Frontal_Image_Path
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Right-sided port-a-cath tip terminates at the junction of the svc and right atrium. Heart size is mildly enlarged. Aorta is mildly tortuous. Hilar contours are otherwise unremarkable. Pulmonary vasculature is not engorged. Lungs are clear. Very small new left pleural effusion. No acute osseous abnormality is visualized.
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<unk> year old woman with recently diagnosed metastatic esophageal adenocarcinoma here with blood streaked emesis and for nutritional optimization s/p surgical j tube c/b pain and intractible vomiting now resolved. // concern for aspiration pna
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Left picc tip is in the left axillary vein. Right edema is slightly improved since prior. There is likely a trace left effusion. There is no focal consolidation or pneumothorax. The cardiomediastinal silhouette is similar to prior. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen. Prosthetic aortic valves are again seen. Hiatal hernia is again seen.
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<unk> year old woman with s/p picc to midline adjustment // midline placement
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
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<unk>m with shortness of breath.
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Cardiomediastinal contours are normal. The lungs are clear. There is no pneumothorax or pleural effusion. The osseous structures are unremarkable
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<unk> year old man with <unk> edema, left basilar crackles // ? evidence of congestion
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Pa and lateral chest views were obtained with patient in upright position. Evaluation is performed in direct comparison with the next preceding chest examination <unk> <unk>. The heart size is mildly enlarged. No typical configurational abnormality can be identified. The thoracic aorta is of ordinary <unk> and not elongated but some small calcium deposits are seen in the wall at the level of the arch. The pulmonary vasculature is not congested. No signs of acute or chronic parenchymal infiltrates are present and the lateral and posterior pleural sinuses are free. No pneumothorax in the apical area on the frontal views. Skeletal structures of the thorax are grossly within normal limits. No evidence of vertebral body compression. When comparison is made with the next previous chest examination, the findings are unaltered. Thus, the radiographic examination of the chest cannot identify the patient's specific right-sided thoracic chest pain.
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<unk>-year-old male patient with diabetes, hypertension,hdl increase, history of lower right-sided chest wall pain, evaluate for intrathoracic process, etiology of right lower chest wall pain.
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Feeding tube terminates within the body of the stomach. Left chest tube remains in place with a persistent small left apical pneumothorax. Recently described opacities in the left mid and lower lung have slightly improved. Moderate left pleural effusion is unchanged. Right pleural effusion and adjacent right lower lung opacity also appear similar to the prior study.
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The heart is mild to moderately enlarged and probably increased somewhat in size. The vascular pedicle is widened and each hilum shows fullness with indistinct pulmonary vasculature. More generally hazy opacification of each lung suggests moderate pulmonary edema. There are no definite pleural effusions. There is no pneumothorax.
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productive cough, nausea common it vomiting and elevated lactate.
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There has been no substantial interval change compared to the previous exam. Small right pleural effusion is again demonstrated with bibasilar streaky opacities likely reflective of atelectasis. Infection in the right lung base cannot be completely excluded. A trace left pleural effusion is likely present. Cardiac and mediastinal contours are unchanged. The pulmonary vasculature is not engorged. Tracheostomy tube is in standard position. No pneumothorax is identified.
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history: <unk>f with permanent tracheostomy, and <num> day increased sputum and suctioning requirements
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An accessed right pectoral mediport extends into the upper right atrium. A left basilar drainage catheter is unchanged in position. The right pleural effusion has substantially decreased post thoracentesis. Bandlike opacities at the right lung base are likely due to atelectasis. The small left pleural effusion is not appreciably changed. However, retrocardiac opacification of the left lung base has increased. Mild pulmonary edema has also slightly increased. There is no pneumothorax. Mild cardiomegaly is unchanged.
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<unk> year old woman with malignant pleural fluid s/p <unk> // r/o ptx
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Interval placement of an endotracheal tube, the tip which is seen terminating <num> cm above the level of the carina. As compared with the prior examination performed <num> hr prior, there has been no other significant interval change.
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evaluate ett placement.
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Pa and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with next preceding chest examinations obtained during <unk>. Heart size is within normal limits. No typical configurational abnormalities identified. Thoracic aorta mildly widened but not elongated and no local contour abnormalities are seen. Pulmonary vasculature is not congested. No signs of acute or chronic parenchymal infiltrates are present and the lateral and posterior pleural sinuses are free. No pneumothorax in the apical area. Skeletal structures of the thorax grossly unremarkable. Comparison is made with the previous chest examinations. No significant interval change could be identified. The patient was under evaluation for kidney transplant <unk>. Thus, the present examination does not demonstrate cardiac enlargement, evidence of pulmonary vascular congestion or acute infiltrates.
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<unk>-year-old male patient with chronic cough for past three weeks, evaluate for any cardiopulmonary process.
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As compared to the previous radiograph, the left pneumothorax is unchanged. Also unchanged is the mild collection in the left soft tissues and the subtle post-surgical changes at the left lung bases. There is no evidence of tension. Unchanged appearance of the right lung, with post-surgical apical right-sided clips.
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status post left-sided vats, pleurodesis. evaluation for interval change.
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The heart is normal in size. There is mild unfolding of the descending thoracic aorta. There is no pleural effusion or pneumothorax. The lungs appear clear. Clips project over the right upper quadrant of the abdomen.
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chest pain.
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Pa and lateral views of the chest provided. Lung volumes are low. 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.
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<unk>m with cough
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In comparison with study of earlier in this date, there is no definite change. Again it is extremely difficult to distinguish large pneumatoceles in the left upper zone from pneumothorax. Continued mild enlargement of the cardiac silhouette with bibasilar atelectasis and elevation of pulmonary venous pressure. Some distention of the trachea is again seen about the tracheostomy tube.
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chest tube on waterseal.
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As compared to the previous radiograph, no relevant change is noted. The monitoring and support devices are constant. Normal size of the cardiac silhouette. Normal hilar and mediastinal structures. The pre-existing left retrocardiac atelectasis has substantially improved. No new focal abnormalities in the lung parenchyma. No pleural effusions.
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recent discharge, evaluation.
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The patient is status post tavr, with stable appearance of the thoracic aorta. Mild cardiomegaly is present, accompanied by pulmonary vascular congestion. Worsening bibasilar opacities may reflect a combination of atelectasis and pleural effusion, but co-existing aspiration or infection is possible in the appropriate clinical setting. Interval re-positioning of picc, now terminating in the lower superior vena cava.
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The cardiac silhouette is top-normal in size. There is calcification of the aortic knob. The hilar and mediastinal contours are otherwise within normal limits. Lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax. A metallic stent projects over the expected location of the right brachiocephalic vein and svc.
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history: <unk>m with ?cva // acute process?
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Subtle left base retrocardiac opacity most likely represents combination of overlap of vascular structures and atelectasis, less likely consolidation. No definite focal consolidation seen elsewhere. No large pleural effusion is seen although there is a possible trace left pleural effusion. Cardiac silhouette remains mild to moderately enlarged. Mediastinal contours are stable. No overt pulmonary edema is seen. Subtle appearance of evolving h-shaped vertebra, finding in sickle cell patients.
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history: <unk>m with back pain, cough // ?pna
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There is minimal bilateral lower lobe atelectasis. The lungs are otherwise clear. There are small bilateral pleural effusions. The heart size is top normal. There is pulmonary vascular congestion, without frank interstitial edema. The mediastinal contours are normal. There is no pneumothorax.
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fever and cough. assess for infiltrate.
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Ap single view of the chest has been obtained with patient in supine position. Analysis is performed in direct comparison with the next preceding similar study obtained nine hours earlier during the same day. The patient is intubated and the ett remains in unchanged position terminating in the trachea some <num> cm above the level of the carina. Still present are the previously described right internal jugular central venous lines and a right-sided picc line, both terminating in the mid portion of the svc. No pneumothorax can be seen. An ng tube is identified, seen to terminate well below the diaphragm. The line reaches below image field. The presence of an ng tube was already observed on the preceding examination obtained earlier during the day.
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<unk>-year-old male patient with orogastric tube placed, check position.
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Lung volumes are low. Heart size is mildly enlarged. The aorta remains tortuous. Mediastinal and hilar contours are otherwise stable. Pulmonary vasculature is not engorged. Elevation of the right hemidiaphragm is unchanged. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormality is visualized.
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<unk> year old woman with chest pressure and shortness of breath
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As compared to the previous radiograph, there is unchanged moderate cardiomegaly. Interval appearance of a mild-to-moderate right pleural effusion with subsequent right basal atelectasis. The presence of a left pleural effusion cannot be excluded. Small left retrocardiac atelectasis. Overall, the lung volumes have decreased and there is a mildly increasing interstitial markings, potentially suggestive of mild fluid overload. The shape of the cardiac silhouette could suggest presence of a small pericardial effusion that could be confirmed or excluded by echocardiography. The referring physician, <unk>. <unk>, was paged for notification at the time of dictation, <time> a.m., on <unk>.
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myelofibrosis, possible pneumonia, followup.
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A three-lead pacemaker/icd device with leads terminating in the right atrium, right ventricle, and coronary sinus, respectively, appears unchanged. The heart is moderately enlarged. The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. Upper zone re-distribution of pulmonary vascularity and indistinct pulmonary vessels, as well as a mild interstitial process, suggest mild vascular congestion, similar to mildly increased. Streaky superimposed right mid lung opacities are suggestive of atelectasis.
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shortness of breath. history of congestive heart failure.
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The cardiac, mediastinal and hilar contours are normal. Lungs are clear. No pleural effusion or pneumothorax is present. Pulmonary vascularity is normal. There are no acute osseous abnormalities.
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dizziness.
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There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. No free air below the right hemidiaphragm is seen.
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history: <unk>f with cough, dyspnea // eval for pna
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Compared to the prior radiograph, there has been insertion of a left chest tube with reinflation of left lung. Cardiomediastinal contour is normal and the lungs are clear.
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history: <unk>m with pneumothorax now s/p l chest tube insertion. // assess tube placement
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There is a new left basilar patchy opacity. Left lower lobe atelectasis and collapse largely unchanged, left-sided volume loss with mild left hilar shift. No pneumothorax is seen.
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<unk> year old man with sputum increased o<num> demand // pna? pna?
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The lungs are clear without consolidation, effusion, or edema. The cardiomediastinal silhouette is stable. Tortuosity of the descending thoracic aorta is noted. Bilateral shoulder arthroplasties is again seen.
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<unk>f with intermittent sob, recently had bronchitis // ? effusion, consolidation
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Apart from minimal left basilar subsegmental atelectasis, the lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
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shortness of breath and congestive heart failure.
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Frontal and lateral views of the chest. The lungs are clear of focal consolidation. The cardiomediastinal silhouette is unchanged given differences in positioning on the current exam. No acute osseous abnormality is identified. Median sternotomy wires are noted.
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<unk>-year-old male with copd, cough and sputum production.
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Since <unk>, no new focal consolidations are noted. The lung volumes remain low with mild compressive atelectasis. The heart size is stable. Mild pulmonary congestion is noted. No pneumothorax.
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<unk> year old man with lt iph, mass now with cough // pneumonia, aspiration?
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Ap portable upright view of the chest. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact.
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<unk>m with chest pain and dyspnea // ?cpd
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<num> there are low lung volumes. There is subsegmental atelectasis at both lower lobes. There are small bilateral pleural effusions. There is mild pulmonary vascular redistribution. The cardiac silhouette is upper limits normal in size. There is retrocardiac opacity that could be due to volume loss/infiltrate/effusion.
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hypoxia.
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In comparison with the study of <unk>, the previously described pneumomediastinum has decreased, with only a faint suggestion of gas. No evidence of acute focal pneumonia, vascular congestion, or pleural effusion. Of incidental note is an old healed fracture of the right clavicle.
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asthma with possible pneumomediastinum or pneumonia.
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Worsened left perihilar, left basilar infiltrate compared the prior exam. Increasing left lower <unk> consolidation, <unk> in part be from atelectasis. <num> cm rounded opacity left costophrenic angle is new since prior exam, <unk> represent some loculated fluid, cavitation unlikely. Follow-up chest pa and lateral recommended. Mildly improved right basilar infiltrate. There are few benign calcified lung granulomas. Heart size is increased. Normal pulmonary vascularity. Surgical clips upper abdomen
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<unk>m w oropharyngeal cancer s/p surgical resection and radiation with g-tube since <unk>, dysphagia, vocal fold immobility and frequent aspiration pneumonia (admission for pna in <unk>) who presents with gib and hypotension. // interval change
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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.
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<unk>f with cp // ptx
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Frontal and <num> lateral chest radiographs were obtained. Right basilar atelectasis is minimal. Right basilar scarring is similar. Cardiomegaly is unchanged. There is no consolidation effusion or pneumothorax.
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left chest pain.
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The cardiomediastinal silhouette and pulmonary vasculature are normal. The lungs are clear. There is no pleural effusion or pneumothorax.
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<unk>f w/tibial plateau fx, needs pre-op cxr // <unk>f w/tibial plateau fx, needs pre-op cxr
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Cardiac size is normal. There is a new dense consolidation in the left mid lung which may be pneumonia or aspiration. Small bilateral pleural effusions with bibasilar atelectasis and volume loss new since <unk>. There is no pneumothorax. Sigmoid scoliosis. Ng tube extends past the diaphragm beyond the inferior margins of the study.
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<unk> year old woman s/p ngt placement // ngt placement
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As compared to chest radiograph from <num> day prior, no acute focal consolidation. No significant pleural effusions or pneumothorax. The lungs remain hyperinflated, with severe upper lobe predominant emphysema and endobronchial clips in the right upper lobe. Mild pulmonary edema.
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<unk> year old woman with emphysema, now w/ hypoxia, exam notable for crackles on l side // eval for pulm edema
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The heart size is normal. Mediastinal and hilar contours are within normal limits. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. Mild elevation of the left hemidiaphragm is unchanged.
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cough with right-sided lateral chest pain.
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The heart is normal in size. The mediastinal and hilar contours appear unchanged. A discrete nodular focus projects inferior to the left hilum near the left cardiac border. It may represent a normal vascular structure but at least raises some concern for a nodule. When clinically appropriate, repeat views with standard pa and lateral technique are recommended to assess further.
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heart block.
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Frontal and lateral views of the chest were obtained. Complete opacity of the left hemithorax is in this patient status post left pneumonectomy with post-surgical changes along the left chest wall, similar to prior. There is associated significant volume loss. There may be mild pulmonary vascular congestion of the right lung, improved since the prior with underlying pulmonary emphysema. No focal consolidation is seen. The cardiac silhouette is not assessed due to its shift into the left hemithorax and overlying left hemithorax opacity.
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Frontal and lateral views of the chest were obtained. Cardiac and mediastinal silhouettes are stable. There is mild bibasilar atelectasis. There is chronic minimal prominence of the interstitial markings bilaterally with possible superimposed minimal interstitial edema. Subtle opacity at the lateral right lung base is compatible with scarring seen on prior ct. Otherwise, there has been no significant interval change since prior radiograph from <unk>.
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Ng and et tubes are in unchanged, standard positions with the ng tube coursing into the upper stomach. The cardiomediastinal and hilar contours are stable with top-normal heart size, increased in size from the most recent prior study. There is no pleural effusion or pneumothorax. The lungs are well expanded. Heterogeneous opacities at the lung bases are improved slightly at the left lung base but worsened on the right lung base and may reflect recent aspiration or pulmonary edema.
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<unk> year old man with new onset seizure // intubated.
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Ap portable supine view of the chest. An endotracheal tube is seen with its tip located <num> cm above the carinal. An orogastric tube extends into the left upper abdomen. There is retrocardiac opacity which could represent atelectasis versus pneumonia/ aspiration. There is a small left pleural effusion suspected. No supine evidence for pneumothorax. Mild right basal atelectasis noted. Bony structures appear demineralized though grossly intact.
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<unk>m with angioedema intubated // ? tube placement
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The patient is status post median sternotomy and cabg. The heart size is mild to moderately enlarged but unchanged. The mediastinal and hilar contours are stable, with the thoracic aorta appearing mildly tortuous. Mild pulmonary edema appears relatively similar compared to the prior study. Subsegmental atelectasis is noted in both lung bases. Possible trace bilateral pleural effusions are present. There is no pneumothorax. Right picc has been removed. Degenerative changes of the imaged thoracic spine and right acromioclavicular joint are noted.
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leukocytosis, crackles on exam.
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Compared with the prior chest radiograph, the left picc line has been removed. Again seen is mild vascular congestion, but no focal consolidation within the lungs. Cardiomegaly is unchanged.
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<unk>m with chest pain, shortness of breath, fever, sirs(+). eval for acute process, attn to pna.
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In comparison with study of <unk>, there is no interval change or evidence of acute cardiopulmonary disease. No pneumonia, vascular congestion, or pleural effusion. Midline sternal wires remain intact.
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shortness of breath and recent cold.
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The lungs are clear and the lung volumes are normal. There is no pleural effusion, pneumothorax or focal airspace consolidation. The heart is normal size. There is no evidence for pulmonary edema. The mediastinal and hilar contours are unremarkable.
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lower extremity edema. evaluate for heart failure.
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In comparison with the study of <unk>, the monitoring and support devices remain in place. There are bibasilar opacifications, increasing and now more prominent on the right, consistent with bilateral consolidations.
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subarachnoid hemorrhage with possible pneumonia.
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Right chest wall port is seen in stable position. The lungs are clear without focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
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<unk>f with dyspnea, wheezing, h/o asthma // ? acute cardipulm process
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Opacity in the medial right lower hemithorax likely reflects volume loss in the right middle lobe seen on prior ct although pneumonia cannot be excluded. No edema, effusion, or pneumothorax. Heart size is normal. Mediastinal contours are unchanged. A hiatal hernia is small. Rib fractures on the right are similar in appearance. Incompletely imaged right humerus fixation hardware.
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<unk> year old woman with fever and hypoxia. evaluate for acute process.
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Lungs appear hyperinflated. Cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation.
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history: <unk>m with tachycardia // tachycardia
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Ap single view of the chest has been obtained with patient in sitting semi-upright position. Comparison is made with the next preceding similar study obtained <num> hours earlier during the same day. The patient remains intubated, and ett again seen to terminate in the trachea <num> cm above the level of the carina. An ng tube remains in place, again the position of the side port is close to the hiatal area, further advancement may be indicated as before. The pulmonary vasculature is not congested, but similar as on preceding examination, the relatively high positioned diaphragms result in crowded appearance of the pulmonary vasculature, and plate thin bilateral peripheral atelectasis are noted, but there is no evidence of significant pleural effusion or acute pulmonary infiltrates. No evidence of pneumothorax in the apical area. In comparison with the next preceding study, the chest findings are stable.
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<unk>-year-old male patient with known seizure disorder and pneumonia. hypoxic after transferred from inr. ett placement.
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Frontal and lateral views of the chest were obtained. The heart is of normal size with stable cardiomediastinal contours. Lung volumes are low. No focal consolidation, pleural effusion, or pneumothorax. No pneumomediastinum. The catheter of a right chest wall port terminates in the lower svc.
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<unk>-year-old male with chest pain after vomiting. evaluate for esophageal perforation.
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Multiple rounded opacities some of which with central cavitation are again seen in the bilateral lungs consistent with patient's known septic emboli. There is a small left pleural effusion with bibasilar atelectasis. The left picc line is in unchanged position. No pneumothorax. Stable cardiomediastinal contours.
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<unk>m with dyspnea. recent discharge for endocarditis, h/o bl pleural effusions s/o drainage, question acute process?
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear.
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hypoxia and cough.
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Chest pa and lateral radiograph demonstrates unremarkable mediastinal and hilar contours. Heart size is top normal. Patient is status post cabg with mediastinal clips evident. Clips also located in right breast. Sternotomy sutures are midline and intact. Lungs are clear. No pleural effusion, pneumothorax, or pneumoperitoneum evident.
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belching, please evaluate for air-fluid levels.
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Since the prior radiograph, there has been interval placement of a right ij introducer and an enteric tube. An endotracheal tube terminates approximately <num> cm above the carina. Within the lungs, there are diffuse bilateral parenchymal opacities, which likely represents pulmonary edema. However, there may also be focal opacification of the right upper lobe, which is concerning for superimposed aspiration/pneumonia. The heart to is enlarged, which may be partially due to ap technique, but it has been noted as far back as <unk>. No acute osseous abnormalities.
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<unk> year old woman, intubated // eval for volume overload
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<num> views were obtained of the chest. The right central venous catheter has been removed. There is also a substantial decrease in the bilateral parenchymal opacities. The lungs are hyper expanded without focal consolidation. Small left and trace right effusions are noted with faint retrocardiac atelectasis. The heart is normal in size with normal mediastinal and hilar contours.
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dyspnea with hypoxia. assess for empyema or effusion.
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A right-sided port-a-cath is in place with tip terminating in the lower svc, unchanged. The focal opacity at the left lung apex, which was seen previously is slightly more dense. There has been left-sided thoracentesis with reduction in size of the now small left pleural effusion. No pneumothorax. Small right pleural effusion is slightly increased. Right lung remains clear. Osseous structures are unchanged.
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metastatic colon cancer, pseudomonas bacteremia and left pleural effusion status post thoracentesis. please assess for pneumothorax.
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As compared to the previous radiograph, there is no relevant change. The monitoring and support devices are constant. Low lung volumes and borderline size of the cardiac silhouette but no evidence of pulmonary edema, pleural effusions or pneumonia. No pneumothorax.
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increased respiratory rate, evaluation for interval change.
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As compared to the previous radiograph, pre-existing left lower lobe pneumonia has completely resolved. Currently, there is no pathologic opacity in the lung parenchyma. No pulmonary edema. No lung nodules or masses. No pathological scarring. Mild degenerative vertebral disease. Borderline size of the cardiac silhouette. Normal contours of the mediastinum and hilar structures.
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end-stage renal disease, evaluation for kidney transplant.
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An endotracheal tube terminates <num> cm above the carina. The monitoring and support devices remain in place. Again seen is a hazy opacity of the right lower lung which remains unchanged from prior examination and is likely a pleural effusion. There is opacification of the left lower lung, which is likely an effusion and/or atelectasis. The cardiomediastinal silhouette is unchanged from prior examination.
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<unk>-year-old female patient with low pa o<num> and decreased sats. study requested for evaluation of collapse and location of ett.
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Cardiac, mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities identified. No subdiaphragmatic free air is present. Remote right mid clavicular fracture is noted.
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history: <unk>f with constipation, no bowel movement in <num> days. also with palpitations and fever. // obstruction? pna?
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Ap portable upright view of the chest. No free air is seen below the right hemidiaphragm. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact.
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<unk>f with recent eus // please eval for free air
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Comparison is made to previous study from <unk>. There is only one lead seen extending into the right atrium. Previously two leads were identified. The generator is also rotated since the previous study and may be a new device. Please correlate with prior surgery. Heart size is within normal limits. Lungs are grossly clear. There are no pneumothoraces identified.
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Mild cardiomegaly and tortuosity of thoracic aorta is unchanged. There is central pulmonary vascularization with cephalad redistribution and trace interstitial edema. There is mild bibasilar atelectasis. Pleural surfaces are clear without effusion or pneumothorax. Multiple wedge compression deformities of the thoracic vertebral bodies are unchanged.
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atrial fibrillation and chronic kidney disease, presenting with chest pain.
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There is increased lucency at the right base which suggests that a right inferior pneumothorax might be present, however the margins of the lung are not visualized. No pneumothorax is seen on the left. Overall the appearance of the lungs shows improved aeration of the right mid lung with persistent patchy areas of alveolar infiltrate bilaterally
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bilateral pigtails to water seal.
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Patient is status post median sternotomy and cabg. A left-sided aicd/pacemaker device is re- demonstrated with leads in unchanged positions. Mild enlargement of the cardiac silhouette is re- demonstrated. The mediastinal and hilar contours are unchanged. Patchy opacities in the lung bases are again noted, most likely reflective of atelectasis. No pleural effusion, pulmonary edema, or pneumothorax is identified. Minimally displaced fracture of the right eleventh rib laterally is better assessed on the previous. Coarse calcification within the right breast is unchanged.
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history: <unk>f with fall, rib fracture, and ?effusion on cxr // eval for worsening effusion
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There may be a very minimal trace left apical pneumothorax with left chest tube in place. Right internal jugular central venous catheter is stable. Patient is status post median sternotomy and cabg. Cardiomediastinal silhouettes are stable. There are persistent bilateral pleural effusions with overlying atelectasis. There is mild pulmonary vascular congestion and possible development of left mid lung atelectasis.
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A <num> mm calcified granuloma overlying the right upper lobe is again seen. The heart size is normal. Patient is post cabg with intact median sternotomy wires. Compared to the prior study, a new opacity in the retro left lower lobe could be due to atelectasis, or pneumonia in the correct clinical setting. No pneumothorax.
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<unk>m with <num>d cp with radiation. evaluate for acute cardiopulmonary process.
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Portable ap upright view of the chest provided. Lung volumes are low. Vague opacity in the left lower lung could represent an area of atelectasis or scarring. No convincing evidence for edema, effusion or pneumothorax.
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<unk>m with tachypnea s/p fluid resuscitation // eval for interval change
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There is no evidence of pneumothorax. There are no focal opacities concerning for infection. Left lower lobe atelectasis is present, however, but this clears upon deeper inspiration in the lateral films. Cardiac size is normal. The aorta is tortuous. No rib fractures are appreciated on these non-dedicated films.
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right lateral chest pain after fall. question pneumothorax or rib fracture.
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Pa and lateral views the chest were provided demonstrating clear well expanded lungs without focal consolidation, large effusion or pneumothorax. The heart is top-normal in size. The mediastinal contour is stable with mild atherosclerotic calcification at the aortic knob. Bony structures are intact. No free air below the right hemidiaphragm.
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<unk>m with shortness of breath
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Stable cardiomegaly accompanied by worsening asymmetrically distributed heterogeneous lung opacities affecting the right lung to a greater degree than the left. This could reflect asymmetrical edema or potentially multifocal aspiration in setting of a very large hiatal hernia. Bilateral small pleural effusions have increased in size slightly.
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Endotracheal tube, left chest tube, and right subclavian catheter as well as left pectoral pacemaker are in unchanged position. Moderate bilateral pleural effusions with subsequent areas of atelectasis at the lung bases. Unchanged normal appearance of the lung parenchyma. The known bilateral rib fractures as well as the left clavicular fracture are better appreciated on the ct examination from <unk>. There currently is no evidence of pneumothorax.
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high-speed motor vehicle accident, bilateral changes.
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Single portable view of the chest is compared to previous exam from <unk>. The lungs are clear of consolidation. Cardiomediastinal silhouette is normal. Osseous and soft tissue structures are unremarkable.
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<unk>-year-old female with tachycardia and cough.
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As compared to prior chest radiograph from <unk>, the degree of pulmonary edema has improved. There is moderate pulmonary congestion with an interstitial component. Moderate right pleural effusion, may be smaller when compared to prior. There is a small left pleural effusion. Cardiomegaly is stable.
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<unk>-year-old female patient with hepatorenal syndrome, worsening respiratory status. study requested for evaluation of pulmonary edema.
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The cardiomediastinal and hilar contours are stable with unchanged position of valve replacements and median sternotomy wires. There is unchanged position of a left brachiocephalic vein stent. Blunting of the right costophrenic angle is unchanged. There is a new blunting of the left costophrenic angle since <unk>, indicative of a small pleural effusion. There is no pneumothorax. Lungs are well expanded. Minimal linear atelectasis is present at the right lung base. There is no focal consolidation concerning for pneumonia. Pulmonary vasculature is within normal limits.
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end-stage renal disease, presenting with hypotension.
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The lungs are symmetrically well expanded and well aerated without focal consolidation, pleural effusion or pneumothorax. An oblique density projecting over the left lateral lung base likely reflects plate-like atelectasis in the lingula, unchanged. The pulmonary vasculature is not engorged. The cardiomediastinal and hilar contours are within normal limits. There is a hiatal hernia.
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dka with unknown precipitant and weakness, here to evaluate for pneumonia.
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Cardiac, mediastinal and hilar contours are unchanged, with the heart size within normal limits. Emphysema is again seen within the lungs. There are linear opacities in both lung bases compatible with atelectasis. Small bilateral pleural effusions are likely slightly decreased in size. There is no pneumothorax. No acute osseous abnormalities are visualized.
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cough, hypoxia, shortness of breath.
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The lungs are well-expanded and clear. The cardiomediastinal silhouette is unremarkable. There is no pleural effusion, pneumothorax, pulmonary edema, or focal consolidation.
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history: <unk>m with dyspnea cough // acute cardiopulmonary disease
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Pa and lateral chest radiographs were obtained. The lungs are clear. No effusions, pneumothorax, or consolidation is identified. Mediastinal contours are normal.
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<unk>-year-old woman with cough and fever.
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No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable and unremarkable..
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history: <unk>m with chest burning and strep throat // eval for pneumonia
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A right-sided picc tip terminates in the mid svc. No pneumothorax. Left-sided pacer device is noted with leads terminating in the right atrium and right ventricle. Mild cardiomegaly is re- demonstrated. The aorta is diffusely calcified. The mediastinal and hilar contours are unchanged. Pulmonary vasculature is not engorged. Streaky opacities in the lung bases likely reflect areas of atelectasis. No pleural effusion or pneumothorax is present. Osseous structures are diffusely demineralized.
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history: <unk>f with picc placement.
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Spinal fusion hardware is intact and unchanged in position. Heart appears normal in size and cardiomediastinal contours are unremarkable. Lungs are well expanded and clear. There are no focal areas of consolidation. No pleural effusions and no pneumothorax.
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<unk>-year-old woman with history of smoking and chronic cough x<num> months,? mass.
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<num>. Vague left basilar opacity, in the appropriate clinical context, may represent pneumonia. <num>. Increased, bibasilar interstitial markings, of unclear etiology, possibly related to mild edema versus chronic interstitial lung disease. <num>. Widespread, multifocal osteoblastic disease.
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<unk>m with sob, fever // eval for pleural effusion, pna
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The patient is status post median sternotomy and cabg. The patient is slightly rotated. There is stable elevation of the right hemidiaphragm. There is no pneumothorax or pleural effusion. The lungs remain clear. The heart and mediastinum are magnified by the projection.
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<unk> year old man with new cerebellar stroke, r knee fracture, agitation, tachycardia and hypoxemia. eg <unk>%; evaluate for fluid overload, signs of pe, pna, or other reasons for desaturation.
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Cardiac silhouette size is normal. The aorta is mildly tortuous with atherosclerotic calcifications noted at the knob. The pulmonary vasculature is not engorged. Hilar contours are similar. Lungs are hyperinflated with mild emphysematous changes again noted predominantly in the upper lobes. Patchy opacities are demonstrated in the lung bases without focal consolidation. No pneumothorax is present. Blunting of the costophrenic angles posteriorly on the lateral view suggests trace bilateral pleural effusions. No acute osseous abnormalities are visualized.
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history: <unk>m presenting with lower extremity edema and cough // please evaluate for fluid overload
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There are relatively low lung volumes. No focal consolidation is seen. Large hiatal hernia is seen. There is slight blunting of the posterior costophrenic angles may be due to atelectasis, however, trace pleural effusion not excluded. Cardiac and mediastinal silhouettes are stable. No pneumothorax is seen. There is no overt pulmonary edema. Degenerative changes of the partially imaged glenohumeral joints again noted.
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history: <unk>m with congestion, ams // pna
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Frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is no pulmonary edema. Partially imaged. Upper abdomen is unremarkable. Multiple surgical clips project over right upper abdomen. No definite rib fracture is identified.
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patient with recent trauma to left chest. assess for fracture.
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Pa and lateral views of the chest provided. The lungs remain clear bilaterally. Overall cardiomediastinal silhouette is unchanged with stable prominence of the right pulmonary hilum better assessed on prior cta chest. No pleural effusion or pneumothorax. No acute bony abnormalities.
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<unk>f with headache, htn // eval for bleed
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| null |
In comparison with the study of <unk>, there is little change. Monitoring and support devices remain in good position. Continued low lung volumes with atelectatic changes less prominent at the left base.
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post-operative.
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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. A gastric band projects over the upper abdomen.
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: <unk>f with pmh cluster/migraine headaches, anxiety, previous pe who presents with n/v/d and chest pain and dyspnea
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Comparison is made to previous study from <unk>. There is a tracheostomy tube which is appropriately sited. There is a left-sided central venous line with the distal lead tip in the mid svc, unchanged. There is a feeding tube whose distal tip is below the ge junction off the field of view of study. The heart size is enlarged but unchanged. There is some atelectasis at the right lung base. There is a left retrocardiac opacity which is unchanged from prior. There are no signs for overt pulmonary edema or pneumothoraces.
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The left pectoral dual-lead pacemaker is unchanged. Sternotomy wires are intact and aligned. The patient has had prior tricuspid valve replacement and mitral valve repair. Mild pulmonary edema is unchanged, moderate cardiomegaly, and small bilateral pleural effusions, right greater than left, are unchanged. There is no pneumothorax.
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<unk> year old woman with history of mitral regurgitation. assess for effusion // effusion, chf
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Cardiomediastinal contours are stable. Small bilateral effusions have increased. Multifocal consolidations in the right lung and left lower lobe have minimally increased in the right upper lobe. There is no evident pneumothorax residual contrast from video oropharyngeal swallow is noted
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<unk> year old man s/p esophagectomy p/w rll pneumonia // perform at <time>am on <unk>. r/o interval change
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