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Lung volumes are low. Known severe emphysema is better seen on chest ct. Streaky opacity in the right lower lung is likely atelectasis. Interstitial abnormality most prominent at the left base likely reflects combination of atelectasis and emphysema. There is no definite evidence of pneumonia. Mild cardiomegaly is unchanged. There is chronic elevation of the right hemidiaphragm. There is no pneumothorax.
history: <unk>m with ams // evaluate for acute process
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The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear.
chest pain.
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Ap upright and lateral views of the chest are provided. Aicd noted with lead tips extending into the right atrium, right ventricle and likely within the coronary sinus. The lungs are clear, though hyperinflated, possibly reflecting underlying copd. No focal consolidation, effusion, or pneumothorax is seen. The heart is within normal limits of size. Mediastinal contour is unremarkable. Bony structures appear intact.
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Pa and lateral views of the chest provided. Elevated right hemidiaphragm is unchanged. Lungs remain clear. No pleural effusion or pneumothorax. Cardiomediastinal silhouette is normal. Bony structures intact.
<unk>f with hx rectal adenocarcinoma, cns lymphoma enterocutaneous fistula presenting with nausea, vomiting and fever to <num> // r/o pneumonia, sbo
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Comparison is made to previous study from <unk>. There has been marked interval worsening of the right-sided pleural effusion since the prior study. Pleural fluid appears to be loculated along the right chest wall. There are also areas of consolidation at the left base. There are no pneumothoraces. The mediastinum is not widened.
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Study is suboptimal due to underpenetration from overlying soft tissue. Given this, no large focal consolidation is seen. There is no pleural effusion or evidence of pneumothorax. The cardiac and mediastinal silhouettes are grossly stable.
history: <unk>f with cough shortness of breath // eval pna
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Status post tavr with appropriate and unchanged position of all lines and tubes. Pulmonary edema has improved. The lungs are otherwise clear. Stable appearance of the cardiomediastinal silhouette. No large pleural effusion. No pneumothorax.
<unk>f <unk>-speaking asthma, hypertension, and severe aortic stenosis with recent admission for urosepsis c/b e. coli bacteremia (<unk>) admitted <unk> for planned tavr <unk> complicated by hemodynamically significant bleed from arteriotomy site. // interval change
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The lungs are hyperinflated. The previously seen opacity in the right medial lung base has decreased from prior exam. No new focus of opacity is seen. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable. Old rib fractures are unchanged from prior exam.
history: <unk>m with hypoxia after a fall. // ? ptx
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Portable upright radiograph of the chest demonstrates the lungs are well expanded and clear. The cardiomediastinal silhouette is unremarkable. There is no evidence of pneumothorax, pleural effusion, pulmonary edema or focal consolidation. There is no evidence of subdiaphragmatic free air.
abdominal pain and bleeding status post egd. evaluation for free air.
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Mild cardiomegaly is re- demonstrated. Mediastinal and hilar contours are unremarkable. Pulmonary vascularity is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. Mild degenerative changes are noted in the thoracic spine.
dyspnea.
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Support and monitoring devices are in standard position, and cardiomediastinal contours are stable. Bilateral heterogeneous lung opacities involving the right lung to a greater degree than the left show interval slight improvement. These findings are probably superimposed upon chronic lung disease. Focal lucency in the region of the left lateral costophrenic sulcus raises the possibility of a small basilar pneumothorax, for which short-term followup radiographs are suggested.
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There are low lung volumes, which accentuate the bronchovascular markings. Given this, there is mild bibasilar atelectasis without definite focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal to mildly enlarged. No overt pulmonary edema is seen. There is anterior wedging of a lower thoracic vertebral body of indeterminate age.
history: <unk>m with doe, lightheaded and chest pain // r/o acute process
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Comparison is made to previous study from <unk>. There are again seen diffuse airspace opacities and consolidation, worse within the right lung. There are bilateral pleural effusions, right equal to left, also unchanged. No pneumothoraces are seen. There are calcifications in thoracic aorta. Severe degenerative changes of the glenohumeral joints bilaterally is partially included on the field of view.
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In comparison with most recent study there has been interval increase in the left pleural effusion which obscures the left heart border. The right-sided pleural effusion has decreased in size. There is stable pulmonary vascular congestion.
<unk> year old woman with pleural effusion // interval increase in pleural effusion
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The inspiratory lung volumes are slightly decreased from the most recent prior study. A left pectoral pacemaker is unchanged with a single lead terminating in the right ventricle. A nasogastric tube is seen coursing below the diaphragm and out of view with the tip terminating in the left upper quadrant likely within the gastric fundus. Mild central pulmonary vascular engorgement is unchanged from the most recent prior study. No significant pleural effusion, focal consolidation or pneumothorax is detected on this single frontal view. The cardiac silhouette remains enlarged. The mediastinal contours are prominent on the right, which is increased from the most recent prior study, but likely due in part to patient rotation and lower lung volumes. No acute osseous abnormality is detected.
hypoxia, here to evaluate for acute intrathoracic process.
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As compared to the prior radiograph performed approximately one hour prior, there has been no significant interval change. Redemonstrated is a small, right apical pneumothorax, essentially stable in size. The remainder of the lungs, heart, and pleura are unchanged from the previous examination.
status post vats, now with small pneumothorax on prior exam. assess interval change in right pneumothorax.
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The lung volumes are normal. Moderate scoliosis causes asymmetry of the rib cage. No acute lung parenchymal process, in particular no evidence of pneumonia or pulmonary edema. On the lateral radiograph only, a small area of atelectasis is seen at the left lung base. Normal size of the cardiac silhouette. Normal hilar and mediastinal contours. Mild tortuosity of the thoracic aorta.
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Right chest wall port-a-cath is seen with catheter tip at the ra svc junction. Relatively low lung volumes are noted. The lungs are grossly clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with cp // r/o acute process
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A left-sided pacemaker in unchanged position with its leads terminating in the right atrium and right ventricle in expected locations. An aortic valve replacement is noted. Sternal wires are intact. Lungs are hyperexpanded but otherwise are clear. Marked improvement of prior pulmonary congestion. No pulmonary edema. Cardiomediastinal and hilar contours are within normal limits. There is no focal consolidation, pleural effusion or pneumothorax.
<unk>-year-old man with right lower lobe wedge resection for carcinoid in <unk>. evaluate lung expansion and masses.
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Portable ap upright chest radiograph obtained. Lung volumes are low, though allowing for this, the lungs appear clear. Cardiomediastinal silhouette appears grossly stable with top normal heart size, possibly magnified due to portable ap technique. Bony structures are intact.
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Lung volumes are low. The cardiomediastinal silhouette is unchanged and unremarkable since the prior examination. The aorta is unfolded. There is no focal consolidation. No pleural effusion or pneumothorax is identified. Air-filled colon is seen in the subdiaphragmatic region.
<unk>f with near syncope // r/o pna
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Comparison is made to prior study from <unk>. There has been removal of the endotracheal tube and feeding tubes since the previous study. There remains a right ij central line with distal lead tip in the proximal svc. There has been mild improvement of the airspace opacities; however, there remain areas of consolidation within the left and right lung bases. There is a left retrocardiac opacity with likely pleural effusion as well. There are no pneumothoraces or signs for overt pulmonary edema.
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Redemonstrated is the right pleural effusion and right lower and mid lung zone diffuse opacity, likely representing atelectasis; however, superimposed pneumonia cannot be excluded. There is no evidence of a pneumothorax. The right upper lung chest tube is unchanged. The cardiomediastinal silhouette and hila are normal.
<unk>-year-old with right-sided tension pneumothorax after chest tube placement. please reassess pneumothorax.
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The lungs are hyperexpanded but clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax. Degenerative changes of the left humeral head are noted.
<unk> year old woman with s/p cerebral aneurysm now p/w right groin pain and swelling c/f hematoma, evaluate for acute cardiopulmonary process.
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Comparison is made to previous study from <unk>. There are two left-sided chest tubes. No pneumothoraces are seen. There is an area of consolidation in the left base which is unchanged. The right lung is grossly clear. Overall, there has been no interval change. The endotracheal tube tip remains <num> cm above the carina.
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The lungs are fully expanded and clear. The cardiomediastinal and hilar contours normal. There is no pleural effusion or pneumothorax. Pleural surfaces are unremarkable. Multilevel anterior ossification of the thoracic spine, likely reflects dish.
<unk>f with fever status post panniculectomy.
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Pa and lateral views of the chest. No prior. The lungs are grossly clear, noting linear lingular opacity suggestive of atelectasis. Costophrenic angles are sharp and there is no pneumothorax. The cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.
<unk>-year-old male with coronary artery disease, presents with substernal chest pain radiating down arm and shoulder consistent with previous mi.
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A right internal jugular line ends a proximal right atrium. The endotracheal and nasogastric tubes have been removed. The cardiac and mediastinal contours are normal. Mild pulmonary edema is unchanged. The previously mentioned opacity in the left lung base is less well visualized on today's exam. No pleural effusion or pneumothorax.
<unk> year old woman now extubated, hypotensive. evaluate for aspiration, effusions and pneumothorax.
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Moderate enlargement of the cardiac silhouette is unchanged. The mediastinal and hilar contours appear similar. Pulmonary vasculature is not engorged. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormality is detected.
history: <unk>f with chest pain // ? acute cardiopulmonary process
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Right internal jugular venous catheter terminates in mid svc. Two transesophageal tubes terminate in the stomach. Prosthetic aortic and mitral valves are noted. Et tube terminates <num> mm above the carina. There is increased alveolar consolidation with air bronchogram involving entire right lung. Multiple foci of opacity in the left lung is similar as before. Bilateral pleural effusion appear stable. Right pleural pigtail catheter is in unchanged position. Cardiac silhouette is within normal size.
<unk> year old man with ivdu, hcv, recent <unk> endocarditis, complex pleural effusions now intubated with hypoxic respiratory failure // assess for interval change
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Pa and lateral views of the chest were provided. There is a port-a-cath residing over the left chest wall with its tip extending into the low svc region. The lungs are clear and well inflated. No signs of pneumonia or chf. No pleural effusion or pneumothorax. The heart and mediastinal contours are stable with an unfolded thoracic aorta. Degenerative spurring in the thoracic spine is stable. There is a partially visualized metallic stent in the upper abdomen which is known to reside within the common bile duct.
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Pa and lateral views of the chest were provided demonstrating clear well-expanded lungs without focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Bony structures are intact. No free air is seen below the right hemidiaphragm.
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Pa and lateral chest radiograph demonstrate clear lungs bilaterally, well inflated symmetrically. Cardiomediastinal and hilar contours are within normal limits. There is no pneumothorax or pleural effusion. There is no air under the right hemidiaphragm. Pulmonary vasculature is within normal limits. There is no displaced fracture identified.
<unk>f with sob, rib pain // rib fx
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Frontal and lateral views of the chest were obtained. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax seen. The cardiac and mediastinal silhouettes are unremarkable. Mild degenerative changes are seen along the spine.
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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. Right shoulder prosthesis is partially imaged.
history: <unk>m with smoker with productive cough
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Ap upright and lateral views of the chest provided. Midline sternotomy wires and mediastinal clips are noted. There are low lung volumes. Blunting of the right cp angle may reflect pleural thickening versus tiny effusion. Mild hilar engorgement is noted without frank pulmonary edema. Mild left basilar linear platelike atelectasis noted. No signs of pneumonia. Heart size is top-normal. No pneumothorax. High riding right humeral head suggestive of chronic rotator cuff disease. No acute bony abnormalities are detected.
<unk>m with anemia, ferd, chf, copd , gerd , hcv w/ weakness / presyncopal episode today. // eval? increased pulm edema
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Heart size is normal. Cardiomediastinal silhouette is unremarkable. Hilar contour is stable. Lungs are clear without focal consolidation, effusion, or pneumothorax. No acute bony abnormality.
chest pain.
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Right port-a-cath terminates in the mid svc. There is mild cardiomegaly and small bilateral pleural effusions. However, there is no pulmonary vascular congestion, dilatation of the azygos vein, or interstitial edema. There is no focal consolidation or pneumothorax.
history of cll and right upper lobe crackles. concern for pneumonia.
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Ap and lateral chest radiographs were obtained. A left lingular airspace opacity obscures the left heart border. Right basilar airspace opacities are new since <unk>. The pulmonary vasculature is more prominent since the prior study. Atelectasis along the right minor fissure is unchanged. Moderate cardiomegaly is similar.
hypoxia.
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As compared to the previous radiograph, there is a minimal increase of the remnant left pleural effusion and a subtle increase in extent of the subsequent basal areas of atelectasis. No new parenchymal opacities. Borderline size of the cardiac silhouette without pulmonary edema. Moderate tortuosity of the thoracic aorta.
left pleural effusion, status post thoracocentesis, evaluation for interval change.
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In comparison with the study of <unk>, there is little overall change. Extensive opacification at the right base is again consistent with pleural effusion and atelectasis. Chest tube remains in place and there is no evidence of pneumothorax. Continued enlargement of the cardiac silhouette with evidence of vascular congestion.
rib and sternal fractures with right chest tube placement.
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Cardiomediastinal contours normal. There is no pleural effusion or pneumothorax. There is no focal lung consolidation.
<unk> year old woman with history of ppd/tst + but history quantiferon gold - in <unk> just turned quantiferon gold + recently, evaluate for tuberculosis.
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Cardiac silhouette size is normal. Aorta remains tortuous. Moderate hiatal hernia is noted. Pulmonary vasculature is not engorged. Lungs are hyperinflated without focal consolidation. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities. Mild loss of height of a low thoracic vertebral body remains unchanged. Multiple clips are demonstrated overlying the midline lower neck.
history: <unk>f with weakness
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Pa and lateral views of the chest were provided demonstrating no focal consolidation, effusion or pneumothorax. The heart and mediastinal contours are normal. Bony structures are intact. No free air below the right hemidiaphragm.
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The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. An opacity in the left lower lobe suggests pneumonia. There is also potentially medial right lower lobe opacity.
cough. question infection.
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The patient is status post median sternotomy and cabg. A right-sided ij central venous catheter is seen terminating in the mid svc. There are low lung volumes and bibasilar atelectasis. No overt pulmonary edema is seen. There is no definite focal consolidation or large pleural effusion.
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The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear.
low-grade fever.
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As compared to the previous radiograph, the patient is still intubated. The tube is approximately <num> cm above the carina and very high. The tube could be slightly advanced. Moderate cardiomegaly with bilateral pleural effusions that are unchanged. No pulmonary edema. New nasogastric tube in correct position.
angioedema, intubation, evaluation for interval change.
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The lungs are clear. Mild cardiomegaly is not accompanied by pulmonary edema or pleural effusions. Hilar contours are normal. There is no pneumothorax.
left-sided numbness.
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Cardiac silhouette size remains mild to moderately enlarged. The aorta is diffusely calcified and tortuous, as seen previously. Mediastinal and hilar contours are otherwise grossly unchanged. Apart from streaky atelectasis in the lung bases, no focal consolidation, pleural effusion or pneumothorax is identified. No acute osseous abnormalities detected.
history: <unk>f with fatigue, lightheadedness
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Single ap portable view of the chest is compared to previous exam from <unk>. Given differences in positioning and technique, there has been no significant interval change. Lungs are clear of focal consolidation. Cardiomediastinal silhouette is within normal limits for technique. Lower cervical/upper thoracic cervical fixation hardware is identified in addition to old left lateral rib fracture.
<unk>-year-old female with metastatic breast cancer, new mets. rule out infectious process.
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Heart size is normal. The large hiatal hernia is re- demonstrated. Hilar contours are normal. Pulmonary vasculature is not engorged. Lungs are clear. No pleural effusion or pneumothorax is seen. There are mild degenerative changes in the lower thoracic spine.
history: <unk>f with cough
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Frontal and lateral chest radiographs were obtained. The lungs are clear with no evidence of consolidation, effusion, or pneumothorax. The lungs do, however, appear hyperinflated and may represent chronic obstructive lung disease. Otherwise, two-lead pacemaker appears in place. The aorta appears mildly tortuous. Osseous structures are grossly unremarkable.
evaluation of patient with shortness of breath.
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Compared to chest radiograph from <unk>, large right paramediastinal mass with unchanged appearance. No definite pneumothorax identified. Left-sided port-a-cath tip terminates at the cavoatrial junction. No focal consolidation or effusion. Cardiomediastinal silhouette is stable. Mild right convex scoliosis of the thoracic spine and left convex scoliosis of the lumbar spine.
<unk> year old woman with vats and mediastinal lymph node biopsy // eval for pneumothorax and post-op changes
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Comparison is made to previous study from <unk>. There is a feeding tube whose distal lead tip is in the distal stomach. A catheter is seen projecting over the left upper abdomen. There is a right ij central venous line with the distal lead tip in the distal svc. Cardiac silhouette and mediastinum are unchanged and within normal limits. There are again seen bilateral pleural effusions and consolidation at the lung bases, which are stable. No pneumothoraces are seen.
<unk>-year-old woman with recent ileocecectomy. evaluate for abdominal abscess and ards.
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Endotracheal, enteric, and left basilar chest tubes remain in unchanged positions. Lung volumes remain low. Heart size is moderately enlarged but likely exaggerated due to low lung volumes. Widening of the superior mediastinal contour is unchanged. There is improved aeration of the left lung with continued opacity in the retrocardiac region likely reflective of residual atelectasis. Mild pulmonary vascular engorgement is also likely present. Aeration of the right lung base also appears slightly improved with residual atelectasis. Known right-sided rib fractures are not well assessed on this exam.
history: <unk>m with hypoxia after mvc, status post bronchoscopy
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal to mildly enlarged. Aortic arch calcification is seen.
history: <unk>f with weakness // eval for infection
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Pa and lateral is the chest. Low lung volumes. There is bibasilar atelectasis. No focal consolidation or pleural effusion or pneumothorax. The cardiomediastinal hilar contours are normal.
left-sided chest pain.
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As compared to the previous radiograph, the lung volumes have minimally decreased. However, there is no evidence of pneumonia or other acute lung change. No pulmonary edema. Borderline size of the cardiac silhouette. No pleural effusions.
leukocytosis, evaluation for pneumonia.
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There is subtle left basilar opacity seen on the frontal view, not confirmed on the lateral. Elsewhere, lungs are clear. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk> year old woman with fever // eval for evidence of infiltrate
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The heart size is normal. The mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
nausea, vomiting, welding fumes exposure.
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Patient is status post placement of a right central catheter terminating in the right atrium. The lungs are well expanded and clear. There is no pleural abnormality. The mediastinal and hilar contours are normal.
history: <unk>f with new central line placement, hypotension.
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The continues to be a large right pneumothorax with considerable collapse of the right lung, similar to the previous film. Density along the right heart border may represent atelectasis and crowding of the right hilum in the setting of a collapsed lung. There is mild associated shift of the mediastinum to the left. The right hemidiaphragm is eventrated. The heart does not appear enlarged. On the left, no chf, focal infiltrate or effusion. A <num> mm rounded opacity lies against the lies adjacent to the left mid chest wall, overlying the left fourth anterior rib. The patient has other known lung nodules that are not well depicted on this film.
<unk>-year-old female with large pneumothorax and dyspnea. please evaluate for change in pneumothorax.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette is not enlarged. There is prominence of the ascending aorta which may relate to tortuosity, however, ascending aortic aneurysm is not excluded. No pulmonary edema is seen.
history: <unk>m with agitation // eval for pna
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Heart size is mildly enlarged, but the patient is rotated. No pleural effusions, pneumothorax, or focal consolidation concerning for pneumonia.
<unk>f with leg swelling and sob. evaluate for heart failure.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette is mildly enlarged. Mediastinal contours are grossly stable. No pulmonary edema is seen.
history: <unk>f with chest pain and cough pls eval pna or effusion *** warning *** multiple patients with same last name! // history: <unk>f with chest pain and cough pls eval pna or effusion
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The cardiomediastinal and hilar contours are within normal limits. The lungs are well-expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax.
midsternal sharp chest pain. rule out pneumonia and/or esophageal mass.
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Cardiomegaly, coronary calcifications, aortic valve calcification and and dilatation of the main pulmonary artery are better seen in concurrent chest ct. The lungs are grossly clear. There is no pneumothorax or pleural effusion. There are moderate degenerative changes in the thoracic spine
<unk> year old woman pre-op cabg // eval for acute process
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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 tip projects over the middle parts of the stomach. The position of the right internal jugular vein catheter is unchanged. Lung volumes have decreased. Minimal atelectasis at both lung bases. Retrocardiac atelectasis. Mild fluid overload but no overt pulmonary edema. Minimal bilateral parenchymal apical scarring is unchanged and symmetrical.
biliary sepsis, intubation and nasogastric tube placement.
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As compared to the previous radiograph, there is no relevant change. Normal lung volumes. No pneumonia, no pleural effusions. No other parenchymal abnormalities. Healed sixth left rib fracture.
fever, leukocytosis, evaluation for pneumonia.
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The support devices are in stable position. The right picc remains in the upper svc. Large right pleural effusion and associated atelectasis is still causing significant opacification of the right lung. The left lung has not significantly changed in appearance with airspace opacity and left retrocardiac significant atelectasis.
<unk> year old man with <unk> year old man with sepsis and respiratory failure // interval change
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The patient is status post median sternotomy and cabg. Cardiac silhouette size is normal. Coronary artery stent is re- demonstrated. Mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Lungs are clear without focal consolidation. Small left pleural effusion appears improved compared to the previous study. No pneumothorax is present. No acute osseous abnormalities are detected.
history: <unk>f with cabg <num> weeks ago. pleuritic chest pain. nausea.
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Compared to prior, there has been interval development of medial biapical airspace opacities. There is new mild pulmonary vascular congestion. No pleural effusion or pneumothorax is detected on this view. Heart and mediastinal contours are within normal limits given ap technique.
<unk>-year-old male, status post seizure.
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Moderately well inflated lungs. Unchanged bibasilar atelectasis. Worsening bilateral pleural effusions. Right sided chest tube is in unchanged position. Persistent subcutaneous emphysema along the right lateral chest wall. Mild cardiomegaly. Ekg leads overlie the chest wall. Multilevel degenerative changes of the thoracic spine and spinal fixation hardware projects over the lower cervical spine.
<unk> year old woman s/p tracheoplasty and bronch yesterday with recent ptx s/p ct // interval change. please complete <unk> at <num> am
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The heart size is top normal and mediastinal contours are unremarkable. The aortic knob is calcified. There is asymmetric elevation of the right hemidiaphragm. Bilateral diffuse interstitial markings are likely chronic. No focal consolidation, pleural effusion, or pneumothorax. The patient is status post orif of a right proximal humerus fracture, which is incompletely imaged. Glenohumeral joint degenerative changes are severe on the right and moderate on the left.
history: <unk>f with r-femur fx // pre-op eval
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Lower lung volumes seen on the current frontal view. Right midlung linear opacities compatible surgical chain sutures from prior wedge resection. The lungs are clear without focal consolidation worrisome for infection, edema or effusion. The cardiomediastinal silhouette is stable. Moderate hiatal hernia is again noted. No acute osseous abnormalities.
<unk>f with copd/asthma p/w exacerbation of the samee // eval for ptx
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There are relatively low lung volumes. There is mild pulmonary vascular congestion. Left base opacity with obscuration of the left hemidiaphragm is seen with may be due to atelectasis as well as dilatation of the descending aorta. Aortic arch is calcified. Cardiac silhouette is top-normal to mildly enlarged. No large pleural effusion is identified. Mid lung atelectasis is seen.
history: <unk>f with pancreatitis, incr rr // eval for evolving effusion
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There are small bilateral pleural effusions with atelectasis at the lung bases. The cardiomediastinal silhouette and hilar contours are stable. There is no pneumothorax.
<unk> year old woman with sob and chestwall pain, not able to take deep breath. no trauma or falls. evaluate for pneumothorax.
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Pa and lateral views of the chest provided demonstrate no focal consolidation, effusion or pneumothorax. The cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm.
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Ap portable upright view of the chest. There has been interval placement of an ng tube with its tip extending into the left upper quadrant. Cardiomegaly again noted. Lungs appear clear. No large effusion or pneumothorax.
<unk>f with bowel obstruction
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Hyperinflated with flattening of the diaphragms and increased retrosternal clear space compatible with copd. Linear opacities within the lung bases may reflect areas of scarring or subsegmental atelectasis. The cardiac, mediastinal and hilar contours are normal. No focal consolidation, pleural effusion or pneumothorax is seen. Multiple remote bilateral rib fractures are demonstrated. No acute osseous abnormality seen.
history: <unk>f with copd, with worsening dyspnea // ? ptx ,effusion, pna
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New ng tube is too high; the side port is at the gastroesophageal junction. Mild pulmonary edema is slightly improved. Severe cardiomegaly is unchanged. There is no pleural effusion or pneumothorax. History of prior sternotomy for cabg.
check for pulmonary edema and ng tube placement. the patient with aortic stenosis, cad, chf, afib, l mca stroke.
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There is chronic blunting of the costophrenic angles, right greater than left, stable. Multiple surgical clips are seen overlying the left upper chest and left mediastinum. Medial right lower lung opacity persists although better defined on ct. The cardiac and mediastinal silhouettes are stable.
history: <unk>m with dizziness, sob // presence of infiltrate, ptx
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The patient is status post previous esophagectomy and pull-up procedure, with increased distention of the intrathoracic neoesophagus. Diffuse airspace consolidation in the left lung has progressed in the interval and poorly defined opacities in the right mid lung have also slightly worsened, concerning for multifocal infection, possibly secondary to aspiration. Moderate left pleural effusion is unchanged.
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In comparison with study of <unk>, there has been removal of a substantial amount of fluid from the right pleural space with a catheter remaining in place. A substantial residual opacification at the right base is consistent with fluid and continued collapse of the right lower lobe. No evidence of pneumothorax.
right thoracentesis, to assess for pneumothorax.
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The heart is normal in size, and there is a right subclavian port-a-cath which terminates at the cavoatrial junction. Increased opacity seen in the right perihilar opacity with possible architectural distortion and suspected surgical chain sutures projecting over the mid lung. There is also focal opacity projecting over the left midlung. The lungs are clear of focal consolidation, pleural effusion or pneumothorax. There is mild central pulmonary vascular congestion.
<unk>-year-old female with metastatic breast cancer, abdominal pain, altered mental status. evaluate for acute process.
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There is a new right central line with tip in the right atrium. This is lower than left would be expected and should be pulled back <num> cm to be just below the cavoatrial junction. This finding was called to the <unk> in the icu at the time of discovery by dr. <unk> at <time> am on <unk>. The et tube is <num> cm above the carina. The ng tube tip is off the film, at least in the stomach.
new line placement.
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Chest pa and lateral radiograph demonstrates no interval change with pacemaker leads positioned in the right atrium and in both ventricles. Stable mild cardiomegaly. Mediastinal and hilar contours are unremarkable. Stable opacifications projecting over the right lung on frontal view without correlation on lateral view are consistent with pleural plaques and unchanged compared to <unk>. Stable severe dextroscoliosis with associated degenerative changes.
nonischemic cardiomyopathy with improved left ventricular ejection fraction to <unk>%. patient has cough for two weeks, no fevers, increased fatigue. please evaluate for pneumonia versus chf.
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Lung volumes are low. Redemonstrated is a large right upper lobe paramedian mass, better evaluated on prior ct. Linear airspace opacities adjacent to the right hilum is unchanged over multiple prior cts and likely represents scarring. The lungs are otherwise grossly clear without lobar consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.
<unk>m with r sided lung adenoca s/p radiation, chemo now w/ presyncopal event
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Catheter of a left chest wall port terminates in the upper svc. Heart size and cardiomediastinal contours are normal. Minimal right base atelectasis. No focal consolidation, pleural effusion, or pneumothorax.
history: <unk>m with hypotension // eval for pneumonia
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As compared to the previous radiograph, the extent of ventilated left lung has again decreased. A new area of atelectatic lung has appeared. Cranially to the aortic knob. The left lower lung is collapsed in unchanged manner. The size of the cardiac silhouette is constant. Unchanged mediastinal and cardiac shift to the left. Unchanged appearance of the right hemithorax.
aspiration event, collapsed left lobe, evaluation for interval change.
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The cardiomediastinal and hilar contours are stable with mild to moderate cardiomegaly. Small bilateral pleural effusions are again noted, larger on the right and stable on the left. . There is no pneumothorax. Lungs are well-expanded without new focal consolidation concerning for pneumonia. The upper abdomen is unremarkable. A severe compression deformity in the midthoracic spine is stable.
history: <unk>f with c/o increased weakness // ? pna
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The patient is status post median sternotomy, cabg, aortic valve replacement, and vascular stenting. Heart size is mildly enlarged with a left ventricular predominance. The aorta is unfolded. The hilar contours are normal. There is no pulmonary vascular congestion. Lungs are clear. No pleural effusion, focal consolidation or pneumothorax is seen. Remote right <unk> posterior rib fracture is noted. No acutely displaced fractures are seen.
chest pain.
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Pa and lateral views of the chest. The lungs are hyperinflated but clear of consolidation. Calcified mediastinal nodes and calcifications projecting posterior to the left clavicular head and in the left midlung are unchanged. No acute osseous abnormality is detected.
<unk>-year-old female with shortness of breath.
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Pa and lateral views of the chest provided. Bibasilar opacities are most compatible with atelectasis though difficult to exclude an early pneumonia. No large effusion or pneumothorax. No congestion or edema. Cardiomediastinal silhouette appears normal. Bony structures are intact. No free air below the right hemidiaphragm.
<unk>m with doe
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Lung volumes are low which leads to bronchovascular crowding. Mild pulmonary vascular congestion is noted. No focal consolidation is identified. The cardiomediastinal silhouette is unchanged. There is no pleural effusion or pneumothorax.
cirrhosis and cough, evaluate for pneumonia.
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Cardiomediastinal contours are stable in appearance. Bilateral perihilar and basilar areas of consolidation have slightly improved in the interval, and may represent a combination of pulmonary edema and multifocal pneumonia, particularly given the appearance on ct of <unk>, which favored an infectious process. No visible pneumothorax, but left lung base including left costophrenic sulcus have been excluded from the study, limiting assessment for left basilar pneumothorax and pleural effusion.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal. Aorta is calcified. The mediastinum is not widened.
history: <unk>f with <num> days of cough // assess for infiltrate
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Pa and lateral views of the chest were provided. Spinal stimulator device is seen projecting over the mid thoracic spine. The lungs are clear without focal consolidation, effusion or pneumothorax. Cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm is seen.
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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 left side chest pain/pressure.