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The et tube, ng tube, and left internal jugular catheter are in unchanged satisfactory position. Compared with prior radiograph, lung volumes have improved; however, the retrocardiac consolidation has increased. The right lung base is better expanded with no change in the right pleural effusion. No pneumothorax.
status post total abdominal colectomy, evaluate for progression of pneumonia.
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Pa and lateral views of the chest were reviewed and compared to the prior study. Mid left lung and bilateral basilar linear opacities are unchanged since <unk> and likely represent scarring. Unchanged low lung volumes likely represent chronic volume loss due to scarring. The lungs are clear without focal consolidation, vascular congestion, pleural effusion, or pneumothorax. The heart and mediastinal contours are normal.
evaluation for pneumonia in a patient with systemic lupus erythematous and end-stage renal disease, on immunosuppressive therapy.
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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 right sided rib pain, sob after motorcycle accident <time>am today
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Pa and lateral views of the chest were provided. The lungs are clear bilaterally without focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. The imaged bony structures are intact. No free air is seen below the right hemidiaphragm.
<unk>f with epigastric pain
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There is no evidence for focal consolidation, pleural effusion, or pneumothorax. Pulmonary vascular prominence is noted. Heart and mediastinal contours are within normal limits. Note is made of elevation of the left hemidiaphragm.
<unk>-year-old female with chest pain.
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The lungs are normally expanded and clear. There is mildly coarsened interstitial pattern bilaterally. The cardiomediastinal silhouette, hilar contours and pleural surfaces are normal. There is no pleural effusion or pneumothorax.
cough. evaluate for pneumonia.
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Pa and lateral views of the chest show no consolidation, pulmonary edema, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal.
chest pain. evaluate for pneumonia.
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There is mild bibasilar atelectasis, greater in the left base than the right. Otherwise, the lungs are clear with no evidence of consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is at the upper limits of normal. The aorta appears somewhat tortuous. Cerclage wires are again noted overlying the posterior neck.
chest pain.
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Previously seen right lung sided picc is no longer present. Hyperinflated lungs persist. Stable position of dual lead left-sided pacemaker. Stable cardiomediastinal silhouette. No focal consolidation is seen. No large pleural effusion. No evidence of pneumothorax.stable biapical pleural thickening.
history: <unk>f with severe as p/w ams and failure to thrive, crackles on exam // evaluate for consolidation, pulm edema
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The left pleural drain has been repositioned and is normal in course and appearance, terminating in the lower left hemithorax. The left pneumothorax has largely resolved. The endotracheal tube and enteric tube are unchanged in position. Bibasilar consolidations persist.
large left pneumothorax status post chest tube repositioning.
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No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. Heart and mediastinal contours are within normal limits.
<unk>-year-old female with two weeks of cough.
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Heart size is at the upper limits of normal. Cardiomediastinal contours are within normal limits, allowing for slightly unfolded, calcified aorta. Mild prominence of soft tissues along the right peritracheal region are unchanged compared with <unk> and could represent vascular structures or thyroid goiter in someone of this age. The hila are prominent, but unchanged compared with <unk>. Lung volumes are low with bibasilar atelectasis but no focal consolidation, pleural effusion, or pneumothorax is detected. To right hemidiaphragm is slightly elevated, but unchanged.
<unk>f with sscp // eval for infiltrate or widened mediastinum
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The lungs are clear. Moderate cardiomegaly with leads in the right atrium, right ventricle and coronary sinus. No pulmonary edema. No pleural effusion or pneumothorax.
<unk> year old man with ventricular arrhythmias now starting amiodarone // baseline for starting amiodarone
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A tracheostomy tube is in satisfactory position, unchanged from the prior exam. A right picc is unchanged with the tip in the low svc. Since the prior exam, the lung volumes are lower, somewhat accentuating the bronchovascular structures. There is unchanged mild edema. The right basilar atelectasis has improved. There is no new opacity, pleural effusion, or pneumothorax. The mediastinal contours are normal. The heart size is mildly enlarged, and unchanged.
chronic respiratory failure. evaluate for interval change.
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The patient is status post right upper and lower lung wedge resection procedures. There is no visible pneumothorax. Worsening opacity in the right lower lobe near the wedge resection site could be due to localized hemorrhage, atelectasis, and less likely a developing infection in this region. Improving opacity in right upper lobe wedge resection site is likely resolving atelectasis. Additional band-like areas of atelectasis are present in both lower lobes. Possible small pleural effusions bilaterally.
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Ap and lateral views of the chest are compared to previous exam from <unk>. Lower lung volumes are seen on the current exam. Calcified left basilar nodule and left pleural apical pleural-based scarring is again noted. Given lower lung volumes, the lungs are clear of focal consolidation or effusion. Cardiac silhouette is slightly enlarged but stable in configuration. Osseous structures are unchanged noting degenerative change at the shoulders bilaterally and intra-articular body within the left glenohumeral joint.
<unk>-year old female with cough.
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Frontal and lateral views of the chest were obtained. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
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Dual lumen central venous catheter tip terminates in the right atrium. Heart size is mildly enlarged. The mediastinal and hilar contours are unremarkable. There is no pulmonary edema, focal consolidation or pleural effusion. No acute osseous abnormalities detected.
history: <unk>f with fever/chills
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There has been interval placement of a right-sided chest tube. There is a small residual right pneumothorax. On the right side, subcutaneous emphysema along the right chest wall is seen. Focal opacity seen about the right upper lobe on the chest ct is not well demonstrated on the current radiograph. No pneumothorax or pleural effusion is seen within the left hemithorax. Heart size is within normal limits. Overlying bowel gas pattern is nonspecific. There is a fracture of the mid right clavicular with half shaft width inferior displacement of the distal fracture fragment. Multiple right sided rib fractures are noted, some of which are displaced.
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The patient is status post median sternotomy. Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. There is a rounded, mediastinal opacity seen anterior to the heart, best seen on the lateral view, which was not seen on the prior examination. No pleural effusion or pneumothorax is seen.
<unk> year old man with <num> weeks of cough // cough, whezzing, rales throughout. eval pneumonia
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Left-sided chest pigtail catheter is seen projecting over the lateral left lower chest. There are low lung volumes. There has been slight interval increase in right base opacity which may be due to underlying atelectasis although developing consolidation is not excluded. There has been continued improvement in left base opacity/pleural effusion.
<unk> year old man with shortness of breath, pain, desat s/p <unk>. // pneumo vs. pulm edema
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There is an endotracheal tube with tip terminating in the mid thoracic trachea in good position. An enteric tube is seen with distal tip projecting over the left upper quadrant, side-port seen distal to the ge junction. Ekg leads overlie the chest. Lung volumes are low. The cardiomediastinal silhouette is likely accentuated in the setting of low lung volumes. The hila are within normal limits. Retrocardiac opacity may reflect atelectasis, however difficult to exclude superimposed infection in the appropriate clinical setting. There is no pulmonary edema. Elsewhere there is no evidence of focal lung consolidation. There is no pneumothorax or sizable pleural effusion.
<unk>m with ett, evaluate 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>f with cough, fevers
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Comparison is made to previous study from <unk> at <time> a.m. There is a nasogastric tube whose tip and side port are below the ge junction. The far distal tip is off the field of view of the study. A right-sided central venous line with distal lead tip in the distal svc is also seen. There are bilateral pleural effusions and left retrocardiac opacity, stable. There is unchanged cardiomegaly.
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Prosthetic aortic valve is in unchanged position. Multiple calcified pleural plaques are again noted. There is no consolidation or pneumothorax. Bibasilar pleural scarring is unchanged. Cardiomediastinal silhouette is normal size.
history: <unk>m with chest pain // ? acute cardipulm process
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Frontal and lateral views of the chest were obtained. The heart size and cardiomediastinal contours are normal. The lungs are hyperinflated, similar to prior, suggestive of copd. No focal consolidation, pleural effusion, or pneumothorax.
<unk>-year-old male with loss of consciousness.
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Single portable upright frontal image of the chest. The lungs are well expanded and clear. No large pleural effusion or pneumothorax is seen. The cardiomediastinal silhouette is enlarged.
shortness of breath.
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Lungs are well-expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation. A port-a-cath line ends just above the superior cavoatrial junction. A nasogastric tube courses into the stomach, with the tip not well seen. Bilateral internal-external biliary drains project over the right upper quadrant.
history: <unk>f with port-a-cath // port-a-cath eval for access purposes
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The right internal jugular central venous catheter and right picc both terminate in the mid to low svc. Lung volumes are lower since the next most recent study. Small left pleural effusion and adjacent atelectasis is unchanged. Mild cardiomegaly is unchanged. There is no pneumothorax.
<unk>m hx of lumbar spinal stenosis s/p anterior and posterior lusion l<num>-s<num> found to have bilateral pulmonary emboli s/p embolectomy // post pull ct
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Frontal and lateral views of the chest were obtained. There are relatively low lung volumes. A left-sided port-a-cath is again seen terminating in the low svc/cavoatrial junction. There is mild left basilar atelectasis without definite focal consolidation. There is possible minimal blunting of the posterior costophrenic angles which may be due to trace pleural effusions. No pneumothorax is seen. Cardiac and mediastinal silhouettes are stable and unremarkable.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal. Mediastinal and hilar contours are unremarkable. No pulmonary edema is seen.
increased seizure frequency.
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The opacity in the anterior right upper lobe is almost completely resolved with a tiny residual focal opacity. There is no new focal consolidation, pleural effusion, or pneumothorax. Peripheral interstitial opacities at the bases are consistent with a previously described nsip. The heart size is within normal limits. The cardiac, hilar, and mediastinal contours are within normal limits.
mild pulmonary fibrosis and history of gerd. pneumonia diagnosed in <unk>. followup chest radiograph.
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Left-sided pacemaker and wires are appropriate position. Moderate cardiomegaly is stable. There is a mild increase in interstitial markings which may represent mild pulmonary edema. There is a small left effusion. No definite focal consolidations. No pneumothorax.
history: <unk>f with ams // pna?
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Pa and lateral chest radiographs demonstrate well expanded lungs. Cardiomediastinal and hilar contours are within normal limits. Lungs are clear without focal opacity convincing for pneumonia. There is no pleural effusion, pneumothorax, or pulmonary edema. Imaged osseous structures and upper abdomen are without an acute abnormality.
<unk>-year-old female with syncope. evaluate for an acute process.
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The inspiratory lung volumes are appropriate. 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 cardiomediastinal and hilar contours are within normal limits.
cough and myalgia, here to evaluate for pneumonia.
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Compared to approximately <num> week prior, lung volumes are substantially reduced. Left greater than right bibasilar atelectasis is now present. No pleural abnormality. Low lung volumes exaggerate top-normal heart size. No pulmonary edema. There is new mediastinal widening with rightward tracheal deviation and silhouetting of the superior aortic arch.
<unk> year old woman with htn s/p pipeline stent for ophthalmic aneurysm, now with chest pain // please eval for pulm edema, pneumonia
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As compared to the previous radiograph, the lung volumes are unchanged and relatively low. Borderline size of the cardiac silhouette without pulmonary edema or pneumonia. No pleural effusions. Unchanged appearance of the mediastinum. Cervical fixation devices. Unchanged hemodialysis catheter.
chest pain, evaluation for cause.
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Lungs remain hyperinflated. There is a large hiatal hernia with air-fluid level re- demonstrated. The cardiac silhouette is mild to moderately enlarged. No pulmonary edema is seen. No large pleural effusion or pneumothorax is seen. Mediastinal contours are unremarkable.
history: <unk>f with recent chest pain, shortness of breath for the past week // please assess for evidence of heart failure, pleural effusion
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The previously visualized right upper lobe consolidation appears unchanged in comparison to the prior chest radiograph and chest ct. There are also more diffuse patchy opacities in the right mid lung with thickening of the horizontal fissure, which also appear unchanged in comparison to the prior chest radiograph. Surgical clips are seen at the right apex. Moderate enlargement of the cardiac silhouette. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
<unk> year old man with b/l effusion s/p <unk> with <num>ml out // ? ptx
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Left-sided pacer and single lead are unchanged in position. A residual right ventricular pacing lead overlies the heart however the right generator has been removed. Mild to moderate cardiomegaly is stable. The cardiomediastinal and hilar contours are within normal limits. The pulmonary vasculature is not engorged and there is no evidence of pulmonary edema. There is no focal consolidation, pleural effusion or pneumothorax.
<unk> year old man sp icd // ptx, leads
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The lung volumes are low. The patient is intubated, the tip of the endotracheal tube projects <num> cm above the carina. The patient also has a nasogastric tube. The tip of this tube is at the level of the gastroesophageal junction, the tip should be advanced by approximately <num> to <num> cm. Moderate cardiomegaly and increased vascular diameters indicate mild-to-moderate pulmonary edema. In addition, there are rather extensive alveolar opacities in the retrocardiac lung areas and in the entire central portions of the right lung. These might reflect additional pneumonia or aspiration. Close radiographic monitoring is required. There is no evidence of pleural effusions or of pneumothorax.
altered mental status, contractures, questionable pneumonia.
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The heart is mildly enlarged. There is minimal vascular congestion. There is no pulmonary edema or pleural effusion.there is no focal consolidation or pneumothorax.
<unk> year old man with acute exacerbation of chf, eval pleural effusions // eval pleural effusions
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Heart size remains mildly enlarged. The aorta is diffusely calcified and tortuous. Mediastinal and hilar contours are relatively unchanged. Low lung volumes cause crowding of the bronchovascular structures without overt pulmonary edema. No focal consolidation, pleural effusion or pneumothorax is present. Mild atelectasis is noted in the lung bases. Degenerative changes are again seen in the thoracic spine.
history: <unk>f with esrd status post renal transplant now with right flank and back pain for <num> week and positive urinalysis
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The lung volumes are low. The cardiac, mediastinal and hilar contours appear unchanged, allowing for differences in technique. The lungs appear clear. There is no pleural effusion or pneumothorax. No free air is demonstrated. Mild degenerative changes are noted along the visualized thoracolumbar spine. There are slightly displaced fractures involving the right lateral fifth and sixth ribs, new since the recent prior examination.
status post fall with chest tenderness.
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Endotracheal tube tip terminates approximately <num> cm from the carina. The cardiac, mediastinal and hilar contours are normal. Atherosclerotic calcifications are demonstrated at the aortic knob. Lungs are hyperinflated with attenuation of the pulmonary vascular markings towards the apices compatible with emphysema. No focal consolidation, pleural effusion or pneumothorax is present. No displaced fractures are visualized.
history: <unk>f intubated for intracranial hemorrhage
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Single ap upright portable view of the chest was obtained. Mediastinal surgical clips are seen. There is also evidence of a coronary artery stent. The cardiac silhouette remains mildly enlarged. Opacity projecting over the left costophrenic angle may be due to overlying soft tissue and cardiac silhouette, although a small pleural effusion is difficult to exclude. No large pleural effusion is seen. There is no definite consolidation or evidence of pneumothorax. Mediastinal contours are stable.
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Frontal and lateral views of the chest were obtained. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are unremarkable.
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There is no significant change since the previous exam. The endotracheal tube is in adequate position at <num> cm above the carina. The left jugular line ends in the cavo-brachiocephalic junction. There is a stable nasogastric tube. Stability of left lower lobe consolidation/atelectasis. There is no pneumothorax.
patient with septic shock secondary to bacterial peritonitis, multifocal pneumonia.
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Lung volumes are low. The heart size is top normal. Mediastinal and hilar contours are unremarkable, and no pulmonary vascular congestion is present. Low lung volumes limits the assessment of the lung bases, with streaky bibasilar airspace opacities potentially reflecting atelectasis, but infection cannot be excluded, particularly in the right lung base. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities identified.
recurrent seizure.
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The patient is status post median sternotomy and cabg. Dual lead left-sided pacemaker is unchanged in position. Retained pacer fragment overlying the left apex is again seen. Slight prominence of the hila may be due to pulmonary vascular engorgement. No focal consolidation, pleural effusion, for evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.
shortness of breath, question pulmonary edema.
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Frontal and lateral views of the chest were obtained. The heart size and cardiomediastinal contours are normal. Numerous widely distributed nodules are better evaluated on the same date chest cta. No focal consolidation, pleural effusion, or pneumothorax.
<unk>-year-old female with shortness of breath and tachycardia.
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Single portable chest radiograph is provided. The lungs are well expanded. Pulmonary edema has resolved since the previous exam. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.
history of leukocytosis, retroperitoneal hematoma. rule out pneumonia.
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There is no significant change from the previous study, which was performed <num> hr and <unk> min prior to the current study. The appearance of the left pleural effusion and opacity at the right lung base are unchanged. There is no evidence of pneumothorax.
left pleural effusion.
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Single ap portable view of the chest was obtained. Large area of opacity projecting over the left lower lung is worrisome for pneumonia. There is possible associated pleural effusion. The cardiac silhouette is enlarged. The aorta is calcified and tortuous. No overt pulmonary edema is seen.
history: <unk>f with fever // r/o infiltrate
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Ap portable chest radiograph demonstrates clear lungs. There is no pleural effusion or pneumothorax. The heart size is normal. The cardiac, hilar, mediastinal contours are unremarkable. There are no rib fractures identified.
left-sided rib pain.
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Numerous nodular opacities compatible the patient's metastatic disease are again appreciated. In addition, there is worsening pulmonary edema as well as a worsening right lower lobe infiltrate which could represent pneumonia in the correct clinical setting. A right pleural effusion is also increased in size.
<unk> year old man with sob and tachycardia // please assess for worsening pna or effusion //<unk> year old man with sob and tachycardia
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Frontal and lateral radiographs of the chest demonstrate normal heart size, mediastinal and hilar contours. No pleural effusion or pneumothorax. Clear lungs. No displaced rib fracture.
wheezing, evaluate for infiltrate.
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Patient is status post median sternotomy and aortic valve replacement. Moderate cardiomegaly remains unchanged. Mediastinal contours are similar. There is mild pulmonary edema, with patchy atelectasis noted in the lung bases. A small left pleural effusion appears not substantially changed in the interval. Patchy opacities are noted in the lung bases. No pneumothorax is detected. No acute osseous abnormality is visualized.
history: <unk>m with hypoxia
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Cardiomediastinal contours are normal. Patient has multiple valve replacements. The lungs are clear. There is no pneumothorax or pleural effusion. Sternal wires are aligned.
<unk> year old woman s/p valve replacement.recent onset of cough and ankle swelling // r/o chf
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In comparison with the study of <unk>, there has been placement of a dual-channel icd device with the leads in the region of the right atrium and apex of the right ventricle. Lower lung volumes without definite vascular congestion. Vague suggestion of some opacification at the left base that could represent atelectasis or area of aspiration.
icd placement.
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Ap upright and lateral views of the chest provided. Bilateral pleural effusions are present, right greater than left, moderate in overall size. There is also likely compressive lower lobe atelectasis. There may be mild interstitial pulmonary edema. The cardiomediastinal contour is stable. No pneumothorax. Bony structures are intact.
<unk>f with recent hx pna, incr o<num> requirement // acute process
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A left picc terminates in the low svc. There is blunting of the right posterior sulcus on the lateral view suggesting a small right pleural effusion. The inspiratory lung volumes are appropriate. There is residual mild pulmonary vascular congestion and interstitial edema, improved from <unk>. There is no focal consolidation or pneumothorax. The cardiomediastinal and hilar contours are within normal limits. No acute osseous abnormality is detected.
<unk> year old man with dyspnea, suspected drug overdose // eval for pna or pulmonary edema
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The patient has had prior median sternotomy and cabg, which remain in standard position. Lung volumes have increased. There is mild cardiomegaly with interval improvement of the vascular congestion and mild interstitial edema. Small right and moderate left pleural effusions are noted. Retrocardiac opacity is unchanged. .
<unk> year old woman with cad, cabg, hypertension presenting with abdominal pain // interval change
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Single upright view of the chest and upper abdomen. No prior. Relatively low lung volumes are seen. The lungs, however, are grossly clear. The cardiomediastinal silhouette is within normal limits given low inspiratory effort. No acute osseous abnormality identified. No free air is seen below the diaphragm.
<unk>-year-old female with significant abdominal pain. question free air.
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The heart is of normal size with normal cardiomediastinal contours. The lungs are clear. No focal consolidation, pleural effusion, or pneumothorax. No radiopaque foreign body.
severe malnutrition. evaluate for cardiopulmonary process.
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Stable appearance of cardiomediastinal contours. Both lungs are clear with no focal consolidation or pleural effusion.
patient with hematocrit drop status post trauma, evaluate for hemothorax.
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Small left pleural effusion and/or pleural scarring is noted. There appears to be pleural calcification. There is biapical pleural thickening. There is no consolidation or pneumothorax. Cardiomediastinal silhouette is normal size.
history: <unk>m with h/o remote tb presenting with <unk> weeks of shortness of breath and subjective fevers // eval for infiltrate, evidence of tb, acute process
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The cardiac, mediastinal and hilar contours appear unchanged. There is better aeration at the left lung base with decreased streaky left posterior basilar opacities. Patchy right basilar opacity has increased slightly, but is highly non-specific and probably compatible with atelectasis. There is no definite pleural effusion or pneumothorax. The chest is hyperinflated. Bones appear demineralized. A severe mid thoracic compression deformity appears unchanged. Milder lower thoracic compression deformities are also probably unchanged, although better depicted on this study. Left-sided rib fractures appear old and non-displaced.
altered mental status.
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Single portable view of the chest. When compared to prior, there has been no significant interval change. The lungs are grossly clear noting some increased opacity at the lung bases most suggestive of atelectasis. There is no large effusion or pneumothorax. The cardiomediastinal silhouette is stable in configuration. No displaced fractures identified.
<unk>-year-old male with fall today and altered mental status.
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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 cough
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Ap portable upright view of the chest. Overlying ekg leads are present. A left mid lung linear density may represent linear atelectasis or scar. Lungs otherwise clear with the lucent hyperinflated lungs likely reflecting emphysema. Cardiomediastinal silhouette appears unchanged with a coronary stent projecting over the heart. No large effusion or pneumothorax. Bony structures are intact.
<unk>m with hypoxia
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A tracheostomy tube is in appropriate position. There is no focal consolidation or pneumothorax. Hazy opacity at the right lung base is likely layering effusion. Mild pulmonary edema has developed in the interval. Thoracotomy changes are noted at the right upper ribs. The heart remains enlarged.
history of tracheoplasty, status post chest tube with pleural effusions. question pleural effusions.
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An endotracheal tube terminates <num> cm above the carina. An enteric tube is seen within the stomach and could be advanced <num>-<num> cm for appropriate placement. No focal consolidation, pneumothorax or pleural effusion.
<unk>m with trauma, now intubated. // eval intubation
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Heart size is top normal with mild unfolding of the thoracic aorta. Hilar contours are unremarkable. Lungs are clear. There is no pleural effusion or pneumothorax. There is no destructive rib fracture.
sternal chest discomfort for two months.
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Lungs are fully expanded and clear without consolidations or effusions. Heart size is normal. Cardiomediastinal and hilar silhouettes are normal. Pleural surfaces are normal. An et tube terminates <num> cm above the carina. The side port of an enteric tube projects over the expected location of the gastric body.
<unk> year old woman with post-op // please evaluate
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Frontal and lateral chest radiographs demonstrate mild patchy opacification in the medial right lower lung, likely represents prominent bronchovascular markings. No focal opacification concerning for pneumonia identified. No pleural effusion or pneumothorax present. Stable mid thoracic vertebral compression fractures identified.
recent seizures, pneumonia.
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Dual lead right-sided pacemaker is stable in position. No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. Partially imaged hardware in the proximal right humerus. Anterior wedging of a mid thoracic vertebral body is similar in appearance compared to ct from <unk>.
history: <unk>f with chest pain // chest pain
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Lungs are remain somewhat hyperinflated. No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac silhouette is mildly enlarged. Mitral annulus calcification is again seen. The aorta is calcified and tortuous. While there may be mild central pulmonary vascular engorgement, there is no overt pulmonary edema.
history: <unk>f with chest back pain, history of diastolic heart failure and effusions. // assess for effusion
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In comparison with study of <unk>, the patient has taken a somewhat better inspiration. There is still enlargement of the cardiac silhouette with some mild elevation of pulmonary venous pressure. Some of the interstitial prominence could reflect coarse markings secondary to chronic pulmonary disease with hyperexpansion of the lungs. The areas of increased opacification in the left mid and lower zones again are worrisome for supervening pneumonia.
respiratory distress after diuresis.
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The right internal jugular central venous line is unchanged. The endotracheal tube tip and enteric tube are appropriately positioned. Pulmonary vascular congestion is unchanged, and there is increased opacity at the right apex with improved airspace in the left apex indicating re-distribution of pulmonary edema. Right middle and lower zone opacities are slightly worse, indicative of an infectious process. Cardiac and mediastinal contours are stable.
status post pea, intubated with pulmonary edema. evaluate for infiltrate.
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The cardiomediastinal silhouette and pulmonary vasculature are unremarkable and stable since the prior examination. The aorta is tortuous. Linear left basilar opacity is noted, which likely represents atelectasis. In addition, a new right infrahilar opacity is noted, which may represent pneumonia in the appropriate clinical setting. There is no pleural effusion or pneumothorax. Again seen is a right sided picc line terminating in the lower svc.
<unk> year old man with new aml with low-grade fever. // please evaluate for consolidation.
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The heart size is normal. The hila and mediastinal contours are within normal limits. There is no pneumothorax, focal consolidation, or pleural effusion. There is no pulmonary vascular congestion or pulmonary edema.
pulmonary edema.
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Hypoinflated lungs with perihilar interstitial prominence consistent with vascular crowding. No pleural effusion pneumothorax. Prominence of the heart is likely related to low lung volume. New left lower lobe and retrocardiac opacity is noted. Mediastinal contour and hila are otherwise unremarkable. Visualized osseous structures are unremarkable and upper abdomen is within normal limits.
<unk>m with cirrhosis with sob. assess for pneumonia effusion.
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As compared to the previous radiograph, the effusion on the left has minimally increased. Also increased are the subsequent atelectasis at the left lung bases. The right lung and the overall shape of the cardiac silhouette are constant in appearance.
evaluation for pleural effusions and consolidations.
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Patient is status post median sternotomy and cabg. The cardiac silhouette is mild to moderately enlarged. Minimal to no pleural effusion is seen. There is no evidence of pneumothorax. There is mild to moderate pulmonary vascular congestion. No definite focal consolidation is seen. A large air-fluid level is seen in the stomach on the lateral view.
history: <unk>m with x<num> weeks uri symptoms w/chest pressure, sob, pleural effusions on osh cxr // eval for infiltrates, effusion
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are unremarkable. No overt pulmonary edema is seen.
cough for <num> month, now in afib.
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The heart is normal in size. The hilar and mediastinal contours are normal. The lungs are well expanded and clear. There are no pleural effusions or pneumothorax. There is no gross evidence of free air.
<unk>-year-old male patient with pleuritic chest pain status post drainage of liver abscess.
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Free intraperitoneal air is present, likely due to recent peg placement. Cardiomediastinal contours are stable. Mild pulmonary vascular congestion is present. Marked interval worsening in left retrocardiac opacity, likely a combination of moderate left pleural effusion and adjacent atelectasis and/or consolidation. Layering right pleural effusion with adjacent basilar atelectasis has slightly improved. No visible pneumothorax.
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Frontal and lateral views of the chest were obtained. The heart is of normal size with unremarkable cardiomediastinal contours. Pulmonary vasculature is unremarkable. There is new blunting of the left costophrenic angle and smaller blunting of the right costophrenic angle, compatible with pleural effusions. Left lower lobe opacity may represent atelectasis or infection. No pneumothorax. Osseous structures are unremarkable. No radiopaque foreign body.
<unk>-year-old male with anemia, weight gain, and cirrhosis. evaluate for pulmonary edema.
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The patient is rotated and has a moderately well calcified right-sided aortic arch. There is no evidence of pneumonia, no pleural effusion and no pneumothorax. The overall prominence of the pulmonary vessels, however, suggests mild fluid overload. Normal size of the cardiac silhouette.
weakness, questionable pneumonia.
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A feeding tube with a weighted tip terminates in the stomach. A port-a-cath terminates at the cavoatrial junction. The patient remains intubated. The endotracheal tube terminates approximately <num> cm above the carina. The course of a left-sided picc line is somewhat difficult to follow within the superior vena cava, but it seems to terminate in the superior vena cava. Aortic stents projecting along the arch and upper abdominal aorta are noted. The cardiac, mediastinal and hilar contours appear stable. There is persistent retrocardiac opacity obscuring the left hemidiaphragm. Parenchymal opacification is non-specific but most frequently due to atelectasis, particularly in this location. More patchy parenchymal opacities throughout each lung, appear unchanged.
dobbhoff placement.
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There are increased multifocal opacities concerning for pneumonia, greatest in the left lower lobe, however, also involving the lingula and likely within the right base as well. Cephalization of vasculature is suggestive of fluid overload. No pneumothorax is present. A small left pleural effusion is seen. There is mild cardiomegaly, changed. Recommend repeat after treatment to document resolution.
delirium.
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Right basilar opacity and effusion are unchanged since yesterday's exam. Mild pulmonary vascular congestion is also similar. Cardiomegaly is stable. There is no new consolidation, effusion, or pneumothorax. A nasogastric tube extends into the stomach. Mild cardiomegaly is unchanged.
<unk>-year-old man with chf, status post nstemi, presenting with decreased respiratory status.
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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.
history: <unk>m with pancreatitis // eval for pleural effusions
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Frontal and lateral radiographs of the chest demonstrate persistent opacification of the left base which likely represents a small pleural effusion and adjacent atelectasis. Right basilar atelectasis is unchanged. The cardiomediastinal and hilar contours are unchanged. No pneumothorax.
<unk> year old man with effusion // effusion f/u
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In comparison with the earlier study of this date, there is little change in the appearance of the left ij swan-ganz catheter and the pacemaker device. Retrocardiac opacification persists, consistent with volume loss in the left lower lobe and pleural effusion. The atelectatic changes at the right base have improved.
hypoxia, for vad position.
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Frontal and lateral views of the chest were obtained. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. Mild interstitial edema seen on the previous study has improved in the interval with possible minimal residual remaining. Mild enlargement of the cardiac silhouette persists. Mediastinal and hilar contours are stable. Degenerative changes are seen along the spine.
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The lung volumes are normal. Moderate cardiomegaly with signs of minimal fluid overload but no overt pulmonary edema. No pleural effusions. No focal parenchymal opacity suggesting pneumonia. No pneumothorax.
complete heart block, evaluation for changes.
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Heart size is top normal with a mildly tortuous aorta. Hilar contours are normal. Lungs are clear. There is no pleural effusion or pneumothorax.
positive ppd.
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The heart size is mildly enlarged. The aorta is tortuous and calcified. The mediastinal and hilar contours are unchanged. Pulmonary vascularity is not engorged. Streaky opacities in the lung bases likely reflect atelectasis. There is no focal consolidation, pleural effusion or pneumothorax. Diffuse demineralization of the osseous structures is present with multilevel degenerative changes seen throughout the thoracic spine.
fall with right wrist tenderness.