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Heart size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is present. No acute osseous abnormality is detected.
history: <unk>m with hypotension
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There is moderate interstitial pulmonary edema with small bilateral pleural effusions, right greater than left. Lung volumes are low. Heart size is mildly enlarged. Aortic calcifications are seen. A right internal jugular catheter terminates in the region of the cavoatrial junction. Multiple nodular opacities, largest projecting over the right lung field, may represent metastases and should be further evaluated with ct.
<unk>-year-old female with shortness of breath and altered mental status.
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Two frontal images of the chest demonstrate an et tube in position with the tip <num> cm above the carina. There is no pneumothorax or other complication seen. There has been significant interval increase in vascular congestion along with loss of definition of both hemidiaphragms and increased cardiac shadow size, suggestive of a new mild interstitial edema. Bilateral pleural effusions are visualized. Ng tube is seen in appropriate position with the tip and side port within the stomach.
<unk>-year-old female, status post intubation, now requiring assessment of et tube placement.
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New et tube ends <num> cm above the carina. Right jugular line is in lower svc. There is a left-sided pacemaker in unchanged position with leads in right atrium and ventricle. Ng tube is in the stomach. Right lung consolidation mostly in right upper lobe has worsened since the last exam. Left upper lobe is unremarkable. Severe cardiac contour enlargement is stable. There is no pneumothorax or pleural effusion.
patient with hypoxic and hypercarbic respiratory failure, intubation, et tube placement.
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The lungs are well inflated and clear. The cardiac silhouette is normal in size. Mediastinal contours are enlarged compared to the prior study as well as a prominent azygoesophageal line. The right paratracheal line is also fuller. There is no pleural effusion or pneumothorax.
<unk> year old man with atypical chest pain, please rule out significant pathology
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs are clear. There has been no significant change. The osseous structures are unremarkable.
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Frontal radiographs of the chest demonstrate a stable top normal heart size. The mediastinal silhouette and hilar contours are normal. The lungs are clear. No pleural effusion or pneumothorax. No displaced rib fracture identified.
chest pain, frequent falls without pneumothorax
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Pa and lateral chest radiographs. The lungs are clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.
dyspnea on exertion. right-sided chest tightness.
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In comparison with the study of <unk>, following mediastinoscopy, there is no evidence of pneumomediastinum or pneumothorax. Little change in the appearance of the heart and lungs. Extensive opacification in the right hilar and infrahilar region is slightly less prominent on the current study. Retrocardiac opacification is consistent with volume loss in the left lower lobe.
mediastinoscopy, to assess for pneumothorax.
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Pa and lateral views of the chest are provided. There is a focal air space consolidation along the left heart border, concerning for pneumonia in the lingula. Otherwise, the lungs are clear. No effusion or pneumothorax. The heart and mediastinal contours appear normal. The bony structures are intact. No free air below the right hemidiaphragm.
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Surgical clips are noted in the right axilla. The trachea is mildly deviated towards the right, likely from the aortic arch. Heart size is normal. Lungs are clear. No pleural effusion or pneumothorax.
history: <unk>f with ankle fracture, pre-op // eval pna, heart size
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The patient has been intubated since the prior study, the tip of the endotracheal tube is <num> cm above the level the carina. A nasogastric tube is in-situ, the tip is in the stomach. There is bibasilar atelectasis, similar in degree compared to the prior study. Even allowing for the projection, the heart appears enlarged and there is haziness of the pulmonary vasculature consistent with mild pulmonary vascular congestion. No consolidation or pneumothorax seen.
<unk> year old woman with sbr s/p exlap, lysis of adhesions // ? ett placement, acute lung pathology
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In comparison with study of <unk>, the left basilar opacification has cleared. There is no evidence of acute focal pneumonia or other pathology.
aspiration.
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As compared to the previous radiograph, the monitoring and support devices, including the right chest tube, are unchanged. The right lung appears minimally better ventilated than on the previous image. No contour changes are visible along the neoesophagus. Continued normal appearance of the left lung, normal size of the cardiac silhouette.
anastomotic leak, evaluation.
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Frontal and lateral views of the chest were obtained. The heart size and cardiomediastinal contours are normal. Small nodular opacity in the right upper lobe is equivocal. The lungs are otherwise clear. No focal consolidation, pleural effusion, or pneumothorax.
<unk>-year-old female with upper abdominal pain.
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The cardiac, mediastinal, and hilar contours appear unchanged. The heart is at the upper limits of normal size. The lungs appear clear. There are no pleural effusions or pneumothorax.
cough.
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There has been interval placement of a left chest tube with tip terminating near the apex. Previously noted large left pneumothorax has substantially reduced in size, with probable small residual pneumothorax noted. Moderate size right pneumothorax is unchanged. There is persistent atelectasis of both lung bases, not substantially changed in the interval. Extensive pneumomediastinum and subcutaneous emphysema is re- demonstrated as well as free intraperitoneal and retroperitoneal air within the upper abdomen. Enteric tube tip is coiled within the stomach. Oral contrast material is noted within the stomach. Cardiac and mediastinal contours are unchanged. No pulmonary edema is evident. No fractures are identified.
history: <unk>f with bliateral pneumothoraces, pneumoperitoneum now status post left chest tube
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Lungs are clear. There is no pneumothorax or effusion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with chest pain // ? pna
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There has been interval removal of the left picc. The heart and mediastinal contours are within normal limits. The lung volumes are low with minimal bibasilar atelectasis but no lobar consolidation. Mild-to-moderate pulmonary edema is present. There is no pleural effusion or pneumothorax. No displaced rib fracture is identified.
<unk>-year-old female status post fall.
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There has been interval reaccumulation of a large right pleural effusion, which involves and expands the right major fissure. There is also a small left pleural effusion. Note is made of surgical clips throughout the mediastinum as well as a sternotomy wires. There is no pneumothorax or pulmonary vascular congestion.
<unk> year old man with met rcc with recurrent right effusion s/p pleurx placement // eval
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This is the number <num> portable chest examination of <unk>. The previous first two examinations express concern that the ett was terminating unusually high. On this final portable chest film, the ett kiss into the area of the bifurcation and points towards the right main bronchus. Its position is really too low as it may obstruct the left main bronchus with atelectasis to follow. It may be pointed out that the carina is somewhat difficult to identify because the patient has significant left atrial enlargement elevating the cardiac contours. The degree of pulmonary congestion and amount of pleural effusions has not changed significantly during the last hour. No pneumothorax has developed. An attending physician was reached via telephone, and the concern submitted. The responsible anesthesiologist/pulmonologist would be informed immediately.
<unk>-year-old male patient with respiratory failure with ett repositioning, evaluate ett.
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Heart size remains mildly enlarged. The aorta is diffusely calcified. Mediastinal and hilar contours are unchanged. Pulmonary vasculature is not engorged. No focal consolidation, large pleural effusion or pneumothorax is seen. Marked degenerative changes involving both glenohumeral joints are re- demonstrated.
history: <unk>f with weakness
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The lungs are slightly hyperinflated. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged. The cardiomediastinal and hilar contours are stable with top normal heart size and mild calcification of the aortic knob. No acute osseous abnormality is detected. A compression fracture deformity of the lower thoracic spine is unchanged from <unk>.
<unk>f with cough, fever // eval for pna
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New left picc terminates within the mid superior vena cava. Pre-existing right internal jugular central venous catheter terminates in the proximal to mid superior vena cava just above this level. Stable cardiomegaly, but slight improvement in the mid and lower lung interstitial pattern which likely represents improving interstitial edema. Multifocal areas of linear atelectasis persist in the lung bases, and small pleural effusions are also demonstrated.
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Pa and lateral views of the chest demonstrate an elevated right hemidiaphragm and low lung volumes, unchanged. Plate-like atelectasis atelectasis is again noted in the left lung base. No pneumothorax or pleural effusion is noted. The cardiomediastinal silhouette is unremarkable. An abandoned vp shunt is noted in the region of the right apex.
new oxygen requirement.
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As compared to the previous radiograph, the sidehole of the nasogastric tube is now in the middle to distal parts of the stomach. The tip of the device is not included on the image. No evidence of complications, notably no pneumothorax. Massive intestinal overdistention, unchanged to the prior image. Minimal plate-like atelectasis at the right lung bases. Moderate cardiomegaly. Thickening of the minor fissure. The right internal jugular vein catheter, the endotracheal tube are in correct position.
new nasogastric tube placement.
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There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. There are no granulomas or cavitary lesions. The cardiomediastinal silhouette is within normal limits.
<unk> year old woman with h/o latent tb s/p inh. requires cxr screening by employer. asymptomatic. // assess for evidence of tb
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The lungs are well expanded and clear, without focal opacities. There is an unfolded aorta, but otherwise the cardiomediastinal and hilar contours are unremarkable. There is no cardiomegaly. There is no pleural effusion or pneumothorax. The visualized osseous structures are notable for a right cervical rib.
<unk>-year-old female with nausea and vomiting. evaluate for acute process.
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Lungs are clear. Cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation.
history: <unk>f with diaphoresis, n/v // ?cardiomegaly
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Single frontal view of the chest was obtained. New ng tube terminates below the diaphragm. Large-bore right central catheter has been removed. Right pleural effusion has increased, now moderate to large, and has apparent loculated components at the right base and major fissure. New mild pulmonary edema. Upper lobe predominant emphysema is unchanged. Heart size is normal.
<unk>-year-old female with encephalopathy and vzv meningitis. evaluate ng tube position.
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Since the prior chest radiograph performed earlier on the same date, there has been interval repositioning of the enteric tube, which now terminates in the proximal stomach. Further advancement could be considered. There has otherwise been no interval change in the lungs. Bibasilar opacities likely represent atelectasis, although aspiration could be considered in the appropriate setting. No other consolidation, sizeable effusion or pneumothorax. Widened cardiomediastinal contours are unchanged.
<unk> year old man with l thalamic hemorrhage, ng prev in airway, obtain repeat in <num>hr (<unk>) // any pneumothorax
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Again, the lung volumes are low. Within the limitations, there is no evidence of consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. A significant thoracic kyphosis is stable. Old right-sided rib fractures are unchanged.
cough. evaluate for pneumonia.
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Ap and portable views of the chest are limited due to patient's body habitus. With this limitation in mind no displaced fracture is seen. The lungs are clear. Cardiac silhouette is top-normal in size. No pleural effusion or pneumothorax.
<unk>-year-old female mechanical small.
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There is mild to moderate pulmonary edema, slightly increased as compared to the prior study. No large pleural effusion is seen. The cardiac silhouette is enlarged. The aorta is calcified and tortuous.
history: <unk>f with h/o chf with cough, sob // r/o pulmonary edema and assess for any other cardiopulmonary process
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The heart is at the upper limits of normal size to perhaps slightly 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.
right upper quadrant and rib pain on the right.
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The lungs are well-expanded. No focal consolidation, edema, effusion, or pneumothorax. The heart remains mildly enlarged, unchanged. No acute osseous abnormality. Partially imaged cervical spine anterior fixation hardware appear intact. Mild pulmonary vascular congestion and upper lung redistribution.
<unk>-year-old man presenting with chest pain and dyspnea. evaluate for acute cardiopulmonary process.
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Ap single view of the chest has been obtained with patient in semi-upright position. The heart size is within normal limits. No configurational abnormality is identified. Thoracic aorta mildly widened with some calcium deposits in the wall at the level of the arch. No local contour abnormalities are present. Pulmonary vasculature is not congested. No signs of acute or chronic parenchymal infiltrates are seen, and the lateral pleural sinuses are free. No evidence of pneumothorax in the apical area. Extensive rib deformities are seen in the left hemithorax representing apparently old deformities of multiple rib fractures. Acute injuries are not identified on this portable chest examination.
<unk>-year-old male patient with alcohol withdrawal, tachycardia, evaluate for new focal opacity or pulmonary vascular congestion.
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There is persistent elevation of the right hemidiaphragm. New obscuration of the right diaphragmatic contour by a right basilar opacity is compatible with a right lower lobe consolidation. The remaining lung zones are clear. The heart size is normal. There is no pneumothorax or the left pleural effusion.
post small bowel resection, with concern for pneumonia.
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Right subclavian picc line is unchanged with tip ending in upper svc. Ij catheter has tip ending in right atrium right basal pigtail tube has been repositioned at the base of the right lung, now with tip ending more medially. The right base atelectasis are slightly improved, with reduced pleural effusion. The heart size is still enlarged. There is no pneumothorax.
<unk>-year-old man with sepsis indication evaluation for chest tube placement.
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>m with constipation, unsteady gait, weakness // eval for pna; eval for obstruction
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Cardiomediastinal silhouette and hilar contours are normal. Atelectasis is present at the left lung base. Lungs are otherwise clear. There is no pleural effusion or pneumothorax.
amiodarone surveillance.
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As compared to prior chest radiograph from <unk>, there is a growing consolidation at the right lung base. Low lung volumes accentuate the cardiac silhouette and bronchovascular structures. There is no pneumothorax. Right picc line is unchanged. Sternotomy wires are intact. There are widespread predominantly sclerotic bone lesions, consistent with extensive metastatic disease.
<unk>-year-old male patient with metastatic prostate cancer presenting with volume overload and decreased breath sounds at right base. study requested for evaluation of effusion versus pneumonia.
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Heart size remains mild to moderately enlarged. The mediastinal and hilar contours are unchanged with atherosclerotic calcifications at the aortic knob again demonstrated. Mild upper zone vascular re-distribution is presumably due to supine positioning. The opacification over the left mid and lower lung fields appear well marginated, and could be due to overlying soft tissue structures. No other focal consolidation, pleural effusion or pneumothorax is seen. Multilevel degenerative changes are noted in the imaged thoracolumbar spine. Degenerative changes are also noted within both shoulders.
fall, unresponsive.
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Support devices are in standard position. Mild interstitial edema has not significantly changed. Right pleural effusion has decreased as well as right basal atelectasis. There is also improved aeration of the left lower lobe and small left effusion. No pneumothorax.
<unk> m with pmh dmii, hypertension, hyperlipidemia, afib (on coumadin), asthma, bacterial endocarditis, and multiple recent <unk> admissions for mva, sepsis, acute renal failure, and hypercarbic respiratory failure presenting with hypercarbic respiratory failure with evidence of pneumonia, cool extremities and elevated jvp, diffuse anasarca hypotension concerning for mixed cardiogenic and septic shock. // interval assessment
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Portable frontal view of the chest. The lungs are hyperinflated. Bi-apical scarring is noted. There are small bilateral pleural effusions. There is no pneumothorax. The cardiac and mediastinal contours are stable.
<unk>f with cp, sob.
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As compared to the previous radiograph, the patient has been intubated. There is a massive newly appeared opacity at the level of the right upper lobe, suggesting the presence of a complete right upper lobe atelectasis. This is combined with an increasing amount of right pleural effusion so that large parts of the right hemithorax are completely opacified. The signs indicative of pulmonary edema in the left lung have minimally decreased. The heart appears to remain enlarged. No left-sided pneumothorax.
crackles on exam, failed extubation, evaluation.
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Slight coarsening of the interstitial markings and hyperinflation are likely due to emphysema. There is no focal opacity, pulmonary edema, pleural effusion or pneumothorax. The cardiac contours are normal. Prominence of the right hilus is unchanged over multiple prior studies dating back to <unk>. There is no free air beneath the right hemidiaphragm.
<unk> year old man with a history of cll now with increased sob please evaluate for new pathology. // <unk> year old man with a history of cll now with increased sob please evaluate for new pathology.
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Frontal and lateral radiographs of the chest were acquired. There is re-demonstration of a left-sided pacemaker with associated right atrial and right ventricular leads, not significantly changed in position. New patchy left mid to lower lung opacities likely project over both the left upper and lower lobes on the lateral radiograph. The right lung is clear. A rounded retrocardiac opacity is redemonstrated, most consistent with a small hiatal hernia. The heart size is normal. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen. Anterior wedging of a lower thoracic vertebral body is new compared to the prior study from <unk>. Multilevel degenerative changes of the thoracic spine are noted.
shortness of breath, cough, and fever.
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The cardiac silhouette size is unchanged, top normal in size. The mediastinal and hilar contours are within normal limits given the low lung volumes. Bronchovascular crowding is present, but no overt pulmonary edema is noted. No focal consolidation, pleural effusion or pneumothorax is definitely seen. There is likely minimal atelectasis in the lung bases. No acute osseous abnormality is visualized.
hypotension.
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Lungs are well expanded. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. Old right <num>th rib fracture again noted.
history of cough, evaluate for infiltrate.
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Two vascular stents are again noted, the first in the superior vena cava and the second in the left brachiocephalic vein, unchanged. The cardiac silhouette is clearly enlarged, but stable compared to the prior study. The mediastinal and hilar contours are within normal limits. Mild calcification of the aortic knob is noted. There is pulmonary vascular congestion with mild pulmonary interstitial edema. No significant pleural effusion or pneumothorax is detected. Evaluation is limited due to difficult patient positioning secondary to pain with the patient's arm obscuring the lateral radiograph.
productive cough, dyspnea and fever, here to evaluate for pneumonia.
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The cardiac, mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vascularity is normal. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities demonstrated.
hypertension and chest pain.
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. Mid thoracic dextroscoliosis is noted. No acute osseous abnormalities.
<unk>f with dyspnea // r/o acute infectious process
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The cardiomediastinal silhouettes are normal. The bilateral hila are normal. The lungs are clear. There is no evidence of pulmonary vascular congestion. There is no pneumothorax or effusion.
<unk>-year-old with chest heaviness evaluate for pneumonia or other acute process.
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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>m with fever and cough // r/o acute infectious process
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Again, the lungs are hyperinflated with coarsened interstitial pattern, most consistent with copd. There is an opacity at the right base, which is mostly linear. Additionally, there are some unchanged calcifications at the left base, which likely represent costochondral cartilage. The apices of the lungs are clear. There is no pulmonary edema, pleural effusion, or pneumothorax. The aorta is tortuous and unfolded, unchanged from the prior exam. The heart size is normal.
altered mental status. evaluate for pneumonia.
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Pa and lateral images of the chest were obtained with the patient in the upright position. Again seen are surgical clips in the right hilum and volume loss in the right lung consistent with right middle lobectomy. There is a small persistent right effusion, the left lung is clear. Cardiomediastinal silhouette is unchanged from previous imaging. Visualized osseous structures are unremarkable.
<unk>-year-old female status post right vats thoracotomy and right middle lobe lobectomy, requiring assessment for interval change.
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The rib lesions seen on the ct from yesterday cannot be clearly identified on the chest x-ray. There continues to be minimal right pleural effusion, but there is no evidence of parenchymal changes or pneumothorax. Borderline size of the cardiac silhouette. Moderate tortuosity of the thoracic aorta.
rib fractures, evaluate for interval change.
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Since <unk>, resolved left pleural effusion and basilar atelectasis. New loculated pleural effusion in the lateral aspect of the left mid lung and increased displacement of posterior rib fracture. Postsurgical changes with unchanged upward retraction of the right minor fissure and elevation of the right hilum. The lung volumes are normal. Normal size of the cardiac silhouette. Normal hilar and mediastinal structures. . No pneumonia, no pulmonary edema. No pleural effusions.
<unk> year old man s/p left thoracotomy and upper division segmentectomy. <unk> with new incisional pain // check interval change
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is unchanged with an unfolded thoracic aorta. Multiple chronic left rib deformities are noted. No acute bony abnormality. No free air below the right hemidiaphragm is seen.
<unk>m with worsening chest pain and shortness of breath on exertion // eval for edema, infiltrate
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Left chest tube remains in place, with a persistent small-to-moderate left apicolateral pneumothorax. The amount of pleural fluid has increased slightly in the lateral costophrenic sulcus region, and the basilar component of the left pneumothorax in this region has slightly decreased. Otherwise, no relevant change since the recent study of several hours earlier.
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Pa and lateral views of the chest were provided. The lungs are clear. No signs of pneumonia or chf. No effusion or pneumothorax. Multiple surgical clips are seen in the left upper quadrant. A peg tube is partially visualized in the upper abdomen on the lateral view. There is a picc line entering the right arm with its tip residing in the low svc region. There is tubing projecting over the right lateral lower chest wall.
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In comparison with the study of <unk>, there is again hyperexpansion of the lungs consistent with chronic pulmonary disease and multiple pleural plaques. Cardiac silhouette is enlarged. Mild indistinctness of pulmonary vessels could reflect mild elevation of pulmonary venous pressure.
wheezing and fever.
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The lungs are well inflated and clear. The cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. No evidence of rib fractures.
<unk>-year-old female with right shoulder pain and right upper quadrant pain. evaluate for evidence of pneumonia, pleural effusion.
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The heart size is normal. The mediastinal and hilar contours are within normal limits. The pulmonary vascularity is normal. No definite focal consolidation, pleural effusion or pneumothorax is present. Minimal, likely right middle lobe, linear atelectasis is noted. There is no acute osseous abnormality.
fevers, cough, left-sided abdominal pain and immunosuppression.
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As compared to the previous image, the <unk> device is in unchanged position. The tube has been partially deflated. The appearance of the lung bases is constant.
<unk> <unk> <unk> device.
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Comparison is made to prior study from <unk>. There is persistent left lower lobe atelectasis and pleural effusion similar to the prior chest radiograph. There are low lung volumes. There are median sternotomy wires. Heart size is upper limits of normal. There has been removal of the right-sided central venous catheter.
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The right lung volume is significantly decreased when compared to prior studies. This may be due to worsening of right lower lobar atelectasis with possible involvement of the right middle lobe and less likely worsening of a right pleural effusion. The volume loss of atelectasis exceeds the volume replacement of the pleural effusion, evidenced by an increased right mediastinal shift. A small left pleural effusion. Moderate to severe cardiomegaly is stable. Left pacemaker is intact with leads in the appropriate location. The right central venous catheter terminates in the cavoatrial junction. A fracture of the first sternotomy wire is new. The remaining sternotomy wires are intact.
<unk>m hx chf (ef ><unk>%) dm, hld who was recently admitted for cabg w/ pm placement (<unk>) who p/w dyspnea likely <unk> pna. hypoxia to <num>s in hd, now resolved // ?interval changes
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Comparison is made to the prior radiographs from <unk> as well as prior study from <unk>. There has been improved aeration of the right lung since the prior studies. There remain bilateral pleural effusions which are small, left side worse than right. There remain increase interstitial markings which may be due to underlying interstitial lung disease or scarring. Vascular pedicle is not widened. The heart size is upper limits of normal.
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Ap portable chest radiograph was obtained. Diffuse interstitial abnormality with interval increased cardiomegaly is consistent with moderate pulmonary edema. No pleural effusion or pneumothorax is identified. There is no focal consolidation. Dual lead pacemaker and icd is noted with leads in conventional position. Mediastinal contours are unremarkable. Patient is status post cabg.
dyspnea assess for congestive heart failure.
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Ap upright and lateral chest radiographs were obtained. The patient is markedly rotated and kyphotic which likely in part accounts for the prominence of the superior mediastinum. In addition patient has a known right thyroid goiter. Allowing for this, the lungs appear clear with blunting of the bilateral costophrenic sulci potentially related to overlying soft tissue or pleural thickening particularly given the presence of numerous bilateral old rib fractures. However, there is a retrocardiac opacity which is more pronounced than on the prior study. This could reflect left lower lobe atelectasis; however a left lower lobe pneumonia is also possible. Profound collapse of two mid thoracic spine vertebral bodies is seen with hyperdense material within <num> of them consistent with prior vertebroplasty. The heart remains mildly enlarged with calcified and tortuous aortic contour.
cough, fever and confusion, assess for pneumonia.
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Heart size is normal. Mediastinal and hilar contours are unremarkable. Vascular stent is noted within the svc in unchanged position. Pulmonary vasculature is normal. Patchy opacities in the left upper and lower lung fields are nonspecific and may reflect areas of infection. No pleural effusion or pneumothorax is present. No acute osseous abnormalities present. Moderate degenerative changes are noted in the lower thoracic spine. Bone island in the right seventh rib posteriorly is unchanged.
history: <unk>f with fever, cough
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Ap and the lateral upright chest radiograph demonstrates low lung volumes with resultant bibasilar atelectasis. No focal opacity concerning for pneumonia identified. Heart size is top-normal, stable when compared to prior examination was recently dated <unk>. There is no pleural effusion or pneumothorax. Visualized osseous structures are unremarkable.
history: <unk>m with elevated lactate, fever.
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Cardiac silhouette is enlarged and is accompanied by mild pulmonary vascular congestion. Linear opacities at the lung bases are suggestive of linear atelectasis and/or scarring. On the lateral view, a slightly more focal opacity is present in the left lower lobe, partially obscuring the posterior left hemidiaphragm in the region of the lower thoracic spine. Probable very small bilateral pleural effusions.
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As compared to the previous radiograph, there is no relevant change. The pre-existing parenchymal opacity in the retrocardiac lung areas is likely to be atelectatic, given the concomitant elevation of the left hemidiaphragm. The presence of a minimal left pleural effusion cannot be excluded. No other parenchymal abnormalities, except for the hyperlucencies in the lung apices, strongly indicative of extensive pulmonary emphysema. Normal size of the cardiac silhouette. Unchanged position of the monitoring and support devices.
intubation, sedation, intermittent desaturation. evaluation for interval change.
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Ap single view of the chest has been obtained with patient in semi-upright position. Analysis is performed in direct comparison with the next preceding chest examination of <unk>. Permanent pacer is noted in left anterior chest wall position, unchanged. The same holds for the two intracavitary electrodes seen to terminate in right atrial and right ventricular positions. Heart size is unchanged and moderately enlarged. Pulmonary vasculature is not congested, and the on previous examination identified infiltrates occupying the central portion of the left lung and right more basally located infiltrates blending with the right cardiac contours have normalized. Thus, presently there is no evidence for an acute pulmonary infection as can be identified on this single ap portable chest view. Lateral pleural sinuses are free as before. Patient's drooping chin conceals partially the apical area, but there is no suspicion for any pneumothorax.
<unk>-year-old female patient with gi bleed, increasing white blood count, negative for infectious process.
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The since the prior examination a right-sided chest tube is has been placed. The chest tube is terminating in the right lung apex in the medial position. Right pleural fluid is present. There is also a relatively small right pneumothorax. There is right lower lobe atelectasis, probably compressive atelectasis and trapped lung from the prior pleural process. Patchy density persists in the left base. Right hemidiaphragm is elevated.
<unk>m s/p r vats decortication for empyema // eval chest tube, lung expansion
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An et tube is present, tip in satisfactory position approximately <num> cm above the carina. An ng tube is present, tip extending beneath diaphragm, off film. There is background copd. There is cardiomegaly, with a calcified, mildly ectatic, unfolded aorta, and an enlarged left pulmonary hilum. Compared to the prior film, there has been partial reexpansion of previously seen right base collapse. Patchy opacities in the left infrahilar region are similar to prior. There is upper zone redistribution, without overt chf. Possible small right effusion. No gross left effusion.
respiratory failure, status post intubation. chest, single ap portable view.
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Frontal and lateral views of the chest were obtained. There are slightly low lung volumes. No focal consolidation is seen. There is slight blunting of the posterior costophrenic angles, which appears stable as compared to the prior lateral radiograph from <unk>. No new large pleural effusion is seen. There is no evidence of pneumothorax. The cardiac and mediastinal silhouettes are stable.
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Frontal and lateral views of the chest were obtained. The heart size and cardiomediastinal contours are normal. The lungs are clear. No focal consolidation, pleural effusion, or pneumothorax.
<unk>-year-old female with chest pain.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable and unremarkable.
history: <unk>f with fever, confusion, chest pain // eval for rib fx, infection
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The left pneumothorax has resolved. There has been improvement in right pleural effusion but no changed in the left moderate pleural effusion. The cardiac silhouette remains mildly enlarged compared to <unk> and there is mild pulmonary edema. A hiatal hernia is again seen. Right internal jugular central line terminates in the distal svc.
status post cabg with a known left pneumothorax.
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The lungs are well inflated. There is mild prominence of the interstitium, compatible with mild pulmonary edema. Is there small bilateral pleural effusions. There is no pneumothorax or focal airspace consolidation. Heart is top normal in size. The aorta is calcified, otherwise, the mediastinal hilar structures are unremarkable. Sternal wires are noted, the upper three fractured. There are numerous clips within the abdomen.
coronary artery disease presenting with dyspnea and leg swelling. rule out pneumonia or heart failure.
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Endotracheal tube is seen approximately <num> cm above the carina in this projection. A left-sided picc terminates in the mid svc. A right pigtail catheter remains in place at the base of the right lung. Again seen are bilateral airspace opacities consistent with pulmonary edema, which has improved from the prior study. The right-sided pulmonary effusion is decreased in size from the prior exam. The cardiomediastinal silhouette and hilar contours are grossly unchanged. There is no evidence of pneumothorax.
evaluation for interval change.
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As compared to <unk>, increasing moderate left effusion. Slight worsening of the retrocardiac and left basilar opacity. The right lung is relatively unchanged low lung volumes. Cardiomediastinal contours are unchanged. Right-sided internal jugular catheter in similar position.
<unk> year old man with s/p cabg // eval for hemothorax
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The lung volumes are low resulting in vascular crowding. There is mild pulmonary vascular congestion. There is no pneumothorax or pleural effusion. Cardiomediastinal silhouette is unchanged from prior exam. Visualized osseous structures are unremarkable. Picc has been removed since prior exam in <unk>.
syncope.
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As compared to the previous radiograph, the nasogastric tube has been removed. The patient continues to show moderate cardiomegaly with small bilateral pleural effusions and basal opacities reflecting atelectasis. No opacities have newly occurred. The patient also displays signs of minimal pulmonary edema. Severe degenerative changes at the level of the right shoulder. The left subclavian vein is constant in appearance.
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There is moderate cardiomegaly that is increased compared to prior and bilateral pleural effusions that are also larger. There is a right ij line with tip in the upper svc. There is volume loss in both lower lungs.
status post cabg. evaluate for effusion.
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In comparison with the study of <unk>, there is little overall change. Subclavian catheter tip again terminates in the mid portion of the svc. Moderate right and pleural effusion persists with underlying compressive atelectasis. Minimal atelectasis and effusion on the left. Cardiac silhouette is unchanged.
postoperative and septic shock.
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Et tube, ng tube, chest and mediastinal tubes have been removed. There is no pneumothorax. Small pneumomediastinum has improved. Lung volumes are low. Pleural effusion is small if any. Right-sided swan-ganz is either in the left pulmonary artery or main pulmonary artery.
cardiac surgery, chest tube discontinued, rule out pneumothorax.
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Top normal heart size, increased from <unk>. Normal mediastinal and hilar contours. No focal consolidation, pleural effusion or pneumothorax.
history: <unk>m with chest pain, dizziness // eval for structural process
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Ap portable upright view of the chest. Trace pneumoperitoneum is within post surgical limits. The heart is mildly enlarged. The hilar and mediastinal contours are within normal limits. A retrocardiac left basilar opacity likely reflects atelectasis. There is no pneumothorax. Tiny bilateral pleural effusions are present.
<unk> year old man s/p ileostomy take down. crackles on exam, concern for consolidation // pulmonary edema vs. pneumonia
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Ap and lateral views of the chest show no consolidation, pulmonary edema, pleural effusion or pneumothorax. The cardiac silhouette is at the upper limits of normal. The mediastinal contours are unremarkable.
confusion. evaluate for pneumonia.
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Streaky left basilar opacity is most suggestive of atelectasis. The lungs are otherwise clear. The cardiomediastinal silhouette is within normal limits. Atherosclerotic calcifications are noted at the aortic arch. No acute osseous abnormalities identified.
<unk>f with acute mental status // acute cardiopulmonary disease
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Pa and lateral views of the chest provided. There is mild central congestion without frank pulmonary edema. No effusion or pneumothorax. No pneumonic consolidation is seen. The heart and mediastinal contour appear normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with svt, evaluate for acute intrathoracic process.
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Indwelling support and monitoring devices are unchanged in position, including two left-sided chest tubes, with a persistent mild-to-moderate left pneumothorax with apical and basilar components. With the exception of slight improvement in subcutaneous emphysema in the left chest wall, there is overall no substantial change in the appearance of the chest since the recent study of one <unk> earlier.
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There is no rib fracture. If clinical symptoms persist, dedicated rib series radiographs could be obtained. There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits. The aorta is tortuous. There is dextroscoliosis of the thoracic spine. Incidental note is made of cement from prior vertebroplasty.
<unk> year old man with ckd, anemia, fell at home <num> days ago, now having pain in his right side // r/o rib fracture on the right
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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>m with chest pain // eval for acute process
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The swan-ganz catheter projects over the proximal right pulmonary artery. A left pectoral aicd partially obscures the left midlung. Marked cardiomegaly despite the projection is unchanged. There is no pneumothorax. Moderate right and small left pleural effusions are stable. Mild pulmonary edema is unchanged.
<unk> y/o m with h/o non-ischemic cmp (ef <unk>%) with lbbb s/p biv icd, htn, hl, and h/o af s/p pvi <unk> with perforation and hemorrhagic pericardial effusion requiring drainage who now presents with hypotension s/p ccu admission for decompensated chf. // eval placement of lines and tubes
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Ap upright portable chest radiograph was provided. Lungs appear hyperinflated with upper lobe lucency suggesting underlying emphysema. There is mild but stable linear opacity in the lower lungs, likely representing atelectasis or scarring. The left cp angle is excluded. Cardiomediastinal silhouette is stable. Bony structures are intact.