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There is a subtle opacity overlying the right lower lobe. Otherwise, the left lung is clear. The cardiac silhouette is normal. There are no pneumothoraces or pleural effusions. No acute fractures are identified.
evaluation of patient with cough.
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The et tube terminates <num> cm above the carina. Loculated pleural effusions throughout the right hemithorax are unchanged, allowing for differences in technique when compared to prior cta chest of <unk>. Ng tube tip and side hole terminate in the stomach. The left lung is clear. There is no pneumothorax.
status post intubation. evaluation for position of ett.
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Endotracheal tube tip is <num> cm from the carina. Enteric tube is seen with side-port at the ge junction. The lungs are clear of confluent consolidation. The cardiomediastinal silhouette is within normal limits. Prominence of the azygos vein is noted without overt pulmonary edema. No acute osseous abnormalities identified.
<unk>m with intubation, wheezing, transfer // proper ett position
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The heart appears mildly enlarged. The mediastinal and hilar contours appear unremarkable. The lungs appear clear. There is no pleural effusion or pneumothorax.
sudden onset of chest pain.
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The lung volumes are normal. There are several bilateral ill-defined opacities which likely correspond to postprocedural hemorrhage. Mild-to-moderate bibasilar atelectasis. When compared to pa chest radiograph from <unk> the cardiomediastinal contours appear larger, however this could be exaggerated by ap technique. No pleural effusions. No pneumothoraces. The left pacemaker is intact with leads terminating in the appropriate positions. Median sternotomy wires are intact.
<unk> year old man with lung mass s/p biopsy // ptx?
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There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is unchanged with prominent left cardiophrenic angle fat pad with with.
<unk>m with chronic back pain, radiation to chest pain for the past night.
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The cardiac silhouette is severely enlarged but unchanged. Diffuse perihilar opacities are compatible with moderate pulmonary edema. Bibasilar opacities could be part of the same process although developing consolidations are also possible. No large pleural effusion or pneumothorax.
<unk> year old man with esrd and sob. evaluate for pneumonia versus pulmonary edema.
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Pa and lateral views of chest demonstrate the lungs are well expanded and clear. The cardiomediastinal silhouette is unremarkable. There is no evidence of pneumonia, pleural effusion, pulmonary edema or pneumothorax.
<unk>-year-old man with pleuritic chest pain and shortness of breath. evaluation for pneumothorax or acute cardiopulmonary process.
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Single ap portable chest radiograph was obtained. Right upper lung opacity is slightly more evident than on the previous examination. Otherwise the lungs are low in volume giving the appearance of bronchovascular crowding with mild pulmonary vascular congestion but no overt edema. Linear retrocardiac opacity could reflect atelectasis. There is no pleural effusion or pneumothorax. The heart is top-normal in size with tortuous thoracic aortic contour.
hypotension.
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Comparison is made to the prior radiographs from <unk>. There is again seen mediastinal shifting and volume loss on the left side. This appears unchanged. There is increased density at the left base suggestive of collapse of the postoperative left lung as suggested previously. The right lung appears well aerated without signs for overt pulmonary edema, focal consolidation or pleural effusions. There are no pneumothoraces. There is a right-sided central venous line with the distal lead tip in the proximal svc.
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Portable supine chest radiograph was obtained. Endotracheal tube terminates in the midtrachea <num> cm above the carina. Nasogastric tube is seen with the sidehole along the distal esophagus and can be advanced approximately <num> cm for optimal positioning. The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The heart is normal in size with normal mediastinal contours. Calcified lesion in the upper abdomen corresponds to known calcified renal mass.
endotracheal tube, assess placement.
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Lung volumes are low. The cardiac silhouette appears unchanged in size as are the mediastinal contours. Continued opacification of the left lung base likely reflects a combination of a small left pleural effusion and atelectasis. Size of the pleural effusion appears unchanged. Right lung is grossly clear. No pneumothorax is identified. No acute osseous abnormality is seen.
abdominal pain after chest tube placement and removal.
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The ng tube is in the proximal stomach. There is dense retrocardiac opacity and volume loss/infiltrate/effusion in the right lower lung. Et tube is unchanged compared to the prior study, the appearance to the right lower lobe has worsened.
ng tube placement.
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Comparison is made to prior radiographs from <unk>. <unk> of the endotracheal tube is low, <num> cm above the carina. This could be pulled back <num> to <num> cm for more optimal placement. There is a right ij central line with the distal lead tip at the cavoatrial junction. There are bilateral pleural effusions. There is prominence of the pulmonary interstitial markings suggestive of mild pulmonary edema. There is severe scoliosis and the patient is tilted to the left side.
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Comparison is made to prior study from <unk>. Study is limited due to respiratory motion. There is hardware seen within the thoracic spine. Endotracheal tube is unchanged. There remains small bilateral pleural effusions. No overt pulmonary edema is seen.
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Endotracheal tube tip terminates approximately <num> cm from the carina. An enteric tube courses through the stomach with side port in the stomach, and tip off the inferior borders of the film. Right sided central venous catheter tip terminates in the proximal right atrium. Heart size is normal. The aorta is diffusely calcified. Mediastinal and hilar contours are otherwise within normal limits. Lungs are hyperinflated with severe upper lobe predominant emphysematous changes, more pronounced in the right lung than on the left. <num> mm nodular opacity projecting over the right mid lung field is present. Patchy opacities in the lung bases may reflect atelectasis. No focal consolidation, pleural effusion or pneumothorax is detected. No acute osseous abnormality is seen.
history: <unk>f with intubation // eval for ett
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The lung volumes are symmetrically low. Atelectasis is noted in both lung bases. The cardiac size is top normal. The mediastinal contour is unremarkable. There is no pleural effusion or pneumothorax. A right picc line terminates in the right atrium. A nasogastric tube has its tip projecting over the expected location of the stomach.
ng tube placed in outside hospital, please evaluate placement of nasogastric tube.
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Comparison is made to previous study from <unk>. There is a dual-lead left-sided pacemaker. There are intact distal lead tips in the right atrium and right ventricle which are intact. Heart size is within normal limits. There are faint areas of consolidation at the lung bases bilaterally that may represent atelectasis or early infiltrate. There is no overt pulmonary edema or pleural effusions. No pneumothoraces are seen.
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As compared to <num> day prior, support devices are in similar position. No appreciable pneumothorax. Minimal atelectasis in the left lung base has improved. The right lung is clear. No pulmonary edema.
<unk> year old man s/p rulobectomy // am rounds pod<num>
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Compared with the prior chest radiograph, the top-normal heart size is unchanged. No focal consolidation, pleural effusion, or pneumothorax. Mediastinal and hilar silhouettes are unchanged. Rightward bowing of the trachea may be due to the origin of the innominate artery.
<unk>m with weakness, diaphoresis. evaluate for acute process.
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The patient is intubated. The endotracheal tube terminates <num> cm above the carina. A right subclavian central venous catheter terminates in the right atrium. An orogastric tube courses into the stomach; its tip not visualized. The lung volumes are low. The cardiac, mediastinal and hilar contours appear within normal limits. Patchy opacity at the left lung base suggests minor atelectasis. Otherwise, the lungs appear clear. There is no pleural effusion or pneumothorax.
status post intubation.
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Lung volumes are within normal limits. There has been improved aeration of the bilateral lungs with less confluent consolidation in the left upper and right upper lungs. There is persistent consolidation seen in predominate perihilar distribution consistent with pulmonary edema. A swan-ganz catheter is in-situ, the tip appears to be within the left pulmonary artery. A right internal jugular catheter terminates in the mid svc. An endotracheal tube has been withdrawn slightly in now terminates <num> cm above the level of the carina. A nasoenteric tube terminates in the stomach. No pneumothorax seen. No pleural effusion.
<unk> year old woman with hypoxic respiratory failure // worsening?
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This exam is suboptimal due to underpenetration from patient's body habitus. Endotracheal tube terminates <num> cm above the carina. Large cardiomediastinal silhouette is again seen. Lung volumes remain low. Vascular structures are dilated consistent with volume overload. Evaluation of increased densities of the lung bases bilaterally is particularly suboptimal and it is impossible to determine how much is due to atelectasis versus recent aspiration or pulmonary edema. Small pleural effusions are present at best. No large pneumothorax.
<unk>-year-old woman status post discectomy, intubated now with low o<num> saturation. study requested for evaluation of aspiration and tube placement.
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The lungs are clear. There is no focal consolidation, effusion, or edema. There is moderate cardiac enlargement, unchanged. No acute osseous abnormalities.
<unk>m with cough, sob // any acute cardiopulmonary process
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Ap single view of the chest has been obtained with patient in semi-upright position. Comparison is made with the next preceding similar study of <unk>. On both images, the patient is moderately rotated to the right. On the present examination, a new dobhoff line can be identified, seen to pass well below the diaphragm and being located in a probably moderately gas-distended stomach. The chest findings have not undergone any significant interval change.
<unk>-year-old female patient status post hip repair, delirious, now status post dobhoff line placement for medications, evaluate position.
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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>f with <num> days of persistent n/v/d, epigastric pain; endorses shortness of breath. evaluate for pneumonia.
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As compared to the previous radiograph, there is no relevant change. The monitoring and support devices are constant. Constant bilateral areas of atelectasis and mild fluid overload. The current image shows minimal blunting of the costophrenic sinus, potentially suggesting the presence of a small pleural effusion. Unchanged size of the cardiac silhouette.
bilateral pneumonia and brain abscess.
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Ap upright and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. Heart size is top normal. The mediastinal silhouette is normal. Imaged osseous structures are intact. Degenerative changes are seen in the spine. No free air below the right hemidiaphragm is seen.
history: <unk>f with syncope, fall // eval for fib fx/ptx
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>f with pleuritic chest pain
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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>f with fevers // assess for infiltrate
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In comparison with study of <unk>, there is again hyperexpansion of the lungs consistent with chronic pulmonary disease. No evidence of acute pneumonia, vascular congestion, or pleural effusion.
decreased breath sounds and cough.
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Right hemodialysis catheter, left picc line and tracheostomy tube are in unchanged satisfactory position. Right basal chest tube is unchanged. Left pleural effusion with associated atelectasis and mild cardiomegaly are unchanged from yesterday. Mild pulmonary edema is improving. No pneumothorax.
respiratory failure, trach, pneumothorax, bilateral effusions with chest tube in place. evaluate interval change.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>m with new headache, left sided ptosis. // please evaluate for intrathoracic cause for horner's syndrome
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Indwelling support and monitoring devices are unchanged in position, and cardiomediastinal contours are stable. Pulmonary edema appears relatively similar compared to previous study, and bilateral nonspecific lower lobe opacities are again demonstrated, with slight improvement in the left lower lobe. Otherwise, no relevant changes since recent study.
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The lungs are hyperinflated, compatible with history of emphysema noted on prior ct. No focal consolidation, edema, effusion, or pneumothorax. The heart is normal in size. The mediastinum is not widened. No evidence of rib fractures on this nondedicated exam.
<unk>-year-old man presenting with chest pain. evaluate for pneumonia or chf.
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A portable frontal chest radiograph demonstrates a nasogastric tube which goes at least as far as the stomach, and an endotracheal tube with the tip almost <num> cm above the carina. The relatively high position is explained by the elevated chin, and need not be advanced. Bibasilar atelectasis is redemonstrated, increased in the left lower lobe. The remainder of the exam is unchanged.
copd, status post intubation. evaluate for interval change.
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Low lung volumes are again noted. Elevation of left hemidiaphragm is unchanged. The lungs are grossly clear without consolidation or effusion. The cardiac silhouette is likely at least mildly enlarged although not particularly well assessed. No acute osseous abnormalities.
<unk>m with extensive pmh including sle on chronic pred, chf, afib presents with joint pain, muscle aches and fever to <num> // evaluate for pna
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Frontal view of the chest. A left central venous catheter ends in the mid svc. Low lung volumes result in bronchovascular crowding. Retrocardiac opacity is likely atelectasis. No new opacity and no pneumothorax. There is probably a tiny left pleural effusion. Cardiac and mediastinal silhouettes are stable.
<unk>-year-old man with altered mental status.
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As compared to previous radiograph, the left pigtail catheter has been removed. The extent of the known left apical pneumothorax is unchanged. No evidence of tension. Unchanged appearance of the right lung.
status post left lower lobe radiation for lung cancer, pigtail placement for pneumothorax. evaluation for interval change.
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No previous images. Cardiac silhouette is within normal limits and there is no evidence of vascular congestion or pleural effusion. Minimal atelectatic streaks above a slightly elevated left hemidiaphragm. No acute pneumonia.
hypertension and stroke, with concern for aspiration.
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There is no evidence of focal consolidation. There is no pleural effusion or pneumothorax. The cardiomediastinal contours are normal.
<unk>-year-old female with left-sided chest pain, question pneumonia.
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The lungs are clear of airspace or interstitial opacity. The cardiomediastinal silhouette is unremarkable. No pleural effusions or pneumothorax. No acute or aggressive osseus changes. There is new subcutaneous emphysema in the left chest wall.
<unk> year old man with new onset tachycardia // ? pneumothorax
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. Bibasilar atelectasis is mild. Cardiomegaly and large hiatal hernia are not significantly changed. Spine hardware seen is not well assessed on this study. No free air below the right hemidiaphragm is seen.
<unk>f with several hours of chest pain // r/o pna
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The heart size is normal. The mediastinal and hilar contours are unremarkable. The pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
preoperative evaluation.
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Pa and lateral views of the chest. No focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal and hilar contours are normal. A compression fracture of a lower thoracic vertebral body is slightly worse than <unk>.
unexplained shortness of breath. status post renal transplant, on immunosuppressants.
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Again seen is a left ij central line with tip over proximal svc . Otherwise, i doubt significant interval change. There is hyperinflation, suggesting copd. There is moderate to moderately severe cardiomegaly. There is upper zone redistribution and mild vascular plethora, without other evidence of chf. Minimal atelectasis at the left lung base. No definite consolidation. No gross effusion. Possible focal mild pleural thickening of the lower left lung base, which is unchanged compared with <unk>.
<unk> year old woman with hypotension, chf. // assess for interval change
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Patient is now examined in upright position using pa and lateral chest views. Marked right-sided convex scoliosis exists in the upper portion of the thoracic spine and results in the scoliosis-related rib deformities. Patient's inspiration has improved dramatically with the diaphragms now being almost two rib intervals lower than on the previous study. The heart size can now be assessed with greater accuracy, and the heart size is at most borderline. There is a relative prominence of the left ventricle, a finding which in conjunction with the generally widened and elongated thoracic aorta speaks in favor of systemic hypertension. Presently, however, there is no significant congestion in the pulmonary vasculature and no evidence of pleural effusion in either lateral or posterior pleural spaces exists. No pneumothorax is identified in the apical area. As chest findings are now similar to what have been seen on a pa and lateral chest examination, the most recent event is likely to be caused by a flare in copd rather than acute cardiovascular failure.
<unk>-year-old male patient with questionable chf versus copd flare, has rales on examination, compare with initial chest films from last week.
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The proximal end of the left picc line is seen approaching the left chest cage, however, the distal end of the picc line is not clearly visualized within the chest cavity and as such, placement cannot be assessed. The mediastinal silhouette, hilar contours, and pleural surfaces are normal. No pneumonia or pneumothorax.
<unk> year old man with known picc line, please confirm placement and ok to use. thanks. // confirm picc line placement
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Frontal and lateral views of the chest were obtained. There is minor left basilar atelectasis. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable and unremarkable. No overt pulmonary edema is seen. There is stable moderate-to-severe compression of a mid thoracic vertebral body.
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Endotracheal tube tip terminates approximately <num> cm from the carina. An enteric tube tip terminates within the stomach. Heart size is normal. The mediastinal and hilar contours are normal. Pulmonary vasculature is not engorged. Lungs are hyperinflated with moderate emphysematous changes noted in the upper lobes. Within the left mid lung field is a <num> x <num> cm mass, new from the previous study. Remainder of the lungs are clear. No pleural effusion or pneumothorax is present. No acute osseous abnormality is detected.
history: <unk>m with intubation // et tube placement
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The lung volumes are low. The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.
cough. evaluate for pneumonia.
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The cardiac silhouette size is mildly enlarged. Thoracic aorta is diffusely calcified. There are likely small bilateral pleural effusions with streaky opacities in the lung bases likely reflective of atelectasis. Elevation of the left hemidiaphragm is chronic. No overt pulmonary edema is present although crowding of the bronchovascular structures is noted due to low lung volumes. There is no pneumothorax. Degenerative changes are noted in both acromioclavicular joints.
fevers.
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The tip of the left picc line projects over the superior cavoatrial junction. A spinal fixation device is in place. Low bilateral lung volumes with blunting of the left costophrenic angle which may reflect a small pleural effusion versus atelectasis. No pneumothorax identified. The size of the cardiac silhouette is within normal limits.
<unk> year old man with multiple myeloma admitted for hyponatremia, hyperglycemia // confirm picc placement
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Frontal views of the chest were obtained. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. Old deformity of the posterolateral left fifth ribs is again seen, unchanged, may be sequela of prior trauma. Cardiomediastinal silhouette is stable and unremarkable.
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In comparison with the study of <unk>, patient has taken a better inspiration. Cardiac silhouette is within normal limits and there is no vascular congestion or pleural effusion. The linear opacifications at the bases most likely represent pulmonary vessels that are somewhat more prominent than on previous studies. In the appropriate clinical setting, developing consolidation could be considered.
asthma and tobacco abuse with worsening tachypnea.
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A previously seen heterogeneous right upper lung opacity has resolved. The lungs are now clear. The heart size is normal. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen.
wheezing. assess for pneumonia.
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As compared to the previous radiograph, the extensive bilateral and pre-described parenchymal opacities are constant in extent and severity. The radiograph does not document the progression of the changes. Unchanged retrocardiac atelectasis and moderate cardiomegaly. No pneumothorax. Mild bilateral apical thickening. Unchanged position of the left pectoral pacemaker.
worsening respiratory status, evaluation.
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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs without focal consolidation, large pleural effusion, or pneumothorax. Mild blunting of posterior costophrenic angles could represent trace effusions. Vague opacity projecting over the left anterior fourth rib is most suggestive callus formation from prior rib fracture.
<unk>f w/chest tightness, please eval for pna // <unk>f w/chest tightness, please eval for pna
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Frontal and lateral views of the chest were obtained. There is elevation of the right hemidiaphragm with overlying atelectasis. No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac silhouette is top normal. Mediastinal contours are unremarkable.
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The cardiac silhouette is normal in size. The mediastinal and hilar contours are normal. There is an ill-defined opacity occupying the left upper lobe and mid left lung, which is concerning for an acute infectious process. This area likely corresponds to incompletely imaged tree-in-<unk> opacities seen on prior dedicated neck ct. The right hemi thorax is clear. There is no pleural effusion. There is no pneumothorax. Subcutaneous emphysema is present the right neck, better assessed on prior neck ct examination.
history: <unk>m with mediastinal fluid collection, tachycardic, rigoring // evaluate for acute cardiopulmonary process, pneumothorax, infiltrate, effusion
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There is some minimal atelectasis and a small pleural effusion at the left base. The right lung is clear. The cardiomediastinal silhouette and hilar contours are normal. There is no pneumothorax.
status post open cholecystectomy with bile duct exploration and placement of g-tube. evaluation for pulmonary process.
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The alveolar infiltrate is somewhat improved. There continue to be bilateral pleural effusions layering posteriorly. The heart size continues to be moderately enlarged. The et tube is <num> cm above the carina. Ng tube tip is in the stomach. Mid abdomen skin <unk> are again seen.
perforated viscus, status post esophageal dilatation. check for pneumothorax.
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Heart size remains moderately to severely enlarged with a coronary artery stent again noted. The aorta is tortuous and demonstrates diffuse atherosclerotic calcifications. Mediastinal and hilar contours are otherwise unchanged. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. Multiple clips are demonstrated in the left upper quadrant of the abdomen.
history: <unk>f with cough, dyspnea
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Pa and lateral chest radiograph demonstrates hyperinflated lungs. No focal consolidation is identified convincing for pneumonia. There is no pleural effusion or pneumothorax. Cardiomediastinal and hilar contours are within normal limits. Calcifications through the aortic arch as well as a dilated or tortuous descending aorta noted. Right <num> and <num> rib deformities are noted. No acute osseous abnormality is detected.
<unk>-year-old female with altered mental status and cough.
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The lungs are well expanded. The left upper lobe plate-like atelectasis has resolved. The previously seen right upper lobe opacity has resolved. The left pleural effusion is again seen and unchanged. The hila and pulmonary vasculature are normal and unchanged. The cardiac silhouette is enlarged and unchanged. The mediastinum is normal. No pneumothorax. No fractures. The sternotomy wires are intact without evidence of dehiscence. The total right shoulder arthroplasty is unchanged.
<unk> year old woman with history of probable lul pna <unk> // check for resolution lul pneumonia <unk>
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The lungs are clear without focal consolidation, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged and there is no overt pulmonary edema. The cardiac silhouette is top normal in size. The mediastinal and hilar contours are within normal limits. The aorta is tortuous. The trachea is midline.
chest pain, here to evaluate for acute cardiopulmonary process.
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Subtle opacity projecting over the left lung base on the frontal view, not substantiated on the lateral view, most likely represents atelectasis, early infection is not excluded in the appropriate clinical setting. The right lung is clear. No pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with sob // eval for infection, acute process
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A supine portable chest radiograph is oblique such that the heart obscures the right medial lung field. There appears to be improved clarity at the right lung base compared to a film from much earlier the same date, which was semi-upright. There is still some partial obscuration of the left hemidiaphragm. This consolidation could be either atelectasis or pneumonia, though the former appears more likely. Large cardiac silhouette is unchanged and positioning of supporting lines and tubes including endotracheal tube, right ij central venous catheter and a right-sided midline are unchanged.
<unk>-year-old woman with fever on postop day two, question atelectasis.
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Lung volumes are low. The heart size remains normal. Mediastinal and hilar contours are unchanged. Lungs are grossly clear though assessment of the left apex is limited due to the patient's neck projecting over and obscuring this region. No focal consolidation, pleural effusion or pneumothorax is seen. Pulmonary vasculature is not engorged. Right shoulder arthroplasty is incompletely imaged. There are mild degenerative changes in the thoracic spine.
history: <unk>f with confusion and falls, on coumadin
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Comparison is made to prior study from <unk>. There is cardiomegaly. There is unchanged large left-sided pleural effusion with left retrocardiac opacity. There is mild improved aeration of the pulmonary edema since the previous study. There are no pneumothoraces.
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Lung volumes are low, accounting for bronchovascular crowding. There is an ill-defined opacity in the left cardiophrenic angle, which appears to obscure the left inferior cardiac margin, new compared with exam performed four hours ago. No other focal opacities are identified. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
<unk>-year-old male with aphagia. evaluate for acute cardiopulmonary process.
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No previous images. There is enlargement of the cardiac silhouette with tortuosity of the aorta. Hyperexpansion of the lungs is consistent with chronic pulmonary disease. Prominence of interstitial markings could reflect chronic lung disease, elevated pulmonary venous pressure, or both. No acute focal pneumonia.
syncope, to assess for acute pulmonary process.
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<num> portable view. Lung volumes are low. There is hazy increased density at the lung bases likely representing pleural fluid. The retrocardiac area is not well penetrated and there is a suggestion of air bronchograms in the lower right lung. The cardiac silhouette appears large although cardiac size may be exaggerated by technical factors. Mediastinal structures are otherwise unremarkable. An endotracheal tube is present and terminates approximately <num> cm above the carina. A nasogastric tube is in place and terminates well below the diaphragm, off of the bottom of the image. A no other radiopaque catheter is projected over the lower left chest, with its tip projected over the left hilus.
does this gentleman have airway space disease or pleural effusion?
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Patient is status post median sternotomy and cabg. Cardiac, mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vasculature is not engorged. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities visualized.
history: <unk>f with chest pain
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The lung volumes are normal. Normal size of the cardiac silhouette. Normal hilar and mediastinal structures. Unchanged appearance of the spine on the lateral chest radiograph. No pneumonia, no pulmonary edema. No pleural effusions. An old left lateral rib fracture is again noted.
<unk>m with dry cough and sob x <num> week with crackles in lml, lll.
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Lung volumes are low, resulting in bronchovascular crowding. Cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation. No free air seen beneath the diaphragm.
history: <unk>f with abdominal pain // evaluate for free air under diaphragm
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In comparison with the study of <unk>, the left chest tube has been removed. There is a small apical pneumothorax. All the other monitoring and support devices have been removed except for the right jugular catheter that extends mid to lower portion of the svc. There has been interval improvement of pulmonary vascular congestion. An area of more focal opacification at the left base silhouetting the heart border could represent a consolidation in the lingula.
chest tube removal.
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As compared to the previous radiograph, there is no relevant change. The monitoring and support devices are constant. Minimally increasing atelectasis at the right lung base. Unchanged moderate cardiomegaly. No changes in the left lung.
diabetes, intubation, new signs of effusion.
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There relatively low lung volumes. No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal. The aorta is calcified. No pulmonary edema is seen.
history: <unk>m with confusion // r/o pna
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Ap portable chest x-ray shows moderate lung volume without consolidation, suspicious for pneumonia. Minimal linear opacity at the left lung base is due to atelectasis. Cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax.
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Comparison is made to previous study from <unk>. The tip of the endotracheal tube is <num> cm above the carina. This could be pulled back approximately <num> cm for more optimal placement. There is again seen a nasogastric tube whose tip and side port are below the ge junction. There is a right ij central line with distal lead tip in the mid svc. There is persistent elevation of the left hemidiaphragm. There has been increase in opacity at the left base. There are bilateral pleural effusions, left greater than right. There are densities at the right base suggestive of consolidation versus atelectasis. This is stable.
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Heart size is normal. Coronary artery stent is noted. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
<unk> year old man with cough x <unk> weeks // evaluate for pneumonia
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Ap and lateral radiographs of the chest demonstrate left basilar opacity, likely atelectasis, otherwise lungs are clear. Hilar and mediastinal contours are normal. The heart size is normal. No pleural abnormality is seen. Surgical clips are noted overlying the left axilla.
new onset afib, hypoxia.
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As compared to the previous radiograph, the left and right chest tubes are in unchanged position. There is no evidence of pneumothorax. The monitoring and support devices are in unchanged position. Unchanged size of the cardiac silhouette. Unchanged appearance of the known multifocal parenchymal opacities.
right chest tube, evaluation.
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Right picc is seen with tip in the mid svc. Calcified right upper lobe nodules are again seen suggesting prior granulomatous disease. The lungs are otherwise clear. The cardiomediastinal silhouette is stable. No acute osseous abnormalities.
<unk>m with np lymphoma, here w/ hypotension and syncope, concern infectious trigger // pna?
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Pa and lateral images of the chest. The lungs well expanded and clear. Several tiny nodular densities, some of which contain calcium, are is again seen scattered throughout both lung fields, similar prior exam and consistent with old granulomatous disease. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.
hyperglycemia, weakness, concerning for pneumonia.
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Lung volumes are low, but there is no focal consolidation, pleural effusion, or pneumothorax. Cardiomediastinal and hilar silhouettes are normal.
<unk>-year-old woman with pleuritic chest pain and fever. evaluate for acute process.
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The cardiac silhouette size is normal. The aorta is mildly unfolded. Mediastinal and hilar contours are otherwise unremarkable. Eventration of the right hemidiaphragm is present. The pulmonary vascularity is normal. Minimal bibasilar streaky opacities likely reflect atelectasis. There is no pleural effusion or pneumothorax. Minimal biapical scarring is visualized. There are multilevel degenerative changes in the thoracic spine which are mild.
chest pain radiating to the back.
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As compared to the previous radiograph, the lung volumes have slightly decreased. There are areas of bilateral atelectasis but no evidence of pneumonia. Normal size of the cardiac silhouette. Moderate tortuosity of the thoracic aorta.
seizures, questionable pathologic process.
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The cardiac, mediastinal and hilar contours appear unchanged. There is no pleural effusion or pneumothorax. The lungs appear clear. The lung volumes are low.
chest pain and dyspnea. history of congestive heart failure.
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Severe cardiomegaly is unchanged. No change to the positioning of the left-sided pacer leads projecting over the right atrium and right ventricle. Elevation of the right hemidiaphragm is again noted. Hilar congestion again noted without overt pulmonary edema. Small pleural effusions are likely present. Bony structures appear intact.
<unk>-year-old woman with shortness of breath. evaluate for acute process.
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As compared to the previous radiograph, the monitoring and support devices are constant, with the exception of the right internal jugular vein catheter that has been removed in the interval. Bilateral pleural effusions are present on today's radiograph, they are of moderate extent. Unchanged moderate cardiomegaly with rather extensive left and right lung basal atelectasis as well as signs of left perihilar hypoventilation. No pneumothorax. No evidence of pneumonia. No visible rib fractures.
atrial fibrillation, asystolic cardiac arrest, evaluation for interval change.
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Degree of pulmonary edema appears slightly worse although some differences could be attributed due to differences in technique. No confluent consolidation. No large pleural effusion is identified. The cardiomediastinal silhouette is stable. Dense atherosclerotic calcifications again noted in the aorta.
<unk>m with sob // eval for pneumonia, eval for pulm edema
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The heart is normal in size. The mediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. Opacity in the left lower lung suggests pneumonia; noting blurring of the left cardiac border, it probably localizes to the lingula.
found down.
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Lungs well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.
history: <unk>m with fever on chemo // pna?
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The lungs are clear of focal consolidation, effusion or pulmonary vascular congestion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
<unk>f with pre-syncope // infiltrate?
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Pa and lateral views of the chest provided. Port-a-cath again seen overlying the right chest with its tip in the region of the mid svc. 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.
history: <unk>m with <unk> sirs criteria, hx of stage iv colon ca // eval for pneumonia.
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As compared to the previous radiograph, there is no relevant change. No evidence of pneumothorax after biopsy. The left upper lobe has increased in transparency, likely reflecting improved ventilation. Otherwise there is no relevant change. Constant size and appearance of the cardiac silhouette.
post-left lung biopsy peripheral left upper lobe mass, questionable pneumothorax.
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The lungs are well-expanded. Increased pulmonary vascular markings compared to the prior exam. No focal pulmonary consolidation, pleural effusion, or pneumothorax. No pneumomediastinum. The cardiomediastinal silhouette, hila, and pleura are normal. No acute osseous abnormality.
<unk>-year-old man status-post left upper lobe lavage and left lower lobe transbronchial biopsies for a history of pulmonary infiltrates; evaluate for pneumothorax.
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Pa and lateral views of the chest provided. Bibasilar atelectasis noted without convincing evidence for pneumonia or edema. No large effusion or pneumothorax. Cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm is seen.
<unk> y.o. male with history of deviated septum s/p septoplasty and nasal splints w/ dr. <unk> (<unk>) presenting with fevers to <num> and headaches // eval for infection