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The lungs are clear but hyperexpanded and the cardiac and mediastinal contours are normal. Intact median sternal wires are noted. Loop recorder is seen overlying the left heart border. No pleural effusion or pneumothorax. Osseous structures are unremarkable with no evidence of rib fracture or thoracic spine abnormality.
history: <unk>m with sdh transfer from outside hospital with fall on left side.
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The cardiac silhouette is within normal limits. The hilar and mediastinal contours are normal. Lung volumes are slightly decreased as compared to prior examination. However, there is no focal consolidation, pleural effusion or pneumothorax.
<unk>f with fever, abd pain, crohns, superficial wound infection, concern for deeper infection. // intra-abdominal abscess?
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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.
<unk> year old man, substantial smoking history, with new left leg pain after lifting, also new o<num> requirement // assess for pneumonia
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The lungs are clear. There is no pleural effusion, pneumothorax, consolidation, or pulmonary edema. The cardiomediastinal silhouette is unchanged. No displaced rib fracture is identified
<unk>f with chest pain evaluate for acute process.
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Endotracheal tube tip is <num> cm above carina. Bilateral pleural effusions. Bilateral perihilar opacities, favor pulmonary edema. Left basilar consolidation, likely atelectasis. Heart size at the upper limits are normal. No pneumothorax.
<unk> year old woman with respiratory failure // pulmonary edema
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Tracheostomy tube and right subclavian central line again seen, similar in location. No pneumothorax is detected. The cardiomediastinal silhouette is enlarged, but unchanged. Again seen are is diffuse vascular plethora and alveolar opacity in both lungs, slightly less pronounced in the left upper zone. The overall appearance is similar, but slight interval increase in the right upper zone opacity cannot be excluded. Probable bilateral effusions with underlying collapse and/or consolidation.
<unk> year old woman with respiratory failure effusions // interval change
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Frontal and lateral views of the chest were obtained. There is minimal left base atelectasis/scarring. No focal consolidation is seen. There is no pleural effusion or pneumothorax. Cardiac and mediastinal silhouettes are stable. Some degenerative changes are seen along the spine.
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The lungs are clear. There is no pleural effusion, pneumothorax or focal airspace consolidation. The heart is normal size. The mediastinal and hilar contours are unremarkable. There is no rib fracture seen.
pain around the left sixth rib after fall <num> month prior. evaluate for rib fracture.
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Right picc terminates in mid svc. Lungs are hyperinflated. Fiducial marker is noted in the right upper lung with associated right upper lung volume loss. Increased interstitial markings at the left lower lung is unchanged and likely related to emphysema. Cardiomediastinal silhouette is normal size. There is no pneumothorax or pleural effusion. Multiple old healed fractures are in bilateral ribs.
<unk> year old man with severe copd, chronic pancreatitis s/p whipple, rul lesion c/f malignancy vs infection now worsening dyspnea. // rul interval changes, pulmonary edema?
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Ap portable upright view of the chest. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact.
<unk>f with new onset af
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Pa and lateral chest radiographs were obtained. Cystic lucencies at both lung bases correspond to known severe bronchiectasis. A pattern of bibasilar opacity on top of this bronchiectasis is unchanged since <time> a.m., but has progressed since <unk>. An additional opacity in the left mid chest has improved. There are no new abnormal cardiac or mediastinal contours. There is no effusion or pneumothorax.
cough.
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Ap portable supine view of the chest. The endotracheal tube is seen with its tip located approximately <num> cm above the carina. The ng tube courses into the left upper abdomen though the tip is not included within the imaged field. Lungs are clear. There is no focal consolidation, or supine evidence for effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact.
<unk>f with seizure and ?stroke, intubated at osh
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Pa and lateral views of the chest. The lungs are clear. The cardiomediastinal silhouette is normal. No acute osseous abnormality detected.
<unk>-year-old female with visual changes. question infiltrate.
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As compared to the previous radiograph, lung volumes have decreased. There are newly appeared parenchymal opacities at the right and left lung base, likely reflecting atelectatic changes. However, the changes must be closely monitored to exclude early pneumonia. In addition, there is slight increase of the right mediastinal structures and a minimal increase of the cardiac silhouette, so that coexisting pulmonary edema cannot be excluded. Unchanged position of the nasogastric tube. No pneumothorax.
atypical cholangitis, evaluation.
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In comparison with the study of <unk>, the monitoring and support devices remain in place. There is persistent enlargement of the cardiac silhouette with left pleural effusion and compressive atelectasis at the base. Indistinctness of mildly engorged pulmonary vessels is consistent with some elevated pulmonary venous pressure.
septic shock, to assess for ards.
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The lungs are well-expanded. No focal consolidation, effusion, edema, or pneumothorax. Two (sub-<num> mm), round opacities projecting over the medial upper left hemithorax could represent pulmonary nodules versus normal superimposed structures. Heart is normal in size. The mediastinum is not widened. Mild aortic calcifications in the knob are unchanged. No acute osseous abnormality. Post right shoulder rotator cuff repair is again noted.
<unk> year old woman with <num> days of fever, congestion, shortness of breath. evaluate for focal pneumonia.
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A right picc line terminates in the lower svc. There is no focal consolidation, effusion, or pneumothorax. Mediastinal and hilar contours are stable. Heart size is normal.
pt with aml pre bmt // pre bmt eval
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Ap and lateral views of the chest are compared to previous exam from <unk>. There is increased opacity over the spine and lateral view and obscuration of the descending thoracic aorta on the frontal view, compatible with a left lower lobe infiltrate. Elsewhere, the lungs remain clear. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.
<unk>-year-old female with cough. question pneumonia.
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The lungs are clear without focal consolidation. The cardiomediastinal silhouette is within normal limits for technique. No acute osseous abnormalities.
<unk>f with tachycardia, cough // eval for acute process
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Subtle left base opacity is worrisome for pneumonia. The right lung is clear. No large pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with c/o left side cp with sob // ? pna
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Single frontal image of the chest. Retrocardiac opacity, possibly representing atelectasis but cannot exclude pneumonia or aspiration in the right clinical setting. The left costophrenic angle not well visualized, likely representing a small pleural effusion. The lungs are otherwise hyperexpanded but clear. There is no right pleural effusion. There is no pneumothorax. The cardiomediastinal silhouette is unremarkable.
stroke.
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Since the chest radiograph obtained <num> days prior, there has been interval removal of an enteric tube. Lung volumes appear lower with increased crowding of the pulmonary vasculature and atelectasis of the right middle and left lower lobes. Small bilateral pleural effusions. Moderate cardiomegaly without pulmonary vascular congestion or pulmonary edema is unchanged.
<unk> year old man with muscle-invasive bladder cancer s/p robotic cystectomy and neobladder . requiring supplemental oxygen. // ?worsening of consolidation
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Permanent pacemaker is present with leads in the region of the right atrium and right ventricle with somewhat lateral course of the atrial lead. Heart is upper limits of normal in size, in the aorta is mildly tortuous. Bibasilar atelectasis is present with adjacent small pleural effusions, left greater than right.
<unk> year old man with new likely aml diagnosis, diffuse bilateral chest pain, report of b/l pleural effusions // eval for pleural effusions
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There is a left ij central venous catheter which terminates at the cavoatrial junction. Lung volumes are low. Prominence of the cardiomediastinal silhouettes likely relates to low lung volumes and ap technique. The hila are unremarkable. Mild prominence of the interstitium diffusely likely relates to crowding of normal bronchovascular structures. There is bibasilar atelectasis. There is no focal lung consolidation. There is no evidence of pulmonary vascular congestion. It is difficult to exclude trace bilateral pleural effusions. There is no pneumothorax.
<unk>-year-old woman with left ij central venous line placement.
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Low lung volumes cause bronchovascular crowding. There is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal contour is normal.
<unk>m with dyspnea on exertion, evaluate for acute process.
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Pa and lateral views of the chest. No prior. The lungs are clear. There is no pleural effusion. Cardiomediastinal silhouette is within normal limits. Osseous structures are notable for degenerative changes at the right glenohumeral joint. There is no visualized fracture.
status post fall with posterior head strike.
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Cardiomediastinal contours are normal. Aside from linear scarring in the left base, the lungs are clear. There is no pneumothorax or pleural effusion. The osseous structures are unremarkable
<unk> year old man with cough and fever, please check for pna or other causes // <unk> year old man with cough and fever, please check for pna or other causes
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As compared to the previous radiograph, there is unchanged evidence of minimal bilateral pleural effusions. The large parenchymal opacity at the left lung base has increased in severity and extent. On the right, there is minimal atelectasis at the lung bases. Mild cardiomegaly with mild fluid overload. In the interval, the patient has received a right-sided picc line. The tip of the line projects over the upper-to-mid svc. Course of the line is unremarkable, no pneumothorax.
jaundice and weight loss, evaluation.
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Frontal and lateral views of the chest were obtained. The hila remain prominent due to vascular engorgement. Bibasilar opacities are seen, which could relate in part to fluid overload; however, underlying infection may be present. Bibasilar linear atelectasis is seen. The cardiac silhouette is not enlarged. Mediastinal contours are unremarkable.
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The heart is mildly enlarged. There is no evidence of pneumothorax or pleural effusion. There is no evidence of focal consolidation. Mediastinal contour is normal. Nodular opacities projecting over the peripheral lower lobes are likely nipple shadow.
<unk>m with fever, evaluate for pneumonia.
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The heart is mildly enlarged. The mediastinal and hilar contours appear unchanged. The lungs appear clear. There is no pleural effusion or pneumothorax. The lungs appear hyperinflated.
atrial fibrillation and lower extremity edema.
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The cardiomediastinal and hilar contours are within normal limits. There is a focal patchy opacity at the base of the left lung seen only on the frontal view. There is no evidence of pleural effusion or pneumothorax.
history: <unk>f with cough, wheeze // evaluate for pneumonia, acute process
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Cardiac silhouette size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Low lung volumes are present with minimal patchy bibasilar atelectasis. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormality is visualized.
history: <unk>m with fall today hitting his head and body, question syncope, need to rule out infection and fracture. // ?pneumonia, rib fracture
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There has been interval worsening of diffuse heterogeneous opacification of the right lung. Poorly defined opacities in the left mid and lower lung are new. These findings are superimposed on chronic reticular opacities. There is no pleural effusion or pneumothorax. The heart is normal in size. Bilateral small pleural effusions are present, right greater than left. The patient is status post median sternotomy with fractures of the two superior most sternal wires again seen.
<unk>-year-old man with dyspnea. evaluate for acute process.
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Again is seen a left-sided picc terminating in the lower svc. The heart and mediastinal contours are within normal limits. The lungs are clear. There is no pleural effusion or pneumothorax.
<unk>-year-old male with history of ampullary cancer, who has received a picc.
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Heart size, mediastinal, and hilar contours are normal. There are bibasal lower lung patchy opacities which may represent atelectasis or aspiration. Mild vascular congestion is present as well. No obvious bony deformity, although chest radiograph is not optimal for evaluation after chest trauma.
<unk>m w/subdural hematoma, trauma. evaluate for traumatic injury and focal consolidation.
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Diffuse opacities extending from the hila are consistent with mild edema. Additionally, there is moderate cardiomegaly. Retrocardiac opacity on the frontal radiograph is not confirmed on the lateral. No definite consolidation is seen. There are likely bilateral small pleural effusions. No pneumothorax. A density in the right mid thorax likely corresponds to a known right upper lobe pulmonary nodule not well evaluated by radiograph; however, appears grossly stable. No displaced fracture is identified.
left-sided chest wall pain.
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A tracheostomy tube and right port-a-cath are unchanged. There has been interval removal of a left dual-chamber dialysis catheter from <unk>. The overall appearance of the chest is unchanged with chronic elevation of the left lung base and left lower lobe collapse with small-to-moderate left pleural effusion over multiple prior studies dating back to the ct of <unk>. Mild right basilar atelectasis is improved from <unk>. Mild pulmonary vascular congestion is improved. The cardiac silhouette is incompletely evaluated. The mediastinal contours are prominent but unchanged.
intubated with clinical concern for pneumonia.
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Single portable view of the chest. Right picc is identified . The tip is not clearly delineated however may be in the region of the superior svc. There are increased densities projecting over the anterior <num>nd ribs bilaterally. Thought to be external in nature, potentially patient's hair. The lungs are otherwise clear. Cardiomediastinal silhouette is stable.
<unk>-year-old female with picc which is not painful.
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Ap upright and lateral views of the chest provided. There is a persistent small pneumothorax with <unk> is not significantly changed in size compared with the prior exam. No midline shift or signs of tension. Persistent partial collapse of the left lower lobe noted. Right lung remains clear. Cardiomediastinal silhouette is normal. Fractures involving the left fifth, sixth ribs along the posterolateral arch again noted, displaced.
<unk>f with pneumothorax s/p fall of horse
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There has been marked improvement in previously visualized moderate pleural effusion on the right with a small pleural effusion persisting. There is also a small left pleural effusion. Otherwise, mild bibasilar atelectatic changes are again visualized but the lungs are without any focal consolidation or pneumothorax. The cardiomediastinal silhouette appears stable. Mild degenerative changes of the thoracic spine along with demineralized osseous structures appear stable. Post-surgical changes are visualized with surgical clips overlying the left hemiabdomen.
evaluation of patient with history of recurrent right pleural effusion status post thoracocentesis.
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Pa and lateral views of the chest are provided. A right chest port-a-cath is seen with tip extending into the low svc region, unchanged. The lungs are clear. No focal consolidation, effusion, or pneumothorax. The heart and mediastinal contours are normal. Bony structures are intact. Clips in the right upper quadrant are noted.
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Upright ap and lateral views of the chest demonstrate low lung volumes, accentuating the heart size, which is moderately enlarged. The mediastinal contours are otherwise stable. A large left goiter deviates the trachea, and is unchanged. There is no overt pulmonary edema, pneumothorax, or large pleural effusion. Atelectasis is present at the lung bases, although underlying infection is possible in the appropriate clinical setting.
<unk>-year-old male with fatigue.
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Small left and moderate right pleural effusions are likely stable, given differences in positioning. The markedly aneurysmal tortuous aorta causing rightward tracheal deviation is unchanged in appearance. No pneumothorax. Upper lungs are clear with bibasilar atelectasis. Vertebral compression fractures are evident but better evaluated on prior ct examination.
<unk> year old woman with rib fx s/p fall, w/ pleural effusion // pls eval interval change
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Cardiac silhouette remains enlarged and is accompanied by mild pulmonary vascular congestion. Interval slight improvement in the left lower lobe opacity, but apparent slight worsening of right lower lobe opacity, with worsening obscuration of the right hemidiaphragm. Although possibly due to an infectious process, pulmonary hemorrhage should also be considered in the setting of a history of hemoptysis. There are probable small bilateral pleural effusions.
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As compared to the previous radiograph, the patient has a minimal increase in the size of the cardiac silhouette. The pre-existing left pleural effusion has slightly increased and leads to retrocardiac atelectasis. On the right, a pleural effusion has newly occurred. In the well ventilated lung areas, there is no evidence of pathological opacities suggesting pneumonia.
cardiac mass and shortness of breath, evaluation for interval changes.
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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 unremarkable and stable, as are the hilar contours. There may be very minimal right base peribronchial thickening.
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Left picc is now malpositioned, with distal tip directed cephalad coursing just above the medial aspect of the right clavicle likely in the right internal jugular vein. Widespread pulmonary nodules are again demonstrated consistent with metastases. A new confluent opacity has developed in the left retrocardiac region, and may reflect atelectasis, aspiration and less likely rapidly evolving pneumonia. The gastric bubble appears compressed in the imaged portion of the upper abdomen, likely due to known pancreatic tail mass in this region. Position of picc has been communicated by phone to dr. <unk> by telephone on <unk> at <time> a.m. At the time of discovery.
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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 shortness of breath
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No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. There appear to be chronic rib deformities at the anterior lateral right upper chest.
history: <unk>m with copd and dm<num> presenting with intermittent chest pain, dyspnea, cough x <num> week // rule out pneumonia
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Ap and lateral views of the chest were performed with the patient positioned upright. There is pulmonary edema noted with more consolidative opacity in the right medial lung base which could represent superimposed pneumonia. There is mild elevation of the right hemidiaphragm. No large effusions are detected. Heart size appears mildly enlarged. Mediastinal contour is normal. The imaged bony structures appear grossly intact.
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There are persistent reticular nodular opacities, most pronounced in the right mid to lower lung and also present in the left lung, notably in the left mid to lower lung, although overall appear less conspicuous in the left lung as compared to the prior study. Evidence of bronchiectasis, particular involving the right mid to lower lung and to a lesser extent the left lung base again seen. Right base opacity persists, which may be combination bronchiectasis and mucous plugging. Evidence of a moderate to large hiatal hernia is also seen, with retrocardiac air-fluid level. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.
history: <unk>f with dyspnea and o<num> sat <unk>% on room air // r/o acute process
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As compared to chest radiograph from <num> day prior, interval insertion of a nasogastric tube with the tip curled in the fundus of the stomach. Right-sided picc likely at the cavoatrial junction. Significant patient rotation causing prominence of the right paratracheal stripe in conjunction with low lung volumes. No pulmonary edema. No pleural effusions or pneumothorax.
<unk> year old woman with ruptured left supraclinoid carotid ophthalmic aneurysm // eval ngt placement
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In comparison with the study of <unk>, there is little interval change and no evidence of acute cardiopulmonary disease. Intact midline wires are in place. The heart is within normal limits, and there is no evidence of vascular congestion, pleural effusion, or appreciable atelectasis. There appears to be some calcification within coronary arteries, unchanged from previous studies.
renal transplant and cecal mass, to assess for metastases to the chest.
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Comparison is made to prior study from <unk>. There is again seen a right-sided picc line with the lead tip at the cavoatrial junction. Heart size is within normal limits. There is a left-sided chest tube. There are no pneumothoraces. No focal consolidation is seen. There is minimal subsegmental atelectasis at the left base.
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Pa and lateral views of the chest provided. Left ij access port-a-cath is unchanged in position with tip in the cavoatrial junction. There is worsening pulmonary edema, now moderate in overall severity with small bilateral pleural effusions increased in the interval. Cardiomediastinal silhouette is unchanged. No pneumothorax. Clips in the upper abdomen noted.
<unk>m with fevers, hx as, hx chf s/p bmt // r/o pna, pulm edema
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The lungs are clear of focal consolidation, pleural effusion or pneumothorax. The heart size is normal. The mediastinal contours are normal.
<unk>-year-old female with weakness.
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Ap portable upright view of the chest. The endotracheal tube tip extends into the prox right mainstem bronchus. Retraction by at least <num>-<num> cm is advised. Nasogastric tube extends into the left upper quadrant. Retrocardiac opacity is concerning for aspiration or pneumonia. Right lung is clear. Cardiomediastinal silhouette is unremarkable. No bony injuries. Clips in the right upper quadrant noted.
<unk>f with sepsis, intubated at osh // eval ett, pna
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The patient's chin overlies the medial lung apices. The patient appears to be kyphotic in position. Mediastinum appears somewhat prominent, although there is suggestion that the patient may have a dilated esophagus and the mediastinum is not well evaluated. If patient able, suggest dedicated pa and lateral views for further and better evaluation and/or comparison with prior studies. There is left <unk> and <unk> opacity which could be due to atelectasis, aspiration and/or infection. No large pleural effusion. No evidence of pneumothorax. Cardiac silhouette is top normal to mildly enlarged. What appear to be chain sutures are noted in the left upper to mid abdomen. There is gaseous distention of bowel partially imaged in the left upper quadrant/abdomen, not well assessed.
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Pa and lateral views of the chest provided. Low lung volumes somewhat limits evaluation. Allowing for this, 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 chest pain, palpitations // eval for cardiopulmonary process
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Ap upright and lateral views of the chest provided demonstrate no focal consolidation, effusion or pneumothorax. Lung volumes are low. The heart may be minimally enlarged. Bony structures are intact.
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Single ap portable view of the chest was obtained. There are low lung volumes. Bibasilar opacities may relate to vascular crowding, although infection or aspiration is not excluded. There is slight blunting of the left costophrenic angle which may be due to overlying soft tissue, although a trace pleural effusion cannot be excluded. Cardiac and mediastinal silhouettes are stable.
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Enteric tube tip in mid stomach. Endotracheal tube tip in good position. Stable left lower lobe consolidation. Stable bilateral perihilar infiltrates. Mildly worsened right basilar infiltrate. Increased small pleural effusions. Surgical clips right upper quadrant
<unk> year old woman with og tube // eval placement of og tube
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Endotracheal tube tip terminates approximately <num> cm from the carina. An enteric tube is within the stomach. Heart size is normal. Mediastinal and hilar contours are unremarkable. The pulmonary vasculature is not engorged. Patchy opacities are seen in the lung bases which may reflect areas of atelectasis in the setting of low lung volumes. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormality is demonstrated.
history: <unk>f with intubation
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There is a large left pleural effusion which appears slightly increased as compared to the prior study, with underlying atelectasis, underlying consolidation is difficult to exclude. There is also moderate to severe pulmonary edema. More confluent right base opacity may relate to pulmonary edema, however underlying consolidation is difficult to exclude. The cardiac silhouette is grossly stable although not accurately assessed due to the bibasilar opacities. Aortic knob is calcified.
hypoxia.
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The lungs are hyperinflated, but clear. Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. Severe costochondral calcification seen.
<unk> year old woman with <unk>- prosthetic fx // pre-op surg: <unk> (orif)
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A left subclavian catheter terminates in the mid svc. An endotracheal tube and enteric tube have been removed in the interim. A left pleural effusion has decreased in size from prior, now small, with improved aeration at the left lung base. There is worsened mild pulmonary edema. The lungs are clear. There is no pneumothorax or focal airspace consolidation. The cardiac and mediastinal contours are unchanged. Multiple displaced scapular and rib fractures are again identified.
tracheobronchitis and recent motor vehicle accident. evaluate for pneumothorax or infiltrate.
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Lung volume is low. There is no consolidation, pneumothorax, or large pleural effusion. There is no pulmonary edema. Moderately enlarged cardiac silhouette is exaggerated by low lung volume.
<unk> year old woman with asthma, tbm s/p tracheobronchoplasty, recent pe, gerd with dyspnea. // interval change
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The esophagus is diffusely, severely dilated and patulous. There is no overt pneumomediastinum identified. Dense consolidation within the left lower lobe obscures the left hemidiaphragm, unchanged from prior examination. The remainder of the lungs are clear. A left pleural effusion is likely there is no right pleural effusion or pneumothorax. The cardiomediastinal silhouette is stable.
<unk> year old woman with dilated stomach and esophagus, with back pain // ? performation
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The heart size is top-normal. The hilar and mediastinal contours are within normal limits. Previously seen left upper lobe and upper mediastinal opacities from the <unk> are no longer visualized, likely reflecting resolved atelectasis and improved inspiratory effort. There is no pneumothorax, focal consolidation, or pleural effusion.
hypoxemia. concern for mediastinal widening on prior chest radiograph.
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Possible slight hyperinflation. Heart size is normal. Aorta is minimally unfolded. The mediastinal and hilar contours are otherwise within normal limits. No chf, focal infiltrate or effusion is identified. No pneumothorax detected. There are no acute osseous abnormalities.
history: <unk>m with cough
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The heart size remains mildly enlarged. Mediastinal and hilar contours are unchanged. Scarring within the lung apices is stable. There is mild pulmonary vascular congestion but no overt pulmonary edema is demonstrated. More focal linear opacities within the lung bases likely reflect areas of scarring or atelectasis. No pleural effusion or pneumothorax is demonstrated. Diffuse demineralization the osseous structures is present.
cough, weakness, chills.
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The lungs are clear without consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. No acute osseous abnormalities. Upper lumbar levoscoliosis is noted.
<unk>f with fever // eval infiltrate
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Pa and lateral radiographs of the chest were acquired. Lung volumes are slightly low, causing accentuation of the pulmonary vasculature. The lungs are clear, aside from minimal left basilar atelectasis. Heart size is top normal. The mediastinal contours are normal. There are no pleural abnormalities.
cough. evaluate for acute cardiac or pulmonary process.
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Endotracheal tube tip terminates approximately <num> cm from the carina. An enteric tube tip is within the stomach. Lung volumes are low. Heart size is normal. Mediastinal and hilar contours are unremarkable. Patchy opacities in the lung bases likely reflect areas of atelectasis. No large pleural effusion or pneumothorax is seen on this supine exam. No acute osseous abnormalities demonstrated.
history: <unk>m with intubation
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Pa and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding similar study of <unk>. The patient is status post sternotomy. Within the normal-appearing heart, the metallic components of a right bileaflet mechanical mitral valve prosthesis is identified. The position is unchanged. The heart size remains within normal limits. The pulmonary vasculature is not congested and there are no signs of acute or chronic parenchymal infiltrates anywhere in the lungs. The lateral and posterior pleural sinuses are free, and there is no pneumothorax in the apical area. In comparison with the next preceding study of <unk>, no significant interval change can be identified. Our records include now a total of six followup chest examinations beginning in <unk>. At that time, the patient already had received the mitral valve prosthesis and the chest findings have continuously remained within normal limits. There is no evidence of acute pneumonia or pleural effusion.
<unk>-year-old male patient with pedal edema and history of mitral valve regurgitation, now with mechanical valve prosthesis. evaluate for pulmonary edema or pleural effusion.
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Single portable view of the chest is compared to previous exam from <unk>. The lungs are grossly clear, given limitation of portable technique and patient's body habitus. Cardiac silhouette is enlarged but stable. Dual-lead pacing device is again seen. Previously documented right-sided pulmonary nodule is not delineated on the current exam, ct is more sensitive. Median sternotomy wires are seen.
<unk>-year-old male with cough, shortness of breath. question pneumonia.
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In addition to chronic dextroscoliosis of the thoracic spine, the patient is markedly leftwardly rotated and in a reverse lordotic configuration, making assessment difficult. There has been marked reduction in size of the left-sided pleural effusion since placement of the catheter; however, there is a new right-sided moderate pleural effusion. A horizontal line underlying the left main stem bronchus is likely the diaphragmatic contour, although the presence of an air-fluid level cannot be excluded on these limited views. There is no pneumothorax, and the visualized lung fields are clear. Cardiomegaly is stable.
evaluate pleural effusion following placement of left-sided pleurx catheter.
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The lungs are well expanded and clear. There is no focal consolidation, effusion, or pneumothorax. Cardiomegaly remains moderate. The aorta remains calcified.
left flank pain.
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There is no focal consolidation, pleural effusion or pneumothorax.there is a nodular opacity projecting on the lateral view on the lowest thoracic vertebral body adjacent to one of the hemidiaphragms that was not clearly present on the prior exam and may represent a vessel on end. The cardiomediastinal silhouette is normal. The imaged upper abdomen is unremarkable. The bones are intact.
history: <unk>f with sob and prducive cough // r/o infectios process
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Pa and lateral chest radiograph demonstrates clear lungs bilaterally. Cardiomediastinal and hilar contours are within normal limits. There is no pleural effusion or pneumothorax. Visualized osseous structures demonstrates no acute abnormality.
<unk>-year-old male with cough and fevers.
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Endotracheal tube is seen, terminating approximately <num> cm above the level of the carina. Nasogastric tube is seen coursing below the level of the diaphragm, inferior aspect not definitely included on the image. There is a left-sided pleural effusion with underlying atelectasis, underlying consolidation not excluded. Mild right base atelectasis is seen. The cardiac silhouette is top normal. Mediastinal contours are unremarkable.
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The left-sided picc line is been removed. There is volume loss most marked at the bases. There is vascular plethora but no florid pulmonary edema. No fractures identified. There is no pneumothorax.
<unk> year old man with vtach arrest, s/p cpr // acute fractures? other acute cardiac process?
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The lungs are now clear. The cardiomediastinal silhouette is within normal limits. Atherosclerotic calcifications noted at the aortic arch. Hypertrophic changes are seen the spine.
<unk>f with sob, cough // pna?
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As compared to the previous radiograph, there is no relevant change, except for the fact that the patient has received a ventricular decompression device and a new nasogastric tube. The nasogastric tube projects with its tip over the middle parts of the stomach. The uppermost sternal wire is, in unchanged manner, ruptured. Moderate cardiomegaly. No overt pulmonary edema. No pneumothorax.
questionable nasogastric tube placement.
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A portable view of the chest was obtained. Dual-lead left-sided pacer device is again seen in stable position. The cardiomediastinal silhouettes are stable. There is a hazy opacity at the lung bases, which may in part, relate to overlying soft tissue, but underlying consolidation due to infection or aspiration is not excluded. No evidence of pneumothorax is seen. Bilateral pleural plaques are again demonstrated.
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The small right pleural effusions may be layering dependently posteriorly however it is indeterminate on this chest radiograph. The moderate left pleural effusion is layering dependently posteriorly. The aeration of the left lower lung is mildly improved when patient is in the supine position. Mild pulmonary vascular engorgement without overt evidence of pulmonary edema. The cardiomediastinal contours are stable. No pneumothoraces.
<unk> year old man with encephalopathy and leukocytosis // evaluate for pneumonia
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Cardiomegaly is accompanied by pulmonary vascular congestion, perihilar haziness, and asymmetrically distributed consolidation, predominantly in the right upper lobe and right infrahilar region. Observed findings could be due to clinically suspected pulmonary edema with asymmetrical distribution, but superimposed aspiration or infectious pneumonia in the right lung is also possible, and short-term followup radiographs after diuresis may be helpful in this regard.
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The right upper lobe opacity has progressed since <unk> and <unk>. There is a new left upper lobe diffuse opacity, also involving the middle and lower lung zones to a lesser degree, concerning for infection. There is severe emphysema. There is no pleural effusion or pneumothorax. Cardiomediastinal silhouette is normal.
<unk>-year-old man with fever, please evaluate for pneumonia.
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The heart is top normal in size. The mediastinal and hilar contours are within normal limits. The lungs are well expanded and clear. There are no pleural effusions, pneumothorax, focal consolidations or pulmonary edema. The osseous structures are grossly unremarkable.
<unk>-year-old female patient with <num> days of cough, chills, abnormal breath sounds. study requested to rule out pneumonia.
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The lungs are clear besides right basilar atelectasis. The cardiomediastinal silhouette is stable. Thoracic dextroscoliosis and multiple vertebroplasty changes are again noted.
<unk>f with <num> days of cough // eval pneumonia
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Pa and lateral chest radiographs were obtained. The lungs are well expanded. Bibasilar linear opacities are attributable to vascular markings. There is no definite consolidation, effusion, or pneumothorax. Cardiac and mediastinal contours are normal. On the lateral view, a relatively dense well circumscribed <num> cm nodule is again seen, unchanged from <unk>.
cough.
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The tip of the endotracheal tube projects over the mid thoracic trachea. There has been interval placement of a gastric tube which extends below the level the diaphragms but beyond the field of view of this radiograph. Interval increasing perihilar and infrahilar airspace opacities, particular involving the right mid and lower lung zone. A small right pleural effusion is also new. These findings may reflect increasing pulmonary edema on a background of chronic lung disease. The size of the cardiomediastinal silhouette is enlarged but unchanged.
<unk> year old man status post cardiac arrest, now intubated with increasing oxygenation requirements. // please eval for interval change.
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Heart size is mildly enlarged. The mediastinal and hilar contours are within normal limits. The pulmonary vasculature is not engorged. Lungs are clear. No pleural effusion or pneumothorax is present. S-shaped scoliosis of the thoracic spine is present.
history: <unk>m with sickle cell disease, fever, chest pain
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A new right subclavian central venous catheter ends in the low svc. A known tracheal stent is not well seen on the present study and has likely been removed. A surgical drain projects over the lower cervical region. There is minimal bibasilar atelectasis. The heart size is normal. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen. Surgical clips are noted in the right upper abdominal quadrant.
history of tracheal stenosis, status post resection. assess for aspiration.
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The lungs are clear without focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with dyspnea, wheeze // eval heart and lungs
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As compared to the previous radiograph, there is no relevant change. A nasogastric tube is in unchanged position. Unchanged appearance of the pacemaker leads. Moderate cardiomegaly with signs indicative of moderate pulmonary edema. Calcified pleural plaques and moderate right pleural effusion. No pneumothorax. The pacemaker and its wires are in situ.
ischemic cardiomyopathy, infection, evaluation.
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There is a tiny right apical pneumothorax. The alveolar infiltrate has partially cleared on the right but there continues to be alveolar infiltrates centrally more marked in the upper than lower lobe. There is volume loss in both lower lungs with some platelike atelectasis in the left lower lobe. The right ij line is been removed.
<unk> year old man with ptx s/p chest tube which has now been removed. // assess for any recurrence of ptx
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S-shaped thoracolumbar scoliosis is again demonstrated. Heart size is normal. The mediastinal and hilar contours are unremarkable. Lungs are clear. No pleural effusion or pneumothorax is identified. Pulmonary vascularity is normal. No acute osseous abnormality is seen.
chest pain.
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Comparison is made to the prior radiographs from <unk>. There is again seen a right basilar pigtail catheter. There is a tiny right apical pneumothorax. There are bilateral pleural effusions, right greater than left. There are no signs of overt pulmonary edema.