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Comparison is made to previous study from <unk>. There is a feeding tube whose distal tip is in the fundus of the stomach. There is a prominent amount of gas seen throughout the entire stomach. Heart size is within normal limits. There is improved aeration since the previous study with improvement of the atelectasis at the bases. No pneumothoraces are identified.
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The right ij line tip at the cavoatrial junction is unchanged. The ett has been removed. The ng is unchanged. The heart size continues to be mildly enlarged. There continues to be dense retrocardiac opacity. There are bilateral pleural effusions have decreased in size compared to the prior study. There continues to be bilateral patchy areas of alveolar infiltrate however they have decreased compared to the prior study. Pulmonary vascular redistribution still present.
sepsis, fluid overload.
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In comparison with the study of <unk>, there has been placement of an orogastric tube that extends well into the stomach where it crosses lower margin of the image. There is improved aeration at the left base, but otherwise the heart and lungs are unchanged.
og tube placement.
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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. No signs of pneumonia or edema. No large effusion or pneumothorax. Cardiomediastinal silhouette is unchanged. Bony structures are intact.
<unk>f with chest pain and shortness of breath since last night // <unk>f with chest pain and shortness of breath since last night
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There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are normal. There is no free air under the right hemidiaphragm. Calcifications within the correspond with carotid bulb.
<unk>f with abdominal pain. evaluate for pneumonia.
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Again, there is prominence of the hila likely due to central pulmonary vascular engorgement, possibly slightly improved as compared the prior study. There is persistent blunting of the costophrenic angles, left greater than right although no large pleural effusion is seen. The lungs remain hyperinflated. The cardiac and mediastinal silhouettes are stable. No pneumothorax is seen. Multiple old left-sided rib deformities are seen.
history: <unk>m with left sided chest pain that is reproducible on exam and with arm motion. // chest pain
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There is been interval placement of a left internal jugular central venous catheter which terminates in the expected location of the left brachycephalic vein. No pneumothorax. Mediastinal contour is flatter than on previous examination the cardiac silhouette is unchanged. No pleural effusions.
<unk>f with post cvl placement // line placement
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Left picc is noted with tip projecting over the upper svc as on prior. There is moderate left and likely small right pleural effusion, progressed on the left when compared to prior. There is moderate pulmonary edema. Cardiac silhouette is enlarged but similar. No acute osseous abnormalities.
<unk>m with edema, anemia // assess for volume overload
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A right upper extremity picc terminates in the distal superior vena cava. Lung volumes are minimally improved. There is an unchanged infiltrative pulmonary abnormality, right greater than left, consistent with the history of ards. A more focal area of airspace consolidation seen in the right upper lobe is new. Cardiac and mediastinal contours are unchanged. There is no pneumothorax or definite pleural effusion.
pneumonia.
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Patient's condition required examination in sitting position using ap frontal and left lateral views. Comparison is made with the preoperative chest examination of <unk>. There existed already marked cardiac enlargement on the pre-operative chest examination with most prominent left ventricular contour to the left and posteriorly. Left atrial contour was only mildly prominent on the lateral view but pulmonary vascular pattern demonstrate an upper zone redistribution indicative of mildly increased chronic pulmonary congestion. On the present examination, the ap frontal view demonstrates the multiple metallic sternotomy wires in midline. The heart shadow remains similar in size, but there is now a remaining postoperative obliteration of the diaphragmatic contour and some blunting of the posterior pleural sinuses bilaterally on the lateral view suggestive of some remaining bilateral pleural effusion postoperatively. On the preoperative chest findings, these pleural densities were not seen. There is no evidence of pneumothorax on the frontal view but a degree of upper zone redistribution pattern remains.
<unk>-year-old female patient status post aortic valve replacement, pre-discharge evaluation.
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The lungs are hyperinflated. Coarse interstitial markings, particularly at the bases bilaterally, likely due to interstitial lung disease. No focal consolidations. No pulmonary edema. Normal appearance of the cardiomediastinal silhouette. No pleural effusion. No pneumothorax. No acute osseous abnormality visualized.
history: <unk>f from osh with report of femur fracture, transferred for management of stroke // preop cxr
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There has been interval removal of the chest and mediastinal drains. There is a small left pleural effusion. Linear atelectasis in the right mid lung. Calcification noted at the left apical pleura. No definite pneumothorax seen. A right internal jugular catheter terminates in the distal svc. Previous median sternotomy noted.
<unk> year old man with s/p cardiac surgery, cts d/c'd // evaluate for pneumothorax
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As compared to the previous radiograph, there is no relevant change. No evidence of pneumonia. No pleural effusions. No fluid overload. Normal size of the cardiac silhouette. No pneumothorax, normal hilar and mediastinal contours.
transaminitis, rule out infection.
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Ap portable upright view of the chest. There is no focal consolidation, effusion, or pneumothorax. Minimal left basal atelectasis noted. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact.
<unk>m with mvc/ped strike // r/o trauma
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A portable view of the chest demonstrates no evidence of pneumomediastinum. There is slight blunting of the right costophrenic angle which may represent a small effusion or pleural thickening. The lungs are grossly clear. The cardiomediastinal hilar contours are stable. There is no pneumothorax.
status post dilation esophageal stricture, assess for pneumomediastinum.
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Interval removal of the right port-a-cath. Stable bilateral apical scarring and volume loss. Stable bilateral apical pleural thickening. Otherwise, the lungs are clear. No focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette and hila are unchanged. Surgical clips in the left anterior mediastinum are unchanged. No acute osseous abnormality.
<unk>-year-old man with nhl; pre-bone marrow transplant.
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There appears to be interval improvement/near resolution of the previously seen right-sided pneumonia. No new focal opacities are seen. There is no pleural effusion or pneumothorax. The heart size is unremarkable. The mediastinal and hilar contours are normal. The visualized osseous structures are unremarkable.
<unk>-year-old male with a history of right lung pneumonia.
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As on prior, there is moderate pulmonary edema. Relatively linear left base opacities could be due to edema or atelectasis. There is enlargement of the cardiac silhouette which is unchanged. There is no pleural effusion. No acute osseous abnormalities. Vascular stent projects over the right subclavian region.
<unk>f with esrd dialysis w/ ams, fistula extrav since improved // eval ? fluid overload, infiltrate
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The lungs are relatively hyperinflated. There is chronic blunting of the costophrenic angles, similar to prior. No new focal consolidation is seen. No large pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. No overt pulmonary edema is seen.
<unk>m w/sob, please eval for pna, pulm edema // <unk>m w/sob, please eval for pna, pulm edema
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Since the prior chest radiograph performed on <unk>, there has been interval placement of a left ij catheter which terminates in the low svc. Otherwise no relevant change. Lungs are clear, without consolidation. Trace right pleural effusion again noted. No pleural effusion on the left. No pneumothorax. Cardiomediastinal and hilar contours are normal. No subdiaphragmatic free air.
history: <unk>f with l ij // eval for central line placement
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In comparison with the earlier study of this date, there has been placement of a dobbhoff tube that extends to about the esophagogastric junction. This should be pushed forward at least <num> cm. This information has been conveyed to dr. <unk>. Otherwise, little overall change.
ng tube placement.
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Support and monitoring devices are in standard position. Stable cardiomegaly accompanied by pulmonary vascular congestion and persistent interstitial edema. Worsening left retrocardiac opacity is likely due to atelectasis. Resolution of focal atelectasis adjacent to the right hilar contour. Otherwise, no relevant short interval change.
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The heart size is normal. The mediastinal and hilar contours are within normal limits. Lungs are clear and the pulmonary vascularity is normal. Mild scarring is noted within the lung apices. There are no pleural effusions or pneumothoraces. Mild s-shaped scoliosis of the thoracolumbar spine is present.
chest pain.
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No focal consolidation is seen. There is no pleural effusion or pneumothorax. The aorta is tortuous. The cardiac silhouette is top-normal. No pulmonary edema is seen.
<unk>-year-old male with progressive chest pain with exertion. please evaluate for cardiomegaly, congestive heart failure, pleural effusion or wedge defect.
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Frontal portable chest radiographs demonstrate a central catheter which is unchanged in position, terminating in the left brachiocephalic vein, as well as a nasogastric tube with the tip within the stomach. The cardiomediastinal silhouette is within normal limits. Opacity of the right lower lobe likely represents collapse, but underlying pneumonia cannot be excluded. There is also a possible small right pleural effusion. No pneumothorax or bony abnormality is seen.
fevers despite broad-spectrum antibiotics, with concern for aspiration pneumonia.
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Ap and lateral views of the chest are compared to previous exam from <unk>. Given lower lung volumes there has been no change. The lung volumes likely account for crowding of the pulmonary vascular markings. Linear opacities at the left lung base likely due to atelectasis. Cardiomediastinal silhouette is within normal limits. Calcific density projecting over the right scapula, potentially intra-articular bodies. Osseous structures are otherwise unremarkable.
<unk>-year-old female with fall, question acute cardiopulmonary process.
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Cardiac size is normal. There is moderate right pneumothorax. A right chest tube is in place. There are no large pleural effusions. Surgical chain projects in the right lower hemi thorax. There is mild right chest wall subcutaneous emphysema
<unk> year old woman with rll lung cancer s/p rll lobectomy // rule-out pneumothorax, hemothorax
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The tip of the endotracheal tube is located in the mid thoracic trachea. The lungs demonstrate increased interstitial markings and pulmonary vascular congestion, with slight blunting of the costophrenic angles bilaterally, in keeping with pulmonary edema and small pleural effusions. Heart size is mildly enlarged, stable from prior exams. No pneumothorax.
<unk>m with hypoxia. evaluate for pulmonary edema.
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Pa and lateral images of the chest. The lungs are hyperinflated and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.
pancreatic cancer, now with fever and vomiting.
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Frontal and lateral views of the chest were obtained. The heart is of normal size. Prominent retrocardiac opacity suggests left atrial enlargement. The aorta is unfolded, similar to prior. Lungs are clear. No focal consolidation, pleural effusion, or pneumothorax. No radiopaque foreign body.
<unk>-year-old female with chest pain. rule out infiltrate.
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There are diffuse bilateral alveolar opacities, with relative sparing of the upper lung fields, with obscuration of the right and left heart borders as well as the bilateral hemidiaphragm margins. A dense opacification is also seen in the left apex, without tracheal deviation or obscuration of the left spine border. There is also significant irregular pleural thickening in the right apex, possibly secondary to layering pleural effusion. Right basilar plueral calcifications are noted. Cardiac size cannot be assessed due to obscuration of the cardiac silhouette. There is no evidence of pneumothorax. Layering pleural effusions are possible. No fractures are identified.
<unk>-year-old male with hypoxia. evaluate for chf versus pneumonia.
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Pa and lateral views of the chest demonstrate low lung volumes. Lungs are clear. Heart is normal in size and cardiomediastinal contour is stable. There is no pleural effusion or pneumothorax.
<unk>-year-old woman presenting with weakness, evaluate for pneumonia.
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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 fever // eval for pna
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Lung volumes are low, but there is no focal consolidation, pleural effusion, or pneumothorax. Cardiomediastinal and hilar silhouettes are normal.
<unk>-year-old woman with anaphylaxis. evaluate for acute cardiopulmonary process.
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Frontal and lateral views of the chest were obtained. The patient is rotated somewhat to the right. The patient is status post median sternotomy. The cardiac silhouette remains enlarged and somewhat globular in configuration, which may be due to cardiomyopathy or pericardial effusion. The aortic knob remains calcified. Subtle retrocardiac rounded opacity may relate patient's hiatal hernia. There is very minimal interstitial edema. No definite focal consolidation is seen. There is no large pleural effusion or pneumothorax. Chronic deformities of the shoulder joints are partially imaged.
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Retrocardiac consolidation on the left is new compared to yesterday's study. Bilateral central venous catheters and endotracheal tube appears in unchanged positions. Taking into account the lower degree of inspiration on the current study there is probably no significant central pulmonary vascular congestion.
<unk> year old man s/p whipple // interval changes, pulmonary edema
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The lung volumes remain low. The tip of the right internal jugular vein catheter projects over the right atrium, the line could be pulled back by approximately <num>-<num> cm. Pre-existing areas of atelectasis, notably in the perihilar areas and at the left lung base, are unchanged. No evidence of pneumonia. Unchanged mild pulmonary edema.
cabg, evaluation for interval change.
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Increased interstitial markings are seen throughout the lungs with particular subpleural distribution. There may have been interval progression of disease at the right lung base although superimposed infection would be difficult to exclude. Elsewhere, there has been no significant interval change since prior chest x-ray. Similar appearance of the hila with possible underlying adenopathy as seen on prior chest ct. Surgical clips project over the left axilla.
<unk>f with hypoxia // eval for pneumonia, pulm edema
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Mild pulmonary vascular congestion without pulmonary edema is similar to the prior study. Airspace opacities in bilateral costophrenic angles may represent atelectasis in the setting of lower lung volumes . The cardiomediastinal silhouette, including moderate cardiomegaly and a tortuous descending aorta is unchanged. There is no pneumothorax or focal consolidation.
<unk>f with hypoxemia evaluate for acute cardiopulmonary process.
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Low lung volumes. No focal consolidation, pleural effusion, or pneumothorax. Heart size and cardiomediastinal contours appear stable.
<unk>m with recent admission for sah, was intubated, now with fever // eval pna
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The left costophrenic angle is incompletely imaged on frontal view. No focal consolidation, pleural effusion, or pneumothorax is seen. Mild interstitial prominence is likely chronic, most commonly due to smoking or other respiratory irritant. Heart and mediastinal contours are within normal limits.
<unk>-year-old male with chest pain.
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There is mild to moderate cardiomegaly. The lungs are clear. There is no pneumothorax or pleural effusion.
<unk> year old man with resp distress // please eval interval change
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Left chest wall dual lead pacing device is again seen. Relative elevation of the right hemidiaphragm is again noted. The lungs are clear of consolidation, effusion, or vascular congestion. Aortic core valve is again noted. No acute osseous abnormalities identified, hypertrophic changes again noted in the spine.
<unk>m with chest pain, cough, fever // r/o acute process
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As compared to the previous radiograph, there is no relevant change. The lung volumes remain low. There is moderate scoliosis with subsequent asymmetry of the rib cage. Borderline size of the cardiac silhouette without pulmonary edema. No pneumonia, no pleural effusions.
hematemesis, evaluation for cardiopulmonary abnormality.
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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. A lap band is noted in the upper abdomen.
<unk>f with sob // fluid or consolidation?
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The lungs are well inflated and clear. The cardiomediastinal silhouette, hila contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax. There is no pneumoperitoneum.
epigastric pain and hematemesis, evaluate for free air under the diaphragm.
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Lung volumes are within normal limits. The trachea is central, widening of the superior mediastinum is likely vascular and is unchanged compared to the prior study. No consolidation, pneumothorax or pleural effusion seen. Borderline cardiomegaly is likely due to the projection.
<unk> year old man with worsened hyperglycemia, possibly due to infection // any evidence of infection?
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Pa and lateral views of the chest provided. Lung volumes are low, decreased from chest radiograph <unk>. There is no focal consolidation, pleural effusion, or pneumothorax. Cardiomediastinal silhouette is normal. Distended air-filled loops of colon are noted overlying the left and right upper quadrants, minimally changed from <unk> and <unk>.
history: <unk>f with hyperglycemia, hx of dka // please eval for acute process
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In comparison with study of <unk>, there is continued enlargement of the cardiac silhouette. The vascular congestion described previously has substantially decreased. There is a right picc line that extends only to the distal portion of the subclavian vein. Continued blunting of the right costophrenic angle with midline fixation devices.
picc placement.
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Pa and lateral views of the chest. The lungs are clear without focal consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. No acute osseous abnormalities.
<unk>-year-old female with two days of chest pain and tightness.
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Previously appreciated mild and diffuse increase in the lung parenchymal density in the lower lobes causing a so-called spine sign is no more appreciated on the today's radiograph. Lungs are clear without any new opacities of concern. Heart size, mediastinal and hilar contours are unremarkable. Both pleural spaces are normal. Impression previously appreciated very ill-defined increased parenchymal density in the lower lung leading to a spine sign and concerning for an early infection has resolved.
pneumonia, for further evaluation.
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As compared to the previous radiograph, the monitoring and support devices are unchanged. A coil of the nasogastric tube projects over the neck. The tube should be clinically checked. As the loop might be both in the neck or outside the patient, overlying the soft tissues of the neck. The width of the mediastinum has returned to normal <unk>. The lung volumes have increased, likely reflecting either improved ventilation or increased ventilatory pressure. Unchanged borderline size of the cardiac silhouette. The pre-existing parenchymal opacities are also unchanged in severity, notably the perihilar opacities on the left and the retrocardiac atelectasis persists. No other changes, no pneumothorax.
polytrauma, evaluation for interval change.
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Pa and lateral views of the chest. The lungs are clear. Cardiac silhouette is normal in size. Hilar and mediastinal contours are normal. No pleural effusion. No evidence of pneumothorax.
altered mental status.
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Left pigtail catheter position is unchanged. Visualized upper portion of lumbar spinal hardware is intact. Small, residual left pleural effusion. Left apical and perihilar opacities are unchanged. Interval resolution of left apical pneumothorax. Unchanged thoracic scoliosis. Bilateral tenting of the hemidiaphragms suggests mild volume loss. Normal cardiomediastinal contours.
<unk>-year-old woman with a history of lung adenocarcinoma status post right upper lobe wedge resection, now with pleural effusion. evaluate for interval change.
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Lung volumes are far lower compared to <unk> causing vascular crowding and accentuate the size of the aortic arch; however, the mediastinal silhouette appears rather significantly increased compared to prior exam, but this still may be due to low lung volumes. Otherwise, there is no significant change in moderate-to-large left pleural effusion with associated atelectatic change despite placement of a left base chest tube. There is no pneumothorax.
loculated pleural effusion status post chest tube placement.
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Lungs are well inflated and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax. Visualized upper abdomen is unremarkable. Osseous structures are grossly intact.
status post assault with right lower chest pain, evaluate for rib fracture.
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Very shallow inspiration. Endotracheal tube tip is <num> cm above carina. Right ij central line tip in the upper right atrium. Findings are new since prior exam. There is no pneumothorax. Stable thoracic curve convex to the right. Shallow inspiration accentuates heart size, pulmonary vascularity. Bibasilar opacities have resolved.
<unk>f w/multiple attempts at single lung ventilation unsuccessfully, please eval for pneumomediastinum, ptx // <unk>f w/multiple attempts at single lung ventilation unsuccessfully, please eval for pneumomediastinum, ptx
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Cardiomegaly is accompanied by vascular engorgement, bilateral perihilar alveolar opacities and peripheral interstitial opacification. Small bilateral pleural effusions are also demonstrated.
<unk> year old woman with cirrhosis, acute hypoxia w crackles s/p colloid resuscuitation // eval for pulm edema
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The lungs are slightly hyperinflated, with no focal consolidation, pleural effusion, or pneumothorax. Cardiomediastinal silhouette is normal given the kyphotic angulation of the chest on the pa view. Osseous structures demonstrate general osteopenia and apparent ossification of the anterior longitudinal ligament.
history: <unk>m with stroke <unk> year prior, with coughing fits <num> days. evaluate for aspiration.
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Compared with chest radiograph on <unk>, there is no significant change. Again seen are clips in the left hemithorax adjacent to healed left-sided rib fractures. There is scarring at the lung bases and chronic blunting of the left hemidiaphragm, likely reflects pleural scarring. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. There is no hilar lymphadenopathy. Multilevel compression deformities in the thoracic spine are similar to prior.
<unk> year old man with h/o rcc (distant) // r/o metastasis
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Ap portable upright view of the chest. In this patient with known right lung mass better assessed on prior ct, there is increasing right pleural effusion and increasing consolidation in the right lower lung. Pneumonia, aspiration and atelectasis are within the differential. Destructive changes involving several right ribs is secondary to osseous metastatic disease. Left lung is grossly clear though subtle opacities projecting over the left upper and lower lungs may represent nodules. Heart size is difficult to assess though appears grossly stable. Mediastinal contour is unchanged.
<unk>m with acute onset sob, metastatic lung cancer with history of right pleural effusion, assess for pneumonia, aspiration or interval change.
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There are low lung volumes. The heart size is mildly enlarged. The aorta is slightly tortuous and demonstrates diffuse calcifications. Patchy opacities in the lung bases likely reflect atelectasis. Aspiration or infection cannot be fully excluded. There is no pulmonary edema. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
aphasia.
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The cardiac, mediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. The lungs appear clear.
syncope.
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Pa and lateral views of the chest provided. Faint bibasal atelectasis noted. No convincing evidence for pneumonia or edema. Cardiomediastinal silhouette is normal. In particular, the mediastinum appears normal in caliber. Several chronic right rib cage deformities are again noted. No acute bony abnormality is seen. No free air below the right hemidiaphragm.
<unk> yo m presenting with chest pain radiating to back. assess for mediastinal enlargement
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In comparison with the study of <unk>, the patient has taken a substantially better inspiration. Cardiac size is within normal limits. No vascular congestion or pleural effusion. The areas of opacification in the infrahilar regions, especially on the left, are not appreciated, most likely reflecting the better inspiration. There is still some prominence in the azygos region, though no definite engorgement of pulmonary vessels in the central or peripheral areas.
hypertension status post intubation access or worsening pneumonia.
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Frontal and lateral views of the chest were obtained. There is slight increase in the interstitial markings bilaterally to suggest minimal interstitial edema. The patient is rotated slightly to the right. Cardiac and mediastinal silhouettes are stable. No definite focal consolidation is seen. There is no pleural effusion or pneumothorax. Evidence of dish is again seen along the thoracic spine.
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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>m with shortness of breath
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Heart size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Lungs are hyperinflated. No focal consolidation, pleural effusion or pneumothorax is seen. Mild degenerative changes are noted in the thoracic spine.
<unk>m which shortness of breath that feels like copd exacerbation,
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Right ij catheter is unchanged. Heart size is mildly enlarged, as before. Bilateral perihilar hazy interstitial opacities indicative of pulmonary edema have slightly improved. No pleural effusion or pneumothorax.
<unk> year old man with nstemi, intubated
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As compared to the previous radiograph, there is unchanged low position of the endotracheal tube. This was discussed over the telephone at the time of dictation and observation, <time> a.m., on <unk> with dr. <unk>. The appearance of the lung parenchyma and the heart are unchanged. No new pleural effusions. No new parenchymal opacities. No evidence of pneumothorax.
meningitis, intubation, evaluation.
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Cardiac silhouette size is normal. The aorta remains tortuous and diffusely calcified. Mediastinal and hilar contours are unchanged. The pulmonary vasculature is not engorged. Linear opacities within the periphery of the right lung base likely reflect areas of scarring. No focal consolidation, pleural effusion or pneumothorax is present. Mild degenerative changes are noted in the thoracic spine.
history: <unk>f with chest pain
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As compared to the recent radiograph, there has been little change in the appearance of the chest except for improved aeration at the lung bases in association with slightly greater lung volumes.
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In comparison with study of <unk>, there is now a right pleurx catheter in place with decrease in the degree of effusion and no definite pneumothorax. There is, however, substantial subcutaneous gas along the right lateral chest wall. Some opacification at the right base could reflect residual atelectasis, though supervening pneumonia would have to be considered. On the left, there has been an increase in the pleural effusion. Indistinctness of pulmonary vessels suggests some elevated pulmonary venous pressure.
pleurx catheter placement, to assess for pneumothorax.
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As compared to the previous radiograph, the moderately enlarged cardiac silhouette has not changed. There is a new small right pleural effusion limited to the costophrenic sinus. Minimal atelectasis at both lung bases, right more than left. There currently is no overt pulmonary edema. No pneumothorax. No pneumonia. Unchanged healed rib fractures on the right and tortuosity of the thoracic aorta.
retroperitoneal bleed, anticoagulation, respiratory distress, evaluation for pulmonary edema.
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Single portable view of the chest demonstrates decreased lung volumes when compared to study obtained the day prior. Increased perihilar markings may be likely due to decreased lung volumes. No pleural effusion, focal consolidation or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. Imaged osseous structures are intact.
dyspnea.
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The heart size, mediastinal, and hilar contours are normal. There are possible mild chronic bronchiectatic changes involving the right lower lung. However, lungs are otherwise clear without focal consolidation, pneumothorax, or pleural effusion.
<unk> year old man with esrd for pre kidney transplant evaluation. evaluate for cardiopulmonary abnormalities.
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Pa and lateral views of the chest. Relatively low inspiratory effort is seen which results in accentuation of the cardiomediastinal silhouette which is likely within normal limits. The lungs are clear of consolidation, effusion, or pulmonary vascular congestion. There is no pneumothorax. No acute osseous abnormality detected.
<unk>-year-old male hypertension and headache. chest pain. question cardiomegaly.
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Pa and lateral views of the chest were provided demonstrating no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Bony structures are intact. No free air is seen below the right hemidiaphragm.
<unk>-year-old man with fatigue x<num> week, right upper quadrant pain, dysuria, assess for free air or pleural effusion.
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In comparison with the study of <unk>, there is no interval change. Specifically, no evidence of pneumonia or vascular congestion or pleural effusion. Supraclavicular subcutaneous gas persists.
stab wound to chest, to assess for pneumothorax.
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Pa and lateral views of the chest were provided. The lungs are clear bilaterally without focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. The imaged bony structures are intact. No free air is seen below the right hemidiaphragm.
<unk>-year-old female with cough.
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There has been interval placement of a tracheal stent which appears appropriately positioned. Cervical fusion hardware is noted. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is slightly enlarged. Imaged upper abdomen is unremarkable.
history: <unk>f with shortness of breath // acute process?
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Sternotomy wires are intact. There is no focal consolidation, pleural effusion or pneumothorax. Mild cardiomegaly is stable, otherwise the cardiomediastinal and hilar contours are normal.
<unk>f with weakness // eval for pna
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There is left basilar atelectasis and slight blunting of the left costophrenic angle. Aeration of the left lower lobe is improved. Platelike atelectasis is again seen at the level of the left hila. The heart remains enlarged. The aorta is tortuous. There is no pneumothorax. Median sternotomy wires are intact. The right internal jugular central venous line has been removed over the interval.
history: <unk>m s/p cabg <unk> p/w hypotension and diaphoresis // eval for chf/pneumonia
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There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are normal.
history: <unk>f with cough x<num> week, subjective fever // assess for infiltrate
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As compared to the previous radiograph, there is no relevant change. Moderate cardiomegaly with signs of mild overhydration. No overt pulmonary edema. Left retrocardiac atelectasis. The presence of a minimal left pleural effusion cannot be excluded. No interval appearance of pneumonia.
evaluation for interval change.
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Pa and lateral images of the chest demonstrate well expanded lungs, which are clear. There is no pneumothorax or pleural effusion. Cardiomediastinal silhouette is unremarkable. Visualized osseous structures are unremarkable.
<unk>-year-old male with chronic dry cough.
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As compared to the prior exam dated <unk>, there has been no significant interval change. There is no evidence of focal consolidation, pleural effusion, pneumothorax, or frank pulmonary edema. Atherosclerotic calcifications are noted at the aortic arch. Mild mild-moderate cardiomegaly is noted. A small hiatal hernia is present.
history: <unk>f with sob // ? pna
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The et tube tip remains at the upper margin of the clavicle, <num> cm above the carina and could be advanced <num> cm for more secure position. Right internal jugular introducer sheath is in unchanged position. The right picc line tip cannot be confidently seen, and an oblique view could be obtained if there is concern of change in position. Bibasilar opacities are worse compared with <num> hours prior with associated volume loss most likely representing atelectasis, although aspiration could have a similar appearance. The cardiomediastinal silhouette is unchanged. Small bilateral effusions are unchanged. No pneumothorax is present.
history of aspiration pneumonia, now status post revision of gj anastomosis for bleeding marginal ulcer. assess for interval changes, position of the et tube, position of right picc line and right internal jugular line.
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Left picc terminates in the mid superior vena cava. Heart size is normal, and lungs are clear except for localized linear atelectasis at the left base.
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Frontal and lateral views of the chest were obtained. There are relatively low lung volumes. Cardiac and mediastinal silhouettes are stable. Medial right lung base opacity is stable since the prior study and likely represents vascular structures. No new focal consolidation is seen. No pleural effusion or pneumothorax.
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The lungs are clear without focal consolidation, effusion, or pulmonary edema. Cardiac silhouette is within normal limits. Prominence of the upper mediastinum is confirmed as prominent mediastinal fat as demonstrated on prior mri. Lower cervical anterior fixation hardware is partially visualized.
<unk>m postop from spine surg w/ t<num> // eval ? infiltrate
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The endotracheal tube is in appropriate position, terminating <num> cm above the level of the carina. The cardiomediastinal silhouette is unchanged. A small right pleural effusion and right pleural plaques are again seen. The previously seen orogastric tube has been removed since the prior study. There is no pneumothorax.
<unk>-year-old man status post intubation. evaluation for endotracheal tube position.
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Frontal and lateral views of the chest were obtained. The patient is status post left upper lobectomy with associated left lung volume loss and shift of the mediastinum to the left. Blunting of the left costophrenic angle including posteriorly suggests a small pleural effusion. There is also slight blunting of the right costophrenic angle suggests trace pleural fluid. No definite focal consolidation is seen. There is no pneumothorax. The cardiac and mediastinal silhouettes are grossly stable.
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There is stable elevation of the right hemidiaphragm. A right ij central venous catheter, et tube, and nasogastric tube are unchanged in position. Mild pulmonary edema is slightly improved. There is no pneumothorax.
<unk> year old man with sepsis // acute process
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Again seen is a right chest port-a-cath with distal tip projecting over the right atrium in appropriate position. The cardiomediastinal contours are stable and within normal limits. Aortic arch calcifications are unchanged in appearance. There is no pulmonary edema. A small vague radiopacity projecting over the right fourth anterior interspace could be overlying soft tissue. If there is real concern for pneumonia shallow oblique views should be obtained. There is no pneumothorax or pleural effusion.
history: <unk>m with cp, sob // eval for pna
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Since the prior chest x-ray, the patient has been extubated. The right ij catheter and enteric tube have been removed. Bilateral parenchymal opacities that were seen on the prior cxr have improved significantly, and likely represent resolving pulmonary edema. There may be a small left pleural effusion, if any. No right effusion. No pneumothorax. Heart size is top-normal.
<unk> year old woman with esrd on pd with flash pulm edema continues to have sob and crackles // worsening of pulm edema?
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Interval removal of the left chest tube. A trace left apical pneumothorax is suspected. Increased opacification of the left lung base may reflect a a pleural effusion and subjacent atelectasis. A new ill-defined opacity in the right lower lung zone may reflect atelectasis versus developing pneumonia. The appearance of the cardiomediastinal silhouette is unchanged. Subcutaneous emphysema over the left lateral chest wall
<unk> year old woman s/p thoracotomy with lul lobectomy, s/p chest tube removal // post chest tube removal evaluation; assess interval changesplease obtain @ <unk>
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Pa and lateral views of the chest were provided. Midline sternotomy wires and mediastinal clips as well as a single-lead pacer device are unchanged in position. A vascular stent is again noted in the left axilla. There is blunting of the bilateral cp angles compatible with pleural effusion, significantly changed from prior exam. There is bibasilar opacity, most compatible with atelectasis or scarring. No new consolidation is seen. The cardiomediastinal silhouette is grossly unchanged. No acute bony abnormality is seen. No free air is seen below the right hemidiaphragm.
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Ap and lateral views of the chest. Lower inspiratory effort seen on the current exam. Despite that, there appears to be interval progression of the right-sided pleural effusion. Fluid is also seen tracking within the major fissure more so than on prior. Underlying middle and lower lobe atelectasis and possible consolidation is possible. The left lung is grossly clear. Cardiomediastinal silhouette has not significantly changed. Post-traumatic changes seen at the coracoclavicular regions bilaterally.
<unk>-year-old male with worsening cough and chest pain.
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Frontal and lateral views of the chest. The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified.
<unk>-year-old female with dyspnea.