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Frontal and lateral views of the chest were obtained. A right-sided port-a-cath is seen, with catheter terminating in the distal svc. There are right axillary surgical clips. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
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Ap upright and lateral views of the chest were provided. The previously noted pneumomediastinum has resolved. There is no pneumothorax on the current exam. No focal consolidation, effusion, or signs of chf. The heart and mediastinal contour is normal. No bony abnormality. Specifically, no sign of displaced rib fracture.
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The heart continues to be moderately enlarged. There is pulmonary vascular redistribution and bilateral pleural effusions and volume loss in the lower lobes. A pigtail catheter on the right is again visualized. Compared to the prior study the chf appears slightly worse. The right sided picc line is no longer visualized.
cll and chf
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Lung volume is low. There is no focal consolidation, pleural effusion, or pneumothorax. Borderline enlarged cardiac silhouette is exaggerated by low lung volumes. Pulmonary vascular congestion is mild may also be exaggerated by low lung volumes.
history: <unk>f with chest pain doe cough // r/o pna
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Right ij swan-ganz catheter has been removed and no pneumothorax seen. Left-sided picc line and left ventricular assist device appear unchanged radiographically. Cardiac silhouette is large with unchanged splayed carina. Obscuration of the left hemidiaphragm and right cardiophrenic angle indicate associated basilar consolidation the findings do not suggest increase in pleural fluid on either side.
<unk> year old man with increase in tachycardia and history of lvad placement c/b pericardial effusion w/ tamponade requiring trip back to the or for drainage and pericardial window placement. // ? hemothorax
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As compared to the previous radiograph, small bilateral pneumothoraces are unchanged in extent and severity. There is no evidence of tension. No change in appearance of the lung parenchyma and of the cardiac silhouette. Unchanged monitoring and support devices.
status post right pleurodesis, evaluation for pneumothorax.
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Slightly rotated positioning. Allowing for this, there has been some interval clearing of the retrocardiac opacity and of the right base opacity. As result, the left hemidiaphragm is now visible. Vascular crowding in the right cardiophrenic region is improved. Otherwise, i doubt significant interval change.
<unk> year old woman with aspiration pna // eval for interval change
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Single frontal portable view of the chest was obtained. The lung apices are excluded on this study and overlying trauma board prevents detailed evaluation of the chest. The heart size and bronchovascular markings are exaggerated by low lung volumes. No focal consolidation is present. No pleural effusion or pneumothorax. The endotracheal tube terminates <num> mm from the carina. Ng tube terminates with side port in the stomach and its tip to the right of the midline.
<unk>-year-old male with altered mental status and seizure. evaluate tube placement.
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The cardiomediastinal silhouette and pulmonary vasculature are unremarkable. No definite focal consolidation is identified. A new pleural effusion is present on the left.. A device is seen in the left chest wall, which is not present previously.
history: <unk>f with congested cough/wheezing hx asthma // ? infiltrate
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Frontal and lateral radiographs of the chest show clear lungs without focal consolidation, pleural effusion, or pneumothorax. The pulmonary vasculature is not engorged. The cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits.
<unk>-year-old female with history of ulcerative colitis and seronegative spondyloarthritis, now with chronic cough, here to evaluate for pulmonary pathology.
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A right-sided port-a-cath is in stable position. The cardiomediastinal and hilar contours are stable. Postoperative changes of the right hemi thorax are stable. There is no focal consolidation, pleural effusion or pneumothorax. No evidence of pulmonary edema.
<unk> year old man with lymphoma // increased shortnes of breath and wheezing. assess for abnormalities.
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Portable semi-upright radiograph of the chest demonstrates background increased interstitial markings consistent with lymphangitic carcinomatosis. Small bilateral pleural effusions and adjacent atelectasis have improved since <unk> on pulmonary edema is nearly resolved since <unk>, making it possible to see basal lung mass is, previously shown on the chest ct <unk>. The right lower lobe lesion is now cavitated. Cardiomediastinal and hilar contours are unchanged. No pneumothorax.
<unk> year old man with right <unk> // follow up film
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Small bilateral pleural effusions and moderate cardiomegaly are unchanged from the prior study. The left pectoral port catheter tip ends in the mid svc. There is no focal consolidation, pneumothorax, or pulmonary edema.
<unk>f with, sob last night and today, evaluate for acute process.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>f with <num> weeks cough
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Dense opacification in the left lower lung as well as within the lingula consistent with aspiration pneumonia. Cardiomediastinal and hilar contours are unremarkable. No pleural effusion evident. No displaced rib fractures are identified.
pregnant female with cough, found down. question aspiration, pneumonia.
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Frontal and lateral views of the chest are compared to previous exam from <unk>. There is a rounded opacity in the left mid lung, which is not clearly visualized on the lateral, but may project over the spine. The lungs are otherwise clear. There is no effusion or pulmonary vascular congestion. The cardiac silhouette is slightly enlarged but unchanged. No acute osseous abnormality is detected.
<unk>-year-old female with chest pain.
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Pa and lateral chest radiographs again demonstrate paramediastinal radiation changes. Streaky ill-defined opacity extending from the left perihilar region to the left lower lobe is unchanged, and again likely reflects residual disease. Small left pleural effusion which is loculated laterally is unchanged, as is pleural thickening. There is no pulmonary vascular congestion or edema. Compared to <unk>, there is now blunting of the right costophrenic sulcus suggesting a tiny pleural effusion. Lungs are hyperinflated with mild emphysematous changes noted in the upper lobes. The cardiomediastinal silhouette is stable. No pneumothorax.
history of metastatic lung cancer. presenting with confusion.
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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 identified. Query subtle lucency projecting over the posterior superior aspect of the sternal body on the lateral view, measuring approximately <num> x <num> cm, not fully assessed on this study. Consider dedicated imaging of the sternum for further evaluation.
history: <unk>f with spontaneous atraumatic anterior chest pain // physical for fractures or other causes of anterior chest pain
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Pa and lateral images of the chest demonstrate well expanded lungs, which are clear. There is no evidence of pulmonary vascular congestion. There is no pneumothorax or pleural effusion. There is mild cardiomegaly. A pacer is seen in the anterior axillary position with intact leads in the expected course to the right atrium and right ventricle. There is no evidence of pneumonia or other abnormality.
<unk>-year-old male with history of bronchiectasis, now with new cough, and fever, shortness of breath.
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Multifocal areas of consolidation are again demonstrated in both lungs, with a relative upper lobe predominance, most severe in the right upper lobe. Some of the opacities have a relatively peripheral predominance. As compared to the recent chest radiograph, the opacities in the right lung are relatively similar, except for slight improvement at the right base and slight worsening in the right mid lung area. In the left lung, there has been slight worsening at the left base but a slight improvement in the left upper lobe. Observed findings may be due to widespread atypical pneumonia, but eosinophilic pneumonia and cryptogenic organizing pneumonia should be considered in the appropriate clinical settings.
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Pa and lateral chest views were obtained with patient in upright position. Comparison is made with the next preceding similar study obtained two and a half hours earlier. Chest findings are grossly unchanged. The left-sided pneumothorax in the apical area persists but has clearly become smaller. Whereas on the first examination, the maximal width is measured about <num> cm, it has now been reduced to less than <num> cm. No new abnormalities are seen. Dr. <unk> was informed by telephone. An additional film was taken with patient in expiratory phase, demonstrating the pneumothorax being of same size as it was on the preceding study. The conclusion is that the left-sided apical pneumothorax is stable in size.
left-sided pneumothorax, followup examination.
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Known masses projecting over the right upper lobe and along the left lateral chest wall do not appear significantly changed. Additionally, abnormal density and contour along the right hilum consistent with known hilar mass appears unchanged. No superimposed consolidation is identified to suggest pneumonia. There are emphysematous changes with relative lucency of upper lung zones. The heart size is within normal limits. There is tortuosity of the aorta.
cough for one week. neutropenic fever. known lung lesions.
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There is a large left upper lobe cavitary mass which is similar in size to the prior chest ct. There is associated destruction of the adjacent ribs, most marked in the lateral left second and third ribs. Since the prior exam, there is worsening opacification at the bilateral bases, more prominent on the right than the left. There is no pulmonary edema, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal.
status post fall.
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On lateral view, there is subtle opacity at a posterior lung base, possibly left lower lobe on the frontal view. No additional focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal. Mediastinal contours are unremarkable.
history: <unk>f with weakness // evidence of pneumonia
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The cardiac silhouette size is normal. The mediastinal and hilar contours are unremarkable. The lungs are clear and the pulmonary vascularity is normal. No focal consolidation or pneumothorax is seen. Minimal blunting of the left costophrenic sulcus posteriorly appears chronic and may reflect pleural thickening rather than pleural fluid. There is no acute osseous abnormality identified. Degenerative changes are seen within the thoracic spine.
hypertension, chest pain along the right sternal border.
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Multiple ap chest radiographs are considerably rotated to the left. Moderate cardiomegaly and hyperexpansion are unchanged dating back to <unk>. Subtle opacity at the right lung baseis again seen, however it is unclear if this is due to technical factors. There is no large pleural effusion or pneumothorax.
dyspnea. concern for pulmonary edema or worsening pneumonia.
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A moderately enlarged heart is again seen with pulmonary edema. There is near complete resolution of the previous right pleural effusion. Focal opacities in the left mid lung and right upper lung could be asymmetric edema or infectious process in the appropriate clinical setting.
dyspnea, hypoxia. evaluate for pneumonia, effusions or edema.
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In comparison with the study of <unk>, the ap supine projection may be responsible for the increased prominence of the transverse diameter of the heart. No evidence of vascular congestion or pleural effusion. No definite pneumonia is appreciated. However, if this is an important clinical concern, a lateral view would be most helpful if the patient can tolerate this position. There has been placement of an alimentary tube that extends at least to the upper stomach, where it crosses the lower margin of the image.
decompensated cirrhosis, to assess for pneumonia.
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Some shift of the mediastinum to the right is seen which was also present to some effect on ct from <unk>, increased from chest radiograph from <unk>, likely relating to underlying volume loss in the right lung possibly related to fibrotic changes. There has been interval development in a large amount of opacity projecting over the right lung, most notably the right mid to lower lung. Differential diagnosis includes large area of infection with underlying atelectasis, neoplasm, pulmonary hemorrhage not excluded. The right costophrenic angle is also blunted and there may be a right pleural effusion. Left basilar opacities may relate to the patient's underlying interstitial disease; however, additional consolidation due to atelectasis, infection, aspiration, or other alveolar process is not excluded. No pneumothorax is seen. The cardiac silhouette is difficult to assess due to the right-sided opacity. Air-distended loops of bowel are again partially imaged in the upper abdomen.
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Both lungs are well expanded and clear. There are no opacities concerning for pneumonia. Heart size, mediastinal and hilar contours are normal. There is no pleural abnormality.
to rule out pneumonia.
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The cardiac, mediastinal and hilar contours appear unchanged, including mild cardiomegaly. Leftward rotation of the cardiac and mediastinal structures appears similar. The lungs appear clear. There are no pleural effusions or pneumothorax. Mild degenerative changes are similar along the thoracic spine.
productive cough and hypoxia.
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As compared to the previous radiograph, the patient has received a nasogastric tube. Course of the tube is unremarkable. The tip of the tube projects over the proximal parts of the stomach. No evidence of complications, notably no pneumothorax. Lung volumes remain low, the size of the cardiac silhouette is mildly enlarged.
status post nasogastric tube placement, evaluation.
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One portable supine view of the chest. Endotracheal tube ends <num> cm from the carina. Heart size is top normal. The aorta is tortuous. There are patchy opacities in the mid and upper lung zones bilaterally. This may represent aspiration given that the patient was found lying down. No pleural effusions or pneumothorax. No fractures identified however evaluation is limited given technique.
<unk>-year-old female found down in asystolic arrest, status post cpr epinephrine.
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Pa and lateral views of the chest provided. Right ij central venous catheter is been removed. Midline sternotomy wires and mediastinal clips are again noted. There is mild residual left basal atelectasis. Otherwise the lungs are clear. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>m with pleuritic chest pain, recent cabg
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Mild cardiomegaly and upper mediastinal contours are unchanged. Prominence of the hilar pulmonary vasculature is unchanged. No overt pulmonary edema. No focal consolidation, pleural effusion, or pneumothorax.
history: <unk>f with palpitations // eval for chf
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No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is identified. The heart size is top normal. Mediastinal contours are normal.
diffuse bilateral crackles, evaluate for acute process.
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Pa and lateral views the chest provided. A retrocardiac gas filled structure likely represent a hiatal hernia, unchanged from prior. Lungs are clear without focal consolidation, large effusion or pneumothorax. The heart and mediastinal contours are stable and normal. Stable appearance of right ac joint separation. Coarse calcification is seen projecting over the left scapula unchanged from prior ct. Otherwise bony structures appear unremarkable.
chest pain, dyspnea on exertion
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Ap upright and lateral views of the chest provided demonstrate hyperinflated lungs without focal consolidation, effusion or pneumothorax. The heart and mediastinal contours appear normal. Bony structures are intact. No free air is seen below the right hemidiaphragm.
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Cardiomediastinal contours are normal. The lungs are clear. There is no pneumothorax or pleural effusion. There are mild degenerative changes in the thoracic spine
<unk> year old man // positive cough for a week, bs positive for wheezing and rhonchi
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The lungs are well expanded and clear without evidence of pulmonary edema or pneumonia. Mediastinal contours, hila, and cardiac silhouette are normal, accentuated by technique. No substantial pleural effusion or pneumothorax.
<unk> year old woman with low sats // eval for pna, lung collapse
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There is a large right pleural effusion and small left pleural effusion, both with overlying atelectasis. Mild fluid overload is demonstrated. The cardiac silhouette remains enlarged. Mediastinal contours are stable. No pneumothorax seen.
<unk> year old man with cirrhosis, volume overload // eval for pulm edema
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Compared to the prior radiographs, lung volumes are lower causing bronchovascular crowding. The heart size is mildly enlarged. New indistinctness of the pulmonary vasculature may be due to crowding, but also from a component of pulmonary vascular congestion. No new focal consolidation or pneumothorax. Intact median sternotomy wires.
history: <unk>f with cp, sob. evaluate for pneumonia.
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The patient is status post cabg with intact and appropriately aligned sternotomy wires. The postoperative appearance of cardiomediastinal silhouette is stable. The lungs are clear. There are small bilateral pleural effusions, decreased compared to prior. The pulmonary vasculature is normal. No pneumothorax is seen. There are no acute osseous abnormalities.
<unk> year old man with s/p cabg // eval postop changes
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Subtle opacity at the left lung base is new. Mild elevation of left hemidiaphragm is unchanged. No other focal airspace opacity. Heart size is normal. Cardiomediastinal hilar silhouettes are unremarkable. An enteric tube side port terminates in the gastric body.
<unk> year old man s/p laparotomy for sbo. hypoxic in pacu // aspiration.
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Pa and lateral views of the chest were provided demonstrating no focal consolidation, effusion or pneumothorax. The cardiomediastinal silhouette is normal. The imaged osseous structures are intact. There is no free air below the right hemidiaphragm.
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The patient is status post recent right upper lobe resection. Small-to-moderate right apicolateral pneumothorax is again demonstrated and has minimally decreased in size. Extensive subcutaneous emphysema in right chest wall is also slightly better. Right chest tube is unchanged in position, and postoperative alterations of the right mediastinal and hilar regions appear unchanged allowing for positional differences between the studies. Minimal atelectasis is present at the lung bases, left greater than right, and there are also apparent small pleural effusions.
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In comparison with study of <unk>, there has been placement of a nasogastric tube, which extends to the outer aspect of the gastric fundus. There again are low lung volumes with atelectatic changes at the bases. No vascular congestion.
ng tube placement.
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Frontal and lateral chest radiographs demonstrate low lung volumes with increased prominence of the cardiac silhouette and bronchovascular crowding. Mild pulmonary edema is improved. Opacity at the left lung base this likely unchanged, and likely represents atelectasis, although superimposed infection cannot be excluded.
shortness of breath.
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The lungs are clear without focal consolidation, effusion, or edema. Cardiomediastinal silhouette is within normal limits. Coronary artery stent is noted. No acute osseous abnormalities. Surgical clips in the right upper quadrant suggest prior cholecystectomy.
<unk>f with cough, cp since <num>pm // eval for pna, ptx
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Lower lung volumes seen on the current exam. There is no focal consolidation or effusion. The cardiomediastinal silhouette is within normal limits. Degenerative changes are noted at the left glenohumeral joint. No acute osseous abnormalities identified.
<unk>f with syncope // acute process?
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Pa and lateral views of the chest were provided demonstrating a left upper lobe mass measuring <num> x <num> cm, similar to that seen on prior ct from <unk>. Adjacent opacity likely reflect the atelectasis in this region. No new consolidation, effusion, or pneumothorax is seen. The cardiomediastinal silhouette is stable. Bony structures are intact.
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Frontal and lateral chest radiographs demonstrate a cardiomediastinal silhouette which is top normal in size to mildly enlarged. There is bibasilar atelectasis. Retrocardiac opacity likely corresponds to a large hiatal hernia with adjacent compressive atelectasis seen on the ct from the same day. There is no pleural effusion or pneumothorax. The visualized upper abdomen is unremarkable.
history of prior fracture and right hemothorax. evaluate for increased hemothorax.
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There is enlargement of the left ventricle. The hilar and mediastinal contours are normal. The lungs are well expanded and clear. There is no focal consolidation concerning for pneumonia. There are no pleural effusions or pneumothorax. Moderate degenerative changes are noted in the thoracic spine.
<unk>-year-old male patient with low-grade temperature and cough. study requested for evaluation of pneumonia.
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Pa and lateral views of the chest are compared to previous exam from <unk>. The lungs remain clear. The cardiomediastinal silhouette is normal. Osseous and soft tissue structures are unremarkable.
<unk>-year-old female with chest pain.
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The lungs are well expanded. Equivocal mild interstitial edema is present, but no focal opacities. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. Left lower lobe scarring is stable compared to prior exam. Multiple fractured sternotomy wires are unchanged compared with prior exam. Surgical clips from prior cabg are present.
<unk>-year-old male with diffuse abdominal pain and back pain, constipation, and urinary retention. please evaluate for evidence of abdominal free air.
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The endotracheal tube tip projects approximately <num> cm above the carina. An esophageal catheter courses below the diaphragm with tip out of view and side port projecting over the left upper quadrant. Lung volumes are low. No focal consolidation, pleural effusion, or pneumothorax is detected. Heart size is top normal but may be exaggerated by positioning and low lung volumes.
<unk>-year-old male status post intubation.
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Frontal and lateral views of the chest are obtained. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. Chronic slight blunting of the costophrenic angle is seen. The cardiac and mediastinal silhouettes are stable and unremarkable, as are the hilar contours.
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The heart is not enlarged. Aorta is calcified and tortuous. The appearance is similar to <unk>. Areas opacity at the right lung base extending to the level of the hilum, of uncertain etiology. Immediately above this there is a small amount of platelike atelectasis at the right base. Sharply defined linear lucency is seen at the right base, but the significance of this is unclear. Doubt but cannot entirely exclude loculated hydro pneumothorax. There is mild prominence of vessels, but no chf. The left lung and remaining portion of the right lung is grossly clear, without focal infiltrate or consolidation. No gross left effusion. Elsewhere, no pneumothorax identified.
<unk> year old gentleman with no relevant pmh who was transferred from <unk> for further work up of new severe transaminitis. ? of infiltrative disease // assess for acute process, enlarged mediastinum
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Since <unk>, moderate pulmonary congestion is unchanged. No pulmonary edema, pneumothorax, or pneumonia. Moderate cardiomegaly is unchanged. The pleural surfaces are normal a left pacemaker is seen with leads appropriately placed in the right atrium and right ventricle.
<unk> year old man with concern for pna on portable cxr // please assess for pneumonia vs volume overload
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Re- demonstrated are diffuse bilateral interstitial and alveolar opacities, not significantly changed over the interval. The heart remains enlarged. There bilateral pleural effusions, greater on the left. The endotracheal tube tip ends <num> cm from the carina.
history: <unk>m with please eval for ett placement*** warning *** multiple patients with same last name! // acute process
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Frontal and lateral views of the chest were obtained. The heart size and cardiomediastinal contours are normal. The lungs are clear. No focal consolidation, pleural effusion, or pneumothorax. No radiopaque foreign body.
<unk>-year-old male with history of cough.
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The lungs are clear. There is no effusion or pneumothorax. The heart size is normal, the mediastinal contours are normal.
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The lungs are well expanded. Suture projecting overlying the left chest suggests a prior resection. There is linear opacity at the right lung base likely representing atelectasis. Diffuse pattern of reticulonodular opacity is seen in the left mid and lower lung, similar to prior exam and of indeterminate etiology. There is no evidence of pneumothorax or pleural effusion. The cardiomediastial silhouette is unremarkable. No acute fracture is seen. Cervical spinal hardware is noted.
<unk>f with right rib pain and dyspnea s/p fall // r/o acute process
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The cardiomediastinal and hilar contours are within normal limits. The lungs are clear of consolidation. There is no pleural effusion or pneumothorax.
<unk>-year-old female with bradycardia.
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Pa and lateral views of the chest were obtained demonstrating no focal consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm.
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The cardiac silhouette is mildly enlarged. The hilar contours are within normal limits. There is minimal atelectasis at the right lung base. Blunting of the bilateral costophrenic angles is likely secondary to a small amount of pleural effusion. Lungs are otherwise clear. There is no focal consolidation or pneumothorax.
history: <unk>f with fever, sob // eval for pna eval for pna
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The lungs are hyperexpanded, which is unchanged from prior exams. Stable apical scarring is present. There is stable left basilar atelectasis. There is no consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Abnormal densities in the left humerus most likely an enchondroma or prior medullary infarcts.
confusion. evaluate for pneumonia.
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Lung volumes are slightly low. Heart size is top normal. Mediastinal and hilar contours are unremarkable. Lungs are clear. No pleural effusion or pneumothorax is present. The pulmonary vascularity is normal. There are no acute osseous abnormalities.
shortness of breath, missed hemodialysis today.
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The lung volumes are normal. Normal appearance of the lung parenchyma. Normal size of the cardiac silhouette. Mild tortuosity of the thoracic aorta. No evidence of lung nodules or masses. There is symmetrical increase in radiodensity at both lung bases is caused by soft tissue overlay. No larger pleural effusions.
stroke and cough, evaluation for cancer.
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Single frontal view of the chest demonstrates markedly decreased lung volumes, accentuating bilateral perihilar and scattered pulmonary renal cell carcinoma metastases. Ill-defined opacity in the right upper lung noted on ct from <unk> may be beyond the resolution of current exam. There is no large pleural effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits.
<unk>-year-old male with hypotension. question pneumonia.
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Frontal and lateral chest radiographs demonstrate clear lungs, without pleural effusion or pneumothorax. The cardiac silhouette and mediastinal contours are normal. There are post-surgical changes of cabg.
<unk>-year-old male with chest pain and cough, rule out pneumonia.
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In comparison with study of <unk>, there is little interval change. Residual areas of focal pleural thickening on the right are again seen, though there is no evidence of acute focal pneumonia. Mild elevation of the right hemidiaphragm persists.
pulmonary infiltrates consistent with cop, now with progressive rash.
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The heart and mediastinal contours are within normal limits. The lungs are clear. There is no pleural effusion or pneumothorax.
<unk>-year-old male with new onset of atrial fibrillation.
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Moderate right-sided pleural effusion is seen, larger when compared to prior and likely partially loculated laterally. Associated atelectasis is noted at the right lung base. The left lung is clear, there is no effusion. The cardiomediastinal silhouette is stable. No acute osseous abnormalities.
<unk>m with sob // effusion?
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As compared to the previous radiograph, no relevant change is seen. The lung volumes are normal. Normal size of the cardiac silhouette. A slightly bulging contour of the left pulmonary artery, leading to a minimal widening of the aortopulmonary window, is unchanged as compared to the previous examination. Also unchanged is an obviously organized intrafissural pleural effusion on the left, visible in almost unchanged manner on a pa and lateral chest radiograph from <unk>. No new parenchymal opacities. No recent pleural effusions. Unchanged size of the cardiac silhouette. In the interval, the right picc line has been removed.
evaluation for acute process.
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Pa and lateral views of the chest. The lungs are clear. Cardiomediastinal silhouette is normal. Osseous and soft tissue structures are unremarkable.
<unk>-year-old male with chest tightness.
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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 cough for <num> weeks and desaturations with ambulation // please evaluate for consolidation
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Interval placement of endotracheal tube with tip at the level of the clavicles. The nasogastric tube has also been placed with tip at the ge junction, should be advanced several centimeters into the stomach. Unchanged mediastinal, hilar and cardiac silhouette. Increased retrocardiac opacifications likely represents left lower lobe collapse and possibly a small left pleural effusion. Though cannot exclude developing infectious process.
status post ex lap, assess position of endotracheal tube.
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Ap upright and lateral chest radiographs demonstrate low lung volumes. There is subsequent atelectasis at the bases. There is no pneumothorax or pleural effusion. No evidence of pulmonary edema. Heart size is probably within normal limits, its size exaggerated by ap technique and low lung volumes. Suboptimal evaluation for rib fracture, if clinical concern, ct is more sensitive. Mild anterior wedging of at least <num> lower thoracic vertebral bodies is of indeterminate age, but could be degenerative.
history: <unk>m with dementia, s/p fall // please evaluate for acute injury
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Ap portable semi upright view of the chest. Extensive consolidation within the right lung is concerning for pneumonia. The left lung is clear. The heart and mediastinal contour difficult to assess. Bony structures intact.
<unk>m with copd, respiratory distress // ? acute process
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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. Linear lucency projecting over the inferior left scapula is most likely artifactual and related to skin fold.
history: <unk>m s/p mvc // evaluate for head bleed, lue fracture
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Lungs are clear. No focal consolidation, effusion or pneumothorax is seen. The cardiomediastinal silhouette appears normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>m with abd pain, hypotension, evaluate for pneumonia.
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The lungs are clear. Cardiomediastinal silhouette is stable. No acute osseous abnormalities, degenerative changes noted in the spine. No free intraperitoneal air.
<unk>f with vomiting // eval for pna or acute process
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The lungs are otherwise . Cardiomediastinal silhouette is stable, tortuosity of the descending thoracic aorta again noted. No acute osseous abnormalities are seen. Surgical clips are seen in the upper abdomen.
<unk>m with malaise // eval infiltrate
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Heart size is mildly enlarged but unchanged. Aorta is unfolded. Mediastinal and hilar contours otherwise are unremarkable. There is no pulmonary vascular congestion. No focal consolidation, pleural effusion or pneumothorax is seen. Scarring within the right lung apex is unchanged. There is no pneumothorax or pleural effusion. No acute osseous abnormalities are detected.
altered mental status.
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Stable right-sided port-a-cath in good position. Low lung volumes. The lungs are clear of airspace or interstitial opacity. The cardiomediastinal silhouette is unremarkable. No pleural effusions or pneumothorax. No acute or aggressive osseus changes.
<unk> year old woman with cerebral palsy, neurogenic bladder, bed-bound, has been hospitalized ><num> months, now complaining of fever up to <num> over the last <num> hours. // does ms. <unk> have a new pna presenting as fever?
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Tracheostomy tube is in place. A coiled catheter at the right cardiophrenic angle is unchanged. A right axillary mid line catheter is stable. There is no pneumothorax. Small bilateral pleural effusions have slightly decreased. The heart and mediastinum cannot be accurately assessed on this projection. A right mid lung airspace opacity may be due to fissural fluid or atelectasis.
<unk> year old man s/p trach replacment // r/o ptx
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Pa and lateral views of the chest provided demonstrate no focal consolidation, effusion or pneumothorax. The heart and mediastinal contours are normal. The bony structures are intact. No free air below the right hemidiaphragm.
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The lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen.
<unk> year old woman with left flank pain along left lower rib border. evaluate for rib fracture or pneumonia.
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Support devices: none. The lungs are clear and mildly hyperinflated. The hilar and cardiomediastinal contours are normal. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal.
history: <unk>f with malaise. infiltrate?.
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Frontal and lateral chest radiographs demonstrate increased interstitial markings, pulmonary vascular congestion, central vascular engorgement, and top normal size of the heart. There are no large pleural effusions. There is no pneumothorax. Lateral view is limited due to the patient's inability to lift her arms.
patient presenting with stroke. evaluation for signs of infection.
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As compared to the previous radiograph, there is a new plate-like atelectasis at the level of the right hilus. No other changes are noted. Minimal pre-existing atelectasis at the left lung base. Normal size of the cardiac silhouette. No hilar or mediastinal abnormalities. No pleural effusions. No pulmonary edema.
hypotension and desaturation, evaluation.
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Increased reticular markings are seen, probably in the right lung base, which may be projectional due to difference in patient rotation. Fiducial marker in left lower lobe masslike opacity is again seen. Enlarged right hilum is unchanged compatible with enlarged right pulmonary artery. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is mildly enlarged, similar to prior exams. Right chest wall clips again noted.
<unk>f with esrd s/p ng tube now concerning aspiration pna // r/o asp pna
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Heart size is normal. Cardiomediastinal silhouette and hilar contours are normal. Lungs are clear. Thickening is noted along the right major fissure on lateral view corresponding to nodularity seen on prior ct. Pleural surfaces are otherwise clear without effusion or pneumothorax.
shortness of breath for <num> week and upper back pain for <num> weeks with elevated d-dimer.
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A single semi-erect frontal radiograph of the chest was acquired. There has been no significant interval change in the degree of right-sided pleural fluid compared to the study from <unk>. Right mid to lower lung mild-to-moderate atelectasis is unchanged. There is also unchanged moderate left retrocardiac atelectasis. A small left pleural effusion is unchanged. Moderate cardiomegaly is unchanged. The mediastinal contours are unchanged. Note is made of dense mitral annular calcification. A right internal jugular central venous catheter ends in the low svc, as before. There is a right-sided pleural catheter ending along the medial aspect of the right hemithorax, not significantly changed in position.
hemothorax and empyema. evaluate for interval change.
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Persistent hypoinflated lungs with cephalization of vasculature and small bilateral pleural effusions. There is persistent cardiomegaly with enlargement of the pulmonary arteries. No pneumothorax. Right ij cvl tip is at the low svc. Endotracheal tube is in appropriate position <num> cm above the level of the carina. A enteric feeding tube tip is seen to the level of the mid esophagus.
<unk>m with ett and ogt placement, and cvl. assess line and ogt placement
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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs which are clear. There is no focal consolidation, pleural effusion, or pneumothorax. Visualized upper abdomen is unremarkable.
chest pain.
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Frontal and lateral views of the chest. The lungs are clear without focal consolidation. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified. No free intraperitoneal free air.
<unk>-year-old female with epigastric pain.
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Right-sided port-a-cath is seen, terminating in the right atrium. There is minimal prominence of the pulmonary markings which may be due to minimal interstitial edema. No definite focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable.
chest pain x.
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The heart size is mildly enlarged. The hilar and mediastinal contours are normal. The lungs demonstrate mild bibasilar atelectasis, slightly increased compared to the prior exam. There may be small bilateral pleural effusions. There is no pneumothorax. The et tube terminates appropriately <num> cm above the carina. There is a right ij which terminates in the mid svc. The visualized osseous structures are unremarkable.
history of right ij line placement. please evaluate.