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The lungs are clear. The cardiomediastinal silhouette and hilar contours are normal. The pleural surfaces are normal without effusion or pneumothorax.
chest tightness
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Pa and lateral chest radiographs were provided. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. The bones are intact.
<unk>-year-old man with evidence of left brachioplexopathy on emg of unclear etiology, evaluate for apical lung lesion.
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There has been placement of an endotracheal tube which terminates very close to the ostium of the right mainstem bronchus and should be retracted by <num> cm right picc line terminates in the low svc. Enteric tube is unchanged. Left lower lobe atelectasis is moderate. Lungs are otherwise clear.
<unk> year old woman with respiratory distress emergently intubated in ticu // ett placement
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Frontal and lateral views of the chest were compared to previous exam from <unk>. Right picc is seen with tip in the upper svc. Dual-lead pacing device again seen with coronary sinus and right ventricular leads. Indistinct pulmonary vascular markings seen bilaterally suggesting component of interstitial edema. There is still persistent basilar opacity on the lateral view, suggesting atelectasis; however, superimposed infection is not excluded. Cardiac silhouette is enlarged, but stable. Osseous and soft tissue structures are unchanged, noting hypertrophic changes in the spine.
<unk>-year-old female with worsening dyspnea, known heart failure; also sputum production. question worsening fluid overload versus pneumonia.
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As compared to the previous radiograph, after draining of a large right pleural effusion, there is a diffuse right-sided, predominantly perihilar parenchymal opacities with air bronchograms. The most likely diagnosis, given the present history, is extensive reexpansion edema. The opacities in the left lung are constant. Constant size of the cardiac silhouette. The findings were discussed at the clinical conference on <unk> morning, <unk>.
worsening shortness of breath, evaluation.
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Interval removal of the nasogastric tube, endotracheal tube, and left chest tube. No pneumothorax. Postoperative mediastinum and substantial cardiomegaly are stable. Left basilar atelectasis is improved. No large pleural effusion. Swan-ganz catheter is unchanged terminating in the left main pulmonary artery.
<unk> year old man s/p ct removal // eval for pneumo
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Comparison is made to previous study from <unk>. The aicd, tracheostomy, bilateral central venous catheters are all unchanged in position. There is a persistent left retrocardiac opacity and likely small left-sided pleural effusion, which is stable. There is mild improvement of the pulmonary interstitial markings since the prior study.
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Since the prior radiograph of <unk>, a right picc has been removed. Stable enlargement of the cardiac silhouette accompanied by persistent moderate pleural effusions. Positional differences limit comparison, but there has been apparent slight decrease in the left effusion since the prior study. No visible pneumothorax.
<unk> year old woman with worsening shortness of breath s/p thoracentesis and b/l chest tubes with removal // eval effusions, pneumonia
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Frontal and lateral views of the chest were obtained. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. Likely skinfold is seen projecting over the right lateral mid to lower hemithorax. The aorta is somewhat tortuous. The cardiac silhouette is unremarkable, as are the hilar contours.
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As compared to the previous radiograph, the patient is after right thoracocentesis. There is no definite pneumothorax. The right pleural effusion has substantially decreased in extent, causing improved ventilation of the right lung base. However, two areas of plate-like atelectasis persists. Unchanged appearance of the cardiac silhouette and of the left lung.
small volume thoracocentesis on the right. evaluation for interval change.
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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 overt pulmonary edema is seen. There is no displaced fracture.
intermittent chest pain, no prior episodes.
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The ett is slightly too high and terminates approximately <num> cm above the carina. There is an ng tube coursing below the diaphragm with the tip in the stomach. There is mild bibasilar atelectasis. The lungs are otherwise clear. The pulmonary vasculature is normal. The cardiomediastinal silhouette is normal. There is no pleural effusion. There is no pneumothorax.
<unk> year old man intubated post up. // tube placement previous to transfer to icu
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Ap portable upright view of the chest. Dual lead pacemaker again seen with leads extending to the region the right atrium and right ventricle. Lungs are lucent compatible with known underlying emphysema. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact.
<unk>f with copd, metastatic pancreatic cancer, fungal peritonitis, with desats to upper <num>s and tachypnea.
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There is faint retrocardiac opacity focally silhouetting the hemidiaphragm. Elsewhere, the lungs are grossly clear. The cardiac silhouette is top-normal. No acute osseous abnormalities. Increased sclerosis at the bilateral humeral heads is likely due to avascular necrosis. H-shaped vertebral bodies are again noted. Surgical clips in the right upper quadrant suggest prior cholecystectomy.
<unk>m with elevated wbc. fever // eval for pna
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Left-sided pacer device is noted with leads again terminating in the right atrium right ventricle, unchanged. Low lung volumes persist with moderate enlargement of the cardiac silhouette appearing unchanged. Extensive atherosclerotic calcification the aortic knob. Mediastinal and hilar contours are similar. There is mild pulmonary vascular congestion, as seen previously. Small bilateral pleural effusions are without significant interval change. Patchy opacities are again seen in the lung bases. No new focal consolidation is evident.
history: <unk>m with history of cad, chf, ckd with dyspnea and hypoxia
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As compared to the previous radiograph, there are increasing pleural effusions bilaterally. The signs indicative of moderate pulmonary edema are also increasing. Unchanged monitoring and support devices. Unchanged relatively extensive retrocardiac and right basal atelectasis. The vertebral stabilization devices are constant.
respiratory failure, evaluation for interval change.
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Single supine radiograph of the chest demonstrates a malpositioned nasogastric tube, which is looped in the mid esophagus, with distal tip terminating in the pharynx, and directed inferiorly. An endotracheal tube terminates just above the level of the clavicular heads, approximately <num> cm above the level of the carina, and could be advanced approximately <num> cm for ideal positioning. The lung volumes are low. Retrocardiac opacity may be secondary to atelectasis, but lungs are otherwise clear of effusion, consolidation, or pulmonary edema. The cardiomediastinal silhouette is unremarkable. There is no pneumothorax. The stomach is distended with air.
<unk>-year-old man with recent intubation.
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The cardiomediastinal and hilar contours are within normal limits. Lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax. Deformity in the distal left clavicle is likely related to prior chronic trauma.
history: <unk>m with shortness of breath // acute process? acute process?
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Patient is status post median sternotomy and cardiac valve replacement.cardiac and mediastinal silhouettes are stable. No focal consolidation, large pleural effusion or pneumothorax seen. No overt pulmonary edema is seen. There is persistent mild elevation the right hemidiaphragm.
history: <unk>m with leukocytosis // eval for pneumonia
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No focal consolidation, pleural effusion, or pneumothorax is seen. Lung volumes are slightly low. Heart and mediastinal contours are stable. The pulmonary vasculature is stably prominent.
<unk>-year-old female with shoulder pain.
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Frontal and lateral views of the chest. Slightly lower lung volumes are seen on the current exam. Increased interstitial markings have progressed since prior. There are small bilateral effusions. Moderate cardiomegaly is similar in degree. Posterior lumbar fixation hardware is partially visualized. No acute osseous abnormality is identified.
<unk>-year-old female with new onset of heart failure, newly severely depressed lv systolic dysfunction with dyspnea and cough.
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Portable semi-upright radiograph of the chest demonstrates an enlarged cardiac silhouette, likely exaggerated due to technique. Again seen are vague bilateral patchy opacities, in the appropriate clinical context, that could represent multifocal pneumonia. There is mild indistinctness of the pulmonary vasculature without definite interlobular septal thickening or pleural effusions.
history: <unk>m with wheezing, hypoxia // eval for interval development of pulmonary edema
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Portable supine chest radiograph demonstrates clear lungs bilaterally. No focal consolidation is identified. Cardiomediastinal and hilar contours are within normal limits. There is no evidence of pneumothorax, pleural effusion, or pulmonary edema. There is no air under the right hemidiaphragm.
history: <unk>m with fall*** warning *** multiple patients with same last name! // eval for trauma
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The heart size is normal. The mediastinal and hilar contours are unremarkable. Right lower lobe opacification is new compared to the prior exam and is concerning for pneumonia. Left lung is clear. No pleural effusion or pneumothorax is identified. There are multilevel degenerative changes in the thoracic spine.
fever and cough.
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Right port-a-cath is in unchanged position. The right lung base opacification consistent with pleural effusion and volume loss is grossly unchanged. Left lower lung opacity likely atelectasis is unchanged. The lungs are otherwise clear. No pneumothorax. The cardiomediastinal silhouette is stable.
<unk> year old man with pleural effusion // eval
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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. A coronary stent projects over the heart. Imaged osseous structures are intact. Mild elevation the right hemidiaphragm noted. No free air below the right hemidiaphragm is seen.
<unk>f with cp // chest pain
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There is mild interstitial pulmonary edema, which has slightly improved from <unk>. There is otherwise no focal consolidation. No pleural effusion or pneumothorax. Stable cardiomegaly. Median sternotomy wires are intact.
<unk> year old woman with htn, dm, dchf, afib with chest pain and shortness of breath with new o<num> requirement // eval for edema, effusion, infiltrate, acute process
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Pa and lateral views of the chest. There is no focal consolidation. There is no pleural effusion or pneumothorax. There is mild cardiomegaly and pulmonary vascular congestion. The mediastinal and hilar contours are normal. Note is made of an absent spleen.
sickle cell pain, evaluate for acute cardiopulmonary process.
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Frontal and lateral views of the chest demonstrate normal lung volumes. Small pleural effusions are evident on the lateral view. No focal consolidation or pneumothorax. Mild pulmonary edema is present. Hilar and mediastinal silhouettes are unchanged. Heart is mildly enlarged.
chest pain and shortness of breath.
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Single frontal view of the chest was obtained. Lungs are hyperinflated, suggesting chronic obstructive pulmonary disease. Extensive bilateral costochondral calcifications are seen. There is no focal consolidation, pleural effusion, or evidence of pneumothorax. The cardiac and mediastinal silhouettes are unremarkable. No displaced fracture is seen.
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The lungs are clear.mild cardiomegaly with left atrial enlargement, . No pleural abnormality is seen.
history: <unk>m with fall, with head strike.
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No focal consolidation, pleural effusion, or pneumothorax is seen. There is pulmonary vascular redistribution with mild interstitial edema. Heart size is mildly enlarged. The aorta is calcified and tortuous. There is mild dextroconvex thoracic scoliosis.
<unk>-year-old male with dizziness.
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The heart is enlarged. There may be a small apical left pneumothorax, evidenced by an apparent pleural line just inferior to the posterior second rib. There is a left-sided pigtail catheter with bilateral pleural effusions and a retrocardiac opacity, for which developing pneumonia could be considered in the appropriate clinical setting.
<unk> year old woman with left effusion s/p <unk>, pig tail left in place with <num>ml out. ? ptx
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Patient is status post median sternotomy and cabg. A left-sided aicd device is noted with leads terminating in the right atrium and right ventricle, unchanged. Mild to moderate cardiomegaly persists. Aortic knob calcifications are re- demonstrated. Lung volumes are low. There is crowding of bronchovascular structures without frank pulmonary edema. Dense retrocardiac opacification likely reflects aspiration, as seen on the previous ct, with a small left pleural effusion. Patchy right basilar opacity may also reflect a second area of aspiration or atelectasis. Remote right-sided rib fractures are noted. Multiple clips are seen in the right upper quadrant of the abdomen. Sclerotic lesion in the left humeral head may reflect an enchondroma or bone infarct.
history: <unk>m with lactate elevation, cough
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Frontal and lateral chest radiographs demonstrate stable appearance of left basilar opacity, likely to represent scar. The heart is normal, the mediastinal contours are normal. Surgical clips are noted in the region of the stomach fundus.
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The cardiac, mediastinal, and hilar contours appear unchanged. The lungs appear clear. There are no pleural effusions or pneumothorax. There has been no significant change.
confusion.
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The lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is within normal limits. No acute fractures are identified. Cholecystectomy clips are again noted in the right upper quadrant.
chest pain.
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Dual lead left-sided pacer is stable in position. The patient is status post median sternotomy and cardiac valve replacements. Cardiac and mediastinal silhouettes are stable. Slight prominence of the hila is stable. No focal consolidation is seen. There is no pleural effusion or pneumothorax.
history: <unk>m with chf, w/ mech av/mv, sss s/p pacemaker, presents w/ ? endocarditis, also c/o fever, cough over the weekend // eval for pna or other acute cardiopulmonary pathology
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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 status post fall with new onset weakness, question acute intrathoracic process.
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The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear. There is very mild reverse s-shaped curvature to the visualized thoracolumbar spine.
arm numbness and leukocytosis.
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Right-sided dual lumen central venous catheter tip terminates in the proximal right atrium. The cardiac silhouette size is normal. The aorta is mildly unfolded, with aortic knob calcifications noted. Lungs are clear and the pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities demonstrated. Marked left glenohumeral degenerative changes are seen. Surgical clips are noted within the upper abdomen.
new onset fever, shortness of breath.
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Pa and lateral radiographs of the chest demonstrates clear lungs and normal hilar and cardiomediastinal contours. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal.
altered mental status.
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There has been interval decrease in lung volumes bilaterally with worsening left lower lung atelectasis and new opacity concerning for an infectious process. The heart is stable and top normal in size with no evidence of failure. There is no pleural effusion or pneumothorax. Right-sided port-a-cath and left-sided picc catheter both appropriately positioned and terminate within the low svc.
<unk>-year-old female with severe sepsis and increased respiratory rate.
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Ap and lateral images of the chest. The lung volumes are low with crowding of the vasulature and no overt pulmonary edema. Bibisilar opacities are seen which likely represent atelectasis, but cannot exclude pneumonia or aspiration in the correct clinical setting. There are small bilateral pleural effusions. Cardiomediastinal contours are difficult to assess given low volumes and patient marked rotation but likely stable. No pneumothorax.
fever, cough.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. A band-like opacity projecting over the right upper lobe suggests minor atelectasis. Otherwise, the lungs appear clear. There are no pleural effusions or pneumothorax. Bony structures are unremarkable.
chest pain.
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Left-sided chest tube is in satisfactory position. The lung volume is small. Right layering pleural effusion is small. Left pleural effusion and left lower lobe atelectasis are mild. No pneumothorax. Cardiomegaly is severe. Stomach is significantly distended.
<unk> year old woman with pericardial window // eval for post-op changes, ptx
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>m with sob, hypoxia outside rec showed lower lung pna on xray
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are normal and stable. No pulmonary edema is seen. No displaced fracture is seen. Metallic surgical hardware is incidentally noted projecting over the lower cervical spine. There is minimal anterior wedging of a lower thoracic vertebral body, stable since the prior study.
recent syncope, question head strike, rule out widened mediastinum.
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Compared to the study from the prior evening there is a slight increase in the amount of alveolar infiltrate right greater than left. There continues to be pulmonary vascular redistribution. The et tube and bilateral central lines are unchanged.
intubated, check for pulmonary edema.
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The lungs are clear. Cardiomediastinal silhouette and hilar contours are unremarkable. No pleural effusion or pneumothorax.
<unk>-year-old female with cough and fever, rule out acute process.
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The lungs are clear, the cardiomediastinal silhouette and hila are normal. There is no pleural effusion and no pneumothorax.
<unk>-year-old woman with chest pain.
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Postoperative appearance of cardiomediastinal contours is stable since <unk>. Bibasilar atelectasis has substantially improved in the interval, and bilateral pleural effusions have decreased in size with residual small effusions remaining, left greater than right. Tiny right apical pneumothorax is in retrospect decreased in size since <unk>.
<unk> year old woman s/p mvr/tvr // post-op baseline. obtain cxr at <num>pm
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A right chest central venous catheter terminates in the right atrium, unchanged. No pneumothorax. There is no evidence of pneumonia, pleural effusion, or pulmonary edema. Mediastinal contours, hila, and cardiac silhouette are normal.
<unk> year old man with aml and known pseudomonas sinusitis and rhizopus palate lesion on broad gm- and antifungal coverage now spiking temps, concerned for gm+ infection somewhere. ?pna
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Both lungs are well expanded and clear. There are no lung opacities concerning for pneumonia. Heart size is top normal. Mediastinal and hilar contours are within normal limits. There is mild blunting of the posterior and lateral costophrenic angle and could be either due to small pleural effusion or chronic pleural thickening. Findings were discussed with dr. <unk> on <unk> at <time> p.m.
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In comparison with the study of <unk>, there are improved lung volumes. Cardiac silhouette is within upper limits of normal in size. No evidence of vascular congestion, acute pneumonia, or definite pleural effusion. Minimal atelectatic changes at the left base laterally.
findings consistent with pneumonia.
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The right-sided picc line tip is now at the cava atrial junction. Dobbhoff tube tip is in the second portion of the duodenum. There are moderate bilateral pleural effusions have increased in size compared to the prior exam. There is associated obscuration of the hemidiaphragms compatible with effusion/volume loss/ infiltrate. There is hazy bilateral vasculature.
<unk> year old woman // eval dobhoff placement
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The lungs are clear. Cardiac silhouette is normal in size. There is no pleural effusion or pneumothorax.
altered mental status, question pneumonia.
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Pa and lateral chest radiographs were obtained. The lungs are well expanded and clear. There is no focal consolidation, effusion, pneumothorax. Cardiac and mediastinal contours are normal.
cough.
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Right-sided pacemaker device is noted with lead terminating in the right ventricle. Moderate cardiomegaly is re- demonstrated. The mediastinal and hilar contours are similar. The pulmonary vasculature is minimally engorged. There are mild patchy opacities in the lung bases likely reflective of atelectasis. A trace left pleural effusion may be present. No pneumothorax is detected. No acute osseous abnormality is visualized.
history: <unk>f with hypoxia
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Frontal and lateral views of the chest are compared to previous exam from <unk>. Low lung volumes are again seen on the current exam. Basilar opacities on the lateral view are most suggestive of atelectasis given low lung volumes. Superiorly, the lungs are clear. Cardiomediastinal silhouette is within normal limits. Surgical clips are seen in the upper abdomen. Osseous and soft tissue structures are otherwise unremarkable.
<unk>-year-old female with lightheadedness.
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Compared to the prior film, patchy opacity right base is more pronounced and there is a new small right pleural effusion. Atelectasis at the left base is also a more pronounced. No left pleural effusion. The cardiomediastinal silhouette is grossly unchanged. Upper zone redistribution is again seen, unchanged, without other evidence of chf. Chain sutures noted. In the right upper and mid zones. Again seen is a small amount of air beneath the right hemidiaphragm, consistent with recent surgery. Clips noted in the left costophrenic region. Also again seen subcutaneous emphysema overlying the lower left chest wall.
<unk> year old man sp adrenalextomy, chest then removed <unk> now with new dyspnea and o<num> requirement // eval pnthx vs effusion
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The lungs are borderline hyperinflated. The heart is moderately enlarged. The aorta is tortuous. No pneumothorax, pleural effusion, or consolidation. Note is made of scoliosis.
history: <unk>f with epigastric pain and burning, constipation // eval for pulm pathology, signs of constipation or obstruction
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Portable semi-upright radiograph of the chest demonstrates well expanded, clear lungs. The heart is normal in size. Stable right apical pleural calcifications, healed right rib fractures, and vascular clips in the right anterior chest wall. No pleural effusion, consolidation, or pneumothorax. There is mild dilatation of the azygus.
history: <unk>f with ams // pna
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There is mild biapical pleural thickening is again seen. No focal consolidation or pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. The lungs are relatively hyperinflated, with flattening of the diaphragms, suggesting chronic obstructive pulmonary disease.
left upper quadrant pain, leukocytosis.
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On the current image, there is no evidence for right upper lung abnormalities. No pleural effusions. No acute findings. Valvular calcifications. Borderline size of the cardiac silhouette and tortuosity of the thoracic aorta. No pulmonary edema.
questionable right upper lobe lesion. evaluation.
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In comparison with study of <unk>, there is continued enlargement of the cardiac silhouette with the valve replacement. Opacification posteriorly on the lateral view is probably associated with residual left and also possible right pleural effusions. Atelectatic changes with crowding of vessels are seen at the right base. No evidence of pulmonary vascular congestion or pneumothorax.
mvr.
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Interval placement of left picc, with tip likely terminating at the junction of the left brachiocephalic vein and superior vena cava, but not definitively visualized. If warranted clinically, a shallow oblique radiograph could be considered to confirm tip location. Heart is upper limits of normal in size, and there is slight worsening of pulmonary vascular congestion with minimal interstitial edema.
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In comparison with the study of <unk>, following the surgical procedure, there is no convincing evidence of pneumothorax. Streak of atelectasis is seen at the left base.
eleventh rib resection, to assess for pneumothorax.
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Ap upright and lateral views of the chest provided. Midline sternotomy wires and mediastinal clips are noted with coronaries dense. There is a chronic right pleural effusion which may be slightly increased from prior ct. There is increased opacity in the right mid to upper lung which raises concern for worsening metastatic disease versus a superimposed pneumonia. Scattered nodular opacities in the left lung consistent with metastatic disease. The heart is stably enlarged. The mediastinal contour is also unchanged. Bony structures are intact.
<unk>m with hypotension, lung cancer // eval for pneumonia
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Low lung volumes persist. The heart size is mild to moderately enlarged, and accentuated by low lung volumes. The mediastinal contours are unchanged, and the hilar contours are normal. Pulmonary vascularity is not engorged. Subsegmental atelectasis in the left lung base is again demonstrated. No focal consolidation, pleural effusion or pneumothorax is identified. There are multilevel degenerative changes in the thoracic spine with anterior bridging osteophytes.
dyspnea and cough for <num> month.
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Ap and lateral views of the chest. Show slightly worsened consolidation at the left lung base compared to <unk>. Bilateral pleural effusions are evident, not large. The the right base is clear other than a calcified pulmonary nodule seen on the preop study. Calcified aortopulmonary window node is partially obscured on the current exam. Coronary stents are visible. Right-sided central venous catheter tip is in unchanged position. Persistent
<unk> year old man s/p cabg // eval for effusion
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Heart size is normal. Mediastinal and hilar contours are unremarkable. The pulmonary vascularity is normal. Streaky opacities in both lower lobes likely reflect atelectasis. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormalities are detected.
epigastric pain radiating to the back and shoulders.
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The heart size is top normal. Mediastinal and hilar contours are unchanged. Pulmonary vasculature is not engorged. Minimal patchy opacities are seen within the left lung base as well as within the peripheral aspect of the right mid lung field, likely involving the right upper lobe and right middle lobe. These findings appear improved compared to the prior radiographs obtained in <unk>. Atelectatic changes are also seen within the right lung base. No additional areas of focal consolidation are present. No pleural effusion or pneumothorax is seen. There are multilevel degenerative changes within the thoracic spine.
fever and cough.
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Compared with prior radiographs on <unk>, there is a new left lower lobe opacity. There is bibasilar atelectasis and small left pleural effusion with blunting of the right costophrenic angle. No pneumothorax. The cardiac and mediastinal silhouettes are unremarkable.
<unk> year old woman with cough and dyspnea // please eval for consolidation, edema
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The lungs are clear. Mild cardiomegaly and pulmonary vascular congestion have increased since <unk>, consistent with mild cardiac decompensation, although there is no edema or pleural effusion. . The hilar and mediastinal contours are otherwise normal. There is no pneumothorax. There is no pleural effusion.
<unk>-year-old woman presenting with syncope. evaluate for infectious process.
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There are heterogeneous bibasilar opacities containing air bronchograms. The left costophrenic angles not well seen, which suggests the presence of a left pleural effusion. The heart appears enlarged. The aorta is mildly tortuous. No pneumothorax
history: <unk>m with hypoxia // pna?
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Moderate to severe cardiomegaly is present. The aortic knob is calcified. There is mild pulmonary vascular congestion. Small bilateral pleural effusions are noted. Streaky opacities in the lung bases likely reflect atelectasis. No pneumothorax is seen. Moderate to severe multilevel degenerative changes are noted within the thoracic spine. Degenerative changes are also seen within both acromioclavicular joints and left glenohumeral joint with osteophytic spurring.
dyspnea.
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Ap upright view of the chest was obtained. A small left apical pneumothorax is stable. There is no evidence of tension. No focal consolidation or large pleural effusion is seen. The cardiac silhouette is not enlarged. Mediastinal contours are stable.
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Slightly larger right upper lobe loculated effusion along the major fissure and small bilateral pleural effusions. Stable right apical pleural effusion. Slightly less prominent right mid and more prominent right lower lobe consolidations. The remainder of the examination including intact sternotomy wires, right-sided pacemaker, surgical clips overlying the upper abdomen, and scoliosis is grossly unchanged.
<unk> year old woman with pleural effusion // eval
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Single portable frontal chest. The lungs are well expanded. There are subtle bibasilar opacities which raise concern for bilateral lower lobe pneumonia. There is no pleural effusion or pneumothorax. Cardiomediastinal silhouette is unremarkable.
fever, cough, tachycardia, right upper quadrant pain.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
<unk> year old woman with h/o ppd positive // tb
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Frontal and lateral views of the chest were obtained. The lungs remain hyperinflated with flattening of the diaphragms. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable and unremarkable. Questioned possible <num> mm pulmonary nodule projecting over the right mid lung on the prior study is not well seen on this study. Chest ct is more sensitive in evaluating for small pulmonary nodules.
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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. No signs of pneumomediastinum. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen. Focal eventration of the right hemidiaphragm is noted.
<unk>m with chest pressure // eval infiltrate, ?pneumomediastinum
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The tip of the right port-a-cath terminates in the mid svc. Lungs are clear of consolidation, pleural effusion or pneumothorax. There is no pulmonary edema. Cardiomediastinal contours are normal. No acute osseous abnormalities.
hx of all. s/p allo with worsening cough. please r/o pna. // hx of all. s/p allo with worsening cough. please r/o pna.
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In comparison with study of <unk>, the right ij catheter has been removed. Patient has taken a better inspiration. There is residual left pleural effusion with basilar atelectatic change and probable substantial hiatal hernia. No evidence of vascular congestion. Opacification at the left base in the retrocardiac region is consistent with volume loss in the left lower lobe.
cabg.
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Pa and lateral views of the chest were obtained. There is a stable opacity at the left lung base which is compatible with pleural effusion in this patient with history of prior left lower lobe resection. Overall appearance is stable without signs of pneumonia or chf. No pneumothorax is seen. Suture material is also noted in the left upper lung. Bony structures are intact. No free air below the right hemidiaphragm.
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The lungs are hyper expanded without focal infiltrate or effusion. The cardiac and mediastinal silhouettes are normal. Normal there is no pneumothorax.
substernal pain.
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Pa and lateral views of the chest demonstrate normal cardiomediastinal silhouette. Lungs are well expanded and clear. There is no focal consolidation, pleural effusion, or pneumothorax.
<unk>-year-old male with chest pain, evaluate for pneumonia.
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Patchy right mid-lung opacity silhouettes the right heart border, compatible with right middle lobe airspace infiltration. No diffuse pulmonary abnormality is present. The heart is of normal size. No pleural effusion or pneumothorax. No radiopaque foreign body. Osseous structures are unremarkable.
<unk>-year-old male with dyspnea on exertion, coughing up blood. rule out acute process.
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Cardiomediastinal contours are normal. There is no pleural effusion or pneumothorax. The lungs are well expanded without focal consolidation concerning for pneumonia. The upper abdomen is unremarkable.
<unk>f with sob // pneumonia, other acute
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The left subclavian line tip is in the svc, similar to prior. The patchy alveolar and interstitial increased lung markings. In the appropriate clinical setting could be due to infection. No effusions identified. The heart size is upper limits of normal.
tunneled central line, question partially pulled out.
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Portable supine chest radiograph <unk> at <time> is submitted. Please note that as the patient was imaged in the supine position, the sensitivity to detect pneumothorax is diminished.
<unk> year old woman with recent tension ptx s/p ct now with hr <num>p // eval for ptx eval for ptx
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A new left internal jugular central venous catheter terminates in the mid superior vena cava. The patient remains intubated with an orogastric tube that courses into the stomach. The patient is status post coronary bypass graft surgery. The cardiac, mediastinal and hilar contours appear unchanged. Since the prior study, opacification of the left lung base has increased but appears similar to slightly decreased at the right lung base. This appearance suggests atelectasis and possibly an increasing pleural effusion. There is no pneumothorax.
status post intubation with new left internal jugular central line placement.
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Frontal and lateral views of the chest. The lungs are clear of focal consolidation, effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. Tortuous thoracic aorta is noted. Deformities of anterior left fourth and fifth ribs suggest prior fractures.
<unk>-year-old female with fall and bruising and abrasions. question traumatic injury.
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Single view of the chest was obtained. A right-sided central venous catheter is seen, terminating in the distal svc/cavoatrial junction. No focal consolidation, pleural effusion or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Nodular opacities at the right lung apex are stable since at least <unk>. No overt pulmonary edema is seen. No displaced fracture is identified. There is stable right base linear atelectasis/scarring.
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New nasogastric tube with the first port at the gastroesophageal junction. Dobhoff tube is in the proximal small bowel. Increasing pulmonary vascular congestion and small left pleural effusion. No pneumothorax.
<unk> year old man with ngt placement. // please evaluate for ngt location.
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The lungs are well expanded and clear. The cardiomediastinal silhouette is unremarkable. There is no pneumothorax or pleural effusion. The osseous structures are unremarkable.
<unk>-year-old female with chest pain.
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As before, the patient is status post median sternotomy, coronary artery stenting and cabg. Mild unchanged cardiomegaly. The aorta is tortuous and diffusely calcified. The mediastinal and hilar contours are unchanged. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. As before, degenerative changes are noted in the imaged thoracolumbar spine.
history: <unk>f with history of coronary artery disease with chest pain. evaluate for pneumonia.
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Et tube is in adequate position, terminating <num> cm from the carina. There is opacity in the medial right lung base, which could represent atelectasis but cannot exclude aspiration or pneumonia in the right clinical setting. The lungs are otherwise clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is top normal in size.
history: <unk>m with intubated ich // eval ett placement
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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.
<unk> year old woman with <unk> months of increased dyspnea, particularly with exertion // eval for evidence of infection, mass