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Left-sided pacer device is noted with leads terminating in the right atrium and right ventricle. Cardiac silhouette size remains top normal. The aorta is diffusely calcified. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. There are mild-to-moderate multilevel degenerative changes noted in the imaged thoracolumbar spine.
history: <unk>m with lightheadedness bradycardia
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The lungs are well expanded and clear. Hila and cardiomediastinal contours and pleural surfaces are normal.
<unk> year old man with post op cough, low grade temp and elevated wbc // eval for pna
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A monitoring device obscures the left lateral lower hemithorax. There is likely a small left pleural effusion. No right pleural effusion. Stable mild enlargement of the cardiac silhouette with calcification of the aortic knob. No pneumothorax or focal consolidation. Low lung volumes with mild pulmonary vascular congestion. Unchanged severe dextroscoliosis of the thoracic spine.
pancreatitis, question pleural effusion.
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The lung volumes are low. Areas of bilateral opacities, right more than left, have increased since the previous examination. The area suggests a combination of small pleural effusions, parenchymal collapse and pulmonary edema. The are, in part, visualized on a recent cta examination from <unk>. Moderate cardiomegaly and tortuosity of the thoracic aorta persist. The appearance of the azygos vein suggests mild fluid overload. No pneumothorax.
aspiration pneumonia, evaluation for resolution.
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Pa and lateral chest radiographs demonstrate no focal consolidation, pleural effusion, or pneumothorax. The heart size is top normal, unchanged. The cardiac, hilar, and mediastinal contours are unremarkable.
unresponsive with hypoglycemia. evaluation for infectious process.
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In comparison with study of <unk>, there is little interval change. Monitoring and support devices are unchanged. The bilateral pleural effusions are essentially unchanged. No evidence of acute focal pneumonia.
rising white count.
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Compared with <unk> at <time>, i doubt significant interval change. Again seen is the et tube, tip approximately <num> cm above the carina an ng tube the tip extending beneath diaphragm, now extending off the film. A side-port probably lies immediately distal to the ge junction. No chf, focal infiltrate or effusion is detected. Mild scarring at both lung bases is again noted.
<unk> year old man with sah // interval changes
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Left port-a-cath terminates in the proximal right atrium. The lungs are well expanded and clear. Cardiomediastinal silhouette is moderately enlarged. There is no pneumothorax or pleural effusion.
<unk>m with hand amputation // preop eval for pulm edema
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The lungs are clear without focal consolidation, effusion, or consolidation. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. Mild height loss of a mid thoracic vertebral body is unchanged. No acute osseous abnormalities identified.
<unk>m with cough, cp // r/o pna
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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>m with cp and sob pls eval for pna // history: <unk>m with cp and sob pls eval for pna
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Et tube has been removed. Central venous lines are unchanged in position. The diffuse left and right lower lobe opacities are unchanged. No large pleural effusion or pneumothorax. Cardiomediastinal and hilar contours are stable.
pneumonia, evaluate for interval change.
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As compared to the previous radiograph, no relevant change is seen. Low lung volumes. Borderline size of the cardiac silhouette with tortuous aorta but without evidence of pulmonary edema or pneumonia. Minimal atelectasis at the left lung bases. No larger pleural effusions.
cough and leukocytosis, evaluation for pneumonia.
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Frontal and lateral views of the chest are compared to previous exam from <unk>. Low inspiratory effort seen on the current exam, particularly on the lateral. There is linear opacity projecting over the cardiac silhouette on the lateral likely due to atelectasis. There is also faint increased opacity projecting over the posterior costophrenic angles which may also be due to atelectasis. Elsewhere, the lungs are clear. There is no effusion or pneumothorax. Cardiomediastinal silhouette is normal as are the osseous and soft tissue structures.
<unk>-year-old male with fevers, cough and cyberknife treatment to right kidney.
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Frontal and lateral views of the chest were obtained. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable and unremarkable. Coarse calcifications are seen along the aorta. There is no pulmonary edema. Degenerative changes are seen at the acromioclavicular joints bilaterally.
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Again noted is chronic marked elevation of the right hemidiaphragm.there is a small right pleural effusion and bronchial thickening. No pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
<unk> year old woman with cough // r/o pneumonia
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Status post removal of several support and monitoring devices with residual swan-ganz catheter terminating in the proximal interlobar right pulmonary artery. Cardiomediastinal contours are stable in the postoperative period. Improving pulmonary edema with mild residual interstitial edema remaining. Worsening bibasilar atelectasis, left greater than right, as well as development of a small left pleural effusion and a persistent small right effusion.
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The patient is intubated. The endotracheal tube projects <num> cm above the carina, the tube could be advanced by <num> to <num> cm. The patient also carries a nasogastric tube, the tip is not included on the image. Considering a rotation in patient position, the left lung appears normal. On the right, blunting of the costophrenic sinus as well as a right lower lobe parenchymal opacity, likely atelectatic in origin, is seen. No evidence of pneumonia. No pneumothorax. The size of the cardiac silhouette is at the upper range of normal.
intubated patient, septic shock, evaluation.
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Frontal and lateral views of the chest. Left picc is no longer visualized. The lungs are clear without consolidation or effusion. Mild cardiomegaly. Enlarged right hilar contour is unchanged when dating back to <unk>, may represent enlarged pulmonary artery. Right shoulder arthroplasty is noted. Hypertrophic changes are noted in the spine.
<unk>-year-old male with cirrhosis and lower extremity edema.
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Endotracheal tube tip is <num> cm above the carina, left picc line tip ends at mid svc, and the orogastric tube is appropriately positioned into the stomach. Mild and diffuse pulmonary edema has improved over <num> hours. More discrete and ill-defined opacity in the right lower lung, concerning for an evolving infection is no different since yesterday. Small bilateral pleural effusions are presumed and unchanged. No other interval changes in the chest.
<unk>-year-old woman with respiratory failure and pneumonia. to evaluate for consolidation, effusion, collapse.
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Comparison is made to prior study from <unk>. There is an endotracheal tube whose distal tip is <num> cm above the carina, appropriately sited. There is an unchanged right ij central line and feeding tube. There are persistent small bilateral effusions. There are no signs for overt pulmonary edema or pneumothoraces. Overall, these findings appear stable.
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The left pigtail drain has since been removed. Left lung edema is slightly less. Otherwise, no overall significant change in the radiographic appearance of the lungs since <unk>. Overall similar appearance of the left upper lung opacity that corresponds to a mass on ct with adjacent atelectasis and/or pneumonia. Persistent and overall similar probable small left pleural effusion and adjacent compressive atelectasis. No right pleural effusion. No pneumothorax. Mild cardiomegaly persists. Widening of the mediastinum probably corresponds to enlarged nodes on ct.
<unk> yo with schizophrenia, copd d/c on o<num>, htn, and t<num>dm with lung mass concerning for malignancy, lytic hip lesion, mediastinal adenopathy, presenting with worsening hypoxemia and fever now transferred to <unk> for further evalation. // interval change
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The patient is status post median sternotomy and cabg. Moderate enlargement of cardiac silhouette is unchanged. Mediastinal contours stable. Mild pulmonary vascular congestion persists, and may be slightly improved compared to the previous exam. No pleural effusion or pneumothorax is seen. There is minimal atelectasis at the lung bases. Multilevel degenerative changes are noted in the thoracic spine.
recent stroke with worsening symptoms.
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Heart size is top-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 right sided chest pain
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A dual lumen hemodialysis catheter tip terminates at the cavoatrial junction. The heart is enlarged. The pulmonary vasculature is normal. There is no focal consolidation, pneumothorax, or effusion. There is a calcified left lower lobe granuloma.
question pneumonia or pulmonary edema.
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Left picc tip is seen in the mid svc with tip <num> cm below the level of the carina. The lungs are fully expanded and clear. Pleural surfaces are normal without pneumothorax. Heart size, mediastinal contour and hila are normal. Visualized osseous structures are unremarkable.
clogged picc line. assess picc placement.
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Pa and lateral views of the chest provided. There is again noted to be a right pleural effusion with associated lower lobe atelectasis, difficult to exclude a superimposed pneumonia. There is mild left basal atelectasis without large effusion. Clips are noted in the upper abdomen. Cardiomediastinal silhouette appears grossly unchanged. No pneumothorax.
<unk>f with chest pain and shortness of breath // eval for pn
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Pa and lateral chest radiographs were provided. Median sternotomy wires appear intact. Surgical clips project over the left mediastinal border. Comparison is made to radiographs dated <unk>. Mild cardiomegaly is stable. Bilateral pulmonary opacities are present though improved relative to prior study consistent with pulmonary edema. Blunting of bilateral costophrenic angles likely reflect small pleural effusions. No evidence of pneumothorax.
history: <unk>f with cp // eval for pna
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Left-sided pacemaker with tips in right ventricle and right atrium. No pneumothorax. The hiatal hernia and small left pleural effusion are unchanged
<unk> year old woman s/p ppm implant // ptx. leads
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The lungs are clear. There is no evidence of pneumonia, pneumothorax, or pleural effusion. Cardiac silhouette is normal in size. There is no free air. The left ac joint is widened to <num> mm suggestive of previous ac joint separation, type ii.
history: <unk>m with epigastric pain, nausea
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The lungs remain hyperinflated consistent with patient's history of underlying emphysema. Areas of calcified pleural plaques previously demonstrated on ct account for the focal calcific densities overlying bilateral lungs. There are no focal consolidations, effusions, or pneumothoraces. The cardiomediastinal silhouette is normal. No acute fractures are identified.
evaluation of patient with epigastric pain.
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Lung volumes are low. Right-sided port-a-cath tip terminates at the junction of the svc and right atrium. The heart size is borderline enlarged but unchanged. Atherosclerotic calcifications of the aortic knob are noted. Mediastinal and hilar contours are stable. Mild bibasilar atelectasis is noted with a trace amount of fluid versus thickening demonstrated in the minor fissure. No large pleural effusion or pneumothorax is demonstrated. Spinal fusion hardware is partially imaged within the mid and lower thoracic spine.
fever.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.
history: <unk>f with fever // r/o pna
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Endotracheal tube terminates approximately <num> cm from the carina. An orogastric tube is within the stomach as is the side port. Heart size is mildly enlarged. The mediastinal and hilar contours are unremarkable. There is no pulmonary edema demonstrated. Streaky opacities in the lung bases likely reflect atelectasis. No focal consolidation, large pleural effusion or pneumothorax is detected. No acute osseous abnormality is seen.
intubated.
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Mild pulmonary edema is new. There is no pleural effusion or pneumothorax. Significant cardiomegaly is unchanged.
patient with acute chf, evaluation for evidence of pulmonary edema.
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The left heart silhouette and hemidiaphragm are obscured, and a meniscus fluid level is at the left costophrenic angle. No other focal consolidation, pulmonary edema or pneumothorax is seen. The cardiac and mediastinal contours are normal. Pigtail intra-abdominal drainage tube is seen within the left upper quadrant.
<unk>-year-old man with intra-abdominal abscess, sepsis. evaluate for pulmonary infiltrates, patient has cough.
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Left-sided dual-chamber pacemaker device is noted with leads terminating in the right atrium and right ventricle. The heart is mildly enlarged. Dense mitral annular calcifications are present. Vascular stent projecting over the midline heart may reflect a corevalve bioprosthesis. Aortic knob is calcified. The pulmonary vascularity is not engorged. The hilar contours are normal. There is no focal consolidation. No pleural effusion or pneumothorax is present. Mild biapical scarring is present. No acute osseous abnormalities are visualized. A few clips are seen projecting over the left chest inferiorly.
fall with fracture of the c<num> vertebral body.
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Frontal and lateral views of the chest were obtained. There is interval placement of a right-sided picc, terminating in the distal svc/cavoatrial junction. Bibasilar opacities, new since <unk> are seen, which could relate to atelectasis, aspiration, and/or infection. No pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are stable.
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Dobbhoff terminates in the stomach. Prominent pulmonary vessels and cardio mediastinal silhouette is unchanged since <num> hr prior.
?pneumonia, ?dobhoff placement <unk> year old woman with ams with aspiration and dobhoff placement // ?pneumonia, ?dobhoff placement
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The lungs are hyperinflated compatible with copd. Heart size is normal. Enlargement of the hila bilaterally likely reflects pulmonary arterial hypertension. There is no pulmonary vascular engorgement. Mediastinal contours are unremarkable. Bullous changes with scarring is seen within the lung apices. Linear opacities within the right mid lung field and left lung base also may reflect chronic changes. Calcified granuloma in the right middle lobe is present. No focal consolidation, pleural effusion or pneumothorax is seen. There is diffuse demineralization the osseous structures.
dyspnea.
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The heart size is normal. Mild unfolding of the aorta. Normal hila. No airspace consolidation. No pulmonary edema. Mild increase in the bronchovascular markings. No suspicious pulmonary nodules or masses. No pleural effusions. No pneumothorax. Spondylotic changes of the thoracic spine.
<unk> year old man with hypoxia post-procedure at ercp // please eval for edema, infiltrate, effusion
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Frontal and lateral radiographs of the chest demonstrate mildly low lung volumes. The cardiac and mediastinal contour is normal. No pleural abnormality is detected. No osseous abnormality is seen, particularly in the right anterior sixth rib.
right anterior chest wall focal pain from motor vehicle accident three weeks ago. evaluate for fracture or abnormality of the right anterior sixth rib.
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There is little change compared to <unk> with redemonstration of a large left lung base opacity associated with pleural effusion. A small right-sided pleural effusion and minimal peribronchovascular opacities at the right lung base are unchanged. The lungs remain hyperinflated. Cardiomediastinal silhouette and hilar contours are stable. There is no pneumothorax.
lung cancer, copd, presenting with shortness of breath.
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Pa and lateral chest radiographs. Right-sided port-a-cath tip terminates in the lower svc. The lungs are hyperexpanded with apical pleural parenchymal scarring. However, there is no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal.
fever, evaluation for pneumonia.
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No previous studies for comparison. There is a left-sided pacemaker with distal lead tips in the right atrium and right ventricle. The leads all appear intact without discontinuity. There is smild tortuosity of thoracic aorta. Lungs are grossly clear. Prominent gastric bubble is seen. There are some mild degenerative changes and minimal wedging of several mid thoracic vertebral bodies, likely chronic.
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Stable positioning of the right apical chest tube. Decrease in size of the right basilar pneumothorax no longer well visualized. Stable extensive subcutaneous emphysema and pneumomediastinum. Small left pleural effusion is unchanged.
<unk> year old woman with s/p mini mvr/subcutaneous emphysema // eval ptx
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Frontal and lateral views of the chest. Low lung volumes are noted. There is somewhat linear opacity at the lung bases, more conspicuous on the left than on the right. In addition, there is a linear opacity projecting over the upper lobes posteriorly, potentially localizing to the right on the frontal view. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified.
<unk>-year-old female with fever and cough.
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The cardiomediastinal silhouette and pulmonary vasculature are normal. The lungs are clear. There is no pleural effusion or pneumothorax.
history: <unk>f with asthma, today with cough and difficulty breathing // please evaluate for acute infectious process
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Pa and lateral chest radiograph demonstrates clear lungs bilaterally. Lungs appear hyperinflated with flattening of hemidiaphragms, suggestive of emphysematous changes. Cardiomediastinal and hilar contours are stable. There is no pleural effusion or pneumothorax.
<unk>m with shortness of breath
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Mild left base atelectasis is seen there is no definite focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable, with the cardiac silhouette top-normal to mildly enlarged..
history: <unk>m with confusion, falls. // eval for acute process
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The cardiac silhouette size remains mildly enlarged. Mediastinal and hilar contours are unchanged, with similar mild rightward deviation of the trachea. Mild calcification at the aortic knob is again noted. The pulmonary vasculature is not engorged. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Multilevel degenerative changes are noted in the thoracic spine with anterior osteophyte formation.
left chest pain.
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The heart is normal in size. The mediastinal and hilar contours appear unchanged. There is no pleural effusion or pneumothorax. The lungs appear clear. Bony structures are unremarkable.
chest pain and shortness of breath.
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Both right-sided pigtail catheters have been removed. There continues to be a right apical pneumothorax. There is also increased lucency inferiorly, likely representing an inferior component to the pneumothorax with increased subcutaneous emphysema. There is a small left effusion that is increased in the interval. The fiducial placement and right upper lobe mass are again seen.
ct-guided biopsy with pneumothorax post-ct .
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The lungs are moderately well-expanded. Left pericapsular matted scarring is unchanged. No focal consolidation is appreciated. There is no pleural effusion, pneumothorax, or pulmonary edema. Cardiomediastinal silhouette is mildly enlarged, but unchanged.
history: <unk>f with shortness of breath // eval for acute process
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There is a right-sided picc line with its tip projecting over the mid svc. There has been no significant change since the chest radiograph from the prior day. A left-sided pacemaker with a single lead extending to the right ventricular apex is again seen.
<unk> year old man with recent picc placement, ?line slipped during dressing change. evaluate picc position.
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There is no evidence of focal consolidation, pleural effusion, pneumothorax, or frank pulmonary edema. Calcifications are seen within the aortic arch. The cardiomediastinal silhouette is within normal limits. A surgical anchor is seen within the left humeral head. Degenerative changes are noted within the bilateral ac joints.
history: <unk>m with syncope, head strike and cspine pain, hx of cspine surg pls eval for injury, also eval cxr for pna // history: <unk>m with syncope, head strike and cspine pain, hx of cspine surg pls eval for injury, also eval cxr for pna
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The lungs are well-expanded and clear. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable. Limited assessment of the osseous structures are notable for a stable chronic right anterior fourth rib fracture and a newly apparent mid thoracic mild anterior wedge compression fracture. No acute displaced rib fracture.
<unk>m with recent fall. assess for acute infectious process, fracture or bleed.
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Single frontal view of the chest. Right picc is in stable position, terminating in the mid svc. Heart size and mediastinal contours, including tortuosity of the aorta, are stable. Lung hyperinflation and bilateral calcified granulomas are similar to prior. The lungs otherwise appear clear without focal consolidation, pleural effusion, or pneumothorax. Mucous plugging and left upper lobe consolidation seen on <unk> chest ct are not apparent on the current chest radiograph.
cll and failure to thrive concerning for aspiration pneumonia.
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As compared to the previous radiograph, there is no relevant change. Diffuse generalized bony metastasis with subsequent alteration in the radiographic structure of the bones. At the level of several ribs as well as in the region of the right scapula, changes could have minimally progressed. Lung parenchyma itself is not substantially changed. There is no evidence of acute lung disease such as pneumonia or pulmonary edema. No pleural effusions. Normal appearance of the mediastinal structures. Unchanged minimal fibrotic changes at the level of the left hilus.
prostate cancer, pneumonia.
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Heart size is normal. The mediastinal and hilar contours are normal. Positioning of medial clavicles and trachea is similar to <unk> radiograph, with slight offset of tracheal contour from midline attributed to the presence of scoliosis. The pulmonary vasculature is normal. Lungs are clear except for linear atelectasis or scar at the right base. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
<unk> year old woman with dysphagia of large pills. exam shows prominent head of right clavicle protruding across midline, deviation of trachea. no thyromegaly or nodule. no tenderness. // evaluate bony position of medial portion of right clavicle, r/o tracheal deviation.
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No pleural effusion or pneumothorax. Given the low lung volumes, no consolidations concerning for pneumonia. Cardiac size is top normal.
chest pain and anemia.
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Et tube terminates <num> cm above the carina. Transesophageal tube courses below the diaphragm and out of view. There is no consolidation, pleural effusion, or pneumothorax. Cardiomediastinal and hilar silhouettes are normal size.
history: <unk>f with status epilepticus now s/p ett placement // eval ett placement
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The lung volumes are low. The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear. Lower thoracic vertebral compression deformities appear unchanged.
fever and malaise.
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The lungs are well expanded and clear. There has been interval resolution of prior opacity in the right lung base. Heart size is also improved. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
<unk>-year-old male with shortness of breath. evaluate for acute process.
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There is interval improvement in the left-sided pleural effusion. There is also now visualization of part of the left heart border which may be due to either partial left upper lobe reexpansion or compensatory hyperexpansion of the left lower lobe. Remainder of the chest radiograph is stable compared to prior exam. There is no pneumothorax.
<unk>-year-old man status post ebus complicated by left pneumothorax.
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The cardiac silhouette and pulmonary vasculature shows no significant abnormalities. No focal consolidation is identified. There is no pleural effusion or pneumothorax. A transesophageal tube is seen terminating in the duodenum.
<unk> year old man with etoh cirrhosis and persistently elevated bilirubin now with new fever // ?evidence of pneumonia
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Compared with earlier radiograph, the patient has been intubated with the et tube ending <num> cm above the carina. A right internal jugular central venous catheter ends in the upper right atrium. There is a new retrocardiac opacity which could represent aspiration, atelectasis or consolidation. There is otherwise no change in moderate pulmonary vascular congestion and mild cardiomegaly. No pleural effusion or pneumothorax is present.
respiratory distress status post intubation.
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Frontal and lateral views of the chest. The lungs are clear of consolidation, effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. The descending thoracic aorta is tortuous with atherosclerotic calcifications. No displaced rib fractures identified. Degenerative changes seen at the shoulders.
<unk>-year-old female with fall. question rib fracture.
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Pa and lateral views of the chest were obtained. The lungs are hyperinflated suggesting copd. There is a moderate cardiomegaly. The aorta is slightly unfolded. No chf, focal infiltrate, pleural effusion, or pneumothorax is detected.
<unk>-year-old man with chest pain.
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There has been interval resolution of the previously identified lingular opacity, and a significant decrease in the prominance of the right basilar opacity. There is no new, focal consolidation. No pleural effusion, pneumothorax, or pulmonary edema is seen. The heart is normal in size. Mediastinal contours are normal.
history of pneumonia in <unk>, assess for resolution.
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Lung volumes are low. The heart is moderately enlarged. The aorta is unfolded. The pulmonary vascularity is not engorged. The lungs are clear. No focal consolidation, pleural effusion or pneumothorax is detected. No acute osseous abnormalities are seen.
cough.
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Moderate cardiomegaly is seen and is grossly unchanged from previous studies. Interval placement of an et tube is seen with the tip projecting approximately <num> cm superior to the carina. Placement of a feeding tube is also seen with the tip projecting into the superior aspect of the stomach. Low lung volumes are seen with retrocardiac atelectasis. Pulmonary vascular congestion is seen without evidence of pulmonary edema.
<unk> year old woman with recent ng tube placement. // eval for ng tube placement.
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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 coffee ground emesis
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In comparison to the prior study of <unk>, there is no substantial change. Severe thoracic scoliosis is again noted and cardiomediastinal silhouette is stable. A <num> mm calcified nodule projecting over the right lower lung is stable dating back to <unk>, likely a granuloma. There is no focal consolidation, pleural effusion, or pneumothorax. Age indeterminate compression deformities in the lower thoracic spine have progressed since <unk>.
history: <unk>f with cough x<num> days // evidence of pneumonia
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The lung volumes are low. Moderate cardiomegaly with signs of mild fluid overload. In addition, at the right lung base, there is a streaky parenchymal opacity with subtle air bronchograms. In the light of the clinical history, this change could represent an infectious focus. No pleural effusions. No pneumothorax. The stent is not visible on the current image. At the time of dictation and observation, <time> a.m., on <unk>, the referring physician, <unk>. <unk>, was paged for notification.
t-tube placed for tracheal stenosis, questionable pneumonia.
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Single upright portable ap view of the chest provided. Lung volumes are low. The heart size appears top normal and there is mild pulmonary edema. No large effusion or pneumothorax is seen. The mediastinal contour is stable. No acute osseous injury is seen.
<unk>f with weakness and fall.
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Heart size is normal. The aorta is mildly unfolded but unchanged. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is not engorged. Elevation of the right hemidiaphragm is unchanged with continued blunting of the right costophrenic angle compatible with a small pleural effusion, as seen on the previous mri, and perhaps minimally decreased in size. There is associated right basilar atelectasis. Left lung is clear. No pneumothorax or left-sided pleural effusion is present. Mild degenerative changes are seen in the thoracic spine.
history: <unk>m with complaints of shortness of breath with known right pleural effusion
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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 chest pain and right calf pain
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In comparison to the prior radiograph, the lung volumes are significantly lower, with resultant crowding of the vascular structures and exaggeration of the cardiac silhouette which is likely within normal limits. There is no evidence of consolidation, edema, pleural effusion, or pneumothorax.
left-sided chest pain.
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Mild cardiomegaly is unchanged. Thoracic aorta is generally tortuous and the ascending portion, either tortuous or dilated is unchanged since <unk>. Lungs are clear. There is no pleural effusion or pneumothorax. There is a mild levoconvex scoliosis of the thoracic lumbar spine
<unk>-year-old woman with palpitations.
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Portable ap upright chest radiograph was provided. Cardiomegaly is again noted with double density suggestive of left atrial enlargement, unchanged. There is indistinct appearance of the pulmonary hila suggesting central venous congestion. There is no frank alveolar edema, effusion or pneumothorax. Bony structures are intact.
<unk>-year-old man with hypotension and weakness, question pneumonia.
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Ap upright view 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 s/p fall // eval for consolidation
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Pa and lateral views of the chest are provided. There is a left chest wall port-a-cath with catheter tip extending to the level of the svc, unchanged. There is stable elevation of the right hemidiaphragm with associated right basal atelectasis. No focal consolidation to suggest the presence of pneumonia. No effusion or pneumothorax. Cardiomediastinal silhouette appears stable. Bony structures are intact. No free air below the right hemidiaphragm.
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Pa and lateral views of the chest provided. Midline sternotomy wires again noted. There is no focal consolidation, effusion, or pneumothorax. No signs of congestion or edema. The cardiomediastinal silhouette is normal. Curvilinear calcification on the lateral view projecting over the heart likely represents mitral annular calcification. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>m with bp <unk> asymptomatic
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As compared to the previous examination, there is no relevant change. No evidence of recurrence of the pre-existing and known, previously documented peripheral bilateral parenchymal opacities. No new parenchymal abnormalities. No evidence of overinflation. No pleural effusions. Unchanged borderline size of the cardiac silhouette without pulmonary edema.
eosinophilic pneumonia, steroid taper, evaluation for new parenchymal opacities.
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Mildly enlarged cardiac silhouette is unchanged. Mild interstitial edema is unchanged compared to <num> hr prior. Large right pleural effusion and moderate left pleural effusion are similar to prior. Ng tube terminates in the stomach.
<unk> y/o male with hx of afib, on xeralto who was found to beunsteady with ams found to have a left ivh likely <unk> to a/c and possibly htn. now on floor with pulmonary congestion and possible sick sinus syndrome. // eval interval change
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Lung volumes are low. Again seen is widening of the ap diameter suggesting chronic obstructive lung disease. There is no evidence of focal consolidation, pleural effusion or pneumothorax. Eventration of the right hemidiaphragm is stable. The aorta is tortuous but stable.
<unk>-year-old man with chest pain and shortness of breath.
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Upright ap and lateral views of the chest provided. Dual lead pacemaker is seen projecting over the left chest wall with leads extending to the region of the right atrium and right ventricle. The lungs appear clear without focal consolidation, effusion or pneumothorax. The heart is top-normal in size. The mediastinal contour appears normal. No acute fractures are identified. Scoliosis and degenerative disease is pronounced in the upper lumbar spine though only partially imaged.
<unk>f with s/p fall.
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The inspiratory lung volumes remain low with an unchanged large hernia containing bowel in the left hemi thorax. Right middle lobe atelectasis is slightly improved from the most recent prior study. No other focal consolidations are noted. There is no increase in size of a small right pleural effusion. There is no overt pulmonary edema. No pneumothorax is present. The cardio mediastinal silhouette is incompletely evaluated but likely within normal limits and unchanged. Again there is a large hiatal hernia with mildly distended contents but unchanged.
dyspnea, here to evaluate for pneumonia.
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The lungs are clear, the cardiomediastinal silhouette and hila are normal. There is no pleural effusion or pneumothorax.
<unk>-year-old with chest pain.
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The lungs are well-expanded and clear. No focal consolidation, pulmonary edema, pleural effusion, or pneumothorax. The cardiomediastinal silhouette, hila, and pleura are normal.
<unk>-year-old man complaining of pounding, non-pleuritic chest pain for the last week. evaluate cardiac silhouette and lung parenchyma.
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Interval intubation with tip of endotracheal tube terminating <num> cm above the carina. Feeding tube terminates in the proximal stomach. Persistent cardiomegaly and pulmonary vascular congestion accompanied by worsening perihilar edema. Slight improved aeration at the lung bases bilaterally as well as apparent slight decrease in size of bilateral pleural effusions.
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As compared to the previous radiograph, the patient has been intubated. Tip of the endotracheal tube projects <num> cm above the carina, the course of the nasogastric tube is unremarkable, the tip is not included on the image. The pre-existing right picc line is constant. There is no evidence of complications, notably no pneumothorax. Borderline size of the cardiac silhouette, mild retrocardiac atelectasis.
neck mass, intubation, evaluation of tube placement.
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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>m with sob and cough // pna??
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Single frontal view of the chest demonstrates median sternotomy wires, the most inferior of which remain stably fractured. A left approach dual-channel dialysis catheter remains in stable position. Massive cardiomegaly is unchanged, with perihilar vascular engorgement and mild edema. There is near-complete obscuration of the left lower lung, where infection cannot be excluded. The right lung and the left upper lung remain well aerated. There is no pneumothorax or large right effusion.
<unk>-year-old male with shortness breath. question pneumonia.
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Frontal and lateral views of the chest. The lungs are hyperinflated. Focal opacity at the right cardiophrenic angle is compatible with fat pad identified on prior ct. More vertically oriented opacities seen laterally in the right lung may be due to atelectasis. There is no focal consolidation worrisome for infection. Cardiomediastinal silhouette is within normal limits. Atherosclerotic calcifications identified at the aortic arch. No acute osseous abnormality is identified.
<unk>-year-old female with tachycardia and crackles. question pneumonia.
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Single frontal view of the chest. Lung volumes are low. Heart size and cardiomediastinal contours are stable. Blunting of the left costophrenic angle is consistent with a small left pleural effusion. No focal consolidation or pneumothorax. There is no evidence of pulmonary edema.
history of coronary artery disease and aortic valve replacement, status post left femur fracture orif.
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A right ij-approach swan-ganz catheter again terminates deep within a right pulmonary artery. A previously seen loop within the right ventricle has been resolved. There remains a smaller loop, likely coiled within the main pulmonary artery. A left-sided intracardiac device is unchanged in position. There is no pneumothorax. A left retrocardiac opacity is minimally changed, likely reflecting atelectasis.
swan-ganz positioning.
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There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. The imaged upper abdomen is unremarkable. The bones are intact.
history: <unk>m with confusion // eval for pna
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The lungs are clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. No focal consolidations are seen. No pulmonary edema, pneumothorax, or pleural effusion. Anterior osteophytes are noted in the thoracic spine on the lateral view.
history: <unk>m with palpitations // acute process
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Pa and lateral chest views were obtained with patient in upright position. The heart size is normal. No configurational abnormality is identified. Unremarkable appearance of thoracic aorta and no mediastinal abnormalities are seen. The pulmonary vasculature is normal. No signs of acute infiltrates and the lateral and posterior pleural sinuses are free. No remaining pneumothorax in apical area, either left or right side. Comparison is made with the next preceding chest examination of <unk>. The, at that time, existing left-sided apical pneumothorax has resolved. Same holds for the diffusely increased parenchymal pattern, mostly in central location, consistent with edema. With regard to skeletal findings on this routine pa and lateral chest examination, one can notice only minor rib deformities on the left side in the form of local increased sclerosis in the posterolateral area of the seventh, eighth and ninth rib, consistent with callus formation. No persistent bony separation or marked displacement is observed on the pa and lateral chest examination. The acute trauma ct of <unk> is reviewed. At that time, multiple left-sided rib fractures were noted and seen to involve the left-sided third, fourth, sixth, seventh, eighth and ninth as well as tenth and eleventh rib. There was never any major diastasis. The present chest examination can identify local sclerosis in some of these sites, consistent with ongoing osseous healing. Detailed visualization of all the previously identified rib fracture sites would require a renewed ct examination, which is hardly indicated unless the patient displays local relevant symptoms.
<unk>-year-old male patient, with status post motor vehicle collision on <unk>, evaluate rib fractures.