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Comparison is made to prior study from <unk>. There has been removal of the right-sided picc line. Heart size is within normal limits. There are no pneumothoraces. There are no focal consolidations. There is mild atelectasis at the left lung base.
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Heart size is at the upper limits of normal or slightly enlarged, with a left ventricular configuration. The aorta is minimally unfolded. There is possible slight upper zone redistribution, but no overt chf. There is minimal atelectasis at both lung bases. No gross effusion. The extreme costophrenic angles are excluded from the film. No pneumothorax is identified. There are ununited fractures of the right eighth and ninth posterior ribs, with slight displacement, that appears subacute or chronic. Incidental note is made of effacement of the acromial humeral interval in both shoulders, consistent with bilateral chronic rotator cuff tears.
<unk> year old man with altered mental status // presence of pleural effusions or interstitial process
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Low lung volumes are present. This accentuates the size of the cardiac silhouette which is mildly enlarged but unchanged. The mediastinal and hilar contours are stable. There is crowding of the bronchovascular structures but no pulmonary edema is demonstrated. Minimal patchy bibasilar opacities may reflect atelectasis though infection is difficult to exclude. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities present.
fever.
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Frontal and lateral views of the chest demonstrate airspace opacity predominantly in the right lung base, which is new since <unk>. There is no pleural effusion or pneumothorax. Mild perihilar vascular congestion is noted. Hilar and mediastinal silhouettes are otherwise unremarkable. Heart size is normal.
hypoxia and rigors.
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No significant interval change. No focal consolidation, edema, effusion, or pneumothorax. Cardiomediastinal contours are within normal limits. No acute osseous abnormality. Extensive multilevel degenerative changes of thoracic spine with some loss of vertebral body height and prominent anterior osteophytes appear similar to the prior radiograph and prior ct exams from <unk> and <unk>. There is diffuse idiopathic skeletal hyperostosis, unchanged.
<unk>-year-old man presenting with chest pain. evaluate for pneumonia.
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There is mild pulmonary vascular congestion. No focal consolidation is identified. The cardiac silhouette is normal. There is no pleural effusion or pneumothorax. There is persistent elevation of the right hemidiaphragm. A left subclavian stent is again noted.
dka, evaluate for pneumonia.
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Right internal jugular central venous catheter tip terminates in the upper svc. No pneumothorax is clearly visualized. The endotracheal and enteric tubes remain in unchanged positions. Lucency about the mediastinum is concerning for pneumomediastinum cardiac silhouette size is not enlarged. Worsening diffuse alveolar opacities are present with bilateral pleural effusions. No acute osseous abnormalities detected.
history: <unk>m with intubation, right internal jugular central line placement
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Enlargement of the cardiac and mediastinal silhouettes is grossly stable. There is a large left pleural effusion with overlying atelectasis, underlying consolidation is not excluded. Left-sided opacity appears slightly increased. Small right pleural effusion is again seen. Central pulmonary vascular congestion is also seen.
history: <unk>f with chf and left pleural effusion, from <unk>, pls assess for interval change // history: <unk>f with chf and left pleural effusion, from <unk>, pls assess for interval change
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In comparison to the chest radiograph obtained <num> day prior and allowing for changes in patient positioning, no significant changes are appreciated. Ett, <num> enteric tubes, right-sided ij, and vp shunt are unchanged and appropriate in position. Increased, small, left pleural effusion and decreased, small, right pleural effusion. Substantial bibasilar atelectasis unchanged. Moderate cardiomegaly unchanged without pulmonary edema. Calcified mediastinal and hilar lymph nodes unchanged.
<unk> year old man with shock and respiratory failure // tubes/lines placement, acute intrapulmonary process
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There is left-sided volume loss with an increased pleural effusion when compared with <unk>. Retrocardiac atelectasis has also increased, and superimposed pneumonia cannot be ruled out in the proper clinical setting. Evaluation is limited by the left scapula projecting over the the area of concern. Lateral views may also be helpful if clinically feasible. The right lung is clear. There is no pulmonary vascular congestion or pneumothorax. A surgical clip projects over the left tracheobronchial angle.
<unk> year old woman with nash cirrhosis decompensated by ascites, decreased lung sounds at lll // please r/o pna
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A single portable ap semi-upright view of the chest was obtained. Heart is normal in size and cardiomediastinal contour is unremarkable. Lungs are clear. Right lower rib fractures are better evaluated on the ct scan. There is no pleural effusion or pneumothorax.
<unk>-year-old man with fall, rib fracture, chest pain, assess for pneumothorax.
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Small pleural effusions are slightly increased with bibasilar atelectasis. There is no new lung consolidation. Cardiac contour is top normal and stable. Left-sided picc line ends in lower svc. There is no pneumothorax.
patient with chf, copd, acute shortness of breath, wheezing, pulmonary edema.
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The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. No fracture is identified.
chest pain after a motor vehicle crash. evaluate for fracture.
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>m with pain with inspirtaion // eval for acute process
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Hyperexpansion of the lungs is similar to prior. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Irregular density projecting over the left humerus is similar to <unk>. No free air below the right hemidiaphragm is seen. Upper abdominal catheter is partially imaged.
<unk> year old woman with hx of squamous cell cancer s/p chemo and xrt with pain in left lower ribs // fracture?
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The cardiomediastinal silhouette and hilar contours are unremarkable. Linear opacities seen best anteriorly on the lateral view are probably right middle lobe atelectasis which could be due to obstruction from bronchial infection. Lateral view also suggests a <num>mm nodule projecting over the aorta just cephalad to the left hemidiaphragm. Pleural surfaces are normal.
fever and cough.
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Compared to the most recent prior radiograph, there is no change in enlarged heart size and postoperative appearance of the mediastinum. Low lung volumes persist with retrocardiac opacification consistent with atelectasis and effusion. Pulmonary vascular congestion is unchanged. No pneumothorax.
status post avr, question tamponade.
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Pa and lateral chest radiographs demonstrate a left chest dual pacing device, its leads which appear intact and stable in position. Heart size is mildly enlarged. There is central vascular engorgement without overt evidence of pulmonary edema. Blunting of the left costophrenic angle is likely atelectatic in etiology. There is no pleural effusion or pneumothorax. There is no evidence to suggest pneumonia.
history: <unk>f with ? pna, dyspnea // ? acute cardiopulm process, ? pna
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The et tube ends in the lower trachea. A right apical chest tube remains in place. A nasogastric tube terminates in the stomach. Vertebral fixation devices remain intact. Multiple bilateral rib fractures are re-demonstrated. Small bilateral pleural effusions have decreased on the right. Right basilar subsegmental atelectasis has improved. The heart and mediastinum are magnified by the projection. Mild pulmonary edema is unchanged.
<unk> year old woman with pulmonary edema // pulmonary edema
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The heart is not enlarged. Within the limits of plain film radiography, no hilar or mediastinal lymphadenopathy is detected. No chf, focal infiltrate or gross effusion is identified. There is slight blunting of the right and left costophrenic angles both laterally and posteriorly. The upper edge of the right lung at the right lung apex is visualized -- by doubt, but cannot entirely exclude a tiny right pneumothorax, though reported symptoms are not suggestive of fat. Alternatively, this could represent a chronic appearance due to chronic scarring. No free air seen beneath the diaphragm. The previously seen subdiaphragmatic free air (<unk> radiograph) have resolved. Multiple clips are again noted in the left upper abdomen.
<unk> year old woman with cough, elevated wbc // r/o pneumonia
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Tracheostomy tube, feeding tube, and left subclavian central venous catheter are unchanged in position. Left upper lobe parenchymal cavitary opacities are similar, perhaps slightly decreased from the prior study. The bases are better aerated bilaterally with decrease in retrocardiac opacification. Trace left pleural effusion may be present. Cardiac size and cardiomediastinal silhouette are unchanged.
pneumonia with trach in place, assess for change.
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A portable upright chest radiograph demonstrates an endotracheal tube in the mid to lower thoracic trachea, left approach central line with the tip in the low svc, and nasoenteric tube coursing below the diaphragm and off the inferior edge of the image. There has been interval resolution of a right pleural effusion. No pneumothorax is present. Mild pulmonary edema is greater on the right than left. Bibasilar consolidations could represent atelectasis, but a superimposed infectious process cannot be excluded. The visualized upper abdomen is unremarkable.
evaluate for interval change in a patient with ivh, pneumonia, and large right pleural effusion, now status post thoracentesis.
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Frontal and lateral views of the chest. The lungs are clear. Cardiomediastinal silhouette is stable. No acute osseous abnormality is identified.
<unk>-year-old female with dyspnea.
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The cardiac, mediastinal and hilar contours appear unchanged. Mild coarsening of lung markings in the upper lungs is fairly similar to the prior study allowing for differences in technique. There is no pleural effusion or pneumothorax. The right hemidiaphragm is mildly elevated with respect to the left. The bones are probably demineralized.
worsening <unk>'s disease symptoms.
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Cardiomediastinal silhouette remains moderately enlarged. There is engorgement of the pulmonary vasculature with mild interstitial opacities bilaterally suggestive of mild pulmonary edema and increased central venous pressure. Small pleural effusion may be present on the right with blunting of the right hemidiaphragm. The lungs are otherwise without a focal consolidation. Calcifications are noted at the aortic arch.
chest pain.
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Ap upright and lateral views of the chest provided. Right upper extremity picc line is noted with its tip in the region of the cavoatrial junction. Lungs remain clear. No focal consolidation effusion or pneumothorax is seen. The cardiomediastinal silhouette is stable. Bony structures are intact.
<unk>f with fever // acute process?
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The cardiomediastinal and hilar contours are within normal limits. The lung fields are clear. There is no pneumothorax, fracture or dislocation. Limited assessment of the abdomen is unremarkable.
history: <unk>m with cp // pna?
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Moderate bilateral interstitial and airspace opacities have slightly increased. Right upper lobe volume loss is not appreciably changed. Layering moderate bilateral pleural effusions are unchanged. There is no pneumothorax. A right pectoral single lead pacemaker partially obscures the right lung apex.
<unk> year old man with heart failure, possible pna, increased work of breathing. // please eval for edema, interval change.
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A nasogastric tube is again seen in place, loops once within the stomach and and with the tip of the dobbhoff tube pointing towards the greater curvature. There is a stable, vague opacity noted within the right lower lobe which may represent an aspiration pneumonia. Redemonstrated are biapical scars, mild pulmonary edema, and moderate cardiomegaly. There is no pleural effusion or pneumothorax identified. The mediastinal contours are normal.
assess placement of nasogastric tube.
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The iabp terminates approximately <num> cm from the arch of aorta. The lungs are well expanded and clear. The cardiomediastinal silhouette, hilar contours and pleural surfaces are unchanged. The heart is top normal. There is no focal airspace opacity.
nstemi, congestive heart failure, intra-aortic balloon pump. evaluate intra-aortic balloon pump placement.
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Biventricular pacemaker in situ with the lead tips seen in the right atrium, right ventricle and coronary sinus/left ventricle. Nasogastric tube in situ with the tip seen in the mid stomach. No pneumothorax. The previously noted airspace consolidation in the left upper lobe shows interval improvement. Pleural plaques again noted. Mild coarsening of the bronchovascular markings. Mild right pleural thickening/effusion. Cardiomegaly unchanged. No overt pulmonary edema. Spondylotic changes of the thoracic spine.
<unk> year old man with dysphagia. // confirm ng placement
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Frontal and lateral views of the chest. Elevation of the right hemidiaphragm is again seen. Surgical chain sutures projecting over the right lung and hilum and changes at the posterior right ribs are again seen and suggestive of prior lobectomy. The left lung remains clear. Blunting of the left posterior costophrenic angle is compatible with a bochdalek hernia identified on recent ct scan. The cardiomediastinal silhouette is stable in configuration. Median sternotomy wires are again seen, the top <num> of which are fractured. Surgical hardware is seen in the left humerus.
<unk>-year-old male with syncope.
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The cardiac, mediastinal and hilar contours appear unchanged, including borderline cardiomegaly and striking unfolding of the thoracic aorta. There is no pleural effusion or pneumothorax. The lungs appear clear. A mild mid thoracic vertebral compression deformity appears unchanged. Several levels superiorly, there is new apparent superior endplate sclerosis without substantial loss in height, suggesting interval compression fracture, which is age-indeterminate. A more inferior thoracic compression deformity, mild-to-moderate, appears unchanged.
status post fall with altered mental status and gait imbalance.
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Lung volumes are low. Progressive, gradual increase in bilateral parenchymal opacities with air bronchograms, which may reflect edema, although concurrent pneumonia cannot be excluded. Retrocardiac opacity likely reflects combination of small persistent left pleural effusion and atelectasis, which is overall unchanged. No pneumothorax. The cardiomediastinal silhouette is unchanged. Left port-a-cath tip is unchanged. Enteric tube coiled enters into the left upper abdomen its tip is not seen.
<unk> year old woman with pneumonia and effusions previously resolving // recurrence of pna or effusion
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Very low lung volumes cause bronchovascular crowding. Opacities in the medial lungs bilaterally may represent collapsed lower lobes or consolidation. There is no definite pleural effusion, pneumothorax, or pulmonary edema. Allowing for patient positioning and low lung volumes the cardiomediastinal silhouette is likely unchanged. Evaluation for pneumoperitoneum is limited on these semi-upright views.
<unk> year old woman pod<unk> s/p l partial nx, now with somnolence, evaluate for aspiration, pna other acute pulm processes
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal in size. The aorta appears somewhat tortuous.
history: <unk>f with chest pain // eval for chf/pneumonia
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There are small bilateral pleural effusions. The lungs are clear without consolidation. There is mild pulmonary vascular congestion without overt edema. Left chest wall dual lead pacing device is noted with lead tips in the ra and right ventricular apex. Cardiomediastinal silhouette is within normal limits. Atherosclerotic calcifications noted at the aortic arch.
<unk>m with gradual onset dyspnea, orthopnea, <unk> edema // effusion, pulmonary edema, infiltrate
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As compared to the previous radiograph, the patient has undergone left thoracocentesis. The extent of the pre-existing pleural effusion has substantially decreased. There is no evidence of pneumothorax or other complication. The lung volumes remain low, there is mild fluid overload but no overt pulmonary edema. Atelectasis at the left lung bases. No evidence of pneumonia.
pleural effusion, status post thoracocentesis, evaluation.
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Pa and lateral views of the chest provided. Right chest wall single lead pacer is again noted with single lead extending into the region of the right ventricle. Midline sternotomy wires and prosthetic cardiac valve are again seen. The heart remains moderately enlarged. The mediastinal contour is normal. There is no focal consolidation concerning for pneumonia. No large effusion or pneumothorax seen. No signs of congestion or edema. Imaged bony structures are intact. No free air below the right hemidiaphragm seen.
<unk>m with c/o "sick all over", eval for pna
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with chest pain // eval for acute process
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Mild bibasilar atelectasis is noted. The lungs are otherwise clear without lobar consolidation, pleural effusion, pneumothorax, or frank pulmonary edema. The heart is mildly enlarged. Aortic calcifications are noted within the arch. No free intra-abdominal air is identified.
<unk>f with chest pain // eval heart and lungs
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Ap portable upright view of the chest. Since the prior pet-ct exam, the right pleural effusion has increased in size, with known right lower lobe mass obscured. The there is a small left pleural effusion seen. The mild ground-glass opacity in the left lower lung is potentially concerning for pneumonia versus atelectasis. No pneumothorax. Heart size difficult to assess. Bony structures appear grossly intact.
<unk>m with sob, non small cell lung carcinoma // ?pna
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Single ap upright portable view of the chest was obtained. The patient is status post median sternotomy. Several sternal wires are fractured including the superior to inferior rows as well as the second inferior more wire. There is increased reticulonodular opacity at the lung bases bilaterally, which could be due to aspiration or possibly infection. Dedicated pa and lateral views would be helpful for further evaluation. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are unremarkable.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There is no pleural effusion or pneumothorax. The vertebral body heights and interspaces appear preserved.
mid thoracic back pain.
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Left-sided pacemaker device with leads terminating in the right atrium and right ventricle is in unchanged position. Large hiatal hernia again projects to the right of midline. Cardiac silhouette appears mildly enlarged but unchanged. The aorta is tortuous and demonstrates mild atherosclerotic calcification. Hilar contours are normal. Pulmonary vasculature is normal. Small left pleural effusion appears relatively unchanged compared to the prior exam. No pneumothorax is seen. Remote right-sided rib fractures are again noted.
history: <unk>f with chf, worsening dyspnea
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The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. The lungs are well-expanded and clear without focal consolidation concerning for pneumonia. Pulmonary vasculature is within normal limits. There is no pneumoperitoneum.
history: <unk>f with acute onset abd pain, distension today // any free air
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In comparison with the study of <unk>, the cardiac silhouette may be even more prominent, though the pulmonary vasculature is only mildly engorged. This raises the possibility of cardiomyopathy or, in the appropriate clinical setting, even pericardial effusion. Ill-defined area of increased opacification persists at the right base. Opacification in the retrocardiac region is consistent with volume loss in the left lower lobe.
intracranial hemorrhage with tachypnea.
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In comparison with study of <unk>, there has been placement of an endotracheal tube with its tip approximately <num> cm above the carina. Lower lung volumes, but otherwise little change in the appearance of the heart and lungs. No acute pneumonia or vascular congestion.
et tube placement.
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The lungs are normally expanded and clear. The heart is not enlarged. The mediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. Rightward curvature of the lower thoracic spine is unchanged. There is no pulmonary edema.
<unk> year old woman with fever and cough,wheezing // r/o infiltrate
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As compared to the previous radiograph, there is no relevant change. Low lung volumes with mild pulmonary edema and moderate cardiomegaly. Unchanged mild enlargement of the aortic arch. No pleural effusions. No pneumothorax. No evidence of pneumonia.
fever and cough, evaluation for pneumonia.
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Endotracheal tube terminates <num> cm from the carina. Enteric tube terminates in left upper quadrant. Lungs are clear aside from heterogeneous retrocardiac opacification which likely corresponds to atelectasis. Cardiomediastinal silhouette is normal. No right pleural effusion. Left costophrenic angle is excluded from the field-of-view.
history: <unk>f with ett, pls assess placement *** warning *** multiple patients with same last name! // history: <unk>f with ett, pls assess placement
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No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Aortic arch calcification is noted. There is no pulmonary edema. Some degenerative changes are seen along the spine.
history: <unk>m with altered mental status, hyperglycemia // ? pneumonia
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The left sided pigtail catheter is again visualized. This is kinked just as it enters the chest. There is a small left effusion and left lower lobe volume loss have increased compared to prior. There is a small left apical pneumothorax that is also increased compared to prior. There is volume loss at the right base.
ms. <unk> is an <unk>-year-old woman with dyspnea on exertion/ fatigue/ bilateral pleural effusions/mild-to-moderate cardiomegaly, hypertension, dyslipidemia, valvular heart disease, a mildly dilated ascending aorta, diverticulosis, recently treated for pna c/b parapneumonic effusion who presents with left sided chest pain and fevers // chest tube interval change
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Lung volumes continue to be low, and previous moderate pulmonary edema continues to improve. The right lung has multiple nodular opacities at the lung bases. Mild cardiomegaly continues with improving small bilateral pleural effusions. Opacity at the right cardiophrenic angle is unchanged compared to radiographs from <unk>.
<unk>-year-old woman fluid overload, pulmonary edema, evaluate for interval change.
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Dextroscoliosis of thoracic spine is re- demonstrated. The cardiac and mediastinal silhouettes are grossly stable. No focal consolidation is seen. There is no large pleural effusion or pneumothorax. No pulmonary edema is seen.
history: <unk>m with right hand weakness, dysarthria. // pneumonia?
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Pa and lateral chest radiographs are obtained. Heart is moderately enlarged. Cardiomediastinal contours are normal. The opacity seen in the right lower lobe is stable. Right hemidiaphragm is not readily visilble and the opacity extends to the edge of the right major fissure on the lateral view, reflecting collapse of the lower lobe with possible sparing of the superior segment. The minor fisure is not readily itenfied raising the possibility of right middle lobe collapse as well. Mild left pleural effusion. No pneumothorax.
<unk>-year-old man with shortness of breath but stable o<num> sats, ? effusion versus opacity.
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Left dual-chamber pacemaker is in left pectoral region with lead tip projecting over the right atrial appendage and right ventricular apex. Bilateral reticular interstitial opacities. Vascular engorgement, mediastinal vein dilataion, and cephalization with a moderately enlarged heart. Mild bibasilar plate-like atelectasis. No pneumothorax or pleural effusion. No bony abnormality.
female with ischemic stroke and bradycardia despite having pacemaker. assess pacemaker location.
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Ap upright and lateral views of the chest were provided. The lungs are hyperinflated though appear clear without focal consolidation, effusion, or clear signs of pneumothorax. Heart and mediastinal contours are stable. Bony structures are intact, with old right rib cage deformity and degenerative changes at the right shoulder.
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Pa and lateral views of the chest were provided. The lungs are clear bilaterally and there is no focal consolidation, effusion, or pneumothorax. The heart and mediastinal contours are normal. Bony structures are intact. No free air below the right hemidiaphragm.
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The lungs are clear without consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. There is no visualized pneumomediastinum. No acute osseous abnormalities identified.
<unk>m with chest pain // pneumomediastinum
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The heart size is normal. The mediastinal contours are unchanged with tortuosity of the thoracic aorta again noted. The hilar contours are normal. The pulmonary vascular is normal. Lungs are clear. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
right-sided numbness, chest pain.
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The cardiomediastinal silhouettes are stable and within normal limits. The bilateral hila are unremarkable. The lungs are clear. There is no evidence of pulmonary vascular congestion. There is no pneumothorax or pleural effusion.
<unk>-year-old woman with breathing difficulty evaluate for infiltrate.
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Subtle patchy left base retrocardiac opacity seen on the frontal view, not substantiated on lateral view, may be due to atelectasis, however consolidation due to infection or aspiration is not excluded in the appropriate clinical setting. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. There are degenerative changes are seen along the spine and at the right acromioclavicular joint.
altered mental status.
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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 memory difficulty, extremity weakness
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The lungs are clear. The heart is stably enlarged with tortuous aortic contour. Hilar and mediastinal contours are stable with stable mild prominence of the pulmonary arteries. There is no pleural effusion or pneumothorax.
asthma with increasing shortness of breath, assess for pneumonia.
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One portable ap upright view of the chest. Et tube ends <num> cm above the carina. Left subclavian line ends in the right atrium. Enteric feeding tube ends in the duodenum. The persistent bilateral opacities concerning for possible multifocal pneumonia are more apparent on this image compared to prior study.
post-bronchoscopy desaturation, evaluate.
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Low lung volumes persist. Heart size is accentuated as a result appearing mildly enlarged but unchanged. Mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
history: <unk>f with cough
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The patient is status post median sternotomy and cabg. Right-sided dual lumen central venous catheter tip terminates within the proximal right atrium. Heart remains mild to moderately enlarged with a left ventricular predominance. The aorta is tortuous and calcified. There is mild interstitial pulmonary edema, worse when compared to the prior study. Small right pleural effusion also has progressed compared to the prior exam. Trace left pleural effusion appears relatively unchanged. No pneumothorax is identified. There are no acute osseous abnormalities. Multiple clips are seen within the right upper quadrant of the abdomen.
shortness of breath with exertion, cough.
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The lungs are mildly hypoinflated. No pleural effusion although slightly limited evaluation due to limited view of the right costophrenic angle on frontal projection. No pneumothorax. Heart size, mediastinal contour, and hila are unremarkable. Subtle increase in hyperdense area on lateral projection just superior to the a costophrenic angles. Limited assessment of the upper abdomen is within normal limits and visualized osseous structures are unremarkable.
history: <unk>m with cough, brown phlegm. assess for pneumonia.
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As compared to the previous radiograph, the nasogastric tube has been re-positioned. The tip of the tube now projects over the distal parts of the stomach. The tube shows a normal course. There is no evidence of complications. Otherwise, unchanged radiograph.
evaluation for nasogastric tube placement.
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Pa and lateral views of the chest demonstrate an ill-defined right hilar opacity, projecting as a double density on the lateral view, as well as scattered nodularity in the right upper and lower lobes. The heart size is normal. There is no pleural effusion, pulmonary edema, or pneumothorax.
<unk>-year-old male with dyspnea. evaluation for pneumonia.
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Compared to exam on <unk>, there is no significant change. Lung volumes are low, with persistent pleural effusions and bibasilar atelectasis, though left lower lobe atelectasis appears improved. Upper lungs are clear. Heart size is top normal. Mild mediastinal venous engorgement is again seen. There is no pneumothorax. Enteric tube is seen traversing the mid thorax, below the diaphragm in terminating in the stomach, unchanged from prior.
<unk>f h/o sbr with primary anastomosis <unk> yrs ago in fl, p/w complete sbo, transition point at prior anastomosis s/p ex lap sbr of previous strictured anastamosis.
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The lungs are well expanded and clear. There is no pleural effusion pneumothorax. The cardiomediastinal silhouette is unremarkable. Three radiopaque connected oblong structures are seen projecting over the expected area of the stomach, likely representing ingested magnets.
history: <unk>f with schizophrenia, reports swallowing magents <num> days ago, initial retrosternal pain, now epigastric and llq pain // eval for ingested foreign body (magnets x<num>)
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Cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Lungs are clear. No focal consolidation, pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
history: <unk>f with chest pain
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Ap upright and lateral views of the chest were provided. Midline sternotomy wires and mediastinal clips are again noted. Lungs are clear. Cardiomediastinal silhouette is normal. Bony structures intact. No free air below the right hemidiaphragm.
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Endotracheal tube tip is <num> cm from the carina. Presumable enteric tube tip projects over the thoracic inlet. There is essentially complete opacification of the right hemi thorax and rightward shift of the mediastinum. Left lung is grossly clear. No acute osseous abnormalities identified.
unresponsive.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The chest is hyperinflated. The lungs appear clear. Bony structures are unremarkable.
cough and fever.
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Heart size, mediastinal and hilar contours are normal. Lungs and pleural surfaces are clear. No acute skeletal findings.
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Mild right basilar atelectasis. Cardiomediastinal and hilar contours are unchanged. There is no pneumothorax, pleural effusion, or consolidation. The aorta is tortuous.
history: <unk>m with sob pls ev al pna // history: <unk>m with sob pls ev al pna
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Moderate to severe cardiomegaly is stable. Mediastinal or hilar contours are normal. No focal consolidation, pleural effusion or pneumothorax. No evidence of pulmonary edema.
history: <unk>f with right sided weakness // ? stroke
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Despite both an indwelling left pleural drain and a new drain, a small left pneumothorax, apical pleura at the level of the <unk> posterior rib and veru small left pleural effusion, if any, are unchanged. The right lung is clear. Moderate cardiomegaly persists. A right internal jugular vein catheter ends just above the origin of the svc.
<unk> year old man with pneumothorax // eval for pneumothorax and chest tube placement
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In comparison with the earlier study of this date, the monitoring and support devices are essentially unchanged. There is again substantial opacification in the retrocardiac region consistent with volume loss in the left lower lobe. The apparent shift of the mediastinal contents to the left may merely be a reflection of obliquity of the patient towards that side. Hazy opacification, especially at the left base is consistent with pleural fluid. The right lung is essentially clear.
diaphragmatic repair.
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Single frontal view of the chest demonstrates a right pectoral port-a-catheter with tip terminating in the lower svc or upper atrium. Multiple pulmonary nodules are better appreciated on prior cross-sectional studies. A dominant left hilar mass has begun to grow after earlier remission. Worse left hemidiaphragm elevation is explained by phrenic nerve impingement. There is no confluent consolidation, pneumothorax, or large pleural effusion. Prominent epicardial fat pad likely contributes to slight blunting of the left costophrenic angle.
<unk>-year-old male with hypotension. question infection.
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There is mild elevation of the left hemidiaphragm with volume loss. The cardiac, mediastinal and hilar contours appear stable. The right lung is clear. There are a few very small unchanged nodules projecting over the left upper lung, none over <num> mm in diameter, probably calcified granulomas. Vague opacity in the lingula appears new and there is minimal posterior basilar opacity which could be seen with minor volume loss. There is no pleural effusion or pneumothorax.
high fever and weakness. history of chronic lymphocytic leukemia.
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Heart size is normal. Mediastinal and hilar contours are within normal limits. Lungs are clear. Pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are present.
myalgias.
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The heart size is normal. The mediastinal and hilar contours are similar compared to the prior study. Previous pattern of pulmonary edema has improved. Linear opacities within the lung bases likely reflect atelectasis. There is no focal consolidation, pleural effusion or pneumothorax. There are multilevel degenerative changes in the thoracic spine.
asthma and shortness of breath.
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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 cough and fever
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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 unremarkable. No free air below the right hemidiaphragm is seen.
<unk>m with cough productive of brown sputum, mild dyspnea for <num> days // eval for pna
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Frontal and lateral chest radiographs demonstrate unremarkable cardiomediastinal and hilar contours. Lungs are clear. Relative lucency of right lung field is likely due to mastectomy. No pleural effusion or pneumothorax is evident. Stable elevation of left hemidiaphragm. Degenerative changes are noted in the thoracic spine.
near syncope. evaluate for cardiomegaly/infiltrate.
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Low lung volumes limits assessment. No focal consolidation, edema, effusion, or pneumothorax. The heart size is normal. The mediastinum is not widened. Hilar and pleural contours are normal. No acute osseous abnormality.
<unk>-year-old woman presenting with chest pain and shortness of breath.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette remains enlarged. The aorta is calcified. .
history: <unk>f with weakness // eval for infiltrate
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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 agitation // ?pna
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Ap portable upright view of the chest. Lung volumes are low. Increased mid to lower lung reticulonodular opacities could represent an atypical infection less likely edema. Hila appear slightly congested. The heart is normal in size. The aorta is unfolded with calcification. No large effusions or pneumothorax. Bony structures are intact.
<unk>f with fatigue // evaluate for pneumonia, acs
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Pa and lateral views of the chest. Patient is post-avr with aortic valve in the appropriate position. Sternotomy wires are appropriately positioned. Moderate to severe cardiomegaly with unchanged mild interstitial pulmonary edema. Right lower lobe opacity is minimally increased. There is trace fluid in the minor fissure. No pleural effusion. No pneumothorax.
diastolic chf exacerbation, suggestion of right lower lobe pneumonia on prior chest x-ray, question of worsening chf or pneumonia.
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As compared to the previous radiograph, there is no relevant change. The monitoring and support devices are in constant position. Normal size of the cardiac silhouette. No focal parenchymal opacity suggesting pneumonia.
substance overuse, evaluation.
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Right-sided port-a-cath tip terminates in the lower svc, unchanged. Cardiac, mediastinal and hilar contours are within normal limits. Pulmonary vasculature is not engorged. Lungs are clear. No pleural effusion or pneumothorax is present. No subdiaphragmatic free air is present. Percutaneous gastrojejunostomy catheter is incompletely imaged in the upper abdomen. A left breast implant is incompletely imaged.
history: <unk>f with tachycardia, abdominal pain and distension, dx of colitis // evaluate port placement, free air, colitis (? complication, perf, abscess, obstruction)
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Ap and lateral views of the chest are compared to previous exam from <unk>. Given differences in positioning and technique, there has been no significant interval change. There is no confluent consolidation or large effusion. Cardiac silhouette is enlarged but stable compared to prior. Single-lead pacing device is seen with single lead tips projecting over the right ventricle. Hypertrophic changes are seen in the spine.
<unk>-year-old female with sudden onset of dizziness, question infection.
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An accessed right-sided infuse-a-port ends in the mid svc. Bibasilar areas of linear atelectasis persist. There are no new consolidations or pleural effusions. There is no pneumothorax. Heart size is within normal limits despite the projection. A partially imaged ivc filter projects over the medial right upper quadrant.
<unk> year old man with glioblastoma, presenting with worsening weakness, cough. please eval for pna.
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The cardiac silhouette is mild to moderately enlarged. Mediastinal contours are unremarkable. No large pleural effusion or pneumothorax is seen. Overlying the posterior lateral left seventh rib, there is a subtle rounded opacity measuring approximately <num> mm, unclear whether artifactual, osseous, or possibly pulmonary nodule. This could be further assessed on nonurgent chest ct. No further consolidation is seen.
history: <unk>f with pneumonia // pna?
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Single portable view of the chest demonstrates air under the right hemidiaphragm, likely related to recent prior surgery. The lungs are relatively low volume with bibasilar atelectasis and there is a new opacity overlying the left mid lung, likely reflecting pneumonia. Median sternotomy wires are present. The cardiomediastinal silhouette is stable since the prior study. No pneumothorax is identified.
dyspnea and tachycardia. evaluation for pneumonia.