seen on the lateral view. Mild cardiomegaly is unchanged. The mediastinum and hila are unchanged. No pneumothorax or frank pulmonary edema. Calcification of the aortic knob is again noted. Surgical clips project over the right upper quadrant are unchanged. Degenerative changes in diffuse bony mineralization in the thoracic spine are also unchanged with some vertebrae demonstrating chronic appearing anterior wedge compression deformities.
<unk> year old woman s/p tracheobronchoplasty // interval change, please evaluate
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<unk> <unk>, left pleural effusion is slightly bigger and small right pleural effusion is unchanged. Right mid lung opacity seen on previous radiograph likely representing loculated pleural effusion or atelectasis has significantly resolved. The upper lungs are clear. The cardiac silhouette is obscured by pleural effusions, assessment is limited. The mediastinal and hilar contours are unchanged.
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As compared to the previous radiograph, the pre-existing parenchymal opacities have decreased in extent and severity. There are no new parenchymal opacities. Unchanged borderline size of the cardiac silhouette with mild retrocardiac atelectasis. No pleural effusions. No pneumothorax. Unchanged appearance of the hilar and mediastinal structures.
right foot pain, cellulitis, evaluate for consolidation.
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Frontal and lateral views of the chest demonstrate normal lung volumes. There is no pleural effusion, focal consolidation or pneumothorax. The hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is no pulmonary edema. Cortical disruption involving the left fifth to ninth posterior ribs likely represent acute fracutres.
patient is status post fall, now with rib pain. assess for fracture.
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Frontal and lateral views of the chest. A left pacer has leads ending in the right atrium, right ventricle and interventricular vein. There are small bilateral pleural effusions. Interstitial irregularity in the periphery of the right lung likely represents scarring. There is no focal consolidation, pulmonary edema, or pneumothorax. There is moderate cardiomegaly.
cardiac pacer upgrade. evaluate lead position.
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This swan-ganz catheter is unchanged in position. A single lead left pectoral aicd remains in place. Moderate cardiomegaly is unchanged. Mild pulmonary edema is not appreciably changed. There is no pleural effusion or pneumothorax. Prominence of the main pulmonary artery is unchanged.
<unk> year old man with chronic heart failure going for lvad // volume assessment
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Status post removal of endotracheal tube. Cardiomediastinal contours are stable in appearance. Persistent moderate-sized partially layering right pleural effusion with adjacent right basilar opacity favoring atelectasis over an infectious pneumonia. Small left effusion and minimal left basilar atelectasis are again demonstrated as well. Small left pleural effusion versus pleural thickening with adjacent minimal linear left basilar scar.
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As compared to the previous radiograph, there is no relevant change. Minimal bilateral pleural effusions. No pneumothorax. No acute lung changes. Known atelectasis at the left lung bases. No pneumothorax.
increasing oxygen requirement, evaluation.
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The endotracheal tube is in satisfactory position <num> cm from the carina. An enteric tube courses below the diaphragm with the tip out of field of view. An esophageal temperature probe is present with the tip in the mid esophagus. A right subclavian central venous catheter is present with the tip in the mid svc. The left central venous catheter has been removed. Since prior exam, the lung volumes are lower. There is a linear opacity at the right base which likely represents atelectasis. No other opacity is identified. There is no pulmonary edema, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.
large subarachnoid hemorrhage. new fevers. evaluate for pneumonia.
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A portable supine radiograph of the chest demonstrates an endotracheal tube which terminates approximately <num> cm above the carina. This could be advanced <num>-<num> cm for more optimal positioning in the mid trachea. The orogastric tube is appropriately positioned within the stomach. The lungs are clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal.
evaluate position of endotracheal tube in a newly intubated patient.
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The cardiomediastinal and hilar contours are within normal limits. Lungs are hyperexpanded. Increased left base and retrocardia opacities could represent an early infectious process in the appropriate clinical setting. There is <num> mm rounded opacity at the right lung base, for which further evaluation is recommended with a non urgent chest ct. There is no pleural effusion or pneumothorax.
productive cough, heavy smoker. rule out pneumonia.
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A single portable supine abdominal chest radiograph was obtained. An endotracheal tube ends at the level of the clavicles. An enteric tube coils in the stomach. The lungs are well inflated and clear. The superior mediastinum is widened. Cardiomegaly is mild to moderate.
<unk>-year-old man with intubation and known aortic dissection.
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with cough // acute process
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The lungs are clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. No pulmonary edema, pneumothorax, pleural effusions, or pneumonia.
<unk> year old man with cough for <num> weeks, immunosuppressed (hx of kidney transplant.) no fevers or sob, overall low energy // pneumonia
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A portable supine frontal chest radiograph demonstrates interval intubation, with the endotracheal tube terminating in the mid thoracic trachea. There has also been interval placement of a right picc, which terminates at the cavoatrial junction. The remainder of the exam is largely unchanged, except for improved aeration of the left lower lung.
evaluate endotracheal tube placement.
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Pa and lateral views of the chest were obtained. The heart is top normal size and cardiomediastinal contour is unremarkable. Lung volumes are low. There is no focal consolidation, pleural effusion or pneumothorax.
evaluate for pneumonia.
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There is a left-sided chest tube, which appears unchanged in orientation in comparison to the prior chest radiograph. There is a small amount of subcutaneous emphysema, but no evidence of pneumothorax. There is also small amount of left apical pleural thickening, which is likely postoperative. There is a small left-sided pleural effusion with compressive atelectasis, which is unchanged. The lungs are otherwise clear. Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. There are no acute osseous abnormalities. A g tube is seen projecting over the left upper abdomen.
<unk> year old man s/p vats left blebectomy, pleurodesis // check interval change
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In comparison with the study of <unk>, the monitoring and support devices are unchanged. Continued bilateral pleural effusions with associated compressive atelectasis at the bases. Moderate pulmonary edema persists.
postoperative leukocytosis.
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As compared to the previous radiograph, there is better lung aeration with slightly decreased extent of the pleural effusions. Unchanged moderate cardiomegaly with mild-to-moderate pulmonary edema. The monitoring and support devices are also unchanged.
atrial fibrillation, potential seizure. evaluation for interval change.
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Two pa and <num> lateral chest radiograph were obtained. A right lobe perivascular ground-glass opacity partially clears on the repeat pa view. The small left pleural effusion has slightly increased since <unk>. There is a small effusion in the right minor fissure. Left lower lobe atelectasis and bilateral horizontal plate-like atelectasis are unchanged. Median sternotomy wires are intact.
weakness.
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Compared with prior radiographs on <unk>, there has been interval complete resolution of the right lower lobe pneumonia.the lungs are clear without focal consolidation. No pleural abdomen or pneumothorax is seen. The cardiac and mediastinal silhouettes are normal.
<unk> year old man with rll pneumonia // evaluate for resolution of infiltrate
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Breast tissue projects over the lungs limiting evaluation of the lung bases. Despite the limitations, the lung markings are coarsened and increased density is seen at the right base. No effusion or pneumothorax identified. The heart and mediastinal contours are normal. A screw in the right humeral head is unchanged from <unk>.
<unk>-year-old woman with one week of cough, shortness of breath, greenish sputum, pneumonia.
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There is minimal bibasilar atelectasis. The lungs are otherwise clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. A small eventration of the left hemidiaphragm is unchanged. Cervical spine hardware is partially imaged, and unchanged from the prior exam.
nausea and vomiting. evaluate for pneumonia.
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Ap portable view of the chest demonstrates hyperexpanded lungs. Severe cardiomegaly is redemonstrated. Moderate pulmonary edema persists. No pleural effusions or pneumothorax. Aorta appears tortuous. Single aicd device lead projects over right ventricle.
shortness of breath and chest pain.
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As compared to the previous radiograph, no relevant change is seen. Of the new placement of an icd there is no evidence of pneumothorax. Unchanged appearance of the cardiac silhouette. No larger pleural effusions. No pulmonary edema.
<unk> year old man s/p placement of new rv icd lead and cs lead via l axillary vein // rule out pneumothorax, eval lead position
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There are moderate bilateral pleural effusions with overlying atelectasis, underlying consolidation not excluded. Mild prominence of the interstitial markings suggests mild pulmonary edema. The cardiac silhouette is mildly enlarged. The mediastinal contours are unremarkable. There is no evidence of pneumothorax.
nausea and chllls.
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Right-sided picc line is in adequate position in lower svc. There is also a venous catheter coming probably from the left femoral vein as shown on <unk> fluoroscopy view going up into the upper right atrium. Previous moderate pulmonary edema has completely resolved. There is no pleural effusion or pneumothorax. Mediastinal and cardiac contours are normal. Mitral annulus is heavily calcified.
patient with brain cancer, right picc line, being admitted for chemotherapy, evaluation for picc placement.
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Left-sided pacemaker device is noted with leads terminating in the region of the right atrium and right ventricle as well as an abandoned lead within the left anterior chest wall. The patient is status post median sternotomy, cabg, and mitral valve replacement. Heart size remains mildly enlarged with a left ventricular predominance. The aorta is markedly tortuous. Mediastinal and hilar contours are similar. Pulmonary vasculature is not engorged. Elevation of the right hemidiaphragm is chronic with linear opacities in both lung bases compatible with areas of subsegmental atelectasis. There appears to be minimal blunting of the costophrenic angle posteriorly on the left suggestive of the trace left pleural effusion. No focal consolidation or pneumothorax is visualized. There is gaseous distention of colonic loops of bowel. No acute osseous abnormality is identified.
history: <unk>m with fatigue and dyspnea on exertion
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In comparison to the prior radiograph on <unk>, the right ij catheter has been removed. Median sternotomy wires are intact. Bronchovascular markings are accentuated by low lung volumes. Pulmonary vascular congestion is mild. A small left pleural effusion is similar, or perhaps smaller compared to <unk>. There is no focal consolidation or pneumothorax. Heart size is mildly enlarged, and postoperative appearance of the cardiomediastinal silhouette is unchanged. There is a prosthetic aortic valve. No acute osseous abnormalities are identified.
history: <unk>f with recent cabg on <unk>, now with dyspnea and afib with rvr // please eval for edema, infection, or other abnormality
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The lungs remain clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
<unk>f with new onset, intermittent chest pressure. has hx of htn, hld, family hx of cad // r/o chest pain
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The inspiratory lung volumes are decreased with mild bibasilar atelectasis. No focal consolidation concerning for pneumonia, pleural effusion or pneumothorax is detected. There is no overt pulmonary edema. The cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits. The trachea is midline. No acute osseous abnormality is detected.
dyspnea, here to evaluate for pneumonia.
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In comparison with the study of <unk>, there may be some mild improvement in the severe pulmonary edema with right effusion and compressive atelectasis at the right base. Continued enlargement of the cardiac silhouette.
shortness of breath with pulmonary edema.
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As compared to the previous radiograph, there is a further increase in extent of the opacities in the right lung. The left lung is constant. Changed nasogastric tube. Moderate cardiomegaly with extensive retrocardiac atelectasis.
chronic heart failure, respiratory distress, evaluation for pneumonia.
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There is a left-sided picc line with tip at the cavoatrial junction. The heart size is mildly enlarged and is larger than on the prior study. There is obscuration of the left cp angle and it is unclear if this is due to a small area of volume loss/infiltrate/effusion. Otherwise, the lungs are clear.
check picc line.
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Ap upright and lateral views of the chest provided. Tiny clips in the left axilla are again noted. The heart remains mildly enlarged. There is no focal consolidation, large effusion, or pneumothorax. A rounded density at the right pulmonary hilum likely represents a large vessel en face. No convincing signs of pneumonia or edema. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with s/p gastronomy <unk> p.w fever asphasic from history unable to give history // r/o underlying infection, pna vs divertitilciis, g-tube infection
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Low lung volumes are noted particularly on the frontal view. The lungs however are clear without consolidation, effusion, or vascular congestion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
<unk>f with chest pain // eval for pna, chf
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Portable ap upright chest radiograph was provided. There has been interval insertion of a left pigtail chest tube with minimal residual left apical pneumothorax. There is mild subcutaneous emphysema in the left chest wall at the chest tube insertion site. Otherwise, no change.
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Right internal jugular line has been removed. Left descending aortic stent is seen in situ. Since <unk>, the right lower lung opacity which was likely a combination of effusion and atelectasis has significantly resolved. Mild amount of pleural effusion, however, still persists. Right lower lung and middle lobe atelectasis is present. Increased retrocardiac density reflecting left lower lung atelectasis and mild-to-moderate left pleural effusion are similar in appearance. Cardiomediastinal silhouette is stable in appearance.
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Et tube is in adequate position and ng tube ends below the diaphragm. Right lower lung collapse is unchanged. Left lower lung opacities that were increased in yesterday x-ray compared to <unk> have slightly improved, part of it could be from layering pleural effusion. There is no pneumothorax. Cardiac contour is hard to assess throughout the lung abnormality.
patient with pneumonia, ards, right lung collapse, interval change.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Cardiac silhouette is top-normal, with left ventricular configuration. Aorta at arch is calcified. No pulmonary edema is seen. No displaced fracture is seen.
history: <unk>m with cp // r/o acute process
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Lungs are well inflated and clear. The cardiac silhouette is mildly enlarged. There is no pleural effusion or pneumothorax. Visualized upper abdomen is unremarkable. Median sternotomy wires and surgical clips project over the mediastinum. Surgical clips are also seen in the upper abdomen. Calcifications of the aortic arch is noted.
fever, evaluate for acute process
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In comparison with the earlier study of this date, the dobbhoff tube has been pushed forward so that it lies in the antrum near the pylorus. Otherwise, little change.
dobbhoff placement.