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Pa and lateral views of the chest provided. Airspace consolidation in the left lower lung is concerning for pneumonia likely within the left lower lobe. Areas of lower lung atelectasis also noted. The cardiomediastinal silhouette appears stable. No definite pneumothorax. Mild edema difficult to exclude. Bony structures intact.
<unk>m with chest pain // eval for cardiopulmonary process
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As compared to the previous radiograph, the new fiducial marker is placed at the level of the left hilus, approximately <num> cm laterally of the previous marker. There is no evidence of pneumothorax or other post-procedural complication. The left heart contour is unchanged. Unchanged complete opacification of the right hemithorax with deviation of the trachea to the right.
status post fiducial placement, evaluation of left lower lobe.
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Lung volumes are slightly low, causing mild bronchovascular crowding. Lungs are clear without focal consolidation, pleural effusion, or pneumothorax. Cardiomediastinal and hilar silhouettes are normal.
<unk>f with left-sided chest pain. evaluate for left pleural or parenchymal disease.
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Since the most recent prior study, there has been interval increase in size of a moderate right sided pneumothorax. Right apical and basilar chest tubes are unchanged in position. Subcutaneous emphysema persists. There remains increased opacity in the right perihilar region, unchanged. The left lung is grossly clear with a small left pleural effusion. The cardiomediastinal silhouette is unchanged.
<unk> year old man with cts to water seal, evaluate size of pneumothorax..
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Frontal and lateral views of the chest were obtained. The cardiac silhouette is mildly enlarged. The aorta is calcified and tortuous. Right paratracheal opacity is stable and may relate to vascular structures without mass effect seen on the trachea. The previously seen left-sided picc is no longer seen. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen.
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The lung volumes are low. Allowing for differences in technique, the cardiac, mediastinal and hilar contours are probably unchanged. There is similar mild relative elevation of the left hemidiaphragm compared to the right. Although there are patchy opacities at the left lung base, these are not probably out of proportion to what could be expected with post-operative volume loss. It is difficult to exclude pleural effusions, particularly on the left. There is no pneumothorax.
low-grade fever following recent right total knee replacement.
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Heart size, mediastinal and hilar contours are normal. Lungs are clear, and there are no pleural effusions or pneumothoraces. Skeletal structures are remarkable for a compression deformity in the upper thoracic spine as well as an expansile lesion at the level of the left sixth anterior rib, similar in appearance to the prior study.
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Pa and lateral views of the chest. There is mild left basal atelectasis. There is no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal contours are normal.
chest pain.
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Bilateral new densities are seen in lower lung. Most of it is explained by small pleural effusion and atelectasis, but a superimposed infection cannot be excluded. There is no pulmonary edema. Left pectoral pacemaker is unchanged. Right hemodialysis catheter is in adequate position. There is no pneumothorax.
pneumonia, patient with end-stage renal disease, on hemodialysis, amputation of fourth right digit, tachycardia, white count, malaise.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. Lung volumes are low with persistent mild relative elevation of the right hemidiaphragm compared to the left. Streaky opacities, but nearly confluent posteriorly, project over the right hemidiaphragm. There is no pleural effusion or pneumothorax.
post-operative cough and fever.
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Patient is extremely rotated, which limits evaluation. Within the limitations, there is no obvious large conslidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is unchanged, and appears to be within normal limits.
altered mental status. evaluate for infection.
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Pa and lateral views of the chest provided demonstrate clear well-expanded lungs without focal consolidation, effusion, or pneumothorax. The heart and mediastinal contours are normal. Bony structures are intact. No free air below the right hemidiaphragm.
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A moderate right pleural effusion is unchanged. A right-sided pigtail catheter is in stable position, now above the meniscus of the effusion. A right-sided picc line terminates at the cavoatrial junction. Left basal atelectasis is mild. The upper lungs are clear. There is no new consolidation, effusion or pneumothorax. No new abnormal cardiac or mediastinal contour.
<unk>-year-old man with empyema.
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There are low lung volumes which again accentuate the bronchovascular markings. Mild bibasilar atelectasis without definite focal consolidation. The cardiac and mediastinal silhouettes are stable given differences in lung volumes. Hilar contours are also stable. No pleural effusion or pneumothorax.
history: <unk>f with fevers // ? process
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Pa and lateral views of the chest were provided. Patient is slightly rotated to the left. No signs of pneumonia or chf. No pleural effusion or pneumothorax. Cardiomediastinal silhouette appears normal. Bony structures are intact. Dish related changes of the t-spine noted.
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Patient is kyphotic and positioning on this film is lordotic. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
<unk>m with tachycardia, weakness // eval for acute process
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Mild left basilar atelectasis. Otherwise, no significant interval change. No pleural effusion or pneumothorax. No focal consolidation or edema. Biapical pleural thickening is unchanged. Heart size is normal. Mediastinal contours are unchanged. No acute osseous abnormality.
<unk>-year-old man with acute onset chest pain. evaluate for pneumothorax or pulmonary embolus.
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Frontal and lateral views of the chest. Increased interstitial markings are seen throughout the lungs, which may represent interstitial edema. There is no large effusion. Retrocardiac opacity is compatible with previoulsy seen hiatal hernia. Median sternotomy wires and mediastinal clips are again noted.
<unk>-year-old female with history of chf and coronary artery disease, presents with wheezing.
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As compared to the previous radiograph, there is no relevant change. Minimal dorsal pleural effusions, only visible on the lateral chest radiograph. No evidence of pneumonia. Mild overinflation. Borderline size of the cardiac silhouette. Moderate tortuosity of the thoracic aorta.
hiv, cough, questionable pneumonia.
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There is no consolidation, pleural effusion, or pneumothorax. Cardiomediastinal and hilar silhouettes are normal size. Picc has been removed.
history: <unk>m with sob tachynepea cough*** warning *** multiple patients with same last name! // r/o acute process
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Heart size is normal. The aortic knob is calcified. The mediastinal and hilar contours are unremarkable. Pulmonary vasculature is not engorged. New consolidative opacity in the right upper lobe is compatible with pneumonia. The left lung is clear. No pleural effusion or pneumothorax is detected. There are no acute osseous abnormalities.
history: <unk>m with liver/kidney transplant with fever.
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Frontal and lateral chest radiographs demonstrate unremarkable cardiomediastinal and hilar contours. Small focus of increased opacification is noted in the right lower lung corresponding with summation of vessels and costochondral calcification on the concurrent chest ct. No pleural effusion or pneumothorax evident. Multilevel degenerative changes are identified with flowing anterior osteophyte formation evident.
copd, acute shortness of breath. please evaluate for pneumonia or evidence of failure.
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Since prior exam, the patient is status post a right upper lobectomy. Surgical clips are noted in the right hilum. There is tenting and scarring of the residual right upper lobe with an apical bleb. There is more opacification that what would be expected, particularly around the right hilum. Ground-glass micronodular opacity in the right middle lobe is of uncertain chronicity, though may reflect an infectious or inflammatory process. The left lung is clear. There is no pleural effusion. The cardiomediastinal silhouette is normal.
left clavicle swelling.
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Low lung volumes are present. The heart remains mildly enlarged. The mediastinal and hilar contours are unchanged and within normal limits. The pulmonary vascularity is not engorged. Lungs are clear. Punctate calcification in the lateral aspect of the right mid lung field is compatible with a granuloma. No pleural effusion or pneumothorax is identified. There are multilevel degenerative changes in the thoracic spine.
chest pain, abdominal pain, lower gi bleed.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There are no pleural effusions or pneumothorax. The lower thoracic spine curves mildly to the left. Mid upper to mid thoracic interspaces are moderately narrowed.
fatigue and depression.
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Pa and lateral views of the chest provided. The heart appears top-normal in size with subtle prominence of the left atrial appendage for which clinical correlation is advised. No signs of congestion or edema. No large effusion or pneumothorax. Mediastinal contour appears normal. Bony structures are intact.
<unk>f with cough, dyspnea, cp // eval pna
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The heart size, mediastinal, and hilar contours are normal. There appears to be eventration of the right hemidiaphragm, however without focal lung consolidation or pleural effusion. There is left basilar atelectasis. There is no pneumothorax.
<unk> year old man with recent respiratory infection and rales at right base. ?pneumonia right base.
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No previous images. A thick band of atelectasis is seen in the left mid zone. Otherwise, cardiac silhouette is within normal limits and there is no vascular congestion, pleural effusion, or acute focal pneumonia.
preoperative for kyphoplasty.
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Endotracheal tube terminates approximately <num> cm above the carina and is appropriate. Left subclavian line ends at cavoatrial junction/upper right atrium. Over last <num> hours, mild-to-moderate right pleural effusion has improved, bilateral lower lung atelectases and presumed small left pleural effusion is similar. There are no new lung opacities. Normal heart size, mediastinal and hilar contours are unchanged.
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The heart size, mediastinal, and hilar contours are normal. The lungs are clear without pleural effusion, focal consolidation, or pneumothorax.
<unk>m with chest pain. evaluate for acute process.
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As compared to the previous radiograph, there is no relevant change. A blunting of the left costophrenic sinus might reflect a minimal left pleural effusion. Normal size of the cardiac silhouette. No pulmonary edema. No pneumonia. No pneumothorax. Minimal tortuosity of the thoracic aorta.
chest discomfort, cough and pneumonia.
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Compared to the prior study there is a new right middle lobe opacity and small right pleural effusion. There is increased volume loss in the right lower lobe. The known right infrahilar mass was better appreciated on the recent chest ct. Severe emphysema with apical bullous is again visualized. Stable heart size.
history: <unk>m with leg swelling // ? pulm 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>m with right sided chest pain // ?cause of chest pain
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Heart is mildly enlarged but stable. The cardiomediastinal contour is within normal limits. There is moderate pulmonary vascular congestion and mild interstitial edema. No focal consolidation or pneumothorax is identified. Likely small bilateral pleural effusions.
<unk> year old woman with cad chf and chest pain with increasing sob // is there evidence of volume overload, specifically increasing pulmonary edema or pleural effusions?
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The heart is moderately enlarged and there is pulmonary vascular redistribution and increased interstitial markings and hazy alveolar infiltrate in the lower lungs. There small bilateral effusions. There is dense retrocardiac opacity consistent volume loss/infiltrate/effusion. There is also increased opacity in the right lower lobe consistent with volume loss/infiltrate.
<unk> year old man with likely alcoholic cirrhosis, cellulitis and mssa bacteremia now with tachypenia // eval ? pna, effusion
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The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. There are rounded soft tissue densities in the left shoulder, which may be external to the patient and are of unclear etiology.
<unk>-year-old female with dyspnea. evaluate for acute process.
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Ap chest radiograph. The heart is mildly enlarged and there is mild to moderate interstitial edema. The right heart border is obscured, likely due to atelectasis. There is no pneumothorax.
history of asthma, presenting with hypoxemia, productive cough.
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. Surgical clips in the right upper quadrant suggest prior cholecystectomy.
<unk>f with cough, dyspnea // eval for pneumonia
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Comparison is made to prior study from <unk>. There is a left-sided central line whose distal lead tip has now migrated several centimeters more proximally. There is also a single loop projecting over the lower neck. This could be readjusted and has been disussed with icu nurse, <unk> at <time> am <unk>. Tracheostomy is unchanged. There are again seen diffuse airspace opacities and consolidation, particularly of the right lung where there is air bronchograms. There is a small amount of aerated right lung at the base. There is also consolidation at the left base. Overall, these findings are stable and can be compatible with diffuse pneumonia versus ards.
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Frontal and lateral radiographs of the chest were acquired. The lungs are clear. The heart size is normal. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen. The bony thorax is grossly intact.
right lower chest wall pain, status post blunt trauma. evaluate for fracture or pneumothorax.
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In comparison with the study of <unk>, there is little overall change. There is again enlargement of the cardiac silhouette without vascular congestion or pleural effusion. Mild retrocardiac opacification persists. Specifically, no evidence of acute focal pneumonia.
asthma and diastolic dysfunction, to assess for pneumonia or consolidation.
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Single portable semi upright frontal image of the chest. The lungs are well hyperinflated, consistent with copd. The lungs are clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.
leukocytosis and back pain.
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There are low lung volumes without definite focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Hilar contours are stable.
history: <unk>f with cp // eval for ptx
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Cardiac silhouette size remains moderately enlarged due to prominent epicardial fat pads. Mediastinal contour is unchanged, and stably widened compatible with mediastinal lipomatosis. Hilar contours are normal. Lungs are clear and the pulmonary vascularity is normal. Pleural thickening is noted bilaterally due to pleural fat deposition. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
upper abdominal pain after fall.
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The lungs are clear. There is no consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. No visualized acute osseous abnormalities.
<unk>f with bilateral reproducible chest pain // pna? rib fractures?
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Pa and lateral views of the chest. On the lateral view, in the posterior lung, there is a consolidation which is most consistent with pneumonia. It is likely in the left lower lobe. Upper lung zones are clear. Cardiomediastinal and hilar contours are normal. Cervical hardware is seen. No pleural effusion.
shortness of breath and cough, evaluate for pneumonia or infiltrate.
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Comparison is made to prior study from <unk>. There is a right ij central line with distal lead tip in the mid svc. There is also a left-sided central venous catheter with distal lead tip in the distal svc. Heart size is within normal limits. There is evidence of prior surgery at the right base with parenchymal sutures. There is some increased density at both lung bases, which may be due to a combination of scarring, atelectasis, and/or developing infiltrate, particularly on the right base. Continued attention to this area is recommended on subsequent films. There is no overt pulmonary edema or pneumothoraces.
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As compared to the previous radiograph, there is no relevant change. Moderate cardiomegaly, potential pericardial effusion. Moderate bilateral pleural effusions, right more than left with substantial areas of atelectasis at the lung bases. The ventilated lung parenchyma shows no evidence of interval appearance of parenchymal changes.
non-small cell lung cancer, desaturation, evaluation for fluid overload.
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Low lung volumes contribute to bibasilar atelectasis and bronchovascular crowding. With this in mind, no acute cardiopulmonary process is identified. No pleural effusion, no pneumonia and no pulmonary edema is identified.
history: <unk>f with somnolence, ?infection/pna // eval for pna
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Pa and lateral views of the chest are compared to previous exam from <unk>. There is new left lower lobe parenchymal opacity compatible with pneumonia in the proper clinical setting. Elsewhere, the lungs are clear. Cardiomediastinal silhouette is within normal limits. Degenerative changes are noted throughout the spine. Osseous and soft tissue structures are unremarkable.
<unk>-year-old female with fever and cough. question pneumonia.
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Again seen is a right internal jugular central line at the cavoatrial junction. A nasogastric tube courses into the stomach. Drains are present over the left hemithorax. Compared to the prior radiograph, there has been no change in the appearance of the lung parenchyma. The cardiomediastinal silhouette is also stable. There is a layering left effusion, similar to the prior exam.
history increased respiratory distress status post hiatal hernia repair, evaluate for interval change.
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The lungs appear clear; the cardiomediastinal silhouette and hila are normal. There is no pleural effusion or pneumothorax.
<unk>-year-old man with seizure. please assess for aspiration.
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Frontal and lateral views of the chest. The lungs are hyperinflated but clear of focal consolidation. The cardiac silhouette is enlarged but grossly stable. Hypertrophic changes are seen in the spine.
<unk>-year-old female with chest pain.
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Since the prior chest radiograph, there has been interval repositioning of the right picc, and the loop has since resolved. However, the tip remains at the distal right subclavian and appears to be heading superiorly towards the right internal jugular vein. Repositioning is advised. There has otherwise been no relevant change. Stable mild pulmonary edema, bibasilar atelectasis and pleural effusions. No pneumothorax.
<unk> year old woman s/p cabg // eval for picc placement after repositioning
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Prior right basilar opacity has largely resolved. The lungs are now clear. The cardiomediastinal silhouette is within normal limits. Atherosclerotic calcifications noted at the aortic arch.
<unk>f with dyspnea // r/o pna
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Mild enlargement of cardiac silhouette is present. The aorta is mildly tortuous with atherosclerotic calcifications at the knob. Pulmonary vasculature is not engorged. Lungs are hyperinflated with upper lobe predominant emphysematous changes noted. Elevation of the right hemidiaphragm is of unknown chronicity with right basilar opacity likely reflective of atelectasis. Infection cannot be excluded. Patchy left basilar opacity may reflect atelectasis. No pneumothorax is detected. A trace right pleural effusion is likely present. No acute osseous abnormalities seen.
history: <unk>m with dyspnea
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The cardiomediastinal and hilar contours are within normal limits. The aorta is unfolded. The lungs are clear without focal consolidation, pleural effusion or pneumothorax.
chest pain
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A pleural catheter is noted at right lung apex, similar to prior. Pneumothorax is minimal, if any. There is no consolidation or pleural effusion. Cardiomediastinal and hilar silhouettes are within normal size limits.
<unk> year old woman with nsclc with brain mets, s/p ct-guided biopsy with pneumo, now with r chest tube, continued pneumo with airleak // evaluate pneumothorax
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Frontal and lateral views of the chest were obtained. There has been interval removal of previously seen right-sided picc. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. There is minimal atelectasis/scarring at the left costophrenic angle. The cardiac silhouette is not enlarged. Mediastinal contours are stable.
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Compared to the prior exam there has been some interval improvement in the right-sided lung disease but there is still some persistent alveolar infiltrate in scattered areas of the right lower lobe and right and left lateral lung. It is unclear how much of this is chronic disease or how much of it is persistent infection were
<unk> year old man with new unexplained leukocytosis, ? aspiration // eval for pna
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Frontal and lateral views of the chest are obtained. There has been interval removal of the previously seen left picc. Relative left retrocardiac opacity may relate to atelectasis, although an early consolidation cannot be excluded in the appropriate clinical setting. The right lung is clear. There are low lung volumes. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable, with calcified tortuous aorta again seen and the cardiac silhouette not enlarged.
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Right pigtail pleural catheter has been replaced by a right chest tube, which courses inferomedially to overlie the lower thoracic spine near the thoracoabdominal junction level. This area is incompletely imaged on this radiograph, and the tip of the tube is not imaged. Tiny right apical pneumothorax is present as well as an apparent new moderate left apicolateral pneumothorax. Moderate right pleural effusion has slightly decreased in size following the newly placed chest tube. Widespread subcutaneous emphysema and pneumomediastinum are again demonstrated. Cardiomediastinal contours are stable. Diffuse pulmonary opacities in the right lung appear slightly improved, but heterogeneous opacities in the left lung have slightly worsened, particularly in the retrocardiac area. Although potentially due to asymmetrical pulmonary edema, coexisting aspiration or pneumonia should be considered in the appropriate clinical setting. Findings communicated by telephone with dr. <unk> on <unk> at <time> a.m. At the time of discovery.
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A right apical opacity is not significantly changed from prior exam, and most consistent with the known right apical lung nodule. The lungs are otherwise clear without consolidation or edema. There is no pleural effusion or pneumothorax. A small amount of pneumomediastinum is present, which is not unexpected post-operatively. The cardiomediastinal silhouette is otherwise normal.
status post cervical mediastinoscopy for right upper lobe lung nodule. evaluate post-operatively.
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Pa and lateral views of the chest chest demonstrate normal heart size. Pulmonary vascularity is normal. The cardiomediastinal silhouette and hilar contours are normal. The lungs are clear. No pleural effusion or pneumothorax. No displaced rib fracture identified.
reported hypotension and fever at home. evaluate for pneumonia
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The left-sided picc is seen, distal aspect of the catheter is not well seen, may terminate at the brachiocephalic/svc junction. Pulmonary edema is again seen. Left base opacity with air bronchograms raises concern for consolidation which could be due to underlying pneumonia. No large pleural effusion on the difficult to exclude trace pleural effusions. Cardiac and mediastinal silhouettes are stable.
history: <unk>f with fall // evaluate picc
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In comparison with study of <unk>, the cardiac silhouette remains at the upper limits of normal with mild tortuosity of the aorta. No acute pneumonia, vascular congestion, or pleural effusion.
hypertension with leg edema, to assess for chf.
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The heart is mildly enlarged but unchanged. The mediastinal and hilar contours are normal. Lungs are clear and the pulmonary vascularity is normal. No pleural effusion or pneumothorax is present.
productive cough for <num> weeks.
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<num> views of the chest demonstrates mildly hyperinflated lungs with clear clear spaces. The cardiac, hilar, and mediastinal contours are normal. No pleural abnormality is seen. No rib fractures identified.
history of hiv now presenting with left-sided chest pain and mild dyspnea on exertion.
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Frontal and lateral views of the chest were obtained. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No displaced fracture is identified.
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Tracheostomy terminates <num> cm above the carina. Left picc in the low svc. There are bilateral diffuse airspace opacities, which are unchanged. The moderate-sized right pleural effusion, with an apical component, is also unchanged. Heart size is stable. The mediastinal and hilar contours are stable. No pneumothorax is seen.
<unk> m hx of right lung nodule, cll, paf, copd and etoh abuse s/p right upper lobectomy // reassess
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Single portable frontal view of the chest shows a newly placed tracheostomy tube in satisfactory position. There has been removal of a feeding tube. The right subclavian catheter tip terminates in the mid to low svc. Although there has been improvement in the bilateral pleural effusions, there is still a moderate right and small left pleural effusion with resultant atelectasis. The cardiac silhouette is top normal. The mediastinum is widened but stable. There is no pneumothorax. Stable displaced rib fractures are noted.
fall from ladder with complicated icu stay, evaluate for interval change.
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The right upper lobe cavitary mass is again visualized and is not substantially changed. There is bilateral lower lobe infiltrate/atelectasis. These have increased compared to the film from one month prior. There is some linear paratracheal lucencies compatible with post-mediastinoscopy pneumomediastinum. No pneumothorax is identified.
status post mediastinoscopy for right upper lobe mass.
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Pa and lateral views of the chest provided. Again seen is a left-sided port-a-cath tip terminating at the cavoatrial junction, unchanged from prior. Bibasilar opacities appear less conspicuous than on prior - ?? Mild atelectasis versus scarring. The mediastinal and hilar contours are unchanged from prior. There is no evidence of congestion or edema. Left upper quadrant clip is seen.
<unk>m with weakness. evaluate for pneumonia.
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No focal consolidation is seen. Mild bilateral perihilar peribronchial wall thickening can be seen in small airways disease. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Surgical hardware is seen at the thoracolumbar junction and into the upper the lumbar spine, although not well assessed on this study.
history: <unk>f with wheezing respiratory infection x <num> wk, sxs persisting, hx asthma // eval ? infiltrate
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Ap upright and lateral radiographs of the chest were obtained. The heart size and mediastinal contours are stable. No focal consolidation, pleural effusion or pneumothorax. Similar appearance of bibasilar atelectasis. No pulmonary edema
patient with history of cirrhosis presenting with hypertension. evaluate for pneumonia.
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with c/o sob // ? any acute process
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Frontal and lateral views of the chest were obtained. The patient is status post median sternotomy and cabg. The cardiac silhouette remains mildly enlarged. There is persistent mild pulmonary vascular engorgement. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The aorta remains calcified and tortuous. Degenerative changes at the shoulder joints are again seen. The left shoulder is not well evaluated, although calcification along the superior humeral head could relate to calcific bursitis/tendinosis, loose bodies cannot be excluded on this study.
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The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.
chest pain and shortness of breath. evaluate for pneumonia.
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Right chest wall port is again noted. Diffuse bilateral parenchymal metastases are identified. There is new retrocardiac opacity which silhouettes portion of the hemidiaphragm. Cardiomediastinal silhouette is stable. Diffuse sclerotic osseous metastases are identified.
<unk>f with fever, breast ca // eval for pna
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Again seen is a diffuse centrilobular nodular pattern with widespread bronchiectasis, consistent with chronic airways disease. Previously noted right lung base consolidation is similar in appearance, and may represent pneumonia and/or atelectasis. No pleural effusion or pneumothorax. Cardiomediastinal contours are unchanged. No subdiaphragmatic free air. There is s-shaped curvature of the thoracolumbar spine. Hiatal hernia noted.
<unk>f with cough, hypoxia // pna?
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The lungs are clear without focal consolidation. There is no effusion. The cardiac silhouette is within normal limits. Prominent soft tissue in the subcarinal region on the lateral view is compatible with previously seen enlarged lymph nodes. No acute osseous abnormalities.
<unk>m with syncope, b cell lymphoma // evaluate for pneumonia, cardiomegaly
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Pa and lateral views of the chest provided. Lung volumes are low limiting assessment. Allowing for this, the lungs are clear. Cardiomegaly is again seen. Mediastinal contour is normal. No large pneumothorax or effusion. The imaged bony structures appear grossly intact. No free air seen below the right hemidiaphragm.
<unk>m with ams and vomiting.
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The lungs are well expanded. The hila are enlarged, suggestive of enlarged central pulmonary arteries. No focal consolidation or mass is seen. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is mildly enlarged, similar prior exam. Vascular stent is seen in the proximal left upper extremity.
<unk>f with cough
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The lungs are well-expanded and clear. No pneumothorax, edema, effusion, or focal consolidation. The heart size is normal. The mediastinum is not widened. The hilar contours are normal. No evidence of fracture.
history: <unk>f with s/p fall, + head strike, + inferior l orbit ttp, l prox <unk> metacarp ttp; + pained teeth // eval for fx
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Pa and lateral views of the chest. No prior. The lungs are clear of focal consolidation, effusion, or pneumothorax. Note is made of elevation of the right hemidiaphragm. There is a right azygos lobe and fissure. The cardiac silhouette is slightly enlarged. The osseous and soft tissue structures are unremarkable. No displaced rib fracture is seen on these non-dedicated films.
<unk>-year-old male status post bicycle accident. question posterior rib fractures.
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The relatively extensive pre-existing right lower lung parenchymal opacities, likely reflecting pneumonia, are unchanged in distribution and severity. There is no evidence of new parenchymal opacities in the right and left lung. Mild volume loss of the right lung. No pleural effusions. Unchanged size of the cardiac silhouette. Unchanged course of the right pectoral port-a-cath.
lymphoma, recently treated pneumonia, decreased breath sounds at right lower lung.
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Mild hilar enlargement is unchanged since <unk>, and is not likely to represent an active clinically significant problem. The lungs are clear. No effusion, consolidation or pneumothorax is present. Heart and mediastinal contours are normal.
<unk>-year-old man with dyspnea, intoxicated.
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Pa and lateral views of the chest. No prior. The lungs are clear of focal consolidation or effusion. The cardiomediastinal silhouette is normal. Osseous and soft tissue structures are unremarkable.
<unk>-year-old male with shortness of breath and history of asthma.
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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 h/o pancreatitis here with epigastric pain
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Cardiac size is normal. Left lower lobe opacities could correspond to atelectasis or pneumonia in the appropriate clinical setting. There is no pneumothorax or pleural effusion.
<unk> year old woman with new stroke and leukocytosis // rule out infection
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There is no focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities are identified.
<unk>f with chest pain with inspiration, s/p trauma
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Bilateral heterogeneous alveolar opacities have worsened in the interval, particularly within the left lower lobe, but also throughout the right lung. Considering the appearance on ct abdomen of <unk>, these findings probably represent a rapidly evolving aspiration pneumonia, with or without co-existing element of pulmonary edema. Moderate right pleural effusion has increased in size, and a small left pleural effusion is also demonstrated.
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Assessment is limited due to exaggerated lordotic view. Allowing for this limitation, there is no pulmonary opacity or consolidation concerning for pneumonia. Streaky bibasilar consolidations are likely atelectasis. Moderate cardiomegaly is present. There is no pleural effusion or pneumothorax. No rib fractures are identified.
<unk>-year-old male with chest pain. .
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The bulk of the stomach is herniated into the right hemithorax and massively distended with air. Compared to the scout radiograph on the <unk> torso ct from <unk>, the distension of the subdiaphragmatic portion once equally severe has improved a little after placement of enteric tube ending in the debris filled distal stomach in the left upper quadrant. The abrupt tapering of the subdiaphragmatic stomach, the absence of bowel gas more distally in small or large gut, and the interim emptying of colonic gas indicate obstruction in the region of the pylorus, by stricture, volvulus, adhesion, abscess, or mass. Aside from the right lower lung atelectasis due to the herniated stomach, the lungs are grossly clear. There is no appreciable pleural effusion or pneumothorax. The thoracic aorta is calcified and tortuous. Cardiomegaly and pulmonary hypertension are well depicted in the torso ct. Vascular clips in the right upper quadrant suggest prior cholecystectomy.
abdominal pain and nausea. evaluate for free air.
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All lines, tubes, and devices are appropriate and unchanged in positioning. There are no new focal consolidations. There are persistent moderate bilateral layering pleural effusions with associated compressive atelectasis, not significantly changed in size compared to prior. The pulmonary vasculature is normal. The cardiomediastinal silhouette is stable. There is no pneumothorax.
<unk> year old man with pneumonia, pericardial effusion now s/p pericardiocentesis with drain placement on <unk>, developing tachycardia and hypertension. discordant with vent. // r/o increasing cardiac silhouette/pulmonary infiltrate
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Single portable view of the chest. No prior. The lungs are hyperinflated with relative paucity of interstitial markings suggesting underlying copd. There is a region of subtle increased opacity identified at the right lung base, which could represent pneumonia. Elsewhere, there is no confluent consolidation. There is no definite effusion. Cardiac silhouette is slightly enlarged. Atherosclerotic calcifications noted in the aorta which is slightly tortuous. No acute osseous abnormality detected.
<unk>-year-old female with cough.
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Lungs are well-expanded and clear. The cardiomediastinal silhouette is unremarkable. There is no pleural effusion, pulmonary edema, pneumothorax, or focal airspace consolidation. The visualized osseous structures are intact.
history: <unk>f with ili, chest pain // ro pna
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As compared to the previous radiograph, the monitoring and support devices, with exception of the right-sided chest tube have been removed. The bullet projecting over the liver is seen in unchanged position. There is no convincing evidence for a right pneumothorax. No pleural effusions. No evidence of tension. Normal size of the cardiac silhouette. No pleural effusions.
assessment for interval change.
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Frontal and lateral chest radiographs demonstrate no significant change in right upper lobe post-radiation treatment fibrosis and traction bronchiectasis with mild elevation of the right hilum. The lungs are hyperinflated with bilateral upper lobe emphysema. Ovoid opacity in the right upper lobe likely represents an area of fibrosis as seen on prior ct from <unk>. The lungs are otherwise well expanded and clear and the pleural surfaces are normal without pleural effusion or pneumothorax. Mild mediastinal shift is unchanged from <unk> and is likely related to post-radiation scarring and fibrosis. Heart size, mediastinal contour and hila are unchanged in configuration from <unk>. The visualized osseous structures are unremarkable.
shortness of breath, cough, hypoxia. assess for acute process.
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A tracheostomy is stable in position. A dobbhoff tube is seen terminating in the stomach antrum. Cardiomediastinal and hilar contours are unchanged. Lung volumes are low. Opacity at the left lung base is new from the prior study and likely represents atelectasis. A small right pleural effusion is unchanged. There is no evidence of pneumothorax
<unk>m w/basilar artery and l vertebral artery occlusion and l cerebellar stroke now with worsening secretions, desaturations, and diffuse rhonchi on exam // eval for pneumonia