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The lungs are clear. Mediastinal and cardiac contours are normal. There is no pleural effusion or pneumothorax.
patient with history of asthma, recurrent pneumonia on the left side, today presenting with fever, rule out pneumonia.
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Again seen are streaky right basilar opacities likely representing atelectasis. The lungs are hyperinflated. There is no focal consolidation or evidence of pulmonary edema.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen.
history: <unk>m with dyspnea.
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The lungs are clear without consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. Atherosclerotic calcifications are noted at the aortic arch. No acute osseous abnormalities.
<unk>f with weakness // pna?
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Frontal and lateral views of the chest were obtained. There is increased pulmonary vascular congestion and interstitial edema. Blunting of the posterior costophrenic angles on the lateral view suggests trace pleural effusions. The cardiac silhouette is mildly enlarged. No pneumothorax is seen. Multilevel degenerative changes are seen along the spine.
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Again seen is the endotracheal tube with tip above the carina, ng tube with tip coiled in the stomach, a swan-<unk> catheter with tip in the right main pulmonary artery, a right subclavian picc line with tip in the lower svc, and a battery pack in the left chest wall with leads coursing superiorly towards the head. There is interval removal of the right central venous catheter and interval placement of <unk> <unk> catheter with tip extending beyond the diaphragm and beyond the inferior margin the film. There is volume loss in the left lower lobe consistent with collapse of the left lower lobe. There is also pulmonary congestion bilaterally. The cardiomediastinal and hilar contours are grossly unchanged. There is no pneumothorax.
<unk> year old man with year old male w/ pmh of seizures on <num> home aeds presents as transfer from osh for seizure management // <unk> catheter placement check / image chest and abdomen . please perform by <num> pm - thank you!
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Since approximately <num> hours prior, no significant changes are appreciated. Moderate cardiomegaly and mild pulmonary edema are unchanged. Pleural effusions are small, if any. No pneumothorax. Retrocardiac atelectasis has increased. A right-sided ij central venous catheter terminates the lower svc. An et tube terminates <num> cm above the carina. An enteric tube passes into the stomach outside the field of view.
<unk> year old woman with resp failure s/p intubatio // ?edema
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As compared to the previous radiograph, there is no relevant change. Unchanged course of the nasogastric tube and the endotracheal tube. Unchanged left displaced rib fractures with bilateral areas of atelectasis and pleural effusion, but without current evidence of pneumothorax. The size of the cardiac silhouette remains large.
polytrauma, evaluation.
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Frontal and lateral chest radiographs again demonstrate moderate cardiomegaly, which is similar to mildly increased compared to <unk>. Right apical postsurgical changes and right interstitial abnormality is unchanged. Diffusely increased opacity bilaterally is consistent with mild pulmonary edema. There are also likely bilateral small pleural effusions. No definite focal consolidation is identified. The visualized upper abdomen is unremarkable.
evaluate for chf versus asthma versus pneumonia in a patient with a history of copd, chf, presenting with worsening shortness of breath.
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Moderate cardiomegaly is unchanged. Mediastinal contours are stable. There is mild pulmonary edema, slightly worse compared to the prior study. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
shortness of breath.
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No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. Heart and mediastinal contours are within normal limits.
<unk>-year-old female with <num> week of cough and wheezing.
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As compared to chest radiograph from the same day the swan-ganz catheter tip has been advanced and now projects in the region of the right pulmonary artery remains in good position. The iabp is approximately <num> cm from the superior aortic arch. Moderate cardiomegaly and associated small to moderate left pleural effusion is unchanged.
<unk> year old woman now s/p pa line exchange // eval for position of pa line
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The lung volumes are stable. A retrocardiac opacity does not the hemidiaphragm silhouettes. There is however a lower left lung opacity partially obscuring the left heart border. The cardiomediastinal hilar contours are normal. The pleural surfaces are normal. Stable degenerative changes of thoracic spine.
<unk> year old woman with cough, crackles right lower base // ? pneumonia (please page <unk> if positive)
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The lungs are clear. There is no effusion, consolidation, or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with c/o left thoracic pain // any acute process
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Frontal and lateral views of the chest were obtained. The lungs are well expanded and clear without focal consolidation, pleural effusion or pneumothorax. Heart size is normal. Mediastinal silhouette and hilar contours are normal. No acute osseous abnormality is identified.
<unk>-year-old woman with chest tightness.
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There is mild to moderate enlargement of cardiac silhouette. The mediastinal and hilar contours are unremarkable, and the pulmonary vasculature is normal. There is no focal consolidation, pleural effusion or pneumothorax identified. Degenerative changes are seen within the right acromioclavicular joint.
confusion.
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There is an endotracheal tube with tip terminating approximately <num> cm cephalad to the carinal. There is nasogastric tube with tip terminating below the diaphragm. There is a left picc with tip terminating in the lower superior vena cava. There is improved aeration of the left hemi thorax with decrease in size of left layering pleural effusion. There is marked increase aeration of the left upper lung. There is irregularity and enlargement of the left hilum the right hilum and right lung are unremarkable. There is no evidence of pneumothorax. Cardiomediastinal silhouette and pulmonary vasculature are within normal limits.
interval changes
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with asthma exacerbation // pna?
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Ill-defined patchy opacities are seen in the right lung base with an associated small right pleural effusion, which is also confirmed in the lateral view. A dense left-sided retrocardiac opacity abutting the left hemidiaphragm is unchanged since at least <unk> compatible with a bochdalek hernia. A small left pleural effusion is also likely present. There is biapical pleuro-parenchymal scarring, more conspicuous in the left apex. No other focal opacities are identified. Mild cardiomegaly is unchanged from prior. There is no pneumothorax.
<unk>-year-old female with chest tightness and low saturations. evaluate for acute process.
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There has been interval placement of a right-sided pigtail catheter which projects over the lateral aspect of the right mid hemithorax on the frontal view with near-complete resolution of the previously seen pneumothorax. There has been interval re-expansion of the right lung. Hazy opacification within the right lung base might reflect an area of residual atelectasis. The left lung remains unchanged with emphysema again noted. Previously noted shift of mediastinal structures to the left has resolved. There is no pulmonary vascular congestion.
pneumothorax status post pigtail placement.
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Pa and lateral views of the chest provided. There is airspace opacity in the left lower lobe which is concerning for an early pneumonia. Right lung is clear. No large effusion or pneumothorax. Cardiomediastinal silhouette appears normal. Bony structures are intact. No free air below the right hemidiaphragm.
<unk>f with <num> days malaise, abd pain, ua and ctap neg, now w/ c/o r flank vs r subcostal pain
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The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
<unk> f with shortness of breath.
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The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. The lungs are well-expanded and clear without focal consolidation concerning for pneumonia. The upper abdomen is unremarkable.
<unk> year old man with s/p kidney transplant, being evaluated for a pancreas transplant. // please assess for any cardiopulmonary abnormalities.
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Interval placement of right-sided central venous catheter terminating at the cavoatrial junction. Otherwise, unchanged exam with large intrathoracic stomach and bibasilar atelectasis. No pneumothorax or pleural effusion identified. Stable cardiomediastinal and hilar contours.
right ij cvl line, evaluation for pneumothorax.
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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 chest discomfort // eval for acute process
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Compared to the prior study, the orientation of the tracheostomy tube is unchanged. There is more volume loss in the right upper lobe with superior displacement of the minor fissure. Atelectasis at the left base is essentially unchanged and retrocardiac opacities are still present, which may represent aspiration or atelectasis. No pneumothorax or large pleural effusions are seen. Right picc line is stable.
<unk> year old man s/p trach w desaturations, and possibly pneumonia. evaluate interval change.
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Lower lung volumes seen on the current exam with mild bronchovascular crowding. There is no focal consolidation or large effusion. Cardiomediastinal silhouette is stable. No acute osseous abnormalities.
<unk>m with new hypotension, concern for sepsis, unknown source // acute intrahtoracic process?
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A persistent right hilar opacity is less conspicuous. Moderate pulmonary edema and moderate to severe cardiomegaly are unchanged. Small bilateral pleural effusions. No pneumothorax.
<unk>f w/sob, please eval for pna, ptx, pulm edema
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Heart size is normal. Mediastinal and hilar contours are unremarkable. The pulmonary vasculature is normal. Linear opacity within the right lung base likely reflects subsegmental atelectasis. No focal consolidation, pleural effusion or pneumothorax is seen. Mild elevation of the right hemidiaphragm is unchanged.
hypotension, dyspnea.
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The right jugular line has been pulled back and now ends in the lower portion of the superior vena cava. There is no pneumothorax. Stability of the left lower lung atelectasis partly secondary to a severe splenomegaly. Very mild left pleural effusion. The mediastinal and cardiac contour are within limit of the normal and unchanged.
assess new position of central venous line.
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Since the prior radiograph on <unk>, there has been interval removal of the endotracheal tube, enteric tube, left chest tube, and pulmonary artery catheter. The lungs are better aerated, but volumes are still low. There are small bilateral pleural effusions with adjacent atelectasis, similar to the prior cxr. No pulmonary edema. No pneumothorax or pneumopericardium. Interval decrease in post-op mediastinal widening. Stable cardiomegaly.
<unk> year old man with s/p cabg and mvr // s/p ct removal
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In comparison with study of <unk>, there is little overall change in the appearance of the right pleural fluid with opacification running up along the lateral chest wall. On the lateral view, the configuration raises the possibility of an extrapleural or loculated collection. Fibrotic streaks are again seen at the bases and the central catheter remains in place.
pleural effusion.
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The lungs are clear. Cardiac silhouette is normal in size. There is no pleural effusion, pneumothorax or pulmonary edema.
cough and fever, question pneumonia.
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Single ap portable view of the chest was obtained. Low lung volumes persist. There is mild central pulmonary vascular engorgement. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. Cardiac and mediastinal silhouettes are stable.
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As compared with the most recent prior examination, there has been no significant interval change. No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. The heart size is normal. Mediastinal contours are normal.
dyspnea.
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Lung volumes are low. There are no focal consolidations, effusions, or pneumothoraces. The heart and mediastinal contours are normal.
<unk>-year-old man, preop for left tib-fib.
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The cardiomediastinal and hilar contours are normal and stable. Increasing hilar fullness and increasing bilateral opacities suggest pulmonary vascular congestion and increasing pulmonary edema. A more confluent area of opacity at the left base may represent atelectasis or infection in the appropriate clinical setting. No pleural effusion or pneumothorax is seen. Multiple granulomas are stable in the right lung.
<unk> year old man with endocarditis, acute sob, crackles on l side, new oxygen requirement // r/o pulm edema
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Endotracheal tube terminates <num> cm above the carina. Enteric tube courses below the diaphragm, out of the field of view. There is a small to moderate right and trace left pleural effusion, with overlying atelectasis. The cardiac silhouette is mild to moderately enlarged. Mediastinal contours unremarkable. No pneumothorax is seen. No overt pulmonary edema.
history: <unk>f with stroke. intubated and sedated // confirm ett and og tube
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On this single projection the lungs are normally expanded and clear. The cardiomediastinal silhouette, hilar contours and pleural surfaces are normal. There is no pleural effusion or pneumothorax.
<unk> year old man with new cerebellar infarct // infection?
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Endotracheal tube is seen terminating approximately <num> cm above the level of the carina. An enteric tube is seen coursing below the diaphragm, inferior aspect not included on this study. There is a left-sided port, distal aspect not well seen, but likely terminates at the proximal svc/svc-brachiocephalic junction. There are low lung volumes and bibasilar atelectasis. Cardiac and mediastinal silhouettes are grossly stable. There is a calcified structure projecting over the right lung apex with what appears to be a wire which was not seen on the prior study four hours prior and may be external to the patient.
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Frontal and lateral chest without demonstrates moderate right -sided pleural effusion with adjacent atelectasis. There is no appreciable pleural effusion on the left. There is no pneumothorax. There is diffuse bilateral pulmonary nodules better is seen on ct dated <unk>. There is no focal consolidation. No pulmonary edema. Heart size is normal.
<unk>-year-old male with pleural effusion.
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The moderate to large right pleural effusion with adjacent atelectasis is virtually identical to the appearance on <unk>. Imaged cardiomediastinal silhouette is normal on the left lungs clear.
<unk> year old woman with pleural effusion // eval
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Cardiomediastinal contours are stable in appearance. The lungs are grossly clear. Left chest tube remains in place, with no visible pneumothorax. Moderate gastric distention is noted within the imaged portion of the upper abdomen.
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Heart size is normal. There is no focal lung consolidation. There is no pleural effusion or pneumothorax.
<unk> year old woman with <unk> week h/o cough and fever, evaluate for pneumonia.
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Cardiac silhouette size is top normal. Mediastinal and hilar contours are unremarkable. Minimal patchy opacity is noted in the lung bases, likely atelectasis. No focal consolidation, pleural effusion or pneumothorax is identified. No acute osseous abnormality is detected.
history: <unk>f with seizure
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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 shortness of breath
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Chest pa and lateral radiographs demonstrate unremarkable mediastinal and hilar contours. Cardiac contour is top normal. Low lung volumes noted bilaterally with vascular crowding and bibasilar atelectasis. Faint retrocardiac opacity noted on frontal view likely represents atelectasis or scarring, though cannot entirely exclude infection in the appropriate clinical setting.
weakness and malaise; please evaluate for focal infiltrate.
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There are relatively low lung volumes and there is mild elevation of the left hemidiaphragm with overlying atelectasis. No definite focal consolidation is seen. There is no large pleural effusion. No pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>m with chest pain, pleuritic // eval for structural process
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Vague opacities over the lung bases are most likely due to overlying soft tissues. There is a <num> mm nodular opacity projecting over the right lung base laterally, overlying the right anterior eighth rib. Elsewhere, the lungs are clear. Cardiac silhouette is mildly enlarged. There is tortuosity of the descending thoracic aorta with atherosclerotic calcifications at the aortic arch. No acute osseous abnormalities identified.
<unk>m with sob // ? pna
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Compared with the prior radiograph, pulmonary arteries appear enlarged, with perihilar interstitial markings, compatible with pulmonary edema. The heart size is normal. There is no pneumothorax, large pleural effusion, or focal consolidation. Partially imaged right shoulder hardware is unchanged since the prior chest radiograph.
history: <unk>m with pmh of dchf, copd, p/w dyspnea, orthopnea. please eval pulmonary edema.
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The cardiomediastinal silhouettes are stable and within normal limits. There are low lung volumes. The bilateral hila are unremarkable. There is basilar atelectasis; otherwise, the lungs are clear. There is no pulmonary vascular congestion. There is no pneumothorax or pleural effusion.
<unk>-year-old woman with chest pain and shortness breath, evaluate for pneumonia.
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The lungs are well-expanded. Increased interstitial markings are seen diffusely throughout. Cardiac silhouette is enlarged. Median sternotomy wires and mediastinal clips are identified. Linear bibasilar opacities are seen potentially atelectasis noting that infection is not excluded. Left chest wall dual lead pacing device is identified. Deformity of the proximal left humerus suggests prior fracture.
<unk>f with fatigue, weakness // evaluate for pulmonary edema, pneumonia
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There is no focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified. No subdiaphragmatic free air.
<unk>-year-old female presenting after a seizure, now with tachycardia and mild hypotension. evaluate for pneumothorax.
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Tip of endotracheal tube has been advanced, terminating at the origin of the right main bronchus with the neck in a flexed position, as communicated by phone with dr. <unk> at <time> p.m. On <unk> at the time of discovery. Cuff of tube also appears slightly over-distended. Nasogastric tube has been placed, with the tip directed cephalad in the fundus. Left chest tube appears to be repositioned at a higher level, with no visible pneumothorax. Partial clearing of left mid and lower lung atelectasis and/or consolidation. Otherwise, no relevant short interval change since recent exam.
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The heart size is normal. The mediastinal and hilar contours are unchanged, and the pulmonary vascularity is normal. Leftward deviation of the upper trachea is due to a right thyroid nodule and is unchanged. Streaky opacities in the lung bases are unchanged, and likely reflects chronic aspiration and scarring. Additionally, blunting of the right costophrenic sulcus on the frontal view is unchanged from the prior exam and likely reflects pleural thickening. No new focal consolidation, pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
cough.
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Interval placement of endotracheal tube with tip terminating <num> cm above the carina. This could be withdrawn a few centimeters for standard positioning. Nasogastric tube terminates in the stomach. Lung volumes are low. Cardiac silhouette is within normal limits in size. Multifocal linear areas of atelectasis are present in the right perihilar, right infrahilar and left retrocardiac area. No significant pleural effusion and no visible pneumothorax.
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The heart is at the upper limits of normal size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. Projecting over the right upper lung is a small nodular focus measuring approximately <num> mm in diameter and relatively hypodense, but potentially calcified. However, a soft tissue lung nodule could be considered. The osseous structures are unremarkable.
chest pain.
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No focal consolidation, pleural effusion or pneumothorax identified. No evidence of pulmonary vascular congestion or pulmonary edema. Unchanged left lower lung zone atelectasis. The size of the cardiac silhouette is enlarged.
<unk> year old man with volume overload on exam. new afib. // evidence of pulmonary vascular congestion.
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Frontal and lateral chest radiographs demonstrate clear lungs, without effusion or pneumothorax. The heart size is normal, the mediastinal contours are normal. There is no intraperitoneal free air seen below the diaphragms.
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Interval placement of a dual lead pacer, with <num> lead terminating in the right atrium, and a second coursing posteriorly, likely via the coronary sinus, although oblique positioning on the lateral view somewhat limits assessment. Small bilateral pleural effusions and adjacent bibasilar atelectasis are similar on the left and slightly improved on the right. No visible pneumothorax.
<unk> year old man s/p dual chamber ppm // assess leads placement and r/o ptx
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Ap upright and lateral views of the chest provided. The lungs are hyperinflated with flattened diaphragms suggesting emphysema. No convincing evidence for pneumonia. No large effusion or pneumothorax. No signs of congestion or edema. Cardiomediastinal silhouette is stable. Atherosclerotic calcification of the aortic knob noted. Mediastinal contour is normal. Bony structures are intact. No free air below the right hemidiaphragm.
<unk>m with cough // evidence of pneumonia
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Rounded ground-glass opacification of the left mid lung likely corresponds to a mild amount of expected hemorrhage following biopsy of the right lower lobe nodule. Patient's additional nodules are better seen on the previously obtained ct. No definite pneumothorax is seen. A small right pleural effusion is noted. Old left rib fractures are noted. The heart is normal in size with normal cardiomediastinal silhouette.
status post right lower lobe nodule biopsy, assess for pneumothorax.
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The patient is status post aortic valve replacement. The sternotomy wires are intact. Mediastinal clips are redemonstrated. Lung volumes are low, accounting for bronchovascular crowding. However the interstitial markings are significantly more pronounced compared with prior exams and there is upper vascular redistribution suggesting mild interstitial edema. Patchy opacities in both lower lobes, including a retrocardiac bandlike opacity better seen in the lateral view, are not significantly changed compared with prior t-spine radiograph and likely represent fibrotic changes. There is a small left-sided pleural effusion. There is no pneumothorax. Cardiac size cannot be properly evaluated.
<unk>-year-old male with multiple falls. evaluate for pneumonia.
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In comparison with the study of <unk>, there is again extensive opacification involving the lower two-thirds of the left lung. No evidence of post-procedure pneumothorax.
bronchoscopy, to assess for pneumothorax.
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The heart appears borderline enlarged. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear. Bony structures are unremarkable.
chest pain.
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Portable chest radiograph demonstrates a feeding tube descending and an uncomplicated course its terminal and not visualized. A left picc terminates in the right atrium. If desired, this line can be withdrawn <num> cm for repositioning with confidence within the low superior vena cava. There is persistent left lower lobe atelectasis with mediastinal shift unchanged when compared to chest film dated <unk>. The right lung remains clear. There are no new focal consolidations. Heart size is normal. No vascular engorgement or pleural effusion. No pneumothorax.
<unk>-year-old female with question of gbs versus aspiration pneumonia. evaluate for pneumonia.
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Extremely low lung volumes are again noted with secondary crowding of the bronchovascular markings. The lungs however clear focal consolidation, or effusion. The cardiomediastinal silhouette is grossly within normal limits. No acute osseous abnormalities identified noting anterior wedging of lower thoracic vertebral bodies with associated kyphosis.
<unk>f with cough fevers // cough/fever
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Cardiac size is normal. The aorta is tortuous and elongated. . The lungs are hyper inflated and clear. There is no pneumothorax or pleural effusion. The osseous structures are unremarkable
<unk> year old man with prolonged cough and wheezing // rule out pneumonia
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There is been placement of a dobhoff tube. The second film demonstrates that the dobhoff tube overlies the expected location of the stomach. The cardiomediastinal silhouette is stable. There is no focal consolidation, pneumothorax, or effusion.
<unk> year old man with dobhoff tube // dobhoff tube placement
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Lung volumes are slightly low. Heart size is top normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Streaky atelectasis is seen in the left lung base. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormality is detected.
history: <unk>f with fall, subarachnoid hemorrhage, possible preoperative radiograph
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The new nasogastric tube tip projects in the distal esophagus, with the side hole in the mid esophagus. This should be advanced for optimal placement in the stomach. Compared with the study from earlier today, mediastinal veins and heart are of slightly larger, but there are no pleural effusions. There is no focal consolidation or pneumothorax.
<unk>-year-old woman with small bowel obstruction and new ng tube placement. evaluate tube position.
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Single frontal view of the chest. Previously malpositioned feeding tube has been removed. Drainage catheters projecting over the left hemidiaphragm are in similar position. Small bilateral pleural effusions are similar to prior with adjacent atelectasis. Pulmonary vasculature engorgement is similar to prior. No pneumothorax. Heart size and mediastinal contours are stable.
empyema.
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As compared to the previous radiograph, the lung volumes have increased. There is a minimal atelectasis at the left lung bases, potentially accompanied by a minimal pleural effusion, reflected by blunting of the left costophrenic sinus. Otherwise, the radiograph is unchanged. No overt pulmonary edema. No pneumonia. The nasogastric tube is in constant position.
new fevers and congestion, assessment for cardiopulmonary process.
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Enteric tube tip seen with tip in the stomach. Left picc tip projects over the lower svc. There is mild bibasilar atelectasis although improved since prior exam. The right costophrenic angle is excluded from the field of view. The cardiomediastinal silhouette is within normal limits.
<unk>m with aortic graft, now s/p replacement of dobhoff // ? dobhoff placement
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Left chest wall single lead pacing device is again seen. Moderate cardiomegaly is stable in configuration. There is mild pulmonary edema. No focal consolidation identified.
<unk>m with hx sob. sudden onset cp, <unk> swelling // eval for fluid overload
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The lungs are well-expanded. A rounded contour in the anterior cardiophrenic recess seen only on the lateral view is probably a mediastinal fat collection or small morgagni hernia. No additional focal opacity. No pleural effusion or pneumothorax. No pneumomediastinum. Heart size, mediastinal contour, and hila are unremarkable. Limited assessment of the upper abdomen is within normal limits.
<unk>m with cp. assess for pneumothorax or pneumonia.
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Pa and lateral chest views were obtained with patient in upright position. Comparison is made with the next preceding chest examination of <unk>. Heart size is within normal limits. No typical configurational abnormality is seen. Thoracic aorta and mediastinal structures are unremarkable. The pulmonary vasculature is normal. No signs of acute or chronic parenchymal infiltrates are present and the lateral and posterior pleural sinuses are free. No pneumothorax in the apical area. Skeletal structures of the thorax grossly unremarkable in this patient with history of multiple myeloma. The next preceding chest examination of <unk> demonstrated an acute parenchymal infiltrate in the left lower lobe. This process has resolved.
<unk>-year-old female patient with multiple myeloma being worked up for transplant. eligibility workup.
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Frontal and lateral views of the chest were obtained. There is no focal consolidation, pleural effusion or pneumothorax. Heart size is normal. Mediastinal silhouette and hilar contours are normal aside from mild aortic tortuosity. Pulmonary vasculature is normal. No acute osseous abnormality is identified.
new acute renal failure. evaluate for fluid overload.
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The lungs are clear without focal consolidation nor effusion. Calcific densities projecting over the hemidiaphragms are most compatible with calcified pleural plaques. Cardiomediastinal silhouette is stable. No acute osseous abnormalities.
<unk>m with several days fever, cough, now afib w/ rvr // eval ? infiltrate, edema, free air
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The heart is moderate to severely enlarged. Cardiac, mediastinal and hilar contours appear unchanged. In addition to mild background congestion there is a new diffuse mild to moderate interstitial abnormality most consistent with pulmonary edema. There is no definite pleural effusion or pneumothorax. Inferior vena cava filter projects over the right upper abdomen.
shortness of breath.
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Frontal and lateral chest radiographs were obtained. A left chest dual-chamber pacemaker has leads terminating in the right atrium and right ventricle. There is a small left apical pneumothorax without evidence of tension. The lungs are fully expanded and clear. The heart is mildly enlarged. Hilar contours and pleural surfaces are normal. There is tortuosity of the descending aorta. There is no pleural effusion.
patient with dual-chamber pacemaker placement, eval lead position.
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A right double-lumen hemodialysis catheter ends at or just beyond the aortocaval junction. A right chest tube and right drain are new. Subcutaneous air is present in the right lateral chest extending into the right neck. A small-to-moderate right pleural effusion and right pleural thickening are unchanged. There is no pneumothorax. Left pleural thickening and atelectasis are stable. Moderate enlargement of the cardiomediastinal silhouette is unchanged. Sternal wires are intact.
recurrent pleural effusion status post thoracoscopy and pleural biopsy.
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The initial radiograph shows that the feeding tube has been advanced into the stomach. The lungs remain clear. There is no pneumothorax. The heart and mediastinum are within normal limits. The followup radiograph shows replacement of the feeding tube with a nasogastric tube, which courses below the hemidiaphragm, tip not visualized. The lungs remain clear. There is no other relevant change.
<unk> year old man with tachypnea, fever. + uti. // concern for aspiration event in setting of somnolence. r/o infectious source causing sirs response. pt unstable to travel at this time. <unk> yo m struck by vehicle while raking leaves, bilateral sdh with righward shift <num>mm // evaluate for aspiration event
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Pa and lateral views of the chest were provided. Elevated left hemidiaphragm with chronic consolidation in the left lower lobe is again noted. Possibility of a small superimposed pneumonia would be impossible to exclude. The right lung appears clear. No pneumothorax is seen. No definite pleural effusion. Overall, cardiomediastinal silhouette appears stable. Bony structures are intact. No free air below the right hemidiaphragm.
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Pa and lateral views of the chest. The lungs are clear. There is no pneumothorax. The cardiomediastinal silhouette is normal. No displaced fractures identified.
<unk>-year-old female with chest pain. pain on the left and <unk> chest.
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The right-sided pleural effusion is smaller. Platelike atelectasis at the right lung base again noted. Tiny left pleural effusion. Otherwise, no new pulmonary abnormalities since the last exam dated <unk>. The mediastinum is still wide, but decreased in size compared to prior radiograph.
<unk> year old man s/p mie // check interval change
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Redemonstrated is a right-sided port-a-cath with the tip terminating in the mid svc. As compared to the prior examination, lung volumes have decreased and there is crowding of the bronchovascular structures. Bilateral hilar opacities are unchanged, correlating with radiation fibrosis as seen on recent chest ct. There is no new lobar consolidation, pleural effusion, pneumothorax, or pulmonary edema. Mild cardiomegaly is unchanged.
<unk> year old woman with dyspnea // dyspnea
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Frontal and lateral views of the chest were compared to previous exam from <unk>. Right-sided central line is seen with tip at the ra svc junction. Again noted are bibasilar regions of consolidation with more dense opacity in the lateral view seen posteriorly, potentially in the right lower lobe. Superiorly, the lungs are clear. Cardiac silhouette is enlarged but stable in configuration. Bilateral proximal humeral hardware is again seen. Multiple bilateral rib fractures are also noted as well as a mid thoracic dextroscoliosis.
<unk>-year-old female with shortness of breath, cough, right picc line.
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Pa and lateral views of the chest provided. Cardiomegaly is noted with small bilateral pleural effusions and mild pulmonary congestion and edema. No pneumothorax. Difficult to exclude a superimposed subtle pneumonia. No pneumothorax. Bony structures appear intact.
<unk>m with dsypnea // eval chf
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Cardiomediastinal silhouette and hilar contours are stable. Persistent low lung volumes result in bronchovascular crowding and there is persistent indistinct appearance of pulmonary vasculature and perihilar fullness suggesting congestion. There is no pleural effusion or pneumothorax.
coronary artery disease, congestive heart failure, fever and hypotension.
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The lungs remain hyperinflated.no focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
<unk>m w/productive cough, fevers, please eval for pna // <unk>m w/productive cough, fevers, please eval for pna
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There has been interval removal of a cardiac implant device. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. There is no overt pulmonary edema. The heart is top-normal in size given ap technique. The mediastinal contours are normal.
<unk> year old man with chest pain for <num> weeks. please assess for etiology of chest pain.
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The lungs are clear of airspace or interstitial opacity. The cardiomediastinal silhouette is unremarkable, with resolution of the mediastinal widening. A small pleural effusion is now seen. No acute or aggressive osseus changes. The rib fractures are not visualized on this examination.
evaluate pulmonary contusion
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A left-sided pacemaker is seen in unchanged position with its leads terminating in the right atrium, right ventricle and left ventricle, expected locations. There is unchanged enlargement of the cardiac silhouette with mild pulmonary vascular congestion. This raises the possibility of cardiomyopathy. There are small bilateral pleural effusions.
<unk>-year-old woman status post bi-v ppm via subclavian vein. confirm lead placement.
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Tip of endotracheal tube terminates approximately <num> cm above the carina, and a nasogastric tube terminates within the stomach. Cardiomediastinal contours are within normal limits for technique, and lungs and pleural surfaces are clear.
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Pa and lateral chest radiographs demonstrate no focal consolidation, pleural effusion, or pneumothorax. The heart size is normal. The cardiac, hilar, mediastinal contours are normal.
chest pain. evaluation of cardiomegaly.
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Left-sided dual-chamber pacemaker device is in unchanged position. Mild to moderate cardiomegaly is similar. Mediastinal and hilar contours are within normal limits. Pulmonary vasculature is not engorged. Patchy bibasilar opacities likely reflect areas of atelectasis. No pleural effusion or pneumothorax is present. There are mild degenerative changes noted within the shoulders and imaged thoracolumbar spine.
history: <unk>f with status post fall on coumadin
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The patient is status post coronary artery bypass graft surgery. The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear.
hypertension.
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The cardiomediastinal and hilar contours are within normal limits. The lungs are clear without focal consolidation, pleural effusion or pneumothorax.
<unk>f w/chest pain // <unk>f w/chest pain
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Frontal and lateral radiographs of the chest were acquired. The cardiac silhouette remains moderately enlarged, but not significantly changed compared to the most recent radiograph from <unk>. The mediastinal contours are otherwise normal. There is minimal right lower lobe atelectasis. The lungs are otherwise clear. Marked tracheomalacia is redemonstrated. There are no pleural effusions or pneumothorax. Deformity of the left clavicle relates to remote trauma.
shortness of breath with a history of a pleural effusion. evaluate for effusion.
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Sternotomy wires are intact. Et tube is <num> cm above level of the carina and has improved in position. Left-sided surgical <unk> noted. New mild pulmonary edema and bilateral pleural effusions, moderate sized on right and small on left. New right upper lobe ovoid opacity with air bronchograms may represent aspiration pneumonia. No pneumothorax. Heart size, mediastinal and hilar contours are normal.
<unk>-year-old female status post left cea with v-tach, confusion, hypoxemia. intubated. assess for pulmonary congestion.