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Subtle bibasilar opacities likely reflect atelectasis. Lungs are otherwise well expanded. A masslike opacity seen on the same day lumbar spine ct is not appreciated on this examination. There is probably a trace left pleural effusion. No pneumothorax. There is mild cardiomegaly and mild pulmonary vascular congestion. Cardiomediastinal hilar silhouettes are unremarkable. Spinal fusion hardware is grossly unremarkable. A right-sided port-a-cath terminates in the low svc.
<unk>f with fevers, weakness // evaluate for pneumonia
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Left-sided port-a-cath again seen with catheter tip in the upper right atrium. The lungs are clear of consolidation, effusion or edema. The cardiomediastinal silhouette is within normal limits. Tortuosity of the thoracic aorta is noted with atherosclerotic calcifications at the aortic arch. Median sternotomy wires and mediastinal clips are noted. No acute osseous abnormalities. Presumably biliary stent identified in the right upper quadrant.
<unk> year old man with pancreatic cancer on chemo who presents with rigors, sirs+ // evaluate for pna
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A large left pleural effusion is stable in size. Parenchymal opacity at the base of the left lung likely reflects compressive atelectasis. There is minimal atelectasis at the base of the right lung. No pneumothorax. No right effusion. Biapical pleural thickening is re- demonstrated. The hilar contours are unchanged. The aorta is heavily calcified as before.
<unk> year old man with pleural effusion.
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Pa and lateral views of the chest. Again seen is a large right upper lobe mass with elevation the right hemidiaphragm. There are <num> large pulmonary nodules in the left lung, similar prior ct. New diffuse ground glass opacities are seen throughout both lungs, new from prior study. Heart size is unchanged. No pleural effusion. No pneumothorax. Small right pleural effusion.
cancer. shortness of breath.
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Lungs are hyperinflated. The heart is not enlarged. The aorta is markedly tortuous and enlarged. No pneumothorax, pleural effusion, or consolidation. Pacemaker device is present, with leads ending in the right atrium and right ventricle.
history: <unk>m with syncope, leukocytosis // ? acute cardiopulm process or pneumonia
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Frontal and lateral views of the chest were obtained. Lungs are relatively hyperinflated, suggesting chronic obstructive pulmonary disease. Projecting over the right lower lung, is a <num> cm ovoid opacity which may represent a nipple shadow, which can be confirmed with repeat with nipple markers. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. Prominence of the trachea right above the level of the clavicles is stable.
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Semi-upright ap and lateral radiographs of the chest are provided. The heart is enlarged. There is a left layering pleural effusion. Kerley b lines and pulmonary vascular redistribution is present. There is no pneumothorax. There is no large airspace consolidation.
dizziness in a patient with a history of congestive heart failure, cardiomyopathy, and atrial fibrillation.
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The lungs are clear. Cardiac silhouette is normal in size. Slight rotation exaggerates the mediastinum, but is probably within normal limits. The hilar contours are normal. There is no pleural effusion, pneumothorax, or pneumonia.
fevers, question pneumonia.
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Frontal and lateral chest radiograph demonstrates hypoinflated lungs with crowding of vasculature. Right lung is clear. Heterogeneous opacity within the left lower lobe with elevation of the left hemidiaphragm is noted. No definite pleural effusion. No pneumothorax. Top normal heart size is accentuated due to low lung volumes and patient positioning. Mediastinal contour and hila are otherwise unremarkable.
shortness of breath. assess for acute process.
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Prior right central venous catheter is no longer visualized. Lung volumes are low. Linear opacity in the right midlung is suggestive of atelectasis. Additional left basilar, retrocardiac opacity is also likely atelectasis. Cardiomediastinal silhouette is stable given lower lung volumes. No acute osseous abnormality. Anterior compression deformity of a mid thoracic vertebral body is unchanged. Ivc filter is partially visualized.
<unk>m with cough // acute process?
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In comparison with the study of <unk>, there are continued low lung volumes with elevation of the right hemidiaphragm. Streaks of atelectasis are again seen bilaterally, though there is no acute focal pneumonia or vascular congestion.
shortness of breath and cough, worrisome for pneumonia.
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Lung volumes are low. Heart size remains moderately enlarged. Aortic knob is calcified. Perihilar haziness and vascular indistinctness is compatible with mild pulmonary edema. Small left and small to moderate size right bilateral pleural effusions are demonstrated. Bibasilar airspace opacities likely reflect atelectasis. No pneumothorax is demonstrated. S-shaped thoracolumbar scoliosis is present.
shortness of breath, chest pain, increased lower extremity edema.
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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 asthma and sob
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Right chest wall port-a-cath is again seen. Linear right basilar opacity is compatible with atelectasis. The lungs are otherwise clear without consolidation, effusion, or vascular congestion. The cardiomediastinal silhouette is within normal limits. Degenerative changes are noted at the left shoulder. Stents are identified in the right upper quadrant.
<unk>m with lle swelling and pain hx of dvt pls eval dvt,m pls assess cxr for evid of chf
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As compared to the previous radiograph, no relevant change is seen. On the lateral radiograph provided today, small dorsal effusions are visualized. The lung volumes remain low. Mild retrocardiac atelectasis and tortuosity of thoracic aorta. No pulmonary edema. No pneumonia. Known recent changes at the level of the right humeral head.
sternal fractures, intermittent shortness of breath, evaluation.
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The lungs remain clear. The heart and mediastinal structures are unremarkable. The bony thorax is grossly intact.
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The patient has been extubated and the right internal jugular catheter is been removed. A vascular stent in the descending thoracic aorta is in unchanged position. There is increase in size in a left pleural effusion with associated atelectasis and new mild pulmonary edema. No pneumothorax
<unk>f with thoracic aneurysm s/p tevar now with persistent oxygen requirement // <unk>f with thoracic aneurysm s/p tevar now with persistent oxygen requirement; evaluate for pna, effusion
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Pa and lateral views of the chest provided. Midline sternotomy wires as well as a stent within a bypass graft again noted. Cardiomediastinal silhouette is stable with atherosclerotic calcifications along the unfolded thoracic aorta. Lungs are clear. No pleural effusion or pneumothorax. Fixation hardware projects over the right humerus.
<unk>f with chest/epigastric pain // eval for acute process
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There is an endotracheal tube seen with tip terminating at midpoint between the inferior aspect of the clavicle and the carina in adequate position. There is also an orogastric tube seen with tip coursing below the field of view of the image obtained. Mediastinal contours are within normal limits with the exception of pulmonary arterial enlargement. There is suture material projecting over the right lung. The bilateral pleural effusions and osseous sclerotic lesions are better assessed on the ct torso examination. Overlying bowel gas pattern is nonspecific and no acute fractures are seen.
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Pa and lateral views of the chest provided. Cardiomegaly is unchanged. No evidence of pneumonia or overt chf. No large effusion or pneumothorax. Bony structures appear grossly intact.
<unk>f with sob
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As compared to the previous radiograph, the monitoring and support devices are unchanged. The endoscopic capsule is projecting in unchanged manner over the neoesophagus. There are extensive alveolar opacities on the left, air bronchograms, are minimally improved as compared to the previous examination. The morphology situation of the right lung is constant.
esophagectomy, gastrointestinal bleed. evaluation for interval change.
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Pa and lateral chest radiographs were provided. Lungs are clear without focal consolidation, pleural effusion, or pneumothorax. The heart size is top normal. A pacemaker is in place with leads in the right atrium and right ventricle. The imaged upper abdomen is unremarkable. Bones are intact.
<unk>-year-old with cough, question pneumonia.
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Lung volumes are low. There are medial right middle lobe and retrocardiac opacities. Mild pulmonary vascular congestion appears similar to the prior examination. There is no definite pleural effusion. There is no evidence of a pneumothorax. Apparent increase in heart size may be due to patient positioning and low lung volumes. The aortic knob is densely calcified.
<unk>m with ams // eval for infection
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The cardiac, mediastinal and hilar contours are normal. Atherosclerotic calcifications are demonstrated at the aortic knob. Pulmonary vasculature is normal. Linear opacities in the left lung base likely reflect areas of subsegmental atelectasis or scarring. No focal consolidation, pleural effusion or pneumothorax is present. Bilateral shoulder arthroplasties are partially imaged. There are moderate multilevel degenerative changes seen in the thoracic spine.
history: <unk>m with shortness of breath today
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Pa and lateral views of the chest are compared to previous exam from <unk>. The lungs are clear of consolidation, effusion or pneumothorax. Cardiomediastinal silhouette is normal. Osseous and soft tissue structures are unremarkable. Surgical clips in the upper abdomen suggest prior cholecystectomy.
<unk>-year-old female with history of vomiting and chest pain.
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The cardiac and mediastinal silhouettes are stable. The patient is rotated slightly to the left. No definite focal consolidation is seen. There is no pleural effusion or pneumothorax. Chronic deformity of the right clavicle is again seen.
history: <unk>f with c/o cp/sob with cough // ? pna
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In comparison with the study of <unk>, there is no interval change. Cardiac silhouette is within normal limits and there is no acute focal pneumonia or pleural effusion. Mild hyperexpansion is again consistent with some underlying chronic pulmonary disease. Specifically, no evidence of congestive failure.
cough, to assess for congestive failure.
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Interval placement of dobhoff tube with tip terminating in the expected location of the duodenum. Within the chest, there has been interval development of complete left lower lobe collapse, likely on the basis of mucus plugging. Remainder of lungs are clear. Questionable very small left pleural effusion but no visible pneumothorax.
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Frontal and lateral views of the chest were performed. The lungs are clear. There is no pleural effusion, pneumothorax or focal airspace consolidation. The cardiac silhouette is mild to moderately enlarged but unchanged from prior. There is no pulmonary edema. The mediastinal contours are normal. Old healing rib fractures of the right posterior lateral <unk> and <num>th ribs are unchanged from <unk>. There is no acute displaced anterior rib fracture.
chest pain, shortness of breath and recent trauma to the chest. evaluate for pneumonia or rib fracture.
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Pa and lateral views of the chest. The lungs are clear. The cardiomediastinal silhouette is normal. No acute osseous abnormality is identified.
<unk>-year-old male with coronary artery disease with chest pain.
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A left chest wall the single lead aicd is present. The patient is status post prior median sternotomy. Minimal left basilar atelectasis. No focal consolidation, pleural effusion or pneumothorax is identified. The size of the cardiac silhouette is markedly enlarged but unchanged.
<unk> year old woman with chf // eval interval change pulm edema
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There are low lung volumes which accentuate the bronchovascular markings. Given this, there is central pulmonary vascular engorgement and mild vascular congestion without overt pulmonary edema.no definite focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable given differences in technique and inspiration..
history: <unk>m with ams // please eval for infectious process
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Hazy bibasilar opacities as on prior likely due to atelectasis. Elsewhere the lungs are clear. Right picc is seen with tip overlying the upper svc. Cardiomediastinal silhouette is within normal limits.
<unk> year old man with recent picc line placement // verification of picc line placement
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Single portable view of the chest. The lungs are clear without consolidation, effusion or pulmonary vascular congestion. The cardiomediastinal silhouette is within normal limits. Osseous structures are grossly unremarkable.
<unk>-year-old male with headache and aneurysm, preop.
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In comparison with the study of <unk>, there are definite fractures of the sixth, eighth, and ninth posterior ribs on the right. However, no evidence of pneumothorax. Continued hyperexpansion of the lungs with probable atelectatic changes at the bases. No evidence of vascular congestion or definite consolidation.
fall, to assess for rib fracture or pneumothorax.
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There is biapical scarring and diffuse chronic interstitial changes are seen in both lungs. Fibrotic changes in the right lung apex with elevation of the right minor fissure. Slightly prominent right hilus. There are left basilar pleural plaques. The cardiomediastinal silhouette is normal. There is no pneumothorax.
<unk>-year-old with tremors, shortness of breath, please assess for pneumonia.
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A port-a-cath again terminates in the lower superior vena cava. The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. Similar mild relative elevation is noted along the right hemidiaphragm. The lungs appear clear. There has been no definite change.
dyspnea.
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Heart size is mildly enlarged. The mediastinal and hilar contours are unremarkable. Pulmonary vasculature is not engorged. No focal consolidation, pleural effusion or pneumothorax is present. Minimal atelectasis is noted in lung bases. There are no acute osseous abnormalities degenerative changes are seen within the right acromioclavicular joint and thoracic spine.
history: <unk>m with cerebral amyloidosis presenting with fever, question of neutropenia
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As compared to the previous radiograph, the nasogastric tube is now coiled in the pharynx and is being displaced upwards. The tip projects over the cervical soft tissues. The tube needs to be repositioned. At the time of dictation and observation, <time> a.m., on <unk>, the referring physician, <unk>. <unk>, covered by dr. <unk>, was paged for notification. The other monitoring and support devices are constant. The opacities at the left lung apex have increased. The opacity at the right lung base is unchanged. Moderate hyperinflation of the stomach. No new opacities. Unchanged size of the cardiac silhouette one minute of the page, the findings were discussed over the telephone with dr. <unk>.
emesis, questionable aspiration.
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Heart size is normal. Atherosclerotic calcifications are noted within the thoracic aorta. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Patchy opacity in the left lung base is concerning for pneumonia. Minimal atelectasis is seen in the right lung base. Right lung is clear. No pleural effusion or pneumothorax is seen. Moderate to severe degenerative changes of the thoracic spine are present.
history: <unk>m with chest pain // eval for pneumonia
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There is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.
history: <unk>f with anterior chest pain, pls eval for opactity, edema, or fx // history: <unk>f with anterior chest pain, pls eval for opactity, edema, or fx
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Lordotic positioning. Heart size is at the upper limits of normal or slightly enlarged. Allowing for technical differences, this is probably unchanged compared with <unk>. Aorta is calcified an minimally unfolded. Hilar hand mediastinal contours are unchanged. There is upper zone redistribution, without other evidence of chf. There is mild patchy opacity in the right cardiophrenic region, slightly more pronounced than on the prior film. There is minimal atelectasis at the left lung base. Possible blunting of the left costophrenic angle, but no gross effusion on either side.
history: <unk>m with tachycardia, recent hospitalizations // eval heart and lungs
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Cardiac and mediastinal silhouettes are stable. There are low lung volumes which accentuate the bronchovascular markings. Given this, there appears to be mild pulmonary vascular congestion. Linear left base opacity most likely represents atelectasis, however, infection is not excluded in the appropriate clinical setting. No large pleural effusion or pneumothorax is seen.
history: <unk>m <num> wk postop from cervical spinal surgery w/ tachypnea, new o<num> requirement // eval ? infiltrate, edema
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Right picc terminates in mid svc. Prominent pulmonary vessels are similar to before. There is no consolidation, pleural effusion, or pneumothorax. Cardiomediastinal silhouette is normal size.
history: <unk>m with seizures, recent <unk> i d // evidence of pneumonia or intracranial abscess
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Lung volumes are low with bibasilar atelectasis. The visualized aerated portions of lungs demonstrate no evidence for focal consolidation, pleural effusion, or pneumothorax. Heart size is top normal although likely exaggerated by low lung volumes. There is no evidence for pulmonary edema.
<unk>-year-old male with bilateral lower extremity edema.
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Portable supine ap view of the chest provided. There has been interval placement of a right ij central venous catheter with its tip residing in the mid svc region. The endotracheal tube and orogastric tubes are unchanged. There is no pneumothorax. The hilar contours appear prominent, which could reflect mild central congestion. Please correlate clinically.
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Transvenous pacer has been removed and replaced by a permanent pacemaker, with leads in the right atrium and right ventricle. The right ventricular lead has a more superior course than typical, and is more superiorly located than the recent temporary transvenous pacing lead. There is no evidence of pneumothorax. The heart is upper limits of normal in size. Large hiatal hernia is demonstrated with adjacent atelectasis. Small pleural effusions are present bilaterally.
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There is moderate relative elevation of the right hemidiaphragm. The heart is normal in size. The mediastinal and hilar contours appear within normal limits. Streaky right infrahilar opacities probably reflect atelectasis associated with diaphragmatic elevation. There is no definite evidence for pneumonia or congestive heart failure. There are no pleural effusions or pneumothorax. There is apparently an exostosis or perhaps posttraumatic bony hypertrophy arising from the right posterior eighth rib.
productive cough.
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Cardiac silhouette size is normal. Mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Lungs are clear. Mild elevation of the right hemidiaphragm may be due to a small subpulmonic effusion or subdiaphragmatic process if acute, though the chronicity of this finding is unknown without prior imaging. No left-sided pleural effusion is demonstrated. There is no pneumothorax. No acute osseous abnormalities seen.
history: <unk>m with <num> weeks of tachycardia, <num> days of right lower quadrant pain
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Since the chest radiograph obtained approximately <num> weeks prior, no significant changes are appreciated. Lungs are fully expanded and clear without focal consolidation or effusions. There is unchanged dilation of the aortic knob and tortuous descending aorta. Cardiomediastinal hilar silhouettes are otherwise normal. Pleural surfaces are normal.
<unk> year old woman with hx of myeloma, pulm htn and copd. cough and dyspnea with rhonchi. please r/o pna. // <unk> year old woman with hx of myeloma, pulm htn and copd. cough and dyspnea with rhonchi. please r/o pna.
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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
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Heart size remains borderline enlarged. The mediastinal and hilar contours are unchanged. Pulmonary vasculature is not engorged. Minimal streaky atelectasis is seen in the lung bases without focal consolidation. No pleural effusion or pneumothorax is present. Compression deformity of a vertebral body at the thoracolumbar junction appears unchanged. Multiple clips are again noted within the upper abdomen compatible prior cholecystectomy.
history: <unk>f with left flank pain and diffuse abdominal pain, sudden onset
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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.
history: <unk>f with sob, palpitations, neuropathy // infiltrate
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As compared to the previous radiograph, the patient has undergone fundoplication surgery. The position of the left subclavian line is unchanged. Very low lung volumes with areas of atelectasis at both lung bases, likely post-surgical in origin. The chest x-ray shows no convincing evidence of free intra-abdominal air. No overt pulmonary edema. Moderate cardiomegaly.
status post nissen surgery and fundoplication. evaluation.
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The endotracheal tube is in adequate position at <num> cm above the carina. The left subclavian line ends in the brachiocephalic vein and is unchanged. The severe bilateral diffuse alveolar opacities are better today. There is no visible pneumothorax or pleural effusion. The cardiac and mediastinal contours are normal.
patient with mvc, severe lung disease, evaluation for change.
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In comparison to the study of <unk>, there is little change. Post-surgical clips are seen in the left axillary region. However, no evidence of pneumonia, vascular congestion, pleural effusion, or acute bone abnormality.
myxofibrosarcoma in left periscapular area.
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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.
hypertension.
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Comparison to <unk>. Unchanged position of the left pigtail catheter. There is minimal decrease in the air component in the basal portion of loculated left-sided hydro pneumothorax. Moderate cardiomegaly with partial left lower lobe collapse persists. No evidence of tension. Unchanged normal appearance of the right lung.
<unk> year old man with nsclc and l empyema w/ l chest tube // evaluate l effusion and chest tube
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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs which are clear. There is no pleural effusion or pneumothorax.
multiple myeloma. evaluate for pneumonia.
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Pa and lateral chest radiographs again demonstrate hyperexpansion with flattened hemidiaphragms. However, there is no focal consolidation, pleural effusion, or pneumothorax. The cardiac, hilar, and mediastinal contours are normal. The heart size is normal. Accentuation of thoracic kyphosis is again seen.
nausea and shortness of breath.
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Linear atelectasis at the right base with associated elevation of the right hemidiaphragm is similar to the prior exam. There is no new consolidation, pulmonary edema, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal. The osseous structures are unremarkable.
cough and fever. history of multiple myeloma.
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There is blunting of the right costophrenic angle, which could be caused by a small right-sided pleural effusion. There is left base atelectasis. No focal consolidation or pneumothorax is seen. No interstitial changes that might reflect amiodarone toxicity are noted. There is left ventricular enlargement and a large left pulmonary artery is identified.
<unk>-year-old female patient with shortness of breath, on amiodarone. study requested to rule out acute changes.
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A right-sided central venous catheter terminates in the upper svc. Blunting of the right costophrenic angle likely represents a small pleural effusion. There is atelectasis at the right lung base. Retrocardiac opacity and blunting of the left costophrenic angle is also likely secondary to pleural effusion with associated atelectasis; however, an underlying infectious process cannot be entirely excluded. Evaluation of the cardiac silhouette is limited by bilateral opacities. No pneumothorax identified. Surgical clips seen in the left upper chest.
history: <unk>f with new right ij cvl // eval right ij cvl placement eval right ij cvl placement
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Pa and lateral views of the chest. The lungs are clear. The cardiomediastinal silhouette is within normal limits. S-shaped lower thoracic upper lumbar scoliosis is identified. Osseous and soft tissue structures are otherwise unremarkable.
<unk>-year-old female with change in mental status on coumadin.
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The previously questioned air-fluid level adjacent to the trachea is not present on this view, and may have been artifactual. Posterior indentation of the tracheal air column could be due to thyroid enlargement. Moderate cardiomegaly is stable. A right-sided picc line ends in the upper svc is noted. The lungs are clear, and there is no pleural effusion or pneumothorax. The vascular pattern suggests emphysema. Dystrophic calcifications in the left axilla are chronic, probably nodal.
new-onset afib, cirrhosis, thyrotoxicosis and question tracheal deviation and air-fluid level seen on previous chest x-ray. investigate air-fluid level seen on prior chest x-ray.
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As compared to the previous radiograph, the preexisting evidence of pulmonary edema had completely resolved. Borderline size of the cardiac silhouette with mild tortuosity of the thoracic aorta. No evidence of hilar or mediastinal adenopathy. Moderate scoliosis with subsequent asymmetry of the rib cage.
hilar adenopathy.
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Pa and lateral chest radiographs are obtained. Right apical chest tube is no longer visualized. No pneumothorax is identified. Cardiomediastinal contours and lungs remain unchanged.
<unk>-year-old man, status post mie on <unk>, rule out pneumothorax post chest tube removal.
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Cardiac silhouette is upper limits of normal in size for technique. No focal areas of consolidation are present within the lungs, and there are no definite pleural effusions. If clinical suspicion for infection persists, standard pa and lateral chest radiographs may be helpful for more complete evaluation, particularly to better assess the lung bases.
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Heart size and cardiomediastinal contours are normal. Lungs are clear without focal consolidation, pleural effusion, or pneumothorax.
history: <unk>m with cough, fevers // ? pna
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The lungs are clear. The cardiomediastinal silhouette is normal. No acute osseous abnormality is identified.
<unk>m with c/o fever and cough // ? pna
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Continued enlargement of cardiac silhouette with hyperexpansion of the lungs consistent with chronic pulmonary disease. No acute pneumonia or vascular congestion.
smoker with persistent cough.
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The endotracheal tube tip projects approximately <num> cm above the carina. An esophageal catheter tip projects over the left upper quadrant with side port likely just distal to the gastroesophageal junction. No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. Heart and mediastinal contours are within normal limits.
<unk>-year-old female intubated for asthma.
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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs without focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable. Breast implants are noted.
<unk>f with fever, cough, dyspnea; hx asthma and ra // eval for pna
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The heart size, mediastinal, and hilar contours are normal. The lungs demonstrate mild bibasilar atelectatic changes, although are without focal consolidation, pleural effusion, or pneumothorax. Degenerative changes of the thoracic spine are seen.
<unk> year old man with esrd for pre kidney transplant eval. r/o infections, nodules, malignancy.
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A tracheostomy tube is in standard position. Both lungs are clear. There are no lung opacities concerning for pneumonia or pulmonary edema or atelectasis. Heart size, mediastinal and hilar contours are normal. There is no pleural abnormality.
<unk>-year-old man with anoxic brain injury, fever, and prior pneumonia. to evaluate for any evidence of infiltrates.
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There is new opacity and haziness projecting over the right lung, lower greater than upper, with probable collapse of right lower lobe. There are bilateral pleural effusions right greater than left. There is mild pulmonary vascular redistribution.
lung cancer and respiratory distress.
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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. Anterior osteophytes are noted within the mid thoracic spine.
fevers, weakness
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As compared to the previous radiograph, there is a substantial improvement. Although the lung volumes have decreased, there is complete resolution of the pre-existing pulmonary edema. Mild areas of atelectasis are seen at the bases of the right lung. No cardiomegaly. No pleural effusions. No focal parenchymal opacity suggesting pneumonia.
cryptogenic cirrhosis, evaluation.
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In comparison with study of <unk>, there is mild increase in opacification at the bases, most likely reflecting atelectatic changes. No vascular congestion or acute focal pneumonia. Central catheter remains in place.
temperature and elevated white count.
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Heart size remains mildly enlarged. Mediastinal and hilar contours are unremarkable. The lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is identified. No acute osseous abnormality is present.
history: <unk>m with hyperglycemia
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Heart size is normal. Mediastinal and hilar contours are normal. Pulmonary vascularity is normal. Lungs are clear. No pleural effusion or pneumothorax is present. No acute osseous abnormality is demonstrated.
fever, cough.
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As compared to the previous radiograph, there is no relevant change. No identifiable left pneumothorax, unchanged multiple linear structures projecting over the thorax, caused by the known soft tissue air collection. Moderate cardiomegaly. Known right pleural effusion with right atelectasis. The monitoring and support devices are in constant position.
st. p. cardiac arrest
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Study is somewhat limited by low lung volumes and lordotic positioning. Indistinct consolidations in the left lower lobe worrisome for infection and perhaps a small effusion. There is no pneumothorax. Heart size appears normal. There is a left-sided port-a-cath and the tip is in appropriate location. Surgical clips are seen projecting over the right axilla. Diffuse sclerotic lesions are seen throughout the bony structures and is compatible with known osseous metastases.
neutropenic fever with elevated bilirubin.
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Ap and lateral views of the chest. Lower lung volumes seen on the current exam. Bibasilar opacities are likely secondary to atelectasis. Lungs are otherwise clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified. Surgical clips are identified in the right upper quadrant suggesting prior cholecystectomy.
<unk>-year-old female who presents with syncope.
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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. In particular, the right rib cage appears intact. No free air below the right hemidiaphragm is seen.
<unk>f with substernal and right rib pain // eval cardiomediastinal shadow and right ribs
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There is a pigtail catheter seen at the left lung base. There are no pneumothoraces seen on either side. There is a persistent left-sided pleural effusion and increased opacity on the left. There is a small right-sided pleural effusion. Heart size is enlarged, but stable. There is again seen deviation of the trachea to the left side, due to a large goiter.
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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 flu like symptoms, fever, tachycardia
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The inspiratory lung volumes are appropriate. The lungs are clear 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. Irregularity of the cortex in the left posterolateral <num>th rib may represent fracture.
dyspnea and wheezing. the patient is recently diagnosed with periampullary malignancy.
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Heart size is normal. The mediastinal and hilar contours unchanged. Bilateral hilar and prevascular mediastinal lymphadenopathy are better assessed on the previous pet-ct. Pulmonary vasculature is not engorged. A fiducial marker is noted within a spiculated lesion in the right medial apex of the lung compatible with known malignancy. No new focal consolidation, pleural effusion or pneumothorax is present. Lungs are hyperinflated with emphysematous changes again noted. No acute osseous abnormalities detected.
history: <unk>m with lung cancer and cough // ? infectious process
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Compared to the prior exam, lung volumes are slightly lower. Streaky linear like opacities in the bilateral lower lungs most likely reflects atelectasis. Additional opacity in the posterior segment of the right lower lobe is not well evaluated in the setting of right hemi diaphragmatic elevation and single portable projection.. No pulmonary edema, pleural effusion, or pneumothorax. Elevation of the right hemidiaphragm is unchanged. The heart is normal in size. The mediastinum is not widened. The patient is slightly rotated. Contiguous old right posterior rib fractures are noted. The ninth posterior rib fracture does not demonstrate significant callus formation.
history: <unk>m with cough // ? acute cardiopulm process
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The heart is normal in size. There is a slight unfolding of the descending thoracic aorta. Otherwise, the mediastinal and hilar contours are unremarkable. The lungs appear clear. There is no pleural effusion or pneumothorax. There is no evidence for pneumomediastinum or free intraperitoneal air under either hemidiaphragm. The osseous structures are unremarkable.
stuck steak. question free air.
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Compared with the prior study, there is a pulmonary opacification over the lower thoracic spine, not definitely seen on the frontal view. This suggests the presence of a posterior lower lobe pneumonia. There is also blunting of the bilateral costophrenic angles, suggesting effusion. The heart, mediastinal, and hilar contours are stable compared to the prior study.
<unk> year old man with fever, recent trt malaria. pneumonia? edema?
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Continued enlargement of the cardiac silhouette with mild tortuosity of the aorta. No evidence of vascular congestion or pleural effusion. Hyperexpansion of the lungs is consistent with chronic pulmonary disease. However, no evidence of acute pneumonia. Wedging of several thoracic vertebra is stable. Central catheter again extends to the upper to midportion of the svc.
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Pa and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding similar study of <unk>. Mild-to-moderate cardiac enlargement is present but not different in size in comparison to the previous study. Unchanged appearance of the mildly widened and elongated but heavily wall calcified thoracic aorta. No suspicion for new aneurysmatic formations. The pulmonary vasculature is not congested and the lateral and posterior pleural sinuses remain free from any fluid accumulation. Lateral view demonstrates again accentuated kyphotic curvature in the demineralized thoracic spine with at least two wedge compressed vertebral bodies, similar as seen on previous examinations.
<unk>-year-old female patient with shortness of breath, evaluate for chf.
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Frontal and lateral views of the chest demonstrate normal lung volumes. There is no focal consolidation, pleural effusion or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. Imaged upper abdomen is unremarkable.
patient status post fall.
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The heart size is normal. The hilar and mediastinal contours are normal. The lungs are clear without evidence of focal consolidations concerning for pneumonia. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.
history of chest pain. please evaluate for infiltrate.
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There is elevation of the right hemidiaphragm, similar. Right pneumothorax is not definitely identified. Acute rib fractures, stable. There is acute fracture of the right scapula. There is a shallow inspiration. There are no infiltrates. Better lung aeration compared with prior exam.
<unk> year old man <unk> with multiple right sided rib fractures and small apical ptx on right // evaluate any interval change in ptx on right. please perform at roughly <unk> on <unk>
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The lungs are well expanded. There is mild increase in the prominence of pulmonary vasculature from prior exam, without evidence of pulmonary edema. There is no pleural effusion. There is no pneumothorax. The cardiomediastinal silhouette is unremarkable. A vp shunt is seen passing through the right chest.
<unk> year old woman with trach, peg, new tachypnea? // new pneumonia?
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The intra-aortic balloon pump has been advanced such as the tip projects over the upper portion of the aortic arch, approximately <num> mm from the top of the arch; retraction may be considered by about <num> cm. Otherwise, the lines and tubes are similar in appearance. The degree of cardiomediastinal widening is unchanged from <num> minutes prior. If developing mediastinal hematoma is if concern, short-interval followup may be considered. Additionally, the left upper lobe opacity may represent aspiration or hemorrhage - followup as clinically indicated.
<unk>-year-old male, status post cabg.
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The lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. Cardiac and mediastinal silhouettes are normal. No acute fractures are identified.
weakness.