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Pa and lateral chest views were obtained with patient upright position. The heart size is normal. No configurational abnormality is present. Thoracic aorta and mediastinal structures are unremarkable. The pulmonary vasculature is not congested. No signs of acute or chronic parenchymal infiltrates are present and the lateral and posterior pleural sinuses are free. No pneumothorax in apical area. Skeletal structures of the thorax are grossly unremarkable. When comparison is made with the next preceding chest examination of <unk>, chest findings as seen on the frontal view are stable. The previous examination was obtained to identify a dislocated right-sided picc line.
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<unk>-year-old male patient with cough, evaluate for pneumonia.
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In comparison with the study of <unk>, there is mild prominence of the cardiac silhouette with some indistinctness of engorged pulmonary vessels consistent with elevated pulmonary venous pressure. No evidence of discrete consolidation. If there is serious concern for possible aortic dissection, mri could be considered in the patient who cannot receive iodinated contrast material.
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acute shortness of breath.
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Cardiomediastinal silhouette is within normal limits. Lungs are clear. There is no pleural effusion or pneumothorax. Bones are grossly unremarkable.
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history: <unk>f with ? infectious syndrome // ? pneumonia
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The patient is status post prior median sternotomy. Interval removal of the right picc line. Patchy bilateral airspace opacities are present, greater on the right likely reflect pulmonary edema however underlying pneumonia cannot be excluded. Small right pleural effusion. No pneumothorax identified. The size the cardiac silhouette is enlarged but unchanged.
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<unk> year old man with <unk> <unk> and signs of volume overload // signs of pulmonary edema
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There are linear bibasilar opacities most likely atelectasis. Small predominately subpulmonic right pleural effusion is similar compared to recent ct scan. Superiorly, the lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
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<unk>m with cirrhosis w ascites, rlq ttp, r posterior crackles // eval ? rll pna vs atelectesis
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An ng tube is present --<unk> tip extends beneath the diaphragm to overlie the stomach. A sideport if present, likely also overlies the stomach. Rotated positioning. Allowing for this, the cardiomediastinal silhouette is probably unchanged. There is upper zone redistribution with mild vascular plethora. There is patchy opacity at the left lung base, improved compared with <unk>. Minimal subsegmental atelectasis the right base is also present. The right costophrenic angle is obscured by overlying anatomy and lines. No gross right effusion. A small left effusion would be difficult to exclude no pneumothorax is identified. Partially imaged partially visualized posterior spinal fixation hardware is noted in the lumbar spine. Residual oral contrast is seen in the colon in the descending colon, with scattered contrast filled diverticuli noted.
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<unk> year old woman with ngt placement after stroke // ngt position
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Frontal and lateral views of the chest were obtained. No focal consolidation, pleural effusion or evidence of pneumothorax is seen. Cardiac and mediastinal silhouettes are unremarkable. No overt pulmonary edema is seen.
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Since the prior cxr, there is no significant change in appearance of the right-sided layering empyema and loculated gas collection at the right lung base. These findings are characterized on recent ct performed <unk>. No new areas of consolidation. Left lung is essentially clear. No pneumothorax. Stable cardiomegaly. Single lead pacemaker is unchanged in position and terminates in the right ventricle.
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<unk> year old man with right sided empyema // assess for interval change
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Low lung volumes are present. Cardiac silhouette size size remains mildly enlarged. The mediastinal and hilar contours are unchanged. Pulmonary vasculature is normal. Lungs are clear. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormality is seen.
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history: <unk>f with cough
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The lungs are clear. The cardiac and mediastinal contours are normal. There are no pleural abnormalities.
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fever, evaluate for acute intrathoracic process.
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Cardiac size has slightly decreased and pulmonary vessels appear less engorged than on the recent radiograph. Lungs are clear except for minimal atelectasis at the right base. Possible persistent small left pleural effusion. No visible pneumothorax.
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As compared to <unk>, there is new subcutaneous emphysema in the right neck asymmetrically greater than the left. There is also new lucencies surrounding the thoracic inlet, mediastinum and left heart border suggestive of pneumo mediastinum and pneumopericardium. Widespread airspace opacities have slightly improved, most pronounced in the lingula and right lower lobe. Small bilateral pleural effusions persist. Endotracheal tube is <num> cm from the carina. Right internal jugular catheter in the mid svc. The nasogastric tip is within the body of the stomach. A second feeding tube with the tip in the cardia of the stomach has pulled back since the prior.
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<unk> year old man with et tube // et tube
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In comparison with study of <unk>, the pigtail catheter remains in place. There is some decrease in the loculated pleural collection, though substantial residual persists. The right lung remains essentially clear.
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effusion.
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There is chronic mild cardiomegaly and mild interstitial pulmonary edema, without focal airspace consolidation, pneumothorax, or pleural effusion.
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<unk>-year-old man with focal segmental glomerulosclerosis, with end-stage renal disease on hemodialysis, presenting with post dialysis palpitations.
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Frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. The cardiomediastinal and hilar contours are unchanged. There is no pneumothorax, pleural effusion, or consolidation.
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<unk>m with h/o colectomy with ab pain // acute process?
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Interval removal of one of the right chest tubes, <num> chest tubes are remaining. No pneumothorax. Residual small amount of pleural effusion on the right. There is stable opacity in the right lung base and blunting of the right costophrenic angle. No new focal consolidation. Blunting of the left costophrenic angle stable from prior and suggestive of small left pleural effusion. This preliminary report was reviewed with dr. <unk>, <unk> radiologist.
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<unk> year old man w/ pna and empyema s/p vats and <num> chest tube placement. <num> chest tube removed today // post chest tube removal
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The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. Cardiomediastinal silhouette is unremarkable.
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cough /shortness of breath
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The lungs are well-expanded and clear. The cardiomediastinal and hilar contours are unchanged, and the heart is mildly enlarged. The aorta is tortuous. There is no pneumothorax, pleural effusion, or consolidation.
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<unk> year old woman with cough and sputum // eval for pna
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Pa and lateral views of the chest. The lungs are hyperinflated. Biapical scarring is again noted. There is no new consolidation. Blunting of the right costophrenic angle raises possibility of a trace effusion, similar to <unk>. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormality detected.
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<unk>-year-old female with dizziness and orthostatic hypotension.
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Pa and lateral views of the chest. No prior. Left-sided central line is seen with catheter tip in the mid svc. The lungs are clear of consolidation or effusion. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.
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<unk>-year-old female with fever, on steroids. question pneumonia.
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The lungs are clear. No effusion, consolidation or pneumothorax is present. The heart and mediastinal contours are normal.
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<unk>-year-old woman with weakness, question infiltrate.
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The dobbhoff catheter of the patient shows a normal course. In pre-pyloric location, however, the catheter is coiled. No complications. The hemodialysis catheter on the right is in unchanged position. Low lung volumes. No pulmonary edema. No pleural effusions. No pneumonia.
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cirrhosis, hematemesis, dobbhoff catheter placement.
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A large left pleural effusion causing near complete collapse of the entire left lung has increased slightly since study of <unk> causing causing more rightward tracheal and mediastinal shift. A small portion of the left upper lobe remains aerated. Mild interstitial pulmonary edema which progressed between <unk> and <unk> is no worse. There is no focal right-sided consolidation or pleural effusion. There is no pneumothorax. The osseous structures and upper abdomen are unremarkable.
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<unk>f with cirrhosis, increased ascites, dyspnea, evaluate for edema or effusion.
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Lung volumes are low with bronchovascular crowding. The heart is top-normal in size/mildly enlarged. No focal consolidation, edema, effusion, or pneumothorax.
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<unk>-year-old woman with chest pain and shortness of breath in the context of new right leg swelling.
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Interval placement of a left-sided chest tube with tip in the left lung apex. A right chest tube is now seen with side port within the thorax and tip in the apex. The endotracheal tube and enteric tube are unchanged. Extremely low lung volumes. There is a right-sided contusion. There is likely pulmonary edema. There are multiple bilateral rib fractures. No definite pneumothorax. No definite pleural effusion.
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<unk>-year-old woman status post motor vehicle crash
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are unremarkable.
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In comparison with study of <unk>, there is again evidence of elevated pulmonary venous pressure as well as layering pleural effusions and compressive atelectasis at the bases.
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to assess for pulmonary edema.
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Right upper lobe opacities spanning <num> cm correlate to a cluster of nodules seen on the <unk> ct, not significantly changed since then. No focal consolidations which are concerning for pneumonia at this time, although the cluster of nodules in the right upper lobe may be related to atypical infectious disease. There may be a small right pleural effusion. The left pleural looks clear. Cardiac size is normal. The aorta is tortuous. No pneumothorax.
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evaluate for infection
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Endotracheal tube tip is <num> cm above the carina, a single lead from left pectoral icd device ends into the right ventricle, right internal jugular sheath tip is in lower svc, right subclavian line reaches till cavoatrial junction/right upper atrium, and orogastric tube can extends to stomach but its tip is beyond radiographic view. Right lower lung volume loss due to right lower lobe collapse is overall unchanged and any contribution from middle lobe collapse is indeterminate. Increased retrocardiac density suggesting left lower lung atelectasis has minimally worsened since yesterday. Pleural effusions, if any, are small bilaterally and unchanged. Moderately enlarged heart size is stable. No acute changes in the chest.
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<unk>-year-old man with pancreatitis, status post multiple ex laps, now intubated for respiratory failure.
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Single frontal portable view of the chest was obtained. The heart is of top normal size with normal cardiomediastinal contours. The pulmonary vasculature is slightly prominent, compatible with mild pulmonary congestion. The lungs are otherwise clear without focal consolidation, pleural effusion, or pneumothorax. Osseous structures appear unremarkable. A metallic stent overlies the right upper quadrant.
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<unk>-year-old man with cirrhosis, here with hyponatremia and asterixis. evaluate for pulmonary process.
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The right ij line is been removed. The right mainstem stent is again visualized. The moderate right pneumothorax is again seen. There continues to be dense consolidation and opacity of the right lung. There also pleural effusions, moderate on the right and small on the left. These of increased compared to the study from <num> days ago. The left lung is relatively clear
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<unk> year old woman with hydropneumothorax and worsenign dysphnea // ? eval size of hydropneumothorax
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Right pleural catheter in place. Mildly improved right apical fluid collection. Decreased right mid lung capacity, may represent resolving fluid along the right minor fissure. Stable right basilar opacity. No pneumothorax. Left lung clear.
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<unk> year old woman with hx of hemothorax s/p chest placement // r/o residual pleural effusion before chest tube removal
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The heart size is normal. There is evidence of pulmonary vascular congestion and mild pulmonary edema as well as small bilateral pleural effusions. Mild bibasilar atelectasis is persistent. There is no evidence of a pneumothorax. The piccis not visualized on this exam.
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history: <unk>m with hepatic and renal failure // evaluate for pleural effusion, picc placement
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Pa and lateral views of the chest were provided. Lung volumes are low. The lungs are clear bilaterally without focal consolidation, effusion, or pneumothorax. The heart appears mildly enlarged. The imaged bony structures are intact. No free air is seen below the right hemidiaphragm.
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<unk>-year-old female with chest pain.
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Single frontal view of the chest. Large-bore left subclavian catheter terminates in the right atrium. Lung volumes are low. Bibasilar reticular opacities are compatible with chronic interstitial lung disease. The trachea has a narrowed transverse diameter, which can be seen with chronic lung disease. No focal consolidation, substantial pleural effusion, or pneumothorax. The heart is normal size. Cardiomediastinal contours are unremarkable. Several radiodense bodies overlying the abdomen may represent pill fragments or metallic foreign bodies.
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<unk>-year-old male with weakness. evaluate for pneumonia.
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Heart size is moderately enlarged. The aorta is unfolded. Mediastinal and hilar contours are otherwise unremarkable. Mild upper zone vascular redistribution is present without overt pulmonary edema. Lung volumes are low with streaky opacities in the lung bases most likely reflective of atelectasis. No pleural effusion or pneumothorax is present. Comminuted fracture of the left proximal humerus is re- demonstrated.
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history: <unk>f with hypoxia
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Frontal and lateral views of the chest were obtained. Previously seen right-sided picc is no longer seen. There are relatively low lung volumes. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.
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There are low lung volumes and a poor inspiratory effort. In comparison to prior radiograph, the cardiomediastinal silhouettes are stable. The bilateral hila are unremarkable. As on prior study, bronchovascular prominence likely relates to low lung volumes. There is no evidence of focal lung consolidation. There is no pulmonary vascular congestion. There is no pneumothorax or effusion.
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a <unk>-year-old man with dizziness and a recent cva, evaluate for infection.
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The frontal view of the chest demonstrates unchanged mild cardiomegaly. No evidence of focal consolidation or pleural effusion. No pneumothorax. There is no significant change since the prior study.
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<unk>-year-old male with history of chf and dyspnea.
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Right pleural effusion has decreased since prior. Improved right basilar consolidation. Shallow inspiration accentuates heart size, which is probably enlarged. Increased pulmonary vascularity, more prominent. Left lung is clear. No pneumothorax.
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<unk> year old woman with nash cirrhosis, presenting with hyponatremia and fatigue // r/o infection
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Compared to the prior study, no definite change is detected. Again seen are sternotomy wires and the sternotomy closure construct. The cardiomediastinal silhouette is unchanged. No overt chf. Bibasilar atelectasis. Minimal blunting at the right costophrenic angle, without gross effusion. The torso ct from <unk> describes nondisplaced fractures of the right <unk>-<num>th ribs. These are not readily visible on the current radiograph. Allowing for lordotic positioning, no pneumothorax is detected. There is only trace right base atelectasis .
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<unk> year old woman with rib fractures, hypotension // eval for ptx
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Single portable upright frontal view of the chest. There are low lung volumes. There is the opacity in the left lung base, which may represent atelectasis but cannot exclude pneumonia or aspiration in the appropriate clinical setting. No pleural effusion or pneumothorax is seen. The cardiomediastinal silhouette top normal in size.
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frequent seizures, subdural, concerning for infection.
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Ap upright and lateral views of the chest provided. Lung volumes are markedly low which limits evaluation. Allowing for this, the lungs are clear. No signs of pneumonia or edema. Heart size cannot be assessed. Mediastinal contour is normal. Bony structures are intact.
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<unk>f with fever // acute process
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Ap portable supine view of the chest. There is a new left upper extremity picc line with its tip extending into the right internal jugular vein. Recommend repositioning. A left nephrostomy tube is partially visualized. The lungs remain clear. Patient's chin overlies the left lung apex limiting evaluation. No convincing signs for pneumonia. No effusion or pneumothorax is seen. Cardiomediastinal silhouette is stable. No acute bony abnormalities.
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<unk>f with picc, pls eval for placement // history: <unk>f with picc, pls eval for placement
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Right picc tip terminates in the mid svc. Median sternotomy wires and multiple clips in the left upper abdomen are unchanged. Heart size is normal. Mediastinal and hilar contours are unchanged. Pulmonary vasculature is not engorged. Minimal patchy opacities are seen within the left mid and lower lung fields, as well as streaky right basilar opacity, findings unchanged from prior, and likely reflective of slowly resolving pneumonia. No new focal consolidation, pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
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history: <unk>m with anemia
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Pa and lateral views of the chest provided. Lungs are hyper-expanded but clear. Compared to prior study, there is new small amount of pleural effusion on the left. Heart size is normal. Work on <num> is normal.
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<unk> year old woman with new o<num> requirement overnight, low <num>s on ra, evaluate for atelectasis vs pneumonia
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Pa and lateral views of the chest provided. Overlying ekg leads are present. The heart appears mildly enlarged. Mild hilar congestion is suspected. No large effusion or pneumothorax. No consolidation concerning for pneumonia. The mediastinal contour is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
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<unk>f with b/l <unk> edema x weeks // eval edema
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Pa and lateral views of the chest provided. Again demonstrated is focal eventration of the right hemidiaphragm. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. Partially imaged right humeral head prosthesis noted. No free air below the right hemidiaphragm is seen.
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<unk>f with cough
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The cardiomediastinal and hilar contours are within normal limits. There is no focal consolidation, pleural effusion or pneumothorax.
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<unk>f with cough // eval for pna
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Single portable chest radiograph was provided. Basilar opacities and small left pleural effusion are unchanged. Mild cardiomegaly has slightly increased since the most recent prior exam. The tracheostomy tube is in appropriate position. Left picc terminates in the right atrium. Bony structures are unremarkable.
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<unk>-year-old male with no significant past medical history presenting with weakness, developing acute respiratory failure, found have saddle pe.
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As compared to the previous radiograph, there is no relevant change. The lung volumes are normal. Normal size of the cardiac silhouette. Normal hilar and mediastinal structures. No pleural effusions. No pulmonary edema. No pneumonia.
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fever and cough, questionable pneumonia.
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As compared to the previous radiograph, the pre-existing and pre-described signs suggesting mild-to-moderate pulmonary edema are unchanged. Unchanged size of the cardiac silhouette. Unchanged position of the left pectoral pacemaker. No pleural effusions. No newly appeared parenchymal opacities.
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dyspnea, evaluation for edema.
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Subtly increased hazy opacification at the bilateral lung fields, predominantly in the bases is likely related to technique. Within this limitation, there is subtly increased opacity in the right lung base on the frontal view, which may correspond to increased density over the spine on the lateral view. There is no pleural effusion or pneumothorax. The pulmonary vasculature is not engorged. The cardiomediastinal and hilar contours are within normal limits. The trachea is midline. No acute osseous abnormality is detected. There is no free air beneath the right hemidiaphragm.
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fever, here to evaluate for pneumonia.
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Portable ap upright chest radiograph provided. There has been no change from prior exam with right basilar opacity which could reflect, in part, an elevated right hemidiaphragm, though effusion and consolidation are also a concern. There has been no progression from prior.
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Lines and tubes are in stable position. Low lung volumes persist. There is persistent left base opacity which could be due to atelectasis with small pleural effusion. There is persistent blunting of the right costophrenic angle which may be due to a small pleural effusion and pleural thickening. Multiple right-sided rib fractures are re-demonstrated.
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<unk> year old woman with respiratory failure, s/p stemi // eval for ett placement
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A feeding tube is seen coiled within the stomach. A left picc ends in the mid brachiocephalic vein and is unchanged from the prior radiograph. There has been near resolution of the right pleural effusion with a persistent small stable left pleural effusion. There are no consolidations. There is no pneumothorax. The cardiomediastinal silhouette is normal.
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history of alcohol cirrhosis with abdominal wound bleeding. assess picc and feeding tube.
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The left hemidiaphragm is elevated. There is bibasilar atelectasis. At the left base, there is blunting of the costophrenic angle and the possibility of early hazy opacity cannot be excluded. There is mild upper zone redistribution, without overt chf. No gross effusion or pneumothorax detected. Possible mild cardiomegaly. Right ij central line tip lies in the region of the cavoatrial junction.
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<unk> year old woman with bacteremia // eval for acute pulmonary abnormality
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Et tube ends <num> cm above the carina. Right-sided swan-ganz is in the main pulmonary artery. There is no pneumothorax. Left lower lung atelectasis has improved. Small pleural effusion on the left side has also improved. Mild pulmonary edema is, however, new. Moderate cardiomegaly is stable.
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patient with tavr. evaluate for effusion.
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Mild to moderate interstitial abnormality has improved compared to <unk>, probably due to resolution of a component of acute pulmonary edema. Heart size is normal. The mediastinal contour is unremarkable. There is no pleural effusion or pneumothorax. There is no evidence of a focal consolidation.
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<unk>f with cough, evaluate for pneumonia.
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Since the prior radiograph performed yesterday afternoon, there has been slight improvement in the moderate left pleural effusion and small right pleural effusion. There is bibasilar compression atelectasis. No pneumothorax. No hilar lymphadenopathy. Stable cardiomegaly due to known large pericardial effusion.
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<unk> year old man with large pericardial effusion // per thorasic surg recs - evaluate tb vs. malignancy
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A right port-a-cath terminates at the mid svc. A tracheostomy tube is unchanged in position. Widespread bilateral pulmonary opacities, reflecting pulmonary edema and vascular congestion, are new since <unk>. There is no pneumothorax. Small bilateral pleural effusions are present.
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pea arrest.
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There is no focal consolidation, pleural effusion, or pneumothorax. Minimal atelectasis is present at the left base. Cardiomediastinal silhouette is unremarkable. Osseous structures are intact.
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hypertension and ekg changes, evaluate for cardiopulmonary process.
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Semi-erect portable frontal radiographs through the chest demonstrates clear lungs bilaterally. No focal opacification is identified. The mediastinal and hilar contours are unremarkable. Heart size is normal. There is no pleural effusion or pneumothorax. Visualized osseous structures are without acute abnormalities.
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<unk>-year-old male with altered mental status.
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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.
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history: <unk>m with <num> days chest pain in the setting of heartburn // eval for chest pna
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Ap portable upright view of the chest. There is no focal consolidation, effusion, or pneumothorax. Heart size appears top- normal though this is likely due to portable ap technique. Mediastinal contour is normal. Imaged osseous structures are intact.
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<unk>f post-ictal vs stroke // ?cpd
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Cardiac silhouette is markedly enlarged but stable in size. Upper zone vascular redistribution is accompanied by minimal interstitial edema, the latter improved since <unk>. Bilateral pleural effusions are small in size, with slight decrease on the left since the recent study. Focal linear scar or atelectasis in left retrocardiac region is unchanged.
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Low lung volumes are seen. There is dense retrocardiac opacity asymmetric when compared to the right. Tracheostomy tube is in place. Right-sided central venous catheter tip projects over the lower right atrium. Cardiac size is difficult to assess given low lung volumes and left basilar opacity.
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<unk>m with ams // eval for ich
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In comparison with the study of <unk>, the tracheostomy remains in place. There are lower lung volumes with extensive scattered radiation relating to the size of the patient that limits clarity of the image. The right subclavian catheter extends to the mid-to-lower portion of the svc.
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tracheostomy with chest pain.
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Pa and lateral views of the chest were provided. The heart is enlarged though this is stable. There is mild pulmonary interstitial edema. No large effusion. No focal consolidation to suggest pneumonia. Bony structures are intact. Clips in left axilla with evidence of prior left breast resection is again noted.
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<unk>-year-old female with hyperglycemia, dizziness, obesity, question pneumonia.
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
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<unk>f with cough and sob // signs of chf and copd
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An endotracheal tube and orogastric tube are unchanged in orientation, remaining within appropriate position. Again seen are widespread bilateral pulmonary opacities, improved along the upper zones, in comparison to the <unk> exam. There is no pneumothorax or pleural effusion. The cardiac and mediastinal contours remain within normal limits.
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large volume hemoptysis.
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Portable semi-upright radiograph of the chest demonstrates extensive opacification involving much of the right hemithorax, which likely represents a combination of asymmetric pulmonary edema and pneumonia. The cardiomediastinal and hilar contours are unchanged. There is no pneumothorax.
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<unk> year old woman with sob po<num> <unk> on non rebreather // sob with po<num> <unk> on nonrebreather
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Right swan-ganz catheter and endotracheal tube remain in standard position. Mediastinal drains and chest tubes have been removed. Focal crescent of lucency along the left mediastinal border may reflect tiny pneumothorax or pneumomediastinum. Slight improvement in the retrocardiac opacity can be improving atelectasis. Right basilar opacities slightly increased, has imaging appearance of atelectasis.
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<unk> year old man with as above // s/p cabg w/hypoxia r/o effusion
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Lung volumes are low with bibasilar atelectatic changes. The cardiomediastinal shilhouette and hila are normal. Small left pleural effusion. No pneumothorax. Right ij line has been removed in the interval otherwise no change from <unk>.
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<unk>-year-old with fevers.
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Patient is post median sternotomy, mitral replacement. Left-sided defibrillator, with leads in the right atrium and right ventricle, is unchanged. Previously seen ill-defined nodular and hazy opacities in the right lung have greatly improved since the radiograph from <num> days prior, suggesting these were due to pulmonary edema. However, persistent opacities in the right could be due to residual asymmetric edema or infection.
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<unk> year old woman with systolic chf, pulm htn, asthma admitted with dyspnea, hypoxia. cxr c/f multifocal pna vs. asymmetrical pulm edema. ? interval change
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A right pectoral mediport terminates in the low svc. A new bandlike opacity at the right base may be due to atelectasis or aspiration. The patient is status post esophagectomy with gastric pull-through. The cardiomediastinal silhouette is stable. There is also a stable trace right pleural effusion.
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<unk> year old man with esophageal cancer s/p esophagectomy p/w n/v, found to have dec bs at right base // please assess for pna, effusion, atelectasis
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A dobbhoff tube is coiled within the esophagus. The heart size is normal. The hilar and mediastinal contours remain within normal limits. A right picc terminates at the lower svc. There is no pneumothorax or pleural effusion.
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nasogastric tube placement.
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The lungs are clear. There is no pneumothorax or pleural effusion. Mild to moderate cardiomegaly has increased in this patient with prior sternotomy for cabg and avr. The aortic valve prosthesis is difficult to see on this chest x-ray. Mild pulmonary artery dilatation is also stable.
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<unk> year old woman with copd, chf, s/p avr, who now has increased sob of unclear cause // assess for any tell tale evidence of chf
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The heart is normal in size and lungs are clear without vascular congestion or pleural effusion. Specifically, no abnormality is seen involving the medial aspect of the right clavicle. The appearance is symmetric with the opposite side.
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tender protuberance medial clavicle on right.
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Ap and lateral chest radiographs were provided. There is prominence of the interstitial markings, slightly increased since the prior exam consistent with mild pulmonary edema. There is no focal consolidation or pneumothorax. Speckled calcifications in the right upper lung are stable from the prior ct chest. There are small bilateral pleural effusions, similar in appearance to the prior study. The cardiomediastinal silhouette is unchanged. Patient is status post right axial dissection with clips. The bones are intact.
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<unk>-year-old female with non-hodgkin's lymphoma and chf, presenting with generalized weakness. rule out pneumonia.
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Since the prior exam, the interstitial opacities have slightly worsened. Additionally, the basilar opacities have also progressed. There is no definite pleural effusion. There is no pneumothorax. The mediastinal contours are normal. The heart size is at the upper limits of normal.
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new-onset chest pain and shortness of breath.
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Assessment is limited by patient positioning and rotation. Heart size appears mildly enlarged. Mediastinal contours are grossly unremarkable. There is no overt pulmonary edema, nor is there a pleural effusion or pneumothorax. Lung volumes are low. There appear to be patchy opacities in the lung bases which are nonspecific, and may be reflective of infection or aspiration. No acute osseous abnormality is detected.
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history: <unk>f with sepsis, reported biliary stent obstruction
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The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear. There is been no significant change.
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cough and pedal edema.
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Portable upright chest radiograph was obtained. There is no focal consolidation, pleural effusion or pneumothorax. There is no free air under the right hemidiaphram. Lucency under the left hemidiaphragm is most likely due to a distended stomach. Cardiomediastinal silhouette is unchanged and notable for a tortuous thoracic aorta. Linear opacity at the left lung base is likely atelectasis. Bony structures are intact.
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<unk>-year-old man status post ercp with chest pain, rule out perforation.
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The cardiac, mediastinal and hilar contours are normal. Pulmonary vascularity is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities are present.
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cough, nausea, vomiting.
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There is a retrocardiac opacity obscuring the left hemidiaphragmatic contour. This may reflect pleural effusion with atelectasis or pneumonia. Mild cardiomegaly is stable. There is no pneumothorax. Pulmonary vascularity is normal.
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<unk>-year-old man with dyspnea. evaluate for pneumonia or pulmonary edema.
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With the chest tubes on waterseal, there is now a newly appeared right pneumothorax in addition to the known left pneumothorax. The chest tubes are in unchanged position, as are the other monitoring and support devices. The referring physician was notified at the original time of image acquisition.
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known small left pneumothorax, unable to wean.
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Pa and lateral views of the chest demonstrate low lung volumes. Heart is normal in size and cardiomediastinal contour is stable. Chronic elevation of the left hemidiaphragm noted. There is no focal consolidation, pleural effusion or pneumothorax.
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<unk>-year-old man with diabetes and hyperglycemia, evaluate for pneumonia.
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Pa and lateral views of the chest were obtained demonstrating clear well-expanded lungs without signs of pneumonia or chf. Bilateral nodular opacities in the lower lungs are likely nipple shadows. No pleural effusion or pneumothorax. Heart and mediastinal contours appear normal. Bony structures are intact. No free air below the right hemidiaphragm.
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There is no focal consolidation, pleural effusion, or pneumothorax. The pulmonary vasculature is within normal limits. The heart has enlarged slightly, though still within normal limits and likely due to fluid status. The cardiomediastinal silhouette is normal.
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nonproductive cough and positive influenza test now with fever and worsening hypoxia. concern for pneumonia.
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The patient is status post placement of a left-sided dual-chamber pacemaker, with leads terminating in the expected locations of the right atrium and right ventricle. There is no evidence of pneumothorax. Cardiomegaly is stable in appearance allowing for lower lung volumes, the latter also accentuate the pulmonary vascularity. New linear foci of atelectasis have developed in both lower lobes. Calcified granulomas are present in the right upper lobe without change. Note is made of previous median sternotomy and aortic valve replacement.
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There is diffuse pulmonary vascular congestion and cardiomegaly. There are small bilateral pleural effusions. The patchy opacification and air bronchogram in the right upper lobe could be combination of acute pneumonia and bronchiectasis. The mediastinal silhouette is within normal size.
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<unk> year old woman with intermittent o<num> requirement and leukocytosis // eval for consolidation or other pathology
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Pa and lateral chest views were obtained with patient in upright position. Comparison is made with the next preceding portable chest examination of <unk>. Status post sternotomy. Unchanged appearance of sternal wires as well as multiple surgical clips mostly in anterior mediastinal left-sided position as before. Significant cardiac enlargement persists. The pulmonary vasculature, however, is not significantly congested with the exception of a few minor peripheral plate atelectasis, no significant parenchymal abnormalities persist. The left-sided basal pleural density blunting the pleural sinus and obliterating the lateral portion of the diaphragm is still present. The lateral view demonstrates only a small amount of pleural effusion accumulating in the posterior pleural sinus. There is no evidence of pneumothorax in the apical area.
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<unk>-year-old female patient status post redo sternotomy with tissue aortic valve prosthesis replacement and bypass surgery including aortic patch for arch. now discharge evaluation.
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In comparison with study of <unk>, the cardiac silhouette remains at the upper limits of normal or mildly enlarged without evidence of vascular congestion. There is increasing opacification at the left base. Although much of this could represent atelectasis and effusion, in the appropriate clinical setting, supervening pneumonia should be seriously considered. The large-bore central catheter again extends into the right atrium.
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volume overload versus pneumonia.
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A left picc terminates in the mid svc. There is mild cardiomegaly. There is no focal consolidation. Probable small left pleural effusion. There is moderate kyphosis and mild loss of vertebral body height in the visualized thoracic spine. No pneumothorax.
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<unk>f w/dyspnea, cough, please eval for pna // <unk>f w/dyspnea, cough, please eval for pna
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Pa and lateral views of the chest. There is massive cardiomegaly as seen on prior mri. The lungs are clear without consolidation, effusion or edema. No acute osseous abnormality is identified.
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<unk>-year-old female with altered mental status.
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As compared to the previous radiograph, there is unchanged evidence of mild increase in density at the right lung base. It could reflect pneumonia or aspiration. The area has not increased in severity or size. Otherwise, the lung parenchyma is unremarkable. Moderate cardiomegaly without pulmonary edema. No pleural effusion.
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hematoma, followup.
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Single portable view of the chest. New right ij central venous catheter is seen projecting over the mid svc. Low lung volumes again noted as well as elevation of the right hemidiaphragm. Cardiomediastinal silhouette is unchanged. There is no visualized pneumothorax.
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new ij line. evaluate position.
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| null |
As compared to the previous radiograph, the known left-sided pneumonia has slightly increased in extent and severity. There might be an associated small left pleural effusion. No change in appearance of the remaining lung parenchyma. Normal-to-borderline size of the cardiac silhouette. Unchanged monitoring and support devices.
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pneumonia, evaluation for interval change.
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Heart size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Low lung volumes are present with mild bibasilar atelectasis. No focal consolidation, pleural effusion or pneumothorax is seen. No acute osseous abnormality is visualized.
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history: <unk>f with shortness of breath and fever
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