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As compared to the previous radiograph, there is no relevant change. Low lung volumes with mild crowding of the basal vascular structures. No evidence of pneumonia, no pleural effusion. No pulmonary edema. Normal size of the cardiac silhouette. Unchanged position of bilateral central venous access lines.
status post auto bone marrow transplant with intravascular lymphoma, fever.
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Compared to prior, the lung volumes have increased bilaterally. The moderate layering right pleural effusion and small lateral posterior component have decreased. The right lower lobe opacity has also improved. Small left pleural effusion with lateral component tracking along the chest wall remains. There has been interval removal of right central catheter. No pneumothorax is seen. Cardiomegaly and widened appearance of the mediastinum is stable. Thoracic aortic stent and median sternotomy wires are unchanged in position. Tricuspid and mitral valve replacements are seen.
<unk> year old man with r pleural effusion // eval
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Comparison is made to previous study from <unk>. Previously seen central line has been removed. There are no signs for pulmonary edema. The heart size is within normal limits. The vascular pedicle is not widened.
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Lungs are clear. The cardiomediastinal silhouette is within normal limits. Mild atherosclerotic calcifications are noted at the aortic arch. No acute osseous abnormality identified.
<unk>f with l anterior chest pain // l anterior rib fracture
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Frontal and lateral views of the chest were obtained. The lungs remain hyperinflated with flattening of the diaphragms, suggesting chronic obstructive pulmonary disease. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable with the cardiac silhouette top normal-to-mildly enlarged. No overt pulmonary edema is seen.
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No new focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable. Hilar contours are stable.
history: <unk>f with left chest pain and sob // eval for infiltrates vs small pneumo
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There has been interval placement of a right-sided ij with the tip terminating in the mid svc. There is an et tube which is in appropriate position above the carina. There is an enteric tube which terminates appropriately below the diaphragm. Patchy bilateral airspace opacities, left greater than right, appear similar-to-slightly improved compared to the prior exam. There is no large pleural effusion or pneumothorax; however, please note that the right costophrenic angle is not visualized on this exam. The aortic knob is calcified. The heart size is normal. The visualized osseous structures are unremarkable.
history of central line placement. please evaluate.
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Cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. There is minimal atelectasis is in the right lung base. No focal consolidation, pleural effusion or pneumothorax is identified. No acute osseous abnormality is visualized.
history: <unk>m with chest pain // r/o infiltrate
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The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. There is a <num> mm rounded density in the right lower lung zone which is most likely the nipple, although an underlying nodule cannot be excluded. The cardiomediastinal silhouette is normal.
chest pain.
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The patient is substantially rotated. The newly placed ng tube can be traced to the level of the ge junction. A left picc line terminates in the mid svc, unchanged. The chin and overlying soft tissues obscures the left lung apex. The differential opacification of the right hemithorax relative to the left may be positional. There is no new consolidation or pleural effusion. The heart mediastinum are within normal limits despite the projection. No right pneumothorax is present.
<unk> year old woman with aspiration pneumonias. // assess for ng tube placement
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The heart is mildly enlarged and aorta is slightly tortuous. There are some increased markings in the left cp angle likely secondary to some scarring. There is no focal infiltrate or effusion. There is a moderate scoliosis convex left.
<unk> year old woman with dka, leukocytosis, hypoxia. // eval for infiltrate.
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The lungs are clear without any focal opacities, pleural effusion, pulmonary edema or pneumothorax. The heart and mediastinal contours are normal.
lightheadedness, evaluate for pneumonia.
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In comparison with the study of <unk>, there is little overall change. Extensive biapical changes are consistent with old granulomatous disease in a patient with some hyperexpansion consistent with chronic lung disease. No evidence of acute focal pneumonia or vascular congestion. The discrete nodular opacification in the right upper zone suggested previously is not seen at this time.
possible aspiration after recent fall.
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Pa and lateral chest radiographs are provided. There is no focal consolidation, pleural effusion, or pneumothorax. Cardiac silhouette is top normal. A left chest wall pacemaker is seen with leads in the right atrium and right ventricle. Patient is status post valve replacement. Median sternotomy wires are intact. Patient is status post shoulder arthroplasty. There are no acute skeletal abnormalities.
<unk>-year-old female with lightheadedness, question acute process.
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Tip of endotracheal tube approaches the origin of the right main bronchus. Interval replacement of a transvenous pacing lead, overlying the heart with a more upward course than it is typical for the right ventricular apex. Correlation with findings at recent fluoroscopy study is suggested to differentiate coronary sinus placement from right ventricular placement. These findings were discussed with dr. <unk> on <unk> at <time> a.m. At the time of discovery. Nasogastric tube coils within the stomach. Exam is otherwise not appreciably changed since the recent radiograph of several hours earlier when allowances are made for differences in lung volumes.
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Cardiomediastinal silhouette is stable. The heart is not enlarged. There is no focal consolidation, pleural effusion, or pneumothorax. No pulmonary edema. Multilevel degenerative changes in the spine are noted.
<unk>m with chest pain // eval for acute process
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The lungs are symmetrically well-expanded and well aerated without focal consolidation, pleural effusion or pneumothorax. Streaky basilar opacities suggest atelectasis or airway inflammation. The pulmonary vasculature is not engorged. Mild biapical pleural thickening is noted on the left greater than the right. The cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits. The thoracic aorta is slightly tortuous. The trachea is midline. The visualized upper abdomen is unremarkable. No acute osseous abnormality is detected.
reactive airways disease now with worsening dyspnea, here to evaluate for acute cardiopulmonary process.
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Interval placement of right pleural catheter with decrease in size with now moderate right pleural effusion with no visible pneumothorax. Apparent slight further worsening of diffuse airspace opacities in the left lung. No other relevant short interval change since recent study.
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Lines and tubes: et tube terminates <num> cm above the carina. Enteric tube courses below the diaphragm, tip not visualized. Ekg leads overlie the chest. Lungs: no interval change in bibasilar opacities, left more than right pleura: there is no pleural effusion or pneumothorax mediastinum: there is no cardiomegaly. Persistent tortuosity of the thoracic aorta. Bony thorax: no interval change
<unk> year old woman with ams, intubated // acute process
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There low lung volumes. Subtel retrocardiac opacity is likely atelectasis. There is no pulmonary edema or pleural effusion. There is no pneumothorax. Massive cardiomegaly is again seen, similar to prior exam.
chest pain, shortness of breath, crackles on exam.
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Frontal and lateral views of the chest were performed. The diaphragms are flat consistent with hyperinflation. The cardiomediastinal, pleural, and pulmonary structures are unremarkable. There is some linear atelectasis versus scarring at the left lung base. There are no consolidations to suggest pneumonia. There is no pneumothorax or pleural effusion. Degenerative changes of the thoracic spine and median sternotomy wires are again noted.
chest pain, rule out pneumothorax or pneumonia.
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There is an opacity in the left lower lobe which is suggestive of a pneumonia. There is also a faint opacity in the right lower lobe which may correspond to pneumonia. No other focal opacities are seen. The heart size is normal. The hilar and mediastinal contours are unremarkable. The visualized osseous structures are unremarkable. There is no evidence of pneumothorax or pleural effusions.
<unk>-year-old female admitted for renal cyst fat stranding, found to have a left lower lobe pneumonia on ct, who presents for evaluation.
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Comparison is made to previous study from <unk>. There is worsening of the pulmonary interstitial edema since the previous study. There are also more confluent opacities in the right base which may represent developing pneumonia or pulmonary edema. Several healed right-sided rib fractures are present. There is mild cardiomegaly. The left-sided pacemaker and wires appear intact. Valvular replacement also appears intact. There are no pneumothoraces.
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Patient is status post median sternotomy and cabg. Heart size is top normal. Mediastinal and hilar contours are unchanged. Pulmonary vasculature is not engorged. Minimal atelectasis is noted in the left lung base. Remainder of the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. There are mild degenerative changes seen in the thoracic spine. Spinal stimulator device leads are noted overlying the lower thoracic spine.
history: <unk>m with chest pain / syncope
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Lungs are clear without focal consolidation, effusion, or edema. Cardiac silhouette is within normal limits. Enlargement of the left hilum is felt to be due to pulmonary artery enlargement. Chronic changes of the posterior left fourth and fifth ribs are noted. Small median sternotomy wires are noted.
<unk>f with cough, eval pna // cough, eval pna
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As compared to the previous radiograph, the patient has been intubated. The tip of the endotracheal tube is difficult to visualize but appears to be projecting approximately <num> cm above the carina. Newly inserted nasogastric tube with its tip outside of the film. Vertebral stabilization devices and post-operative clips are visualized over the cervical spine. No pleural effusions. No pneumothorax. Borderline size of the heart, no pulmonary edema.
thoracic spine surgery, evaluation for endotracheal tube.
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Since the chest radiographs obtained <num> day prior, there is worsening of the diffuse right pulmonary opacities . Mild pulmonary edema in the left lung is new. Allowing for changes in patient positioning, the moderate right hydro pneumothorax, probably loculated at the site of the resected superior segment of the lower lobe, is stable and the small to moderate, dependent right pleural effusion is stable or minimally larger. Rightward mediastinal shift and subcutaneous emphysema in the right chest wall are unchanged . Heart size is top-normal.
<unk> year old woman s/p rll segmentectomy // please assess for interval change, ptx or increasing segmental consolidation - please schedule for <unk>
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In comparison to <unk> radiograph, cardiomediastinal contours are stable in appearance this patient status post median sternotomy and aortic valve replacement. Mild elevation of the left hemidiaphragm is new with adjacent left lower lobe atelectasis and small pleural effusion. Small right pleural effusion is also new as well as a vague opacity in the right juxta hilar region. Left picc terminates in the left axilla.
<unk> year old man with cholangitis, decreased breath sounds on the left. // evaluate for left sided effusion, atelectasis
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The lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen.
history: <unk>f with acute onset sharp substernal chest pain. evaluate for cardiomegaly.
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Single portable view of the chest was compared to previous exam from <unk>. The lungs are clear of focal consolidation. Globular enlargement of the cardiac silhouette is again seen. Osseous and soft tissue structures are unremarkable.
<unk>-year-old male with hypoxia, sickle cell disease.
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Lung is well inflated and clear. Cardiomediastinal silhouette is normal. There is no pericardial, pleural effusion or pneumothorax.
<unk> years old man status post tracheal resection.
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The heart is normal in size. There is mild unfolding of the thoracic aorta. The mediastinal and hilar contours appear unchanged. The lungs appear clear. A nipple shadow is visualized on the left. A deformity of the left proximal humerus appears similar allowing for differences in technique. There is mild leftward convex curvature centered along the lower thoracic spine.
fever and immunosuppression.
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There are relatively low lung volumes. No definite focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Gaseous distention of bowel in the upper abdomen is again noted.
history: <unk>m with ?aspiratin event, sob, cough // pna?
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Lung volumes are extremely low. Linear right basilar opacity is most compatible with atelectasis. Lungs are otherwise grossly clear. The cardiomediastinal silhouette is within normal limits. No large effusion or overt edema. Coils are identified in the left upper quadrant. No acute osseous abnormalities. No free intraperitoneal air.
<unk>m with abd pain // r/o free air
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Compared with prior radiographs on <unk>, there is been marked contraction of intravascular volume and or pressure. There has been a decrease in pulmonary artery volume and cardiomediastinal silhouette, although there is still pulmonary vascular congestion. The previous, left dominant lower lobe opacification on radiographs on <unk>, is now right side dominant, and partially improved since <unk>, suggesting position-dependent edema rather than pneumonia, however rapidly resolving left basal pneumonia and subsequent right pneumonia, particularly due to recurrent aspiration, is still a possibility. There is a small left pleural effusion. There is no pneumothorax. The pa catheter ends in the right descending pulmonary artery, and should be withdrawn <num>-<num> cm to be in a more standard position. Et and ng tubes are appropriately positioned. Left pleural drain is unchanged. There has been interval removal of the intra aortic balloon pump.
<unk> year old man with pleural effusion, cardiogenic vs septic shock // eval for evolving pna
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The cardiac, mediastinal and hilar contours appear stable. The chest is hyperinflated. There is no pleural effusion or pneumothorax. Mild subpleural thickening at each lung apex appears unchanged. Otherwise the lungs appear clear.
chest pain.
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The lungs are normally expanded. Juxta cardiac mediastinal fat collection is should not be mistaken for lung abnormalities. Lateral view shows lungs are clear. The heart is not enlarged. The mediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax.
history: <unk>m with wheezes // acute process?
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Pa and lateral views of the chest provided. There is left basal opacity most compatible with atelectasis though an early pneumonia difficult to exclude in the correct clinical setting. Otherwise the lungs are clear. No effusion or pneumothorax. No congestion or edema. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. There has been interval vertebroplasty at <num> levels of the mid thoracic spine. No free air below the right hemidiaphragm is seen.
<unk>m with cough, chills // r/o pna
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There is increased consolidation of left lung base in the retrocardiac region compared to <unk>. Mild pulmonary vascular congestion and probable small bilateral pleural effusion is similar to prior. Mildly enlarged cardiomediastinal silhouettes is stable. Et tube terminates <num> cm above the carina. Transesophageal tube courses below the diaphragm and out of view. Right picc probably terminates at low svc. A right internal jugular swan-ganz catheter terminates in proximal right pulmonary artery. Impella device terminates in the left ventricle.
<unk> year old woman with cardiogenic shock s/p impella with new fevers overnight // evaluate for pulmonary edema; consolidations; interval change
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Frontal and lateral radiographs of the chest demonstrate small right pleural effusion with adjacent atelectasis. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, left pleural effusion, or consolidation.
<unk>f with hx of bilateral pleural effusions and dyspnea on exertion // ?pleural effusions, ?bowel obstruction
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Pa and lateral views of the chest. There is no focal consolidation, pleural effusion, or pneumothorax. The cardiac and mediastinal contours are normal.
chest pain and difficulty breathing.
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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 identified.
cough and fever.
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Allowing for differences in technique and projection, there has been little interval change in the appearance of the chest since the previous radiograph, with no new focal areas of consolidation to suggest the presence of pneumonia. Multifocal linear areas of scarring appear unchanged, previously attributed to sarcoidosis. Band-like opacity at periphery of left lung base has slightly worsened and is attributed to localize atelectasis.
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Cardiac, mediastinal and hilar contours are normal. The lungs are clear and the pulmonary vasculature is normal. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
weakness, nausea.
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The lung volumes are relatively low with left basilar atelectasis, unchanged from the prior study with persistent mild pulmonary vascular congestion, also stable since the prior radiograph. There is no evidence of focal opacity, pleural effusion or pneumothorax. The cardiomediastinal silhouette is stable.
shortness-of-breath. reason for dyspnea or interval change from prior.
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The lungs are clear of focal consolidation, pleural effusion or pneumothorax. The heart size is normal. The mediastinal contours are normal.
<unk>-year-old male with fever and cough. evaluate for acute infectious process
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Frontal and lateral views of the chest are compared to previous exam from <unk>. The lungs are clear of focal consolidation. The cardiomediastinal silhouette is stable. Median sternotomy wires and mediastinal clips noted. Osseous and soft tissue structures are unremarkable. Surgical clips seen in the right upper quadrant suggesting prior cholecystectomy.
<unk>-year-old female with chest pain.
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A peripheral right upper lung mass and a large right lower lung cavitary mass are better assessed on recent ct from <unk>. There is subsegmental left lower lung atelectasis. There is minimal right lower lung atelectasis. The heart size is normal. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen. Mild right lateral chest wall subcutaneous air was seen on prior ct.
right lower lobe cavity, status post bronchoscopy and biopsy. assess for pneumothorax.
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Heart size is mildly enlarged. The mediastinal and hilar contours are within normal limits. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is detected. Pulmonary vasculature is normal. No acute osseous abnormality is visualized.
history: <unk>m with sepsis, fever, altered mental status
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Low lung volumes are present. This accentuates the size of the cardiac silhouette which is at least mildly enlarged. The aorta is unfolded. Mediastinal and hilar contours are unremarkable. There is crowding of the bronchovascular structures without overt pulmonary edema. Streaky and linear opacities in the lung bases likely reflect areas of atelectasis. No pleural effusion, focal consolidation or pneumothorax is visualized. No acute osseous abnormality is identified.
history: <unk>f with chest pain
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Ap upright and lateral views of the chest provided. The lungs are clear. Heart size is stable and normal. Mediastinal and hilar configuration is unchanged. Bony structures appear intact.
<unk>f with sob // ? pna/aspiration
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The lungs are clear without focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits.
<unk>m with chest pain // eval for acute process
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Semi-erect frontal portable chest radiograph demonstrates well expanded and clear lungs. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable. Limited assessment of the upper abdomen is unremarkable and visualized osseous structures are within normal limits.
history: <unk>m with fall and ams. assess for pneumothorax.
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In comparison to the chest radiograph obtained <num> day prior, there is improved aeration at the right and left lung bases, persistent, mild pulmonary edema indicative of volume overload. Mid right lung opacities appear unchanged and may reflect pneumonia or hemorrhage as a complication of prior pigtail catheter placement. The right-sided pigtail catheter is unchanged in position, possibly within the minor fissure. Heart size is normal with normal cardiomediastinal silhouette. Pleural effusions small, if any. No pneumothorax. Et tube is appropriately positioned and a left-sided picc terminates in the upper svc. The side port of an enteric tube terminates in the stomach.
<unk> year old woman sah with ventricular extension, e/o l aca and acomm aneurysms on cta, s/p intubation and evd placement // please evaluate for interval change
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Comparison is made to prior study from <unk>. There has been placement of the right ij central line with distal lead tip at the cavoatrial junction. There are no pneumothoraces. Lungs are clear. Cardiac silhouette and mediastinum is normal. Bony structures are intact.
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Frontal and lateral views of the chest provided. Lung volumes are low. Partially imaged hardware in the lumbar spine is again noted. There is mild bibasilar atelectasis. No focal consolidation concerning for pneumonia. No effusion or pneumothorax. Cardiomediastinal silhouette is stable. Bony structures are intact.
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In comparison with study of <unk>, the right ij pacing lead projects over the region of the apex of the right ventricle. Lower lung volumes with developing pulmonary vascular congestion and probable small pleural effusion, as well as poor definition of the left hemidiaphragm, indicating volume loss in the left lower lobe.
pacer leads.
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Frontal and lateral views of the chest show a right mediport which terminates within the right atrium. Again, there is significant volume loss of the right hemithorax in part due to prior lung resection, as evidenced by chain sutures, and scarring and bronchiectasis. Consolidative focus of tumor is again seen within the left low lung, best appreciated on the frontal view, and unchanged from the prior ct. There are no new lesions seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal contours are stable. There is elevation of the right hilus from volume loss.
fever and neutropenia. evaluate for pneumonia.
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Pa and lateral views of the chest provided demonstrate clear lungs without focal consolidation, effusion, or pneumothorax. Heart and mediastinal contours are normal. Bony structures are intact. No free air below the right hemidiaphragm.
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Cardiac silhouette appears slightly decreased compared to the prior study and is within normal limits in size. Interval improvement in pulmonary vascular congestion. No new focal areas of consolidation, or evidence of pleural effusion or pneumothorax. Assessment of retrosternal area on lateral view is limited by suboptimal positioning of the patient's arms related to the patient's inability to lift the arm in the setting of recent fracture. Vascular catheter is unchanged in position.
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In comparison with study of <unk>, there are lower lung volumes in this patient who has undergone a prior cabg procedure. Continued cardiomegaly with increased pulmonary vascular congestion, the appearance of which may be enhanced by the low lung volumes. Mild bibasilar atelectasis persists.
chf exacerbation.
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Severe cardiomegaly is unchanged from the prior study. The mediastinal contours are similar. Mild pulmonary edema is not substantially changed from the prior study. Hilar contours are similar. No focal consolidation, pleural effusion or pneumothorax is present. There are no acute osseous abnormalities. Splenic shadow appears absent compatible with history of sickle cell disease. Vertebral bodies have a somewhat h-shaped configuration also compatible with a history of sickle cell disease.
history: <unk>f with sickle cell anemia, dchf, pulm htn presents with bilateral knee pain consistent with prior sickle cell crises
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The heart size is normal. The mediastinal contours are unremarkable. Lung volumes are low. There is a patchy opacity within the left lung base as well as a right infrahilar region. Small pleural effusion is noted on the left. There is no pneumothorax. There is no pulmonary edema identified. No acute osseous abnormalities seen.
dyspnea.
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Pa and lateral views of the chest. No prior. There is patchy opacity identified within the right middle lobe. Elsewhere, the lungs are clear. There is no effusion. The cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.
<unk>-year-old male with cough and fever.
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The heart size, mediastinal, and hilar contours are normal. The lungs are clear without pleural effusion, focal consolidation, or pneumothorax. Osseous structures are unremarkable.
<unk> year old woman with <num> day hx of uri sx, fine rales r posterior base. please rule out pneumonia.
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Frontal and lateral views of the chest were performed. There is no pleural effusion, pneumothorax or focal airspace consolidation. The cardiac and mediastinal contours are unremarkable. The hilar structures are normal. Cholecystectomy clips are noted. There are no osseous abnormalities appreciated.
pleuritic chest pain, evaluate for an acute cardiopulmonary process.
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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. Degenerative changes are seen along the spine. No displaced fracture is identified.
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The lungs are clear. There is no pleural effusion or pneumothorax. Heart is top normal in size. Normal cardiomediastinal silhouette.
fever to <num> and cough, assess for acute process.
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As compared to the previous radiograph, the monitoring and support devices are unchanged. There continues to be a right pleural effusion, but its extent has decreased. As a consequence, there is improved ventilation at the right lung base. Improving effusion and atelectasis at the left lung base. Unchanged appearance of the cardiac silhouette.
perforated antral ulcer, evaluation.
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Heart size is top normal. Mediastinal and hilar contours are unremarkable. Lungs are clear. No pleural effusion or pneumothorax is seen. No acute osseous abnormality is detected.
history: <unk>m with chest pain
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There has been interval resolution of a small right-sided pleural effusion. There is otherwise no significant change compared to prior examination with persistent bibasilar atelectasis and small loculated left pleural effusion. Post-surgical changes from vats in the left lower lung are unchanged. The lung apices are clear. There is no pneumothorax.
status post left vats of the lingula and superior segment of the left lower lobe.
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Frontal and lateral chest radiographs demonstrate clear lungs, without focal consolidation, pleural effusion, or pneumothorax. The cardiac silhouette and mediastinal contours are normal. The pulmonary vasculature is normal. There is mild wedge deformity of a lower thoracic vertebral body, unchanged from prior.
<unk>-year-old female with chest pain. rule out infiltrate.
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The cardiomediastinal and hilar contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax.
<unk>-year-old male with chest pain and shortness breath.
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Lung volumes are low. There is mild bibasilar atelectasis, but no focal consolidation is identified. Mild-to-moderate cardiomegaly is present but not significantly changed from prior. Otherwise, cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. Remote deformity of the left distal clavicle is again noted.
<unk>-year-old male with aspiration. evaluate for acute process.
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The patient is status post coronary artery bypass graft surgery. The heart is at the upper limits of normal size. The aortic arch is partly calcified. Prominence of right infrahilar vascularity is probably due to leftward rotation from the heart. The lungs appear clear. There is no pleural effusion or pneumothorax. Small osteophytes are noted along the thoracic spine.
chest pain.
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Pa and lateral views of the chest provided. Lungs are clear. Cardiomediastinal and hilar contours are normal. There are no pleural effusions. Old healed right sided rib fractures are again seen.
<unk> year old woman with hx of myeloma. cough. please r/o pna. // <unk> year old woman with hx of myeloma. cough. please r/o pna.
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There is no focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal silhouette is normal. The imaged upper abdomen is unremarkable, there is no free intraperitoneal air.
<unk>f with ruq abd pain // eval for acute process
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Frontal and lateral views of the chest were obtained. There are slightly low lung volumes. Mild bibasilar atelectasis/scarring is seen, similar to prior. No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable.
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There relatively low lung volumes. Streaky linear mid to lower lung opacities bilaterally most likely are due to atelectasis. There is also probably a mild component of pulmonary vascular congestion. No pleural effusion is seen. There is no evidence of pneumothorax. The cardiac silhouette is top-normal to mildly enlarged. Mediastinal contours are stable and unremarkable. Lucency under the right hemidiaphragm is felt to be within bowel.
history: <unk>m with confusion // r/o pna
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Pa and lateral views of the chest were provided. Linear platelike atelectasis noted in the left lower lung. No signs of pneumonia or chf. No pleural effusion or pneumothorax. Cardiomediastinal silhouette is normal. Bony structures appear intact. Degenerative changes of the right shoulder again noted.
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Compared to chest radiograph from <unk>, there is no significant change. There is no focal consolidation, effusion or pneumothorax. Mediastinal and hilar contours are normal. Borderline cardiomegaly is chronic.
<unk> year old woman with hemoptysis with a cold and cough last week // any concerning features?
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Frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or focal consolidation.
<unk>f w/hx of pe in <unk> and stable liver hemangiomas who presents with r flank pain/lateral chest pain. // eval for infection
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The tip of the port-a-cath lies in the mid portion of the svc. No evidence of acute cardiopulmonary disease.
port placement.
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Heart size and cardiomediastinal contours are normal. There is minimal bibasilar atelectasis but no focal consolidation, pleural effusion, or pneumothorax. No displaced rib fractures identified. Flowing anterior syndesmophytes of the thoracic spine are similar to prior and consistent with dish. Sternotomy wires and mediastinal clips are intact.
fall from standing.
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Single ap upright portable view of the chest was obtained. No prior imaging is available for comparison. There are low lung volumes. Deformities of the posterior right five through seventh ribs are seen, although presumed additional fractures are better evaluated on ct. Per report, patient had a small apical pneumothorax, which is not appreciated on the current study. There is slight blunting of the right costophrenic angle, a trace pleural effusion would be difficult to exclude. No definite focal consolidation is seen. The cardiac and mediastinal silhouettes are likely accentuated by ap technique.
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Pa and lateral views of the chest provided. No focal consolidation concerning for pneumonia. Left mid lung linear density likely represent scarring. No edema or congestion. No large effusion or pneumothorax. The heart is likely top-normal in size. Mediastinal contour is unremarkable. Mild biapical pleural parenchymal scarring noted. Bony structures are intact.
<unk>f with tachycardia, osb // acute process?
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The monitoring and support devices are constant. Borderline size of the cardiac silhouette with extensive bilateral parenchymal opacities. The opacities have not decreased in severity and extent. No larger pleural effusions. No pneumothorax. Unchanged appearance of mediastinal and hilar structures.
respiratory failure, evaluation for pulmonary disease.
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Median sternotomy wires and mediastinal clips are again noted. Lung volumes are low accentuating the cardiac silhouette. Moderate cardiomegaly is likely unchanged. Hilar contours are unremarkable. There is mild retrocardiac atelectasis. Lungs are otherwise clear. Pleural surfaces are clear without effusion or pneumothorax. Chronic deformity of the proximal left humerus is again noted.
cough, weakness and confusion.
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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette. Right lung pneumonia has resolved, and the lungs are clear without focal consolidation. Streaky opacity in the left base is again seen and consistent with atelectasis. There is no pleural effusion or pneumothorax.
history of asthma and recurrent aspiration, with increased shortness of breath and low grade fever following a recent hypoglycemic event. evaluate for pneumonia.
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Lung volumes are slightly low. This accentuates the size of the cardiac silhouette which is mildly enlarged. Mediastinal and hilar contours are normal. Lungs are clear. No focal consolidation, pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>m with severe abdominal pain/peritonitis, elevated lactate
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Single semi-erect portable view of the chest was obtained. Per the radiology technologist, patient unable to hold proper position for portable chest x-ray. Multiple attempts tried to put patient in proper position, intubated, unable to move, best images possible at this time. The patient is rotated to the right. There is endotracheal tube, terminating approximately <num> cm above the level of the carina. Recommend withdraw by approximately <num> cm for more appropriate positioning. A nasogastric tube is seen coursing below the level of the diaphragm, inferior aspect not included on the image. There are low lung volumes. Mild bibasilar opacities may relate to aspiration and atelectasis, although an underlying consolidation cannot be excluded. Cardiac and mediastinal silhouettes are stable. No pneumothorax is seen.
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There has been interval removal of the malpositioned dobbhoff tube. There is no evidence of pneumothorax. Small bilateral pleural effusions are likely. The cardiomediastinal and hilar contours are normal. Lung volumes are low, but there is no focal consolidation concerning for pneumonia. Right picc line is again noted, tip terminating in the mid svc. The upper abdomen is unremarkable in appearance.
<unk> year old man s/p ngt placement // assess for ptx
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As compared to the previous radiograph, the lung volumes have decreased. The patient has received a right central venous access line. The line projects with its tip over the right atrium. No pneumothorax. No pleural effusions. No pneumonia. No pulmonary edema. Borderline size of the cardiac silhouette.
lymphoma, oxygen requirement, evaluation.
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There is no focal consolidation, effusion, or pneumothorax. There is mild right basilar atelectasis. Heart size is upper limits of normal for portable technique. The cardiomediastinal silhouette is otherwise normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
history: <unk>f with bradycardia // bradycardia
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Frontal and lateral views of the chest demonstrate mildly prominent cardiac silhouette. The thoracic aorta is minimally unfolded. Prominent right paratracheal stripe may be related to prominent mediastinal fat. There is no evidence of pneumothorax, vascular congestion, or pleural effusion. The lungs are clear. Although not designed for evaluating bony structures, no displaced osseous injury is appreciable.
<unk>-year-old male with sharp chest pain. question acute process.
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The heart size is normal. The hilar and mediastinal contours are normal. The lungs are clear without evidence of focal consolidations concerning for pneumonia. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.
history of shortness of breath. please evaluate for pneumonia versus pulmonary edema.
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The heart is mildly enlarged with a left ventricular predominance. The aorta is mildly tortuous. The cardiac, mediastinal and hilar contours are probably unchanged, allowing for differences in technique. There is no pleural effusion or pneumothorax. The left hemidiaphragm is mildly elevated. The lungs appear clear.
atrial fibrillation and shortness of breath.
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Lungs are well inflated and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax. Patient is status post coronary artery bypass graft surgery. Median sternotomy wires are intact.
history: <unk>f with cough, evaluate for pneumonia.
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Right picc is no longer visualized. Relative elevation of the right hemidiaphragm is unchanged. Calcific density projecting over the left anterior second rib could be a bone island versus calcified granuloma. The lungs are otherwise clear. There is no consolidation. There may be a small right pleural effusion with blunting of the posterior and lateral costophrenic angles. Cardiomediastinal silhouette is stable. Atherosclerotic calcifications are noted at the aortic arch.
<unk>m with chest pain // eval for acute process
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In comparison with the earlier study of this date, there is continued and probably worsening pulmonary edema, consistent with clinical history. The left hemidiaphragm is poorly seen, suggesting some pleural fluid and volume loss on this side. Pacer leads are in satisfactory position in this patient with previous cabg procedure and intact midline sternal wires.
flash pulmonary edema.