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The heart is mildly enlarged. The mediastinal and hilar contours appear unchanged. There is no pleural effusion or pneumothorax. The lungs appear clear. There is similar mild rightward convex curvature along the lower thoracic spine.
leukocytosis and hyponatremia.
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As compared to the previous radiograph, the lung volumes have slightly decreased, likely reflecting a reduced inspiratory effort. There is moderate cardiomegaly without evidence of pulmonary edema. Tortuosity of the thoracic aorta. Minimal atelectasis at both the left and the right lung bases, but no evidence of pneumonia. The pre-existing opacities in the right upper lung have completely resolved.
fever and cough, evaluation.
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In comparison with the study of <unk>, the degree of pneumoperitoneum appears to be worsening. Small pneumothoraces persist bilaterally. Opacification at both bases is consistent with atelectasis with probable left effusion as well. Some indistinctness of pulmonary vessels suggests some elevated pulmonary venous pressure, possibly related to overhydration.
esophageal tear.
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Moderate cardiomegaly is stable. Aorta is tortuous. There are low lung volumes. Moderate pulmonary edema has worsened. Bibasilar opacities are likely atelectasis. There is no pneumothorax. Bilateral effusions are small larger on the right.
<unk> year old woman with dchf presenting with dyspnea, found to have markedly elevated wbc count concerning for leukemia, without pulmonary infiltrates and vascular engorgement // assess for interval change
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Ap upright and lateral chest radiographs demonstrate clear lungs bilaterally. Cardiomediastinal and hilar contours are within normal limits. There is no pleural effusion or pneumothorax. No evidence of pulmonary edema. There is no air under the right hemidiaphragm.
<unk>f with ams, nausea/vomiting // evidence of infiltrate
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A left-sided port is seen, with the catheter terminating in the low svc or proximal right atrium. The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.
history: <unk>f with hx chemotherapy for breast ca; p/w <num> day hx of fever to <num>, epigastric pain; ttp mostly in llq //
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Mild cardiomegaly persists. Re- demonstrated is a focal opacity within the right middle lobe concerning for pneumonia. Minimal streaky opacity within the right lower lobe also is noted, which could reflect atelectasis or additional site of infection. There is no pleural effusion or pneumothorax. Lung volumes are low. There is no pulmonary vascular engorgement. Osseous structures are unremarkable.
pneumonia.
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Lungs are well-expanded and clear. Cardiomediastinal silhouette is unchanged, with unfolding of the thoracic aorta. No pneumothorax, pleural effusion, or consolidation.
history: <unk>f with cp // ro infection
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The lungs are clear. There is no focal consolidation or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. Orthopedic hardware seen in the humeral heads bilaterally.
<unk>m with episode of confusion // eval infiltrate
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Lung volumes are low, accentuating the cardiomediastinal contours and resulting in crowding of bronchovascular structures. There is no consolidation, pleural effusion, or pneumothorax. Cardiomediastinal and hilar silhouettes are normal size considering low lung volumes.
history: <unk>m with cp, sob, // eval for consolidation
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There are relatively low lung volumes. No definite focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are unremarkable.
<unk>-year-old male with hypertension, positive lactate, question pneumonia.
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Comparison is made to the prior radiographs from <unk>. The heart size is within normal limits. Lungs are clear. There is no focal consolidation, pleural effusions or pneumothoraces. No displaced rib fractures are seen. There is some wedging of a mid thoracic vertebral body, likely t<num> which is age indeterminate. If there is high concern for displaced rib fractures, dedicated rib series could be performed.
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Pa and lateral views of the chest were provided. The lungs are clear without focal consolidation, effusion or pneumothorax. A rounded sclerotic focus projecting over the lower t-spine on the lateral view is compatible with a bone island on the prior ct from <unk>. Cardiomediastinal silhouette is normal. No pneumothorax or effusion. Bony structures are intact.
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The right-sided picc terminates at the cavoatrial junction. The left-sided pleural effusion with associated atelectasis is unchanged. There appears to be slight interval improvement of the small right-sided pleural effusion and atelectasis compared to the prior exam. There are no new focal consolidations. There is no pneumothorax.
<unk>-year-old female with end-stage renal disease, hypotension, who presents for evaluation of interval change or signs of infections.
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Lungs are clear. Cardiac silhouette is normal in size. There is no pleural effusion, pneumothorax, or pneumonia. An azygos lobe is incidentally noted.
cough.
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The lungs are clear and minimally hyperinflated. There is minimal basilar atelectasis. The hilar and cardiomediastinal contours are normal. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal.
chest pain.
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Lungs are hyperinflated with bibasilar atelectasis noted. No convincing signs of pneumonia. No pleural effusion or pneumothorax. Heart is mildly enlarged and the aorta is unfolded. Bony structures are intact.
<unk>-year-old male with cough, recent pneumonia, evaluate for pneumonia.
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Frontal and lateral views of the chest demonstrate normal lung volumes. No focal consolidation, pleural effusion or pneumothorax is seen. The hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is no pulmonary edema.
patient with syncopal episode.
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No definite focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with shortness of breath, chest pain // please eval for cardiomegaly, pna
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There is no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal. There is a right triple-lumen central line catheter with the tip in the lower svc. There are no acute skeletal abnormalities.
<unk>-year-old woman with aml and worsening sharp chest pain. question acute process.
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The heart size is at the upper limits of normal, similar to prior exam. The mediastinal and hilar contours are within normal limits. The lungs show no lobar consolidation. Again a hiatal hernia is present. There is no pleural effusion or pneumothorax. There is no subdiaphragmatic free air. Air-fluid levels noted below the diaphragm may indicate obstruction or delayed gastrointestinal transit.
<unk>-year-old female with abdominal pain, coughing phlegm and vomiting for a week.
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Chronic bibasilar lung disease is similar to prior exams with atelectatic changes and interstitial thickening. No new consolidation is definitively identified. There is no pneumothorax or large effusion. The heart and mediastinal contours are normal.
<unk>-year-old man with chemo for lung cancer, diabetes mellitus, with seizure.
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Patient is status post median sternotomy and cabg. Heart size is normal. Volume loss of the right lung with fibrosis, bronchiectasis, architectural distortion and scarring in the right upper lobe is unchanged causing rightward shift of mediastinal structures. Lungs are hyperinflated with extensive emphysema again noted. New patchy opacities are seen within both lung bases, more so within the right lower lobe, concerning for aspiration or pneumonia. Pulmonary vasculature is not engorged and hilar contours are similar. No pneumothorax or large pleural effusion is present. There are no acute osseous abnormalities.
history: <unk>m with dyspnea, history of chf, copd
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Frontal and lateral chest radiographs demonstrate mild cardiomegaly. There is no focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable.
evaluate for pneumonia in a patient needs medical clearance.
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Lung volumes are low but the lungs are clear. The hilar and mediastinal contours are normal. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal.
altered mental status.
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Endotracheal tube tip terminates <num> cm from the carina. Orogastric tube tip is seen in coursing below the left hemidiaphragm, off the inferior borders of the film. Lung volumes are low. Heart size is mildly enlarged but unchanged. Mediastinal and hilar contours are within normal limits. Crowding of the bronchovascular structures is noted, but no overt pulmonary edema is seen. Minimal streaky bibasilar airspace opacities likely reflect atelectasis. No pleural effusion or pneumothorax is identified on this supine exam. Embolization coils are demonstrated within the left upper quadrant of the abdomen.
upper gi bleed.
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There is a moderate right pleural effusion with increased haziness in the adjacent right mid to lower lung zone. No pneumothorax identified. Pulmonary edema is also present. The size the cardiomediastinal silhouette is mildly enlarged. Degenerative changes of both shoulders, greater on the left.
<unk> year old woman with cad, pvd, dmii, ckd, cva and left bka presents with possible osteomyelitis and uti. currently being treated with iv abx // the patient is currently has persistent leukocytosis and recently spiked fever. r/o pulmonary infection
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Portable ap chest radiograph. The right-sided chest tube has been removed. There is no pneumothorax. Lung volumes are low with bibasilar atelectasis. There is no large pleural effusion. Surgical plate traversing the right clavicle is unchanged.
thoracic outlet syndrome with recent surgery for removal of right first rib. evaluation for pneumothorax after removal of chest tube.
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Frontal and lateral views of the chest. Heart size and cardiomediastinal contours are normal. Lungs are clear without focal consolidation, pleural effusion, or pneumothorax.
chest pain.
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Heart size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is not engorged. Patchy ill-defined opacities are demonstrated in both lung bases concerning for multifocal pneumonia. No pneumothorax or pleural effusion is identified. No acute osseous abnormalities detected.
history: <unk>f with upper respiratory tract infection symptoms, wheezing.
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Single frontal radiograph of the chest demonstrates a newly placed left pigtail catheter which crosses the left lung transversely. There has been interval improvement in the left-sided pneumothorax with residual apical pneumothorax still seen. There is partial reinflation of the left lower lobe compared to the prior radiograph. There is unchanged appearance of the right lung with still small extrapleural hematoma as well as mild right-sided pleural effusion.
left pneumothorax, now status post left pigtail placement. evaluate for resolution of pneumothorax.
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Left-sided aicd/pacemaker device is noted with leads terminating in the region of the right atrium, right ventricle, and coronary sinus. Moderate enlargement of the cardiac silhouette is re- demonstrated. Aortic knob calcifications are noted. Mediastinal and hilar contours are unremarkable. There is no pulmonary edema. No focal consolidation, pleural effusion or pneumothorax is seen.
dyspnea and syncope.
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Single ap view of the chest provided. An endotracheal tube ends <num> cm above the carina. A right ij line ends in the right atrium and may be pulled back <num> cm to be positioned at the cavoatrial junction. Mild pulmonary edema is mildly improved. Bibasilar atelectasis is unchanged. No pneumothorax.
<unk>m with history of copd on home o<num>, chf, atrial fibrillation (not on coumadin), dm and prior of duodenal perforation s/p <unk> patch in <unk>, now w/duodenal perforation eroding into gastroduodenal artery s/p exploratory laparotomy, antrectomy and d<num> duodenectomy with retrocolic gastrojejunostomy, feeding jejunostomy tube placement, takedown of colocutaneous fistula, and temporary abdominal closure // assess for interval changes
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As compared to the previous radiograph, there is no relevant change. The patient carries a left-sided chest tube. At the site of tube insertion, there is an accumulation of air in the soft tissues. A millimetric left apical pneumothorax is seen. No evidence of tension. Unchanged position of the left picc line. Atelectasis at the left lung bases, in part projecting over the left costophrenic sinus, but no evidence of pleural effusion. The right lung continues to be unchanged, minimal basal atelectasis, but no new parenchymal opacities. The mediastinal contours are constant in appearance.
history of hemothorax, evaluation.
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The lateral view is suboptimal due to patient positioning. Dual lead left-sided pacer device is stable in position. Bibasilar opacities are seen which may be due to pleural effusions and overlying atelectasis but consolidations are not excluded. There is prominence indistinctness of the central pulmonary vasculature suggesting congestion. The cardiac silhouette is not well assessed but appears enlarged. Mediastinal contours are stable.
history: <unk> with sob // pna?
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Lung volumes are low, and prominent central pulmonary vessels reflect mild pulmonary vascular congestion and edema. There is no focal consolidation, pleural effusion or pneumothorax. The heart is normal in size. Vertebral body height loss in the mid-thoracic spine is compatible with given history of prior osteomyelitis of the thoracic spine.
<unk>-year-old female with history of thoracic vertebral osteomyelitis who presents with shortness of breath in setting of rib fracture. evaluate for bony abnormality, pneumothorax, infiltrate.
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A right-sided ij central venous catheter is again seen, terminating in the right atrium. The patient is status post aortic valve replacement. There is persistence of small bilateral pleural effusion, with a very similar morphology when compared to the prior examination. There is probably related atelectasis. No definite consolidative process is seen. No evidence of pneumothorax.
<unk> year old woman s/p avr // eval for pleural effusions
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Ap portable supine view of the chest. Endotracheal tube is seen with its tip located <num> cm above the carina. The ng tube courses into the left upper quadrant. Mild retrocardiac opacity may represent mild atelectasis or aspiration. Otherwise the lungs appear clear. No supine evidence for effusion or pneumothorax. Overall cardiomediastinal silhouette appears within normal limits. No acute bony abnormalities.
<unk>f with resp failure! // eval ett
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Ap portable upright view of the chest. A right-sided port-a-cath terminates at the lower svc. The heart size is normal. The hilar and mediastinal contours are within normal limits. There is no pneumothorax, focal consolidation, or pleural effusion. Right humeral fixation hardware is incompletely imaged.
<unk> year old woman with metastatic osteosarcoma // r/o asipration
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Ap and lateral chest radiographs demonstrate low lung volumes and patchy retrocardiac opacities. There is no large pleural effusion or pneumothorax. Atherosclerotic calcifications are seen throughout the aorta. The heart size is normal. The right hilum is not well seen but has a rounded contour.
altered mental status.
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Endotracheal tube tip is <num> cm above the carina, orogastric tube ends into the stomach and the right subclavian line tip is at lower svc, and all are appropriately positioned. Both lungs are well expanded without any opacities concerning for pneumonia or aspiration or atelectasis. There is no pleural abnormality. Heart size is normal. Mediastinal and hilar contours are unremarkable.
polytrauma, query pneumonia or pneumothorax.
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Cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Lung volumes are low but the lungs are clear. No pleural effusion or pneumothorax is present. No acute osseous abnormality is visualized.
history: <unk>m with hyperglycemia and concern for diabetic ketoacidosis// please assess for pneumonia
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There are persistent small bilateral effusions. Hazy opacity at the lung bases best seen on the lateral view posteriorly could be due to atelectasis although infection is not excluded. Overall, appearance is similar compared to <unk>. Cardiac silhouette is enlarged but stable in configuration. Atherosclerotic calcifications noted at the aortic arch. Left chest wall dual lead pacing device is again noted. Interval right posterior seventh rib fracture is noted.
<unk>m with ersd hd, chf, dm<num> increase fatigue and general malaise. +crackles on lung exam // r/o pulmonary edema vs pna
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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. An irregular bony focus along the anterior aspect of the right second rib corresponds to prior ct findings. Known left-sided rib fractures are not well depicted.
recent motor vehicle collision with known left apical pneumothorax and rib fractures, presenting with persistent pleuritic chest pain.
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Et tube ends <num> cm above the carina. Left jugular line is in upper svc and the distal end of ng tube is not included in the study. The stomach is still mildly distended. Severe widespread lung opacities which is probably a mix of neurogenic edema and volume overload has not changed. Cardiac contour is top normal. There is no pneumothorax or pleural effusion.
patient with hypoxia acute process?
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>f with cough and sputum
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Lung volumes are low, which results in bronchovascular crowding. Cardiomediastinal and hilar contours are unchanged. No pneumothorax, pleural effusion, or consolidation. Right internal jugular hemodialysis catheter ends at the mid svc.
history: <unk>f with fever // eval for infection
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In comparison to the chest radiograph obtained <num> hours prior, there is a new et tube, which terminates <num> cm above the carina. Lung volumes are lower, but mild to moderate pulmonary edema is essentially unchanged. No pneumothorax. No other relevant changes are appreciated.
<unk> year old man with hypoxic rersp failure s/p intubation, new htn post intubation // eval tube, r/o ptx, hemothorax
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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 and unremarkable. Chronic pulmonary vascular engorgement is again seen. No displaced fracture is seen.
seizure disorder, unwitnessed seizure, chest strike.
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The enteric feeding tube has been repositioned, its tip now projecting over the left upper quadrant. Unchanged positions of the right internal jugular central venous catheter and left picc line. The tip of the endotracheal tube projects over the mid thoracic trachea. Grossly unchanged bilateral pleural effusions and bibasilar atelectasis. Please note that the lung apices were not included on this radiograph. The appearance of the cardiomediastinal silhouette is unchanged. Calcification of the aortic arch is noted.
<unk> year old man with ogt placement // eval position of ogt - please extend to abdomen
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The lung volumes are low but without focal airspace opacity to suggest pneumonia. The heart is not enlarged. Again there are calcified mediastinal lymph nodes. The aorta is calcified. There is no pleural effusion or pneumothorax. No displaced rib fracture is seen.
fall.
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As compared to the previous radiograph, there is no relevant change. Massive cardiomegaly, moderate right and small left pleural effusion. Areas of parenchymal opacities and consolidations at both lung bases, likely reflecting a combination of pneumonia and pulmonary edema. No pneumothorax.
pneumonia, evaluation for interval change.
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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.
history: <unk>m with cough x<num> days // evidence of pneumonia
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Frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation. No displaced rib fracture identified.
right-sided chest pain. evaluate for pneumothorax, pneumonia, or rib fracture.
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An intra aortic balloon pump terminates in the proximal descending aorta approximately <num> cm below the aortic arch. A swan-<unk> catheter terminates in the proximal right pulmonary artery. Remaining indwelling support devices are stable and in appropriate position. Mediastinal contours and severe cardiomegaly are stable. Bibasilar atelectasis and small bilateral pleural effusions are unchanged. No pneumothorax.
<unk> year old man with out of hospital arrest now with balloon pump // balloon pump placement
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Pa and lateral chest radiographs demonstrates clear lungs bilaterally. There is no focal consolidation concerning for pneumonia. When compared to prior radiograph dated <unk>, the cardiomediastinal and hilar contours are stable and unchanged. Osseous structures demonstrate as shaped scoliosis, concave to the right at the midthoracic level. There is no pleural effusion, pneumothorax or pleural effusion.
<unk>-year-old female with recent gastrectomy now with nausea vomiting.
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A picc line has been removed. A chest tube again projects over the left lower chest wall, although its sidehold again lies outside the left hemithorax. There is persistent volume loss with mild leftward mediastinal shift and a moderate suspected pleural effusion in the left lower hemithorax. A focus of band-like atelectasis in the left mid lung has partly resolved. The lateral view suggests persistent consolidation with air bronchograms in the left lower lobe, again without clear change.
recent exudate and effusion, status post vats decortication, presenting with new left lower extremity edema.
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A portable frontal chest radiograph again demonstrates a normal cardiomediastinal silhouette. The lungs are relatively well aerated, with mild vascular congestion and pulmonary edema which is improved compared to <unk>. There is no focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable. Generalized increased density of the osseous structures is compatible with renal osteodystrophy and unchanged dating back to <unk>.
evaluate for pneumonia in a patient with dyspnea.
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There is no evidence for lobar consolidation, pleural effusion, pneumothorax, or pulmonary edema. Linear atelectasis is noted at the left lung base. Mild blunting of the right costophrenic angle is likely also secondary to atelectasis. The cardiomediastinal silhouette is unchanged in appearance.
history: <unk>f with hiv positive, cough, sob // eval for pna, pcp?
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The lungs are clear, the cardiomediastinal silhouette and hila are normal. There is no pleural effusion and no pneumothorax. The lung volumes are low.
<unk>-year-old with chest pain.
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The heart is mildly enlarged, and a right cardiac device and its dual leads are in stable position. There is no overt pulmonary edema, pleural effusion or focal consolidation. There is scarring in the left lung base.
<unk> year old female with right sided chest pain.
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As compared to previous radiograph of <num> day earlier, asymmetrical pattern of pulmonary edema has slightly worsened with associated increasing small right pleural effusion. Large bulla is again noted at the left apex accounting for hyperlucency in this region.
<unk> year old man w/ complaints of chest pain // ? pna,
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In comparison with the study of <unk>, there is again substantial enlargement of the cardiac silhouette with pulmonary vascular congestion and bilateral pleural effusions with compressive atelectasis at the bases. Intestinal tube remains in position.
tachypnea, to assess for change.
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The lung volumes are large. There is no evidence of overinflation. Bilateral apical thickening, right more than left, is seen at both lung apices. There are areas of mild pulmonary scarring at the bases of the left and right lung base. No acute changes such as pneumonia or pulmonary edema. The size of the cardiac silhouette is unremarkable, the hilar and mediastinal contours are normal. However, if more subtle opacities are suspected, ct should be performed.
sudden onset of weakness, rule out lung mass.
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No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable and unremarkable. There is no overt pulmonary edema. Surgical metallic hardware is seen in the lower cervical spine. No evidence of free air is seen beneath the diaphragms.
right upper quadrant pain, cough, question pneumonia.
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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and unchanged hyperinflated lungs which are clear. Right greater than left apical scarring is unchanged. There is no pleural effusion or pneumothorax.
wheezing, slightly more prominent on the right, and cough x <unk> weeks.
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Left lower lung opacity which increased between <unk> and <unk>, and stable since then, reflects either atelectasis or in an appropriate clinical situation, pneumonia. Pleural effusion if any is minimal on the left side, unchanged <unk>. Cardiomediastinal silhouette is stable in appearance.
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The heart size is borderline enlarged. Mediastinal and hilar contours are unremarkable, and the pulmonary vasculature is normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. There are mild degenerative changes in the thoracic spine.
several days of worsening shortness of breath, dyspnea on exertion.
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A right internal jugular venous catheter has been removed. The patient is status post apparently mitral valve replacement. The heart is moderately enlarged. The mediastinal and hilar contours are similar. There is persistent fluid in the minor fissure, but somewhat decreased. A small quantity of fluid is similar in the right major fissure. However, there is a new suspected small pleural effusion on the left with patchy associated basilar opacity and there is also increased opacification at the right lung base. There is no overt congestive heart failure. There is no pneumothorax. Bony structures are unremarkable.
congestive heart failure.
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The endotracheal tube and <num> cm above the carina. A nasogastric tube ends in the stomach, however, the most proximal side port is at the gastroesophageal junction and could be advanced. The lungs are clear. No pleural effusion or pneumothorax, however, the left costophrenic angle is not included.
history: <unk>m intubated // eval ett placement
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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. The left picc tip appears to be in the mid svc.
history: <unk>f with chest pain // picc line eval
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Lungs are normally expanded and clear. Mediastinal contours and hila normal. The heart is mildly enlarged and prominent pulmonary arteries are consistent with pulmonary hypertension. No pleural effusion or pneumothorax.
<unk> year old woman with pulmonary hypertension, cough, and intermittent hemoptysis // eval for pneumonia or pulmonary edema
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Frontal and lateral chest radiographs demonstrate improved lung volumes and edema when compared to chest radiograph dated <unk>. There is a vague peribronchiolar infiltration within the left mid to lower lung, likely lingula, that has not cleared. This may represent resolving pneumonia. Top-normal heart size with tortuous aorta. There is no pleural effusion or pneumothorax.
<unk>-year-old male with hcv and cirrhosis and decompensation. evaluate for pneumonia.
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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 bony structures are unremarkable.
acute shortness of breath and cough.
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The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The heart is normal in size with normal cardiomediastinal contours and unchanged aortic tortuosity.
chest heaviness.
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The lungs are moderately well inflated with diffuse prominence of pulmonary vasculature. No frank pulmonary edema. Small left pleural effusion. No right pleural effusion. There is cardiomegaly and prominence of the aortic knuckle. Bilateral acromioclavicular arthropathy is present. Ekg leads overlie the chest wall.
<unk> year old man with unruptured aaa // f/u effusion
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Heart size is normal. Mediastinal and hilar contours are within normal limits. Lungs are clear. Pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are present.
asymptomatic leukocytosis, suicidal ideation.
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There are mild bibasilar linear atelectatic changes. Otherwise, the lungs are clear with no evidence of consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. No acute fractures are identified.
weakness.
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The cardiomediastinal silhouettes are stable and within normal limits. The bilateral hila are unremarkable. The lungs are clear. There is no pulmonary vascular congestion. There is no pneumothorax or pleural effusion.
<unk>f with chest pain, evaluate for non- cardiac causes of chest pain.
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As compared to previous radiograph, the two right chest tubes are in unchanged position. Also unchanged is the right central venous access line. In the interval, the patient has received a left picc line. The tip of the picc line projects over the cavoatrial junction. Newly appeared areas of plate-like atelectasis in the left lung. Otherwise no relevant change.
status post cabg, evaluation for pulmonary edema.
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There is interval increased mild pulmonary vascular congestion/interstitial edema from the remote prior study. Small bilateral pleural effusions on the right greater than left are present. There is no pneumothorax. Mild biapical scarring appears symmetrical. Increased opacification at the right lung base is most likely reflective of atelectasis. The cardiac silhouette is moderately enlarged but stable. The mediastinum is prominent, likely related to a combination of tortuous vessels and technique. Anterior cervical spine fixation hardware is redemonstrated. There are multiple old fracture deformities of the bilateral clavicles and right posterior ribs.
dyspnea on exertion, here to evaluate for fluid overload or pneumonia.
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Ap single view of the chest has been obtained with patient in semi-upright position. Comparison is made with the next preceding similar study obtained seven hours earlier during the same day. Ap single view of the chest has been obtained with patient in semi-upright position. Comparison is made with the next preceding similar study obtained seven hours earlier. The position of the dobbhoff line has been adjusted and the terminal end points now towards the stomach clearly passing the hiatal area. Depending on needs, further advancement could be performed. There is no pneumothorax or any other placement-related complication. Previously described right central venous line and left central venous line remain in unchanged position. Density on right lung base also unaltered.
<unk>-year-old male patient with non-alcoholic stereotactic hepatitis related cirrhosis and hcc, status post rfa x<num>. evaluate dobbhoff placement.
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There is no pneumothorax. Increased right base opacity could represent post-bronchoscopy hemorrhage, residual lavage fluid, or possibly right middle lobe pneumonia.there is no pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.
<unk> year old man with rml nodule s/p bronch with biopsy // eval for ptx
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The lungs are clear of focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
<unk>f with shortness of breath worsening for weeks. // r/o pneumothorax, effusion
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The heart appears normal in size and configuration. Trachea is midline, and the lungs are well expanded. Cardiomediastinal contours are unremarkable. Lungs are clear with no evidence of focal infiltrates. No pleural effusions and no pneumothorax.
<unk>-year-old lady with history of liver transplant complaining of occasional shortness of breath and chills.
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A single portable upright chest radiograph was obtained. Since the chest radiograph <num> days ago, moderate pulmonary edema has improved. Opacity seen throughout the lungs, in particular in the right upper lobe were better assessed on ct in <unk> at which point the possibility of recurrent infection such as reactivation tuberculosis was considered. A retrocardiac opacity is similar to <unk>. Cardiomegaly is unchanged.
<unk>-year-old woman with chest pain.
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The heart size is normal. The hilar and mediastinal contours are unremarkable. The lungs are well expanded and clear. There is no evidence of a pneumothorax or pleural effusion. The visualized osseous structures are unremarkable.
<unk>-year-old female with cough, who presents for evaluation.
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A tracheostomy tube is in-situ, this is incompletely evaluated as projects over the surgical hardware at the cervicothoracic junction. A left-sided picc is in-situ, the tip appears to pass into azygos vein. This is similar in appearance when compared to the prior study. Posterior cervical spine stabilization hardware is also unchanged. There is persistent right basal airspace opacities, slightly improved compared to the prior study with increased visualization of the right hemidiaphragm. Unchanged left lower lobe atelectasis versus consolidation.
<unk> year old man with re-intubated // intubated; interval changes
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The cardiomediastinal and hilar contours are within normal limits. Lungs are well-expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax.
history: <unk>m with sob, cough // chf?
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Pa and lateral views of the chest provided demonstrate no focal consolidation, effusion, or pneumothorax. The heart and mediastinal contours are normal. Bony structures are intact. No free air below the right hemidiaphragm.
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As compared to the previous radiograph, right central venous catheter terminates in the mid-to-lower svc. The signs indicative of pulmonary edema have mildly improved as compared to the previous image. However, bilateral areas of atelectasis persist. The size of the cardiac silhouette is unchanged. There is no evidence of new focal parenchymal opacities in the lung parenchyma, potentially suspicious for the presence of infection.
neutropenic fever, evaluation.
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The tip of the nasogastric tube is not optimally seen and does not appear to extend below the ge junction. There may be a loop within the distal portion of the catheter with it being redundant within the distal esophagus. Would recommend repeat images for further evaluation. There is a left dual-lead pacemaker which is stable. Aortoiliac stent material is seen within the upper abdomen. Heart size is enlarged but stable. There is tortuosity of thoracic aorta. There is no focal consolidation, pleural effusions, or signs for overt pulmonary edema.
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As compared to the previous radiograph, there is no relevant change. Mild overinflation with flattened diaphragms and high lung volumes. Minimal scarring in the left perihilar areas. No evidence of recent parenchymal changes, notably no indication for pneumonia. No pleural effusions. Normal size of the cardiac silhouette, normal hilar and mediastinal contours.
copd and asthma, increased cough, decreased breath sounds on the right.
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Single portable view of the chest demonstrates clear lungs. Cardiac size is normal. No pleural effusion or pneumothorax. Right-sided dual port-a-cath terminates at the mid svc.
<unk>-year-old man with neutropenic fever, question pneumonia.
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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. No subdiaphragmatic free air.
history: <unk>f with abdominal pain, nausea, emesis // please evaluate for acute abnormality
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The heart is moderately enlarged with mild pulmonary vascular prominence, similar to prior studies. The lungs are relatively well-expanded and clear. There is no pleural effusion, overt pulmonary edema, pneumothorax, or focal consolidation concerning for pneumonia.
history: <unk>f with cardiomyopathy presenting with cough and pre-syncope // eval pneumonia, other acute process
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The patient has been extubated. A nasogastric tube terminates in the stomach. A right internal jugular central venous catheter terminates in the lower superior vena cava. Although an opacity has partly resolved in the right lower lung, probably in the right lower lobe, there is a marked increase in retrocardiac opacification reflecting atelectasis or consolidation of the left lower lobe including air bronchograms. Associated volume loss is suspected with new shift of mediastinal structures towards the left. There is no pneumothorax.
shortness of breath.
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Pa and lateral views of the chest provided. Midline sternotomy wires and mediastinal clips are noted. Right humeral head prosthesis noted. Chronic deformity the left shoulder noted. Lungs are clear without focal consolidation, large effusion pneumothorax. The heart size is normal. The aorta is markedly unfolded and appears a ectatic and partially calcified. No definite pneumothorax or effusion.
<unk>f with diminished breath sounds at bases and crackles, ? worsening cxr from prior today
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Lungs are clear without consolidation, large effusion or overt edema. Massive cardiac enlargement is similar compared to prior. Left chest wall triple lead pacing device is again seen. No acute osseous abnormalities.
<unk>f with hx of chf and dyspnea // ?pulmonary edema
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The patient is status post median sternotomy and cabg. Cardiac silhouette size is borderline enlarged. The mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Linear opacities within the lung bases are compatible with subsegmental atelectasis. Lungs are otherwise clear without focal consolidation. No pleural effusion or pneumothorax is present. Mild degenerative changes are seen in the thoracic spine.
history: <unk>f with left hand numbness, needs infectious workup per neuro