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Upright frontal and lateral chest radiographs demonstrate hyperinflated lungs, without focal consolidation, pleural effusion or pneumothorax. The cardiac silhouette remains normal in size, the mediastinal contours are notable only for tortuosity of the thoracic aorta.
<unk>-year-old female with history of copd and asthma who presents with one week of productive cough, wheezing, and dyspnea, evaluate for pneumonia.
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As compared to the previous image, there is no change in position and appearance of the right central venous line. No evidence of kinking or malposition. No pleural effusions, no pulmonary edema. No pneumonia, normal size of the cardiac silhouette.
evaluation for line placement.
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Endotracheal tube terminates <num> cm above the carina. The enteric tube extends into the stomach with tip out of view. Lung volumes are low. Small bilateral pleural effusions may be present. The heart appears mildly enlarged which may be secondary to low lung volumes. Bibasilar atelectasis is noted. No evidence of pneumothorax.
history: <unk>m with s/p intubation // eval for tube placement
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Heart size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Lungs are hyperinflated without focal consolidation. No pleural effusion or pneumothorax is present. No acute osseous abnormality is detected.
history: <unk>f with headache, chest pain in setting of elevated blood pressures.
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The cardiac silhouette is normal. Mediastinal silhouette and pulmonary vasculature are unremarkable. Scattered, small nodules are noted throughout both lungs, and likely correspond to calcified nodules seen on recent ct scan. The lungs are otherwise clear. There is no pleural effusion or pneumothorax.
<unk>f known history of tb/pulmonary nodules with esophageal foreign body sensation and chest pain // eval for effusion, chf, pneumonia
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Frontal and lateral chest radiographdemonstrates well expanded lungs. No chf or focal infiltrate is identified.no pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are within normal limits. Note is made of mild anterior wedging of a lower thoracic vertebral body question t<num>, with loss of height of approximately <unk>%.
fever x <num> days. assess for pneumonia.
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Cardiomediastinal contours including enlargement of the cardiac silhouette is stable. Sternotomy hardware and pacemaker leads are unchanged in position. Mild pulmonary interstitial edema is no worse compared to multiple prior studies. There is no evidence of new consolidation or large pleural effusion. No pneumothorax.
<unk>f with shortness of breath // eval for chf or pna
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Ap portable upright view of the chest. Tripolar aicd is unchanged with leads extending to the region of the right atrium, right ventricle and coronary sinus. Heart size is top-normal. There is no focal consolidation, effusion or pneumothorax. No convincing signs of pulmonary edema. Bony structures are intact.
<unk>m with hyperkalemia // eval for acute process
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Interval repositioning of the swan-ganz catheter which now projects over the main pulmonary outflow tract. This patient is status post median sternotomy and mitral valve repair. Low bilateral lung volumes. Bilateral pleural effusions with overlying atelectasis, greater on the left. No pneumothorax identified. The size the cardiac silhouette is enlarged but unchanged.
<unk> year old man s/p mv repair, cabg // eval swan location s/p repositioning
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As compared to the previous radiograph, no relevant change is noted. The lung volumes are low, the size of the cardiac silhouette is enlarged, notably the size of the left ventricle. The left pectoral pacemaker is in unchanged position. No pleural effusions. No pneumonia. Neither the frontal nor the lateral radiographs show evidence of pulmonary fibrosis. No pleural effusions. No pneumothorax.
status post ablation, evaluation.
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Ap portable upright view of the chest. Overlying ekg leads noted. Mild basilar atelectasis on the left. Lungs are otherwise clear and hyperinflated. The cardiomediastinal silhouette is stable. No pneumothorax. No signs of congestion or edema. Bony structures are intact. No free air below the right hemidiaphragm.
<unk>m with tachycardia
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Ett ends <num> cm from the carina. Enteric tube extends to the left upper quadrant though the tip is excluded from view. Portable supine technique limits evaluation of the cardiomediastinal silhouette. Lower lung opacities are noted likely representing atelectasis and possible aspiration. No acute bony injury.
<unk>f with hypoxia and ich.
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Low lung volumes persist. Compared to the prior study from <unk>, there has been interval decrease in opacity in the left mid lung zone and possibly slight decreased in the right mid lung however, similar to slightly increased in comparison with <unk>. There is a possible trace right pleural effusion. Cardiac silhouette is top-normal. Mediastinal contours are stable.
history: <unk>m with chf, non-hodgkins, p/w <unk> <unk> edema refractory to lasix, b/l rales // pulmonary edema
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Lower lung volumes seen on the current exam with secondary crowding of the bronchovascular markings and bibasilar opacities, likely atelectasis. Cardiac silhouette is mildly enlarged likely in part due to technique. No acute osseous abnormalities.
<unk>m with <num> wks body pains, aches, small volume hemoptysis presenting with <num> day r sided pleuritic pain. r lower lung field crackles. no smoking history. // eval ? rll infiltrate, effusion
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In comparison with the study of <unk>, there is little overall change. Monitoring and support devices remain in place. Diffuse bilateral pulmonary opacifications persist, though decreased since the initial radiographs on admission at the beginning of the month.
intubation.
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The lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. No acute fractures are identified.
evaluation of patient with chest pain.
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There is no definite focal consolidation or pneumothorax. There may be small bilateral pleural effusions. The cardiomediastinal silhouette is notable for a tortuous aorta and mild cardiomegaly. Osseous structures are intact. There is a dental implant.
<unk>-year-old female with possible cva and weakness, rule out infectious causes, evaluate for cardiopulmonary disease, infiltrate.
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Evaluation is somewhat limited due to underlying trauma board. The cardiomediastinal and hilar contours are normal. There is no large pleural effusion, focal consolidation or pleural effusion. No displaced fracture seen.
trauma.
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Pa and lateral views of the chest provided demonstrate no focal consolidation, effusion or pneumothorax. The cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm is seen.
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Mild basilar atelectasis is seen. No definite focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No pulmonary edema is seen.
history: <unk>m with h/o cad with fatigue, mild hypoxia, transferred due to elevated trop at osh // ?cardiomegaly, edema, pna
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The carina is not well delineated. However, on the current film, the tip of the et tube lies approximately <num>. <num> cm above the carina, closer than on the prior film. Note is made that qualitatively, the tip of the et tube still lies above the level of the clavicular heads. Low inspiratory volumes. Patchy opacities in both lungs are similar to the prior film. Elevation the right hemidiaphragm again noted. Right ij and left subclavian picc line are similar to the prior film.
<unk> year old man with ett just pushed <num>cm further. // reevaluate ett placement after adjustment.
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Pa and lateral views of the chest are provided. Lung volumes are low though the lungs appear mostly clear. The left base is poorly visualized on the lateral projection. Heart size is top normal. Mediastinal contour is normal. Left shoulder replacement noted. No free air below the right hemidiaphragm.
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<num> views were obtained of the chest. The lungs are well expanded and clear with linear atelectasis or scarring in the left base. Heart and mediastinal contours are unremarkable. There is no pleural effusion or pneumothorax.
chest pain. assess for pneumothorax or pneumomediastinum.
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Compared to the prior film, the right ij line appears to have been retracted, and now lies near the cavoatrial junction, perhaps very slightly distal to it. Otherwise, i doubt significant interval change. Again seen is a left-sided dual lead pacemaker, with lead tips over right atrium right ventricle; marked cardiomegaly, with a calcified, unfolded aorta; chf, with interstitial and probable areas of alveolar edema; and small right greater left effusions, with underlying collapse and/or consolidation. Calcified nodes and granulomas again noted, consistent with prior granulomatous disease. No pneumothorax detected.
<unk> year old woman with dchf presenting with decompensate heart failure // eval of pulmonary edema. please perform at <num>am
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The lungs are normally expanded and clear. The cardiomediastinal silhouette, hilar contours and pleural surfaces are normal. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.
seizures. evaluate for pneumonia, edema or effusion.
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In comparison with the study of <unk>, the patient has taken a much better inspiration. The cardiac silhouette is within normal limits and there is no vascular congestion, pleural effusion, or acute focal pneumonia.
left chest pain.
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The cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. No focal consolidation or pneumothorax is seen. Mild elevation of the right hemidiaphragm, of unknown chronicity, could be due to the presence of a subpulmonic effusion or subdiaphragmatic/hepatic process. No left-sided pleural effusion is identified. No acute osseous abnormalities seen.
history: <unk>m with persistent cough for <num> months
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Comparison is made to prior study from <unk>. The heart size is within normal limits. Lungs are clear. There is no focal consolidation, pleural effusions or signs for overt pulmonary edema. Bony structures are intact.
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Patchy left base opacity raises concern for pneumonia. There is also blunting of the left costophrenic angle which may be due to a small trace pleural effusion. Right mid lung linear atelectasis/scarring is seen. There is diffuse prominence of the interstitial markings bilaterally suggesting mild interstitial edema.
history: <unk>f with fever, cough. // eval for pna
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The cardiac, mediastinal and hilar contours appear stable. A fiducial marker in the right lung as well as clips along the medial right lung apex appear unchanged. Patchy opacities in the left mid lung suggest unchanged scarring. Upper lungs are lucent suggesting emphysema. Three nodules in the posterior left lower lobe have increased in size. The chest is hyperinflated.
status post left upper lobectomy for lung cancer in <unk> and also status post wedge resection in the right upper lobe, presenting with hemoptysis.
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Ap upright and lateral views of the chest were provided. The heart remains moderately enlarged. The lungs are clear. No evidence of pneumonia or chf. The mediastinal contour is stable. Bony structures are intact. No free air below the right hemidiaphragm.
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Lines and tubes are stable in position. There has been interval increase in bilateral airspace can't interstitial opacities with concern for worsening pulmonary edema as well as worsening airspace opacities which may be seen in the setting of multifocal infection or aspiration.
<unk>/m s/p <unk> esophagectomy, with concern for ongoing aspiration, here w respiratory distress/a.fib // interval assesment
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The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
<unk>-year-old male with altered mental status and possible seizure. evaluate for the evidence of pneumonia.
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As compared to the previous radiograph, the left-sided pigtail catheter has been removed, the left chest tube remains in situ. There continues to be a small air inclusion in the left pleural space. No increase in pleural fluid is noted on the left. The appearance of the heart and of the right lung is constant. Unchanged monitoring and support devices.
history of hemothorax, dropping hematocrit, evaluation.
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Heart size is normal. The aorta is mildly tortuous and atherosclerotic calcifications noted at the aortic knob. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is present. Mild hypertrophic changes are seen in the thoracic spine. Osteophytic spurring is seen involving the left glenohumeral joint. No displaced fractures are evident.
history: <unk>f with multiple falls and head trauma
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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. Chronic-appearing deformities of multiple left-sided ribs including the left lateral sixth and seventh ribs likely sequela of prior trauma.
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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 hx copd, sob and productive cough
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Comparison is made to previous study from <unk>. There is a tracheostomy tube, which is unchanged in position and appropriately sited. There is again seen complete whiteout of the right lung. There is a dobbhoff tube whose tip is in the fundus of the stomach. There is an airspace opacity in the left mid and lower lung fields consistent with known pneumonia. This is slightly more dense than on the prior study. There are no pneumothoraces.
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Ap upright and lateral views of the chest provided. Low lung volumes. Lungs are clear. Heart is mildly enlarged with mitral annular calcification noted. Mediastinal contour is normal. No signs of congestion or edema. No large effusion or pneumothorax. Bony structures are intact.
history: <unk>f with hx of kidney txp with weakness // eval for infiltrate
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Lungs are clear. No pleural effusion, pneumothorax or focal airspace consolidation. Heart is top normal. Mediastinal and hilar contours are unremarkable.
chest pain. evaluate for pneumothorax or pneumonia.
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<num> views were obtained of the chest. The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The heart is normal size with normal cardiomediastinal contours.
dyspnea.
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In comparison with study of <unk>, there is little change. The heart is normal in size and there is no evidence of vascular congestion or pleural effusion or acute focal pneumonia.
weight loss.
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As compared to the previous radiograph, there is an increase in extent and severity of the pre-existing right lung opacities, and a newly appeared blunting of the right costophrenic sinus. The finding suggests a newly appeared small right pleural effusion as well as an increase in severity of the pre-described pulmonary edema. On the left, the findings are constant. Unchanged mild cardiomegaly. No evidence of focal parenchymal opacities suggesting pneumonia. No change in appearance of the mediastinal structures.
sepsis, worsening renal failure, evaluation for fluid overload.
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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.
<unk> year old woman with night sweats, + ppd // granulomatous disease, infiltrate
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A left picc terminates at the cavoatrial junction. Right-sided central venous catheter terminates deep within the right atrium. Borderline enlargement of the cardiac silhouette has increased since <unk>. Bilateral pulmonary opacification looks more like edema in the right lung and concurrent consolidation on the left, perhaps pneumonia or pulmonary hemorrhage. There is no pneumothorax or effusion.
<unk> year old man with cough, persistent leukocytosis // acute intrathoracic process?
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Allowing for differences in technique and projection, there has been little change in the appearance of the chest since the recent study performed earlier the same date.
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The left costophrenic sulcus is not fully imaged. There has been no significant change. The cardiac, mediastinal and hilar contours appear stable. There are persistent opacities in the lower lungs, more extensive on the right than left. A small layering pleural effusion is also possible in the right.
history of stroke with left-sided hemiparesis, presenting with hypoxia.
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Pa and lateral views of the chest provided. A left clavicle plate and screw fixation again noted. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No displaced rib fracture is seen. No free air below the right hemidiaphragm is seen.
<unk>m with reported patellar fxs, rib fxs
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The patient has been extubated. There is a right ij which terminates in the cavoatrial junction. There is an ng tube with the side hole below the diaphragm, however the tip is not visualized on this image. There are bibasilar patchy opacification, worse on the right. The left pleural effusion appears unchanged. Heart size is stable. The mediastinal and hilar contours are stable. The pulmonary vasculature is normal. No pneumothorax is seen. There are no acute osseous abnormalities.
<unk> year old woman with post-extubation // please evaluate
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The lungs are clear without consolidation. Cardiac silhouette is within normal limits. Thoracolumbar s-shaped scoliosis is again noted. No acute osseous abnormalities.
<unk>f with epigastric/chest pain // ?sbo, ?pneumonia, ?cardiomegaly, ?colitis
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Since the prior study, there has been development of large opacity projecting over most of the left hemi thorax with mediastinal shift to the left. The left diaphragm is obscured. The right lung is clear. No right pleural effusion is seen. There is no evidence of pneumothorax. The cardiac and mediastinal silhouettes are not well assessed due to the left hemithorax opacification.
history: <unk>m with hypoxia, coughing // r/o pna
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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. No displaced fracture is seen.
history: <unk>f with s/p mvc with midline neck pain, chest pain, and back pain // ?fracture
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Heart size is normal. Cardiomediastinal silhouette and hilar contours are normal. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax. Left subclavian port-a-cath terminates at the cavoatrial junction.
history of metastatic colon cancer presenting with dizziness.
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Single ap portable upright view of the chest was obtained. The lung bases are underpenetrated. A dual-lead left-sided pacemaker is seen with leads extending to the expected position of the right atrium and likely the right ventricle, although the very inferior aspect of the right ventricular lead is not fully included in the image. There are multiple overlying lead wires. A tubular structure/catheter is seen extending into the left lung apex which takes a sharp curve projecting over the lung apex. A possible residual small left apical pneumothorax is seen; however, consider followup with removal of external artifact. There are bibasilar opacities, left greater than right, which could be due to underlying infection/pneumonia and/or aspiration. Slight blunting of the left costophrenic angle raises concern for small left pleural effusion. The aorta is calcified and tortuous. The cardiac silhouette is not well assessed through the bibasilar opacities, most likely top normal. There are degenerative changes of the acromioclavicular joints.
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As compared to the previous radiograph, there is no relevant change. Unchanged extensive parenchymal opacity in the middle lobe. Unchanged minimal cardiomegaly. The monitoring and support devices are in constant position.
status post cardiac arrest, evaluation.
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Moderate to severe cardiomegaly is stable. There is no evidence of pleural effusion, pneumonia, pulmonary edema or pneumothorax.
history: <unk>f with concern for tia/stroke // evidence of infection
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Single portable semi-erect frontal chest radiograph demonstrates mildly hypoinflated clear lungs. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable. Persistent elevation of the left hemidiaphragm is present. Calcification of the aortic arch in is similar to previous examination. A tortuous aorta is present.
somnolence. assess for pneumonia.
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The right ij catheter has been removed. Lung volumes appear slightly lower compared to the prior study, which exaggerates bronchovascular markings. Increased perihilar opacity on the right may represent worsening vascular congestion exaggerated by a low lung volumes, although a superimposed pneumonia cannot be excluded in the appropriate clinical setting. Dense left retrocardiac opacity has improved, likely reflecting resolving atelectasis. There is suggestion of a small layering pleural effusion on the left. No pneumothorax. Moderate cardiomegaly is stable. No acute osseous abnormalities. Right hemidiaphragm is newly elevated from <unk>.
<unk>f s/p r supraclavicular nerve block for r arm fistula with o<num> desaturation. likely has r phrenic nerve block but would like to r/o pneumothorax as well. has hx of pleural effusion/volume overload from chf and renal disease. takes torsemide at home. // rule out pneumothorax
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Frontal and lateral views of the chest were obtained. There is right base atelectasis and right base small pleural effusion is seen. Left basilar atelectasis is seen without definite focal consolidation. There is no overt pulmonary edema. The cardiac and mediastinal silhouettes are unremarkable.
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Comparison is made to prior study from <unk>. There is a right-sided picc line whose distal lead tip is at the cavoatrial junction. Tracheostomy tube is seen. There is a large amount of free gas underneath the hemidiaphragms; however, this is decreased since the prior study. There is some atelectasis and consolidation at the right base. Cardiac silhouette and mediastinum is within normal limits.
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Right-sided temporary pacer wire with the tip in the right ventricle. No pneumothorax. The appearance of the lungs of not significantly changed with left basal atelectasis and small effusion. No significant interstitial edema. Mild cardiomegaly.
<unk> year old man with temp wire palced s/p tavr // eval temp wire placement
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Compared to the previous radiograph, there is no relevant change. Moderate cardiomegaly with extensive parenchymal opacities at the right lung base and in the entire left lung. The opacities have not changed in severity and extent. Unchanged minimally hyperlucent right upper lobe. No evidence of pneumothorax. Unchanged course of the right pectoral port-a-cath.
status post open thoracotomy, septic shock and ards, evaluation.
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The lungs are well expanded and clear. Dilated main pulmonary artery and proximal branches are unchanged since at least <unk> as assessed by ct. The hila are normal. There is no pleural effusion or pneumothorax.
<unk>-year-old female status post fall with leukocytosis. evaluate for evidence of pneumonia.
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Right ij catheter tip extends to the upper portion of the right atrium. It could be pulled back approximately <num> cm to be definitely above the cavoatrial junction. Some atelectatic changes are seen at the left base, but otherwise there is no evidence of acute cardiopulmonary disease. This information was telephoned to dr. <unk>.
ij placement.
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Ap upright and lateral views of the chest provided. Elevation of the right hemidiaphragm is again noted. The heart appears top-normal in size. There is a svc stent in place. Known right suprahilar mass is better assessed on recent prior ct exam. Multiple pulmonary nodules are also better assessed on prior ct. There is no new consolidation, large effusion or pneumothorax seen. Bony structures appear intact.
<unk>m with metastatic cancer with pulmonary nodules and transferred for pna.
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As compared to the previous radiograph, there is no relevant change. The patient has received an ivc filter. Unchanged size of the cardiac silhouette. Unchanged bilateral mild-to-moderate pleural effusions and signs of mild fluid overload. Unchanged limited assessment of the lung parenchyma given the harness that the patient wears. No evidence of pneumothorax.
ivc filter placement, evaluation for interval change.
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Comparison is made to prior study from <unk>. There is a right-sided central venous line with the distal lead tip in the distal svc. Lungs are clear without focal consolidation, pleural effusion or signs for pulmonary edema. There are no pneumothoraces.
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Ap upright 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 chest pain // acute process?
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Lungs are moderately well inflated. Interval increase in bilateral perihilar opacities. There is mild cephalization of vasculature. No pleural effusion pneumothorax. Interval increase in mild cardiomegaly. Mediastinal contour and hila are otherwise unremarkable.
<unk>m with dyspnea. assess for chf appear.
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Single frontal portable view of the chest. Endotracheal tube terminates <num> cm above the carina. Enteric tube terminates below the diaphragm beyond the limits of the film. The heart size is mildly enlarged. There are bibasilar hazy and right upper heterogeneous opacities, which appear more conspicuous than the study <num> hours prior, consistent with worsening pulmonary edema with pleural effusions and adjacent atelectasis or consolidation. No pneumothorax appreciated.
<unk>-year-old male with intubation.
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A right central venous access catheter terminates in the distal svc. A new moderate-to-large right pneumothorax, with an apical and basilar component is identified. Two chest tubes enter at the base of the right lung and terminate at the apex, in adequate postion. The cardiomediastinal and hilar contours are within normal limits. Mediastinal shift is difficult to asses due to positioning. However, no significant mediastinal shift is identified. The left lung is clear. No definite pleural effusion.
<unk>-year-old woman status post right lower lobe lobectomy. please evaluate.
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The et tube tip is difficult to visualize on this film. It is probably about <num> cm above the carina. Left-sided picc line tip is in the distal svc. There is right lower lobe volume loss/infiltrate that is slightly improved compared to the prior exam. No pneumothorax is visualized. Overall, the appearance of the lungs is slightly improved compared to the prior day.
vfib arrest.
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The cardiomediastinal and hilar contours are within normal limits. The lungs are clear without focal consolidation, pleural effusion or pneumothorax.
history: <unk>m with chest pain and sickle cell disease // eval infiltrate
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There is pulmonary edema, worse at the right lower lung. The patient is post right upper lobectomy, no pneumothorax is seen. A drain is seen likely draped over the lungs apex. Cardiomediastinal silhouette is largely unchanged.
<unk> year old man with rul lobectomy // ? ptx ? ptx
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Portable semi-upright radiograph of the chest demonstrates hyperexpanded lungs with interval increase in bibasilar opacities, concerning for aspiration or pneumonia in the appropriate clinical setting. Stable scarring at the bases. Cardiomediastinal hilar contours are unchanged. Endotracheal tube ends <num> cm from the carina. Left-sided subclavian central line ends at the cavoatrial junction. The nasogastric tube ends in the stomach with the last side port at the ge junction.
<unk> year old woman with respiratory failure // interval change
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The lungs are well expanded and clear. The hila and pulmonary vasculature are normal. No pleural effusions or pneumothorax. Cardiomediastinal silhouette is normal. No obvious osseous abnormality.
<unk> yo man with lymphoma and recent pna. still with some residual doe. evaluate for resolution of pna // <unk> yo man with lymphoma and recent pna. still with some residual doe. evaluate for resolution of pna
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Portable ap upright chest radiograph was obtained. Dual lead pacemaker and defibrillator is re-demonstrated. Right pleural effusion and atelectasis is increased as is mild pulmonary vascular congestion. Small left effusion is noted along with left basal atelectasis. Left apical pleural plaque is noted. No frank edema seen. The heart remains moderately enlarged with otherwise normal hilar contours. No pneumothorax is seen. Right picc terminates in the distal svc.
hypoxia and shortness of breath, with right upper quadrant pain, assess for pleural effusion or pneumonia.
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A right-sided picc remains in stable position terminating in the distal svc. The aorta remains tortuous. Cardiac silhouette is normal in size. There is no pleural effusion, pneumothorax or evidence of pneumonia.
cough and fever, question pneumonia.
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Allowing for differences in technique, the cardiac, mediastinal, and hilar contours appear unchanged. The patient is status post sternotomy and probably coronary artery bypass graft surgery. There is no pleural effusion or pneumothorax. The lungs appear clear.
found down.
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The lungs are clear. The cardiac and mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen.
shortness of breath for the past two days. evaluate for chf.
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A single portable frontal upright view of the chest was obtained. There is interval placement of a dialysis catheter through a left subclavian approach terminating in the right atrium. Moderate cardiomegaly is unchanged. There is persistent bilateral pleural effusions, left greater than right with adjacent compressive atelectasis most notable at the right base. There is diffusely increased bilateral opacification, more pronounced in the perihilar regions consistent with increased pulmonary venous congestion and moderate edema. There is no pneumothorax. Mediastinal silhouette is otherwise stable.
<unk>-year-old man with dyspnea, evaluate for pulmonary edema or consolidation.
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Lung volumes are again low, corresponding with vascular crowding. New perihilar opacities and prominence of the mediastinal veins correspond to acute vascular engorgement given that they appeared overnight. No pleural effusion or pneumothorax. Mediastinum is stable. Right-sided port-a-cath terminates in the mid svc.
<unk>-year-old woman with pancreatic adenocarcinoma, now with back and chest pain. rule out acute cardiopulmonary process.
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Chest, pa and lateral. The lung bases appear dense especially on the left and on the lateral. This is unchanged from the prior study and may be related to insufficient inspiration. The lungs are otherwise clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal.
<unk>-year-old man with history of antiphospholipid syndrome presenting with pleuritic chest pain.
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The lungs are clear without focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. Linear radiopaque density projecting over the neck is presumably external.
<unk>f with cough, chest pain pneumonia?
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Since the prior chest radiograph performed on <unk>, there is increasing left retrocardiac density, likely representing atelectasis. There is likely also atelectasis at the right lung base. Tiny right apical pneumothorax is now appreciated. No pneumothorax on the left. There is likely a small pleural effusion on the right. A small effusion on the left is difficult to exclude. Cardiomediastinal contours are unchanged. Extensive subcutaneous emphysema along both lateral chest walls persists. Mildly displaced left lateral sixth rib fracture demonstrates no evidence of healing.
<unk> year old man s/p ct removal now with subcutaneous air // eval for interval change, extent of sub q air
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Et tube remains in standard position. An enteric tube is present with tip in the stomach, but side port in the esophagus. Cardiomediastinal and hilar contours are stable with moderate cardiomegaly. There is no pleural effusion or pneumothorax. There is worsening consolidation in the right upper lobe, consistent with pneumonia. Cephalization may be physiologic in a supine position. Surgical clips are noted in the right upper quadrant.
status epilepticus, intubated for <num> days. assess interval change.
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The lungs are clear. Heart size is accentuated, likely partly a function of portable technique. There is no pleural effusion or pneumothorax. Osseous structures are intact.
history: <unk>f with afib w/ rvr // acute process
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In comparison with the study of <unk>, there is little change and no evidence of acute cardiopulmonary disease. No pneumonia, vascular congestion, or pleural effusion.
fatigue and cough, to assess for pneumonia.
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The lungs are fully expanded and clear. Cardiomediastinal and hilar silhouettes are normal. Pleural surfaces are normal. Stable severe thoracic scoliosis.
<unk> year old man with cough, subj fevers, h/o asthma // r/o cap vs other
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The lungs are well expanded. There is possible background copd, with mild parenchymal scarring. No chf, focal infiltrate, effusion, or pneumothrax is detected. Heart size is borderline, with mild unfolding of the aorta. No subdiaphragmatic free air is identified.
severe epigastric pain. evaluate for acute cardiopulmonary process, subdiaphragmatic free air.
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Pa and lateral views of the chest were provided demonstrating scattered ground-glass opacities in the lower lung, which given the history of hemoptysis, raises concern for alveolar hemorrhage. Please refer to subsequently obtained cta chest for further details. There is no effusion or pneumothorax. The cardiomediastinal silhouette is normal. Bony structures are intact.
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Endotracheal tube tip is <num> cm above the carina with the patient's neck in flexed position and is appropriate, right internal jugular line ends at mid svc, and a feeding tube is seen coursing below the diaphragm into the stomach; however, its distal end is off the radiographic view. Left lung opacities concerning for pneumonia have progressed over the last <num> hours and now involve the left upper lung. Mild right lung base atelectasis is unchanged. Mild to moderately enlarged heart size is stable. Mediastinal and hilar contours are unchanged.
pneumonia, to assess for interval changes.
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Pa and lateral views of the chest demonstrate the lungs are well expanded and clear. The cardiomediastinal silhouette is unremarkable. No focal opacity, pleural effusion, pulmonary edema or pneumothorax is present. No obvious rib fracture or displacement is identified.
<unk>-year-old man status post fall down the stairs with left rib fracture and continued pain. evaluation for pneumothorax or rib fracture.
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In comparison with study of <unk>, there are substantially lower lung volumes, which accentuate the transverse diameter of heart. No definite pulmonary edema. Retrocardiac opacification with blunting of the costophrenic angle is consistent with volume loss in the lower lobe and possible small pleural effusion. Central catheter remains in place.
postoperative right hepatectomy with desaturation.
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The cardiac, mediastinal and hilar contours are normal. Lungs are clear and the pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormalities demonstrated.
dyspnea.
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The lungs are clear. There is no evidence of pneumonia, pneumothorax, or pleural effusion. Cardiac silhouette is normal in size.
history: <unk>m with syncope // r/o pna
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Pa and lateral views of the chest are compared to previous exam from <unk>. The lungs are clear of focal opacity or large confluent consolidation. Minimal linear opacity seen at the left lung base on the frontal view, not visualized on the lateral, which could be due to atelectasis. The costophrenic angles are sharp. The cardiomediastinal silhouette is within normal limits. Hypertrophic change is seen in the spine.
<unk>-year-old male with shortness of breath and cough and intermittent fevers and weight loss.
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As compared to the previous radiograph, the patient has received a left internal jugular vein catheter. The course of the catheter is unremarkable, the tip of the catheter projects over the low svc. There is no evidence of complications, notably no pneumothorax. As compared to the previous image, the lung volumes have decreased, leading to a visual increase in radiodensity, notably at the lung bases, that makes the pre-existing parenchymal changes in the left lower lobe and right upper lobe appear slightly more dense. Unchanged size of the cardiac silhouette, unchanged alignment of the sternal wires. Unchanged right upper abdominal pigtail catheter.
ij line placement. evaluation.
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As compared to prior ct torso, previously noted right pneumothorax is not visualized on this examination. The cardiomediastinal and hilar contours are within normal limits. Lung volumes are decreased. There is no focal consolidation or pleural effusion. Nondisplaced rib fractures seen on outside ct are not identified in this examination.
status post bike fall, had small right pneumothorax. evaluate for progression.
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The lung volumes are low. Otherwise, there is no change from <num> days prior. No pleural effusion, pneumothorax or focal airspace consolidation worrisome for pneumonia. Heart is normal size. Mediastinal and hilar structures are unremarkable. No displaced rib fracture.
right upper quadrant pain, cough and normal ct. possible pleuritic component of pain. rule out pneumonia.