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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>m with left sided chest pain
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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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Compared to prior, the lung volumes have minimally improved and there is subsequent bronchovascular crowding. Bibasilar atelectasis is greater on the right. There is persistent cardiomegaly. Soft tissue anchors are seen in the left humeral head.
<unk>m with c/o ble swelling despite increasing lasix. evaluate for chf.
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Ap upright portable chest radiograph is obtained. Previously noted picc line has been removed. The lungs are clear bilaterally without focal consolidation, effusion, or pneumothorax. The heart is mildly enlarged with left ventricular configuration. The aorta is somewhat unfolded, though the overall mediastinal contour is unremarkable. Bony structures are intact.
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Frontal and lateral radiographs the chest demonstrate well expanded, clear lungs. The cardiomediastinal and hilar contours are unchanged. The aorta is tortuous. There is no pneumothorax, pleural effusion or consolidation. The patient is status post vertebroplasty at multiple levels within the thoracic spine. Metallic clips project over the right upper chest.
abdominal pain and vomiting.
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Frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation.
history: <unk>f with ruq abdominal pain // eval for acute process
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Ap portable supine view of the chest. Evaluation is limited by low lung volumes and large body habitus. The lungs are grossly clear. Hila appear slightly congested. The heart and mediastinal contours appear mildly prominent likely due to supine portable technique. No supine evidence for large effusion or pneumothorax. Bony structures are intact.
<unk>m with sob // eval for pna
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Heart size is mildly enlarged. There is stable calcification of the aortic knob. The mediastinal and hilar contours are normal. The pulmonary vasculature is engorged which is unchanged since <unk>. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
<unk> year old woman with cough // ? cardiopulmonary disease
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The lungs are clear with bilateral calcified pleural plaques again seen compatible with prior asbestos exposure. There is no pleural effusion or pneumothorax. The heart is top normal in size with normal cardiomediastinal silhouette and intact median sternotomy wires.
history of multiple stones and prior cabg with intermittent chest pain, assess for acute cardiopulmonary process.
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As compared to the previous radiograph, there is no relevant change. Right pleural effusion with subsequent atelectasis at the right lung bases. Left small pleural effusion with retrocardiac atelectasis. Both findings are unchanged as compared to the previous image. A minimal increase in radiodensity in the right upper lobe is due to positional factors. The monitoring and support devices are constant. Constant low lung volumes without overt pulmonary edema.
inspiratory wheezes, o<num> requirement. rule out pneumonia.
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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. On the lateral view, a mild compression deformity involving a lower thoracic vertebral body (likely t<num>) is new from the prior radiograph. Deformity of the sternum likely reflect an old injury as is unchanged from prior. No free air below the right hemidiaphragm is seen.
<unk>f with fall today // eval for fx
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No significant change since the prior radiograph. The cardiac silhouette is borderline enlarged. The lungs are grossly clear. There is no pleural effusion or pneumothorax.
history: <unk>f with chest pain // chest pain
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The linear opacification within the left lower lung likely represents subsegmental atelectasis. Otherwise, no focal consolidations to suggest pneumonia. Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
<unk>m with cough, chest pain // eval for pna
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Pa and lateral views of the chest provided. The lung volumes are low limiting assessment. The hila appear congested though there is no frank edema. The heart is top-normal in size. No large effusion or pneumothorax. No signs of pneumonia. Mediastinal contour is unchanged. Bony structures are intact with surgical anchors again noted imbedded within the right humeral head.
<unk>f with pleuritic left chest pain // assess for pna
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There is right apical opacity, some of which has a spiculated margin. Given superior retraction of the hilum on the right this could be due to scarring although underlying lesion would also be possible. Elsewhere, the lungs are clear. The cardiomediastinal silhouette is normal. No acute osseous abnormalities.
<unk>m with chest pain // please eval for cardiomegaly
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Ap upright portable chest radiograph provided. The endotracheal tube is seen with its tip residing approximately <num> cm above the carina. The endogastric tube resides in the upper abdomen, though the tip is not included within the imaged field. The lungs appear clear without consolidation, effusion, or pneumothorax. The heart and mediastinal contours appear normal. No definite bony abnormalities.
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There is a consolidation in the right upper lobe. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
<unk> year old woman with cough, fever and sob // pna?
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Comparison is made to prior study from <unk>. The endotracheal tube tip has been pulled back and is now <num> cm above the carina at the level of the aortic knob, appropriately sited. There remains cardiomegaly and left retrocardiac opacity and bibasilar atelectasis. There is also prominence of the pulmonary interstitial markings suggestive of mild pulmonary edema. Enteric tube is unchanged in position.
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Patient is rotated to the left. Endotracheal tube ends <num> cm above the carina. Right ij central venous catheter ends in the low svc. Right basilar atelectasis has increased. Moderate cardiomegaly is unchanged. Left retrocardiac atelectasis and probable effusion has increased. Right pleural effusion is small, if any. There is no pneumothorax.
<unk> year old woman post cardiopulmonary arrest, ?stress cardiomyopathy, intubated, ongoing diuresis, interval line check.
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Ap upright and lateral chest radiograph. Cardiomegaly is again noted with asymmetric prominence of the interstitial pulmonary markings which raises concern for edema though lymphangitic tumor spread is difficult to exclude. No large effusion is seen. No pneumothorax. Diffuse osseous metastatic disease is re- demonstrated.
<unk>m with cp s/p blood transfusion, history of breast cancer.
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Right internal jugular central venous catheter tip terminates in the mid svc. No definite pneumothorax is present. Heart size appears mildly enlarged. Assessment of the left lung is limited as the left lung base was not completely included in the field of view. There is mild pulmonary vascular congestion. Aorta appears unfolded. Bibasilar airspace opacities may reflect areas of atelectasis but infection is not excluded. There may be a small left pleural effusion.
history: <unk>m with central line placement
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Initial images done at <time> a.m. Demonstrate an endotracheal tube within the right main bronchus as well as left retrocardiac opacity consistent with atelectasis. There is no pleural effusion or pneumothorax. No free air. An enteric catheter ends in the distal esophagus. Subsequent images at <time> a.m. Demonstrate the et tube in appropriate position, <num> cm from the carina and resolution of the left lower lobe atelectasis. No focal consolidations are seen. There is moderate cardiomegaly and mild pulmonary vascular congestion. No pneumothorax or pleural effusion. Enteric catheter again ends in the distal esophagus.
status post arrest, evaluate tube placement.
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Frontal and lateral radiographs of the chest demonstrate hyperinflated clear lungs. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, consolidation, or opacity.
<unk>-year-old female with possible nodule seen on recent radiographs.
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As compared to prior chest radiograph from <unk>, there has been substantial increase of pleural effusions bilaterally, left worse than right with complete obscuration of lower lungs. There is no appreciable pneumothorax. Right picc line terminates at the level of the mid to low svc. Sternotomy wires and mediastinal clips are intact.
<unk>-year-old female patient with esophageal perforation status post repair, now with right chest tube removal.
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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 weakness, tachycardia, fall // eval for pna
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
fever and cough.
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The left sided chest tube has been removed. There is no pneumothorax. There is a right sided chest tube unchanged in position. A trace pneumothorax is noted at the right lateral lung base. There is a mid similar left superior mediastinal contour abnormality, previously described. The degree of pulmonary edema and bilateral pleural effusions is stable.
status post pericardiectomy. chest tube removal question pneumothorax.
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Left pleurex catheter is again visualized in place and there has been interval increase in left pleural effusion. Small right pleural effusion persists. Left lower lobe consolidation concerning for pneumonia is again noted. Previously noted density at the left hilum concerning for left hilar mass, better depicted in detail on chest ct from <unk>, is again noted. Otherwise, the upper lungs appear clear.
evaluation of patient with recurrent left pleural effusion status post left pleurx and pneumothorax for interval change.
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Ap supine and lateral views of the chest provided. Lungs are clear. Cardiomediastinal silhouette is normal. Bony structures are intact.
<unk>f with headache, n/v, multiple recent falls with pain/tenderness // eval for ich, mass, trauma
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Lungs are borderline hyperinflated but clear bilaterally. The heart, mediastinum and hilar silhouettes are within normal limits and stable. Calcification of the aorta is again noted. Pleural surfaces are normal. There is no pleural effusion or pneumothorax. There is no displaced rib fracture; radiographic evaluation of the chest cage requires detail views of clearly marked areas where the patient has focal physical findings.
<unk>-year-old male with a history of alcohol abuse, hypertension, atrial fibrillation, presents with chest pain.
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The lungs are clear without focal opacity, pulmonary edema, pleural effusion or pneumothorax. The cardiac and mediastinal contours are normal. There is no free air beneath the right hemidiaphragm.
<unk>f with requesting detox, need medical evaluation // r/o pna
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The heart appears mildly enlarged. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There are no pleural effusions or pneumothorax.
nausea and vomiting; question aspiration.
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The et tube is approximately <num> cm above the carina. The enteric tube terminates in the gastric fundus. The left ij central venous catheter terminates in the mid svc. Moderate pulmonary edema and pulmonary venous congestion are unchanged. No new consolidation. However, with the presence of moderate pulmonary edema, superimposed multifocal pneumonia is difficult to rule out. No pleural effusions or pneumothorax. The cardiomediastinal silhouette is unchanged.
<unk> year old man with hypercarbic respiratory failure <unk> copd // eval for ptx vs pna
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There is new dense consolidation of the left lower lobe. Small bilateral pleural effusions are probably unchanged. A lateral left lower lobe pulmonary nodule is unchanged, better evaluated on recent ct. Heart size is normal. Cardiomediastinal hilar silhouettes are normal. No pulmonary edema. Incidental note is made of a radiopaque density projecting over the proximal left humerus.
<unk> year old woman with multiple pes, hypoxia. // pulmonary edema?
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Pa and lateral views of the chest provided. Vague left lung base opacity may represent atelectasis. No convincing evidence for pneumonia. No 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 l sided cp
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As compared to <unk>, moderate right-sided effusion has not substantially changed into the adjacent opacity, given for differences in technique. No pulmonary edema. The right lung is clear. No pneumothorax. Right-sided port-a-cath with the tip in the low svc.
<unk> year old woman with mds with recent respiratory failure and known lll pna // interval change
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Lungs are clear. Mediastinal and cardiac contours are normal. The lungs are moderately hyperinflated which is unchanged since previous exam. There is no pleural effusion or pneumothorax. Biapical scarring is unchanged since <unk>.
patient with <num>-pound weight loss since a year, evaluate.
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The study is limited due to patient rotation. The aorta remains diffusely calcified and markedly tortuous, relatively unchanged compared to the prior exam. The heart size is at least mildly enlarged. Calcified right superior mediastinal nodule, likely thyroid in origin, is again seen. No pulmonary vascular engorgement is identified. The left lung is grossly clear. Hazy opacity within the right lung base could reflect a combination of atelectasis and small pleural effusion though infection cannot be excluded. No pneumothorax is identified. Diffuse demineralization of the osseous structures is present.
weakness.
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Heart, mediastinal and hilar contours are within normal limits and without change. Band-like areas of opacity have improved in the left lower lobe and are worse in the right lower lobe, with additional more confluent opacity which has newly developed in the right lower lobe posteriorly. Small bilateral pleural effusions are present, right greater than left. No pneumothorax. Postoperative changes are present within the lower thoracic and upper lumbar spine, and note is also made of soft tissue gas and air-fluid level in the posterior chest wall, consistent with recent surgery.
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In discussion with the physician taking care of the patient, the enteric tube has been withdrawn and its tip appears to be now within the upper esophagus. A left subclavian line terminates at the cavoatrial junction. Low lung volumes with left basilar opacity. Cardiomediastinal silhouette and hilar contours are normal. There is no pleural effusion or pneumothorax. Spinal fusion hardware is noted.
<unk> year old man s/p ng tube placement. evaluate tube placement
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Sternotomy wires appear intact and appropriately aligned. The lungs are well expanded and clear. No focal consolidations. No pulmonary edema. Stable enlargement of cardiomediastinal silhouette. No pleural effusion. No pneumothorax.
<unk>m with presyncope, fluttering in chest // presyncope, fluttering in chest
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No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac silhouette is top-normal. The aortic knob is calcified. Old appearing rib deformities are seen involving one to two posterior right lower ribs.
severe posterior headache, recent upper respiratory infection.
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There has been interval significant worsening of right pleural effusion with dense opacification of the right lung base, indicating collapse of the right lower lobe. There is also a new small left pleural effusion. There is no pneumothorax. The cardiomediastinal and hilar contours are stable. The left axillary pacemaker is unchanged with leads terminating in the right atrium and right ventricle.
copd, asthma with increased shortness of breath, query pneumonia or heart failure.
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Cardiac silhouette size is borderline enlarged. The mediastinal and hilar contours are normal. Pulmonary vasculature is not engorged. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormality is seen.
history: <unk>m with chest pain, worse on exertion.
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Lungs are clear. There is no pleural effusion or pneumothorax. The heart is normal in size with normal cardiomediastinal silhouette.
assess for pneumonia with cough and dyspnea.
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The lungs are clear with no evidence of consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Multiple previously visualized sub-<num>-mm nodules in the left lung are better delineated on prior ct.
evaluation of patient with aml with fever and neutropenia.
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As compared to the previous radiograph, there is no relevant change. Bilateral shoulder replacements. Borderline size of the cardiac silhouette without pulmonary edema. No pleural effusions. No lung nodules or masses. The hilar and mediastinal contours are unremarkable. No evidence of pneumonia, no other acute or chronic lung changes.
dysphagia, questionable mass.
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The lungs are clear. There is no evidence of pneumonia, pneumothorax, or pleural effusion. Cardiac silhouette is normal in size.
<unk>f with chest pain // acute cardiopulm diseas
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Internal jugular line ends at cavoatrial junction. There are no lung opacities concerning for pneumonia. The left lower lung atelectasis near the lateral costophrenic angle has been unchanged since <unk>, likely chronic atelectasis or parenchymal scarring. The expansile lytic lesion in posterior ninth rib is redemonstrated. This including other bony lytic lesion are better evaluated on prior ct studies.
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Study is somewhat limited by body habitus. Heart size is normal. Cardiomediastinal silhouette and hilar contours are unremarkable. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax.
syncope.
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The lungs are clear. The cardiomediastinal and hilar contours are within normal limits. There is no pleural effusion or pneumothorax. There is fusion hardware in the lower cervical spine.
<unk> year old woman with chest pain/ cad // eval cardiopulmonary dz
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The new nasogastric tube tip is in the stomach in adequate position. Due to excessive rotation of the patient, we cannot assess the rest of lungs, mediastinum and cardiac contour.
patient with stroke. assess position of the ng tube.
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Two views of the chest were obtained. Left-sided dialysis catheter is unchanged in position. Large right pleural effusion is unchanged with interval slight increase in small left pleural effusion. The remainder of the lungs are clear. Cardiomediastinal contours are unchanged.
<unk>-year-old woman with pleural effusion, for followup.
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The lungs are well inflated. There is a small left pleural effusion, that has improved compared to <unk>. A right-sided chest tube is noted with tip terminating at the apex. There is mild cardiomegaly that also appears to have improved compared to <unk>. No lobar consolidation. Visualized bones appear unremarkable. Cholecystectomy clips project over the right upper quadrant.
<unk>f h/o afib not on ac, pleuropericarditis c/b pericardial tamponade c/s for pericardial biopsy with pending workup of suspected viral pericarditis s/p pericardial and pleural biopsy // interval changes. please complete <unk> at <num> am
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The et tube ends <num> cm above the carina. A right internal jugular catheter is unchanged in satisfactory position. Ng tube is not well seen. Interval placement of thoracic spinal hardware since yesterday. Stably enlarged cardiomediastinal silhouette is chronic. Moderate pulmonary edema is unchanged. The left costophrenic angle is excluded from this film. No large pleural effusion or pneumothorax.
acute renal failure, intubation.
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In comparison with the study of <unk>, the monitoring and support devices remain in place. Cardiac and mediastinal contours are stable. Substantial pulmonary edema with layering effusions and areas of compressive atelectasis at the bases. In the appropriate clinical setting, supervening pneumonia would have to be considered.
multiple surgeries, now with fever.
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Frontal and lateral views of the chest are obtained. There has been interval removal of a right central venous catheter. The lateral view is suboptimal due to overpenetration likely from patient's overlying soft tissue. No focal consolidation, large pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal contours are stable. Possible very minimal pulmonary vascular congestion, although this may relate to technique.
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Portable semi-upright radiograph of the chest demonstrates persistent small residual pneumothorax at the left lung apex and small areas of minimal aeration throughout the left hemithorax. There is dense consolidation of the left lung with an indeterminate amount of pleural effusion on the left side. There is a stable-appearing interstitial abnormality in the right lung which again may represent pulmonary edema versus dissemination of tumor. Again seen is a discrete metastatic mass in the right upper lobe.
<unk>-year-old female with pneumothorax. evaluate for interval change.
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The lungs are well expanded and clear. Hila and cardiomediastinal contours and pleural surfaces are normal.
<unk> year old woman with recent pneumonia // evaluate for resolution of previous opacities
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In comparison with the earlier study of this date, there is no evidence of pneumothorax. There is some increased opacification at the left base most likely reflecting atelectasis, though in the appropriate clinical setting, supervening pneumonia would have to be considered. The right ij catheter remains in place. The nasogastric tube has been removed. Little change in the subcutaneous gas along the upper abdomen on the right.
post-operative, to assess for pneumothorax.
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Frontal and lateral radiographs of the chest were acquired. The lungs are hyperexpanded, with slight flattening of the hemidiaphragms and expansion of the retrosternal airspace, suggestive of chronic obstructive pulmonary disease. Minimal atelectasis is seen within the left mid-to-lower lung. The lungs are otherwise clear. The heart size is normal. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen. Multilevel degenerative changes of the thoracolumbar spine are noted.
hand laceration requiring surgery. preoperative chest radiographs.
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The lungs are clear with no evidence of consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. No acute fractures identified.
evaluation of patient with palpitations.
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The lungs remain clear. The heart and mediastinal structures are unremarkable in appearance. It is grossly there is no significant change.
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The second to last median sternotomy wire is fractured in two places, best seen on the lateral projection. The remaining median sternotomy wires appear intact. There are mediastinal surgical clips. A left chest wall pacemaker has leads terminating in the right atrium and right ventricle. There is atelectasis at the right base. The heart is top normal and there is no frank pulmonary edema. The mediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax.
altered mental status.
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In comparison with the study of <unk>, the cardiac silhouette remains mildly enlarged. However, there is no definite vascular congestion or acute focal pneumonia. Blunting of the costophrenic angle on the left is consistent with a small pleural effusion.
possible pneumonia.
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Ap portable view of the chest. Opacities are present in the bilateral lower lungs which could reflect pneumonia. There is trace fluid in the minor fissure. No significant pleural effusions or pneumothorax. The heart size is normal. The mediastinal and hilar contours are normal.
shortness of breath, evaluate for pneumonia.
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In comparison with study of <unk>, the nasogastric tube extends to the stomach, though the side hole is above ge junction. Probable peg is in place. Right ij catheter tip is at the level of the mid portion of the svc. Enlargement of the cardiac silhouette with some engorgement of pulmonary vessels suggesting some increased pulmonary venous pressure. No definite acute focal pneumonia. Elevation of the right hemidiaphragm is seen.
peg placement and possible small-bowel obstruction.
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Frontal and lateral chest radiographs demonstrate a right internal jugular catheter unchanged in position with the tip in the low svc. Lung volumes are lower than on prior radiograph, resulting in increased vascular crowding and apparent interval increase in heart size. Increased opacity adjacent to/overlying the right heart border may be secondary to low lung volumes and continued vascular engorgement overlying the right heart border, but superimposed infection cannot be excluded. There are bilateral moderate to large pleural effusions, likely right greater than left, with associated bibasilar atelectasis. There is no pneumothorax.
status post resolved upper gi bleed, now with altered mental status. evaluate for infection.
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Large scale consolidation has developed in the right lung in both the middle and lower lobes.
<unk> year old woman s/p throacentesis // progression of pleural effusion progression of pleural effusion
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Pa and lateral views of the chest provided. A linear density abuts the left heart border at the left lung base likely platelike atelectasis. Otherwise lungs appear clear without evidence of pneumonia or edema. No large 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 cp // evidence of pneumothorax
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Right picc line tip in the low svc. Enteric tube tip is in the mid stomach. There are bilateral pleural effusions, which have mildly increased since prior exam. There is left lower lobe consolidation, which is stable. Increased heart size, pulmonary vascularity. There are bilateral central, basilar pulmonary opacities, favor edema, consider pneumonitis, less likely ards. Surgical clips in the upper abdomen.
<unk> year old man with esrd, toxic megacolon w/ cdiff now with coughing and reporting diff breathing. // aspiration? consolidation?
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As compared to the previous radiograph, the endotracheal tube and the nasogastric tube are in unchanged position. The lung volumes have slightly decreased. Both lung bases show areas of pre-existing opacities, combined with small pleural effusions. Moderate cardiomegaly. No evidence of newly appeared parenchymal changes.
intubation.
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In comparison with study of <unk>, the endotracheal and nasogastric tubes have been removed. There is again enlargement of the cardiac silhouette without appreciable vascular congestion, acute focal pneumonia, or pleural effusion. There is mild elevation of the outer aspect of the left hemidiaphragm.
severe coughing.
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In comparison with the study of <unk>, there is little change in the appearance of the cardiomediastinal silhouette. The appearance of the previous nasogastric tube, since withdrawn, suggests a large hiatal hernia or intrathoracic stomach. Adjacent to this opacification there is an area of increased opacification at the right base laterally. In view of the clinical setting, this could reflect an area of aspiration. The remainder of the lungs is essentially clear and there is no evidence of vascular congestion.
stroke with emesis and fever, to assess for consolidation.
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Cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. There is no focal lung consolidation.
<unk>-year-old woman with left frontal chest pain and shortness of breath, evaluate for pneumonia
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No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable unremarkable. The hilar contours are stable.
fever, cough, and dyspnea.
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As compared to the previous radiograph, the lung volumes have slightly increased, likely reflecting improved ventilation. Mild fluid overload, however, persists and zone of increased radiodensity is still noted at the right lung bases. On the left, there is unchanged extent of a pre-existing retrocardiac atelectasis. Moderate cardiomegaly. No larger pleural effusions. Unchanged position of the right internal jugular vein catheter and of the right pectoral pacemaker.
evaluation for interval change.
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Cardiac silhouette size is normal. Mediastinal contour is unchanged, with widening of the right paratracheal stripe compatible with underlying lymphadenopathy, not substantially changed in the interval. Hilar contours are obscured though likely enlarged due to lymphadenopathy. There is near-total opacification of the right lung, perhaps minimally increased compared to the previous radiograph, reflecting a combination of pulmonary metastases, right middle lobe collapse, and lymphangitic spread of tumor. Similar findings are also noted in the left lung, but are less pronounced, and this asymmetry again may be due to the presence of superimposed infection. No large pleural effusion or pneumothorax is present. No acute osseous abnormalities detected.
history: <unk>m with seizure, tachycardia, altered mental status
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Portable frontal chest radiograph demonstrates low lung volumes, with minimal infrahilar atelectasis. There is no focal consolidation. The pulmonary vasculature is engorged, and there is mild interstitial abnormality. The cardiac silhouette is top normal in size. The mediastinal contours are normal. A drainage catheter is noted in the right upper quadrant, with adjacent cholecystectomy clips.
<unk>-year-old female with pneumonia diagnosed at outside hospital. please evaluate for pneumonia.
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Pa and lateral views of the chest were obtained. A subtle opacity is noted in the right upper lobe which could represent an early pneumonia. Given the linear appearance of this opacity, the possibility of background scarring in this area is also considered. Otherwise the lungs appear clear. No pleural effusion or pneumothorax is seen. Biapical pleural parenchymal scarring is noted. The heart size is normal. The mediastinum appears slightly prominent which could be related to vascular ectasia.
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As compared to the previous radiograph, there is a complete resolution of the pre-existing soft tissue air collection in the lateral soft tissues on the left. The elevation of the hemidiaphragm on the left is constant. There is no evidence of post-operative air collections. Borderline size of the cardiac silhouette. Clips in unchanged position. Unremarkable right lung.
status post left thoracotomy, left upper lobectomy, evaluation for interval change.
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Ap upright and lateral views of the chest were provided demonstrating midline sternotomy wires and mediastinal clips. Cardiomediastinal silhouette is stable. The lungs appear essentially clear, without focal consolidation, effusion or pneumothorax. There is dish-related change of the thoracic spine with anterior flowing ossification. There is no free air below the right hemidiaphragm. Bilateral ac joint arthropathy is incidentally noted.
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Comparison is made to prior study from <unk>. There is an aicd with a left-sided generator. There is unchanged cardiomegaly. There is a mild pulmonary edema. There are no pneumothoraces. Degenerative changes of the ac joints are seen.
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Endotracheal tube and right picc are in standard position. Heart is upper limits of normal in size. Marked interval improvement in previously present multifocal pulmonary opacities which may have been due to pulmonary edema given rapid improvement. Residual bilateral interstitial pattern may reflect interstitial edema or an atypical pneumonia. Within the imaged portion of the upper abdomen, markedly distended loops of bowel are present, and could be more fully evaluated with dedicated abdominal radiograph if warranted clinically.
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Median sternotomy wires and evidence of cabg and aortic valve replacement are noted. There is no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal.
fever and lethargy. evaluate for cardiopulmonary process.
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The lungs are clear. Mediastinal and cardiac contours are normal. There is no pleural effusion or pneumothorax. Linear density projecting in left peripheral mid hemithorax is an artifact outside the patient's lung.
patient with end-stage renal disease, prerenal transplant. assess for cardiopulmonary abnormalities.
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The lungs are clear. There is no new lung consolidation, no pulmonary edema. Blunting of left lateral costodiaphragmatic angle is chronic. Mild cardiac enlargement is stable with thoracic aortic tortuosity. There is no pneumothorax.
patient with altered mental status. rule out infection or pulmonary edema.
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No previous images. The cardiac silhouette is enlarged, but there is no vascular congestion or pleural effusion. No definite focal pneumonia. On the lateral view, there is suggestion of some increased opacification at the base in the retrocardiac region. This may well represent only crowding of vessels and mild atelectasis. However, in the appropriate clinical setting, supervening pneumonia would have to be considered.
fever and leukocytosis, to assess for pneumonia.
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There is moderate enlargement of the cardiac silhouette. Mild pulmonary edema is present. There is a small right pleural effusion. No focal consolidation or pneumothorax.
history: <unk>m with chest pain // r/o chf
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The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.
history: <unk>f with chest pain and shortness of breath // evaluate for cardiomegaly, pleural effusions, pulmonary edema
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Ap portable upright view of the chest. There has been interval placement of a left ij central venous catheter which extends into the upper svc. Port-a-cath is unchanged. Bilateral streaky opacities are unchanged. No pneumothorax.
<unk>f with lij central line placement // please eval line placement
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The lungs are symmetrically well expanded and well aerated without focal consolidation concerning for pneumonia, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged, and there is no overt pulmonary edema. The cardiomediastinal and hilar contours are within normal limits. No acute osseous abnormality is detected.
one week of substernal left chest pain, here to evaluate for acute cardiopulmonary process.
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Pa and lateral views of the chest. The lungs are clear. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.
<unk>-year-old male with seizure.
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In comparison with study of <unk>, there is no change or evidence of acute cardiopulmonary disease. No evidence of pneumonia, vascular congestion, or pleural effusion.
back pain, to assess for pneumonia.
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Single portable ap upright chest radiograph demonstrates an oval shaped, poorly defined opacity within the right lower lobe, new relative to examination dated <unk> and <unk>. Minor linear atelectasis is present at the left lung base. Cardiomediastinal and hilar contours are within normal limits. There is no pleural effusion, pneumothorax, or evidence of pulmonary edema. Imaged upper abdomen is unremarkable.
history: <unk>m with sob // eval for pna
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Portable supine ap radiograph of the chest and upper abdomen demonstrates that the nasogastric tube courses into the stomach, loops on itself, and terminates in the cardiac fundus. The lung apices are not imaged. Aside from minimal left basilar atelectasis, the imaged lung fields are clear. The hilar and cardiomediastinal contours are normal. There is no pleural effusion and no large pneumothorax, although assessment is limited by the lack of coverage of the apices. Pulmonary vascular markings are normal. There is residual contrast within the colon. Multiple healed bilateral rib fractures are redemonstrated.
evaluate ng positioning. the patient has a history of recurrent aspiration pneumonia.
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Low lung volumes are seen with secondary crowding of the bronchovascular markings. The lungs are clear without consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with ? seizure, syncope this am // eval ? effusion, edema
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Cardiac size is top normal. Extensive calcifications of the tortuous but not dilated ascending and descending aorta as well as the aortic knob.
<unk> year old man with s/p right radical nephrectomy // please evaluate for any abnormalities
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Indistinctness of the left heart border with left mid and lower lung airspace opacity has progressed slightly compared with the recent prior study. The right mid and lower lung airspace opacification has improved. There is no pleural effusion, pulmonary edema, or pneumothorax. Enlargement of the cardiomediastinal silhouette is unchanged. Mild biapical pleural thickening is stable.
<unk> year old woman with pna, hypotensive, eval for worsening pna
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The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. Right ac joint separation again noted.
<unk>-year-old female with chest pain. evaluate for acute intrathoracic process.