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Aeration of the lungs has slightly improved since prior exams. Otherwise, no significant interval change. Diffuse, bilateral patchy opacities with air bronchograms are unchanged. Small left pleural effusion is also unchanged. Cardiomediastinal silhouette is unchanged. No pneumothorax.
<unk> year old woman with multifocal pna, hypoxia, volume overload // please assess for interval change
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In comparison with the study of <unk>, there is little interval change. Again there is <unk> <unk> tube in place. Monitoring and support devices remain in place. There is continued enlargement of the cardiac silhouette with evidence of vascular congestion and bilateral pleural effusions with compressive atelectasis at the bases.
intubation.
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Previously noted left basilar opacity has continued to improve with minimal left basilar atelectasis persisting. No new consolidations are identified. Cardiac and mediastinal contours appear stable. No acute fractures are identified.
intraparenchymal hemorrhage, evaluation for pneumonia.
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Lung volumes are slightly low, causing exaggeration of the heart size and accentuation of the pulmonary vasculature. Compared to <unk>, there are new bilateral predominantly lower lung heterogeneous opacities. Small right and likely tiny left pleural effusions are also new. The heart is mildly enlarged. The mediastinal contours are normal. There is no pneumothorax.
cough, shortness of breath. evaluate for infiltrate.
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Pa and lateral chest radiograph demonstrate clear lungs bilaterally. Cardiomediastinal and hilar contours are within normal limits. There is no pleural effusion or pneumothorax. Visualized osseous structures demonstrate no acute abnormality.
<unk>-year-old female with left lower rib chest wall tenderness.
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Left-sided aicd/pacemaker device is re- demonstrated with leads terminating in the right atrium, right ventricle, and region of the coronary sinus. Heart size is mildly enlarged but unchanged. The mediastinal contours are unremarkable with minimal atherosclerotic calcifications of the aortic knob. There is mild pulmonary vascular congestion, but this is improved compared to the previous study. No focal consolidation, pleural effusion or pneumothorax is seen. Diffuse degenerative changes are again noted in the thoracic spine with anterior osteophyte formation.
history: <unk>m with increased sob last night the resolved after about <num> minutes // assess for pneumonia and pleural effusion.
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Overall, there is no significant interval change. The patient is rotated to the right. Tracheostomy tube and right picc line are grossly stable in position. An enteric tube is seen, distal aspect not well appreciated due to underpenetration below the level of the diaphragm, likely also courses below the inferior aspect of the image. Perihilar opacities likely due to pulmonary edema with bibasilar opacities similar to the prior study, likely representing combination of pleural effusions and atelectasis, although underlying infection or aspiration not excluded.
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The lungs are well expanded. Left base scarring, pleural thickening as well as multiple left posterior rib deformities represent post-thoracotomy changes, unchanged from prior. No focal parenchymal opacity concerning for pneumonia. There is no pleural effusion or pneumothorax. There is no cardiomegaly. Cardiomediastinal and hilar contours are unremarkable.
<unk>-year-old male with cough. evaluate for evidence of pneumonia.
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Cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Linear opacities within the lung bases likely reflect areas of subsegmental atelectasis. No focal consolidation, pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
history: <unk>m with cough, fever, hempotosyis
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The left costophrenic angle is excluded from the field of view. Where seen, the lungs are clear. The cardiomediastinal silhouette is within normal limits. No frank free intraperitoneal air identified.
<unk>m with abdominal pain found to have ct with free // increasing shortness of breath eval acute process
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Lung volumes are normal. There is no focal consolidation, pleural effusion or pneumothorax. Heart is top-normal in size. There is no subdiaphragmatic free air. No acute osseous abnormalities are identified.
history: <unk>f with chest pain // infiltrate or pneumothorax
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The lungs are well inflated and grossly clear. The cardiomediastinal silhouette is stable. There is no pleural effusion, pneumothorax, or focal consolidation worrisome for pneumonia. Mild prominence of interstitial markings is similar compared to prior studies. There is no overt pulmonary edema. Atherosclerotic calcifications are noted in the aortic arch. No displaced rib fractures are identified.
<unk>f on coumadin, s/p fall w/ head strike, c/o l hip pain, l lateral chest wall pain // ?ich, ? c spine injury, ? l lateral rib fx, ?occult pelvic fracture
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Persistent cardiomegaly accompanied by widening of the vascular pedicle and widespread interstitial opacities attributed to interstitial edema. Followup radiograph after diuresis would be helpful to confirm resolution and to exclude other causes of interstitial lung disease.
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Mediastinal silhouette is normal. There is bilateral pulmonary venous congestion there is bilateral lower lobe opacities more severe than prior consistent with pneumonia. There is bilateral pleural effusion. No pneumothorax. No fractures. The right ij central venous catheter has been removed.
<unk> year old woman with concern for hcap and fevers // r/o pneumonia
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Pa and lateral views of the chest were provided. A metallic foreign body is again seen projecting over the left upper lobe, more fully tracked with regards to location on a prior ct of the chest from <unk>. No focal consolidation, effusion, or pneumothorax is seen. The heart and mediastinal contour appear unchanged. Bony structures are intact.
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The left pic line terminates in the proximal superior vena cava. The enteric tube appears to terminate in the distal esophagus and needs to be advanced. The cardiac silhouette remains enlarged with stable pulmonary vascular congestion and minimal bilateral pulmonary edema. Rightward deviation of the trachea is secondary to the known enlargement of the left lobe of the thyroid gland. No new focal consolidations, significant pleural effusions, or pneumothorax is identified.
<unk>-year-old female with a history of ileus who presents for ng tube placement evaluation.
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Ap single view of the chest has been obtained with patient in sitting semi-upright position. Comparison is made with the next preceding pa and lateral chest examination <unk> <unk>. Heart size, previously described permanent pacer in left anterior axillary position and dual intracavitary electrodes are in unchanged appearance. No new pulmonary abnormalities and no pneumothorax. Lateral pleural sinuses are free.
<unk>-year-old female patient with tia, going for carotid endarterectomy, any acute issues?
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As compared to the previous radiograph, no relevant change is seen in extent of the known right apical pneumothorax as well as of the right air collection in the soft tissues. The pre-existing opacities at the right lung bases, the size of the cardiac silhouette and the appearance of the left lung, as well as the monitoring and support devices, are also constant.
followup.
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Bilateral lower lung plate-like atelectasis is minimally increased on the right from the prior exam. The lungs are otherwise clear. No focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. Stable cardiomediastinal silhouette and post-median sternotomy changes. Stable eventration of the right hemidiaphragm.
<unk>-year-old man presenting with malaise; evaluate for pneumonia.
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Right basilar and hilar opacities are consistent with increasing effusion and adjacent atelectasis. A right chest tube points towards the medial apical lung. Lung volumes continue to be low. The heart and mediastinal contours are normal. Et tube, gastric tube, and left ij central venous line is in appropriate position.
<unk>-year-old man with multiple medical issues, now febrile. evaluate for pneumonia or atelectasis.
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Heart size is normal. The mediastinal and hilar contours are normal. Minimal atherosclerotic calcification is noted at the aortic knob. 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 abnormal ekg // eval for pna or cardiomegaly
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There are low lung volumes. Prominence of the central pulmonary vasculature suggests mild degree of fluid overload. No definite focal consolidation is seen. There is no pleural effusion. No evidence of pneumothorax is seen. The cardiac silhouette is mildly enlarged, likely exaggerated by low lung volumes. Mediastinal contours are stable.
history: <unk>f with shortness of breath and cough // eval for pna
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The lung volumes are low. Vague right lower lung peripheral opacity is in a similar distribution as tree in <unk> opacities on the prior exam. Also in the inferior lingula is a similar pattern. The cardiomediastinal silhouette is unremarkable. A right chest wall port catheter tip terminates at the cavoatrial junction. There is no pneumothorax or pleural effusion. The imaged upper abdomen demonstrates a somewhat distended stomach with food particles within. The bones are intact.
<unk>-year-old man with hypotension. question pneumonia.
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As compared to the previous radiograph, the lateral projection shows a non-recent, slightly displaced sternal fracture. There is no other abnormality seen along the sternum or in the retrosternal space, in particular no evidence of hemorrhage or pathological air-fluid levels. A known large hiatal hernia is unchanged as compared to the previous examination. The trachea shows a normal course. No tracheal displacement. Unremarkable appearance of the lung parenchyma. Borderline size of the cardiac silhouette without evidence of pleural effusions, pneumothorax, pulmonary edema or pneumonia. Moderate tortuosity of the thoracic aorta.
fall in mid <unk>, sternal pain. evaluation.
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Two frontal images of the chest demonstrate a left basilar hazy opacity concerning for left lower lobe pneumonia. There is no pleural effusion or pneumothorax. There is some vascular crowding likely due to low lung volumes from poor inspiration. Heart size is normal.
<unk>-year-old male with seizure in setting of likely alcohol use, now intubated.
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Portable semi-upright chest radiograph demonstrates low lung volumes. The lungs show superior segmental collapse of the right lower lobe. The pleural surfaces are normal. The cardiac silhouette and mediastinal contours appear normal. Patient is status post aortic valve replacement with changes of median sternotomy. Mild edema has progressively improved. An ng tube tip and sidehole are superimposed on the stomach. Endotracheal tube tip is positioned at least <num> cm from the level of the carina. A left ij approach central venous catheter tip is located in the mid svc. Left shoulder arthroplasty is again noted.
<unk>-year-old female with mechanical ventilation.
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There has been no substantial interval change in the appearance of the chest compared to the radiograph obtained <num> day earlier. Cardiac and mediastinal contours are unchanged, with known mediastinal lymphadenopathy better seen on the recent ct. Hilar contours are also unchanged and remain enlarged compatible with known lymphadenopathy. There is likely mild pulmonary vascular congestion. Small to moderate size right pleural effusion and small left pleural effusion are unchanged. Bibasilar airspace opacities could reflect atelectasis or infection. Multiple nodular opacities in both lungs are re- demonstrated, but better seen on the previous ct. No pneumothorax is identified. There are mild to moderate degenerative changes in the thoracic spine.
metastatic squamous cell carcinoma and history of pleural effusions with shortness of breath.
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No focal opacity to suggest pneumonia is seen. No pneumothorax, pulmonary edema or significant pleural effusion is present. The heart size is top normal. There is tortuosity of the aorta. Note is made of surgical clips at the gastroesophageal junction.
syncope
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Bibasilar opacities are most likely secondary to atelectasis especially given lower lung volumes. Superiorly, the lungs are clear. The cardiomediastinal silhouette is stable. Coronary artery stents are identified. No acute osseous abnormalities, old healed right posterior rib fractures are noted.
<unk>m with cp // eval for cp
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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 chest pain // ? ptx
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The inspiratory lung volumes are decreased. The lungs are well aerated without focal consolidation concerning for pneumonia. Trace pleural effusions are noted on the lateral view. No pneumothorax is detected. The pulmonary vasculature is not engorged. The cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits. There is a small amount of free air beneath the right hemidiaphragm, which may be postoperative in etiology given the patient's history of recent umbilical hernia repair. The imaged upper abdomen demonstrates surgical clips in the right upper quadrant and left upper quadrant. There are several prominent loops of bowel, predominantly large bowel in the left upper quadrant.
fever, here to evaluate for pneumonia.
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The heart is mildly enlarged and there is pulmonary vascular redistribution with hazy ill-defined vascularity and small bilateral effusions. Compared to the prior study the amount of fluid overload has increased
history: <unk>m with diabetes, recent pna // eval for tachycardia, recent pna
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Pa and lateral chest radiographs were obtained. The cardiomediastinal and hilar contours are unchanged. Mild calcification of the aortic knob is stable. The posterior costophrenic angles are not entirely included on the lateral view. However, there is no evidence of pleural effusion. There is no pneumothorax. Hyperinflation of the lungs with increased retrosternal airspace and flattening of the hemidiaphragms is again seen, consistent with chronic obstructive pulmonary disease. No consolidation is seen.
altered mental status.
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Frontal and lateral views of the chest were obtained. The patient is status post median sternotomy, cabg, and aortic valve replacement. The lateral view is suboptimal due to the patient's overlying arm projecting over the posterior lung fields. On the frontal view, there is mild blunting of the right costophrenic angle, which could be due to a trace pleural effusion or pleural thickening. No left pleural effusion is seen. There is no focal consolidation or evidence of pneumothorax. The cardiac silhouette is not enlarged. The aorta is calcified and tortuous. No overt pulmonary edema is seen. There is a <num> cm rounded opacity projecting over the posterior right ninth rib at the right lung base which is most likely artifactual, however, recommend oblique radiograph for further evaluation.
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Tracheostomy tube is demonstrated. Cardiomediastinal and hilar contours are within normal limits. There is no focal consolidation, pleural effusion or pneumothorax identified.
<unk> year old man with new trach placement, coughing with some secretions, evaluation for interval change/pneumonia // evidence of pneumonia / interval change
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Frontal and lateral views of the chest were obtained. The heart is of normal size with normal cardiomediastinal contours. The lungs are clear without focal or diffuse abnormality. No pleural effusion or pneumothorax. No radiopaque foreign body. Osseous structures are unremarkable.
fever, shortness of breath, and cough. evaluate for infiltrate.
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The increased lucency at the left lung apex is likely due to the aerated superior segment left lower lobe. There is no pneumothorax. The appearance of the known left upper lobe mass causing central obstruction with resultant left lung volume loss is unchanged as compared to the <unk> chest ct. There is a small left pleural effusion. The right lung is clear. The cardiomediastinal silhouette cannot be accurately assessed.
<unk> year old man with left lung mass. post bronch, final read with ?pneumothorax
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Right pleural catheter remains in place. Right apical pneumothorax has nearly resolved. Heart size, mediastinal and hilar contours are normal. Heterogeneous opacities at the lung bases are again demonstrated, with slight worsening in the left lower lobe. Acute right rib fractures are again visualized.
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There is worsening of the severe pulmonary edema from earlier this morning. There is no pneumothorax or definite pleural effusion. The cardiac silhouette is difficult to evaluate given the extensive opacifications.
shortness of breath and pulmonary edema.
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Single erect portable view of the chest demonstrates no evidence of focal opacity. Increase in interstitial markings bilaterally at the bases was present on prior radiographs. Cardiac size is normal. No large pleural effusion or pneumothorax.
shortness of breath.
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Interval placement of a left chest tube with. No evidence of pneumothorax. Left apical cap is unchanged, likely extension of the large left pleural effusion, which is also unchanged. Small right pleural effusion is probably unchanged. Mild to moderate pulmonary edema is new. Severe cardiomegaly is unchanged. Bilateral ij central venous catheters are unchanged in position, terminating in the lower svc. An enteric tube passes well below the diaphragm.
<unk> year old man with s/p cabg and avr // s/p ct placement
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The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. Lungs are hyperinflated, consistent with copd. There is no focal consolidation concerning for pneumonia. Biapical scarring is present. Surgical clips in right upper quadrant are noted. Mild anterior wedging of a mid thoracic vertebral body is present.
<unk>f w/fevers and cough, please eval for occult pna.
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In comparison with study of <unk>, there is no change or evidence of acute cardiopulmonary disease. Specifically, no evidence of pleural effusion, acute focal pneumonia, or vascular congestion.
left upper quadrant pain.
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When compared to prior, there has been no significant interval change. The lungs are clear without consolidation, effusion, or pneumothorax. There is a moderate hiatal hernia again noted. Tortuosity of the thoracic aorta seen with atherosclerotic calcifications. The cardiac silhouette is not enlarged. No acute osseous abnormalities identified.
<unk>m with cp // r/o infiltrate
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Cardiac size is normal. The aorta is tortuous. There is a hiatal hernia. The lungs are hyperinflated. The lungs are clear. There is no pneumothorax or pleural effusion. There are several right healed rib fractures.
<unk> year old man with copd, with cough/wheezing/sob // eval for pna
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Lung volumes are markedly low which limit the evaluation. There is no focal consolidation, large effusion, or pneumothorax. Heart size is top normal. Mediastinal contour is unremarkable. There is mild prominence of pulmonary vasculature. Bony structures are intact. No free air below the right hemidiaphragm.
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A swan-ganz catheter terminates in the right main pulmonary artery and could be pulled back <num>-<num> cm for positioning in the main pulmonary artery. A left-sided pacer/ defibrillator is unchanged in position. The cardiomediastinal silhouette is within normal limits and stable. The lungs are clear. There is no evidence of pneumothorax. No pleural effusion seen.
<unk> year old man with swan-ganz catheter, ? in wedge // assess position of swan-ganz catheter
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There is no focal consolidation, pleural effusion or pneumothorax. An opacity at the left lung base may represent atelectasis or pneumonia. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified. Left shoulder arthroplasty is partially imaged. A port-a-cath terminates at the cavoatrial junction.
history: <unk>m with s/p fall with tspine tenderness // eval for pna. eval for bleed, fx
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Since <unk>, the base of the aerated right lung has elevated, changed configuration obscuring much of the right heart border. Even thought the mediastinum is midline the findings are best explained by collapse of the right middle and lower lobes. A left retrocardiac opacity obscures the margin of the descending thoracic aorta and the medial diaphragmatic interface, most likely due to atelectasis of the basal segments of the left lower lobe. Bilateral small pleural effusions are possible. There is no pneumothorax. Cardiomediastinal and hilar structures are normal.
<unk> year old woman with increased supplemental oxygen support. <num>lnc w/ sats <unk>%. // r/o acute process
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Cardiomediastinal contours are normal. The lungs are clear. There is no pneumothorax or pleural effusion. There is severe scoliosis. Lumbar spinal hardware is partially imaged. Port a cath is in standard position. . Calcifications in the left axilla are again noted.
history: <unk>f with cough // pna
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Cardiac silhouette is mildly enlarged but unchanged compared to the previous study. Thoracic aorta is tortuous. Mediastinal contours are stable. Lung volumes are low, but lungs appear clear with no focal consolidation to suggest pneumonia. No pleural effusions. No pneumothorax.
<unk>-year-old man with fever and cough,? pneumonia.
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The lungs are hyperexpanded with flattened diaphragms and stable chronic interstitial changes consistent with emphysema. Hila and mediastinal contours are stable. No focal consolidation is identified.
<unk> year old man with severe copd, fatigue, cough // any acute infiltrates
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In comparison with the study of <unk>, there is little overall change. Again, there is elevation of the right hemidiaphragmatic contour with basilar opacification, consistent with pleural effusion and atelectasis. Left hemidiaphragm is sharply seen. No vascular congestion or acute focal pneumonia.
malignant ascites with hypoxemia.
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Frontal and lateral views of the chest were obtained. Low lung volumes result in bronchovascular crowding. There is mild bibasilar atelectasis without focal consolidation, pleural effusion or pneumothorax. Heart size is normal. Mediastinal silhouette and hilar contours are normal. No acute osseous abnormality is identified. There is no free air under the right hemidiaphragm.
<unk>-year-old man with chest pain.
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Frontal and lateral views of the chest were obtained. Findings are similar to prior. There is diffuse increased interstitial markings bilaterally, worse in the mid-to-lower lung but seen diffusely throughout the lungs, worrisome for chronic interstitial lung disease. Acute-on-chronic process is not excluded in the mid-to-lower lung fields. However, findings are similar to prior. No pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are stable.
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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 chest pain
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The left upper lobe is well aerated but left lower lobe atelectasis persists, with associated elevation of the left hemidiaphragm due to volume loss. The right lung is clear. A right ij central line terminates in the lower svc. There is no pneumothorax or pleural effusion. The cardiomediastinal silhouette is normal.
<unk>-year-old woman with hemoptysis, assess for interval change.
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A poorly defined opacity has developed in the right infrahilar region, with an adjacent linear opacity. Additional patchy opacity is new in the left retrocardiac area. Cardiomediastinal contours are within normal limits. Small pleural effusions are new compared to the prior radiograph. Prominence of the splenic contour is noted in the imaged portion of the upper abdomen.
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As compared to the previous radiograph, the monitoring and support devices are unchanged, with the exception of a newly inserted nasogastric tube. The course of the tube is unremarkable. The tip of the tube projects over the upper parts of the stomach, the sidehole is at the level of the gastroesophageal junction. The tube could be advanced by approximately <num> cm. The lung parenchymal changes are constant in appearance and severity.
respiratory failure, status post tube placement.
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A left-sided chest tube remains in place. Extensive left upper and lower lobe airspace opacification corresponds to the extensive abnormality seen on recent chest ct, including a left lower lobe mass and multifocal consolidations. The right lung remains relatively clear. There is no pneumothorax. A small to moderate left pleural effusions has slightly decreased. A tiny right pleural effusion is unchanged.
<unk> year old woman with newly diagnosed lung cancer now s/p l pleurx tube placement, pt complaining of chest discomfort // eval for pleurx tube placement/malpositioning, ptx, acute process
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The heart is normal in size. The mediastinal and hilar contours appear normal. There is a medial right posterior basilar opacity in the right lower lobe consistent with pneumonia, in addition to opacification of the lingula suggesting an infectious consolidation. There is no pleural effusion or pneumothorax. Bony structures are unremarkable.
cough, fever, and left greater than right crackles.
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Better seen than on the previous radiograph is a zone of increased parenchymal opacity in the upper lobe. The zone of opacity shows air bronchograms, and in the appropriate clinical setting, would be consistent with pneumonia. There is no overt pulmonary edema but mild chronic fluid overload could be present, given the mild enlargement of the vascular diameters in the lung. Moderate cardiomegaly with valvular calcifications. Moderate tortuosity of the thoracic aorta. No pneumothorax or pleural effusions. At the time of dictation and observation, <time> a.m., on the <unk>, the referring physician, <unk>. <unk>, covered by dr. <unk>, was paged for notification.
chronic heart failure, increasing dyspnea, evaluation for pulmonary edema.
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Frontal and lateral views of the chest were obtained. There are relatively low lung volumes. Given this, no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. Cardiac and mediastinal silhouettes are stable and unremarkable.
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Pa and lateral views of the chest provided. Cardiomegaly is moderate and appears increased from prior exam. There is no convincing evidence for pneumonia or edema. No large effusion or pneumothorax. The pulmonary hila appear minimally prominent and may reflect increased central pressures. Imaged bony structures are intact. No free air below the right hemidiaphragm.
<unk>m with fever, cough, hiv // infiltrate?
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A right internal jugular central venous catheter ends in the low svc. Again seen is opacification of the right lung base consistent with minimally improving moderate pleural effusion. A very dense retrocardiac opacity is again seen which also may represent atelectasis or area of infection. The pulmonary vasculature is not engorged however there is a developing interstitial abnormality concerning for worsening pulmonary edema. The cardiomediastinal silhouette and hilar contours are unchanged. There is no evidence of pneumothorax. Unchanged old right <num>th rib fracture again seen.
difficulty breathing.
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A portable frontal chest radiograph demonstrates interval placement of a right chest pigtail catheter, with decreased medial right loculated pleural fluid. Right lung opacities are largely unchanged, although there may be slightly improved aeration of the right upper lobe. There is no pneumothorax. The remainder of the exam is unchanged.
pleural effusion status post chest tube. evaluate for pneumothorax.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is vague veil-like opacity projecting over the apical regions of each lung, but suspected to represent an artifact associated with soft tissue attenuation. The lungs themselves appear clear. There are no pleural effusions or pneumothorax. Mild leftward convex curvature is noted along the lower thoracic spine.
ich.
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Ap upright and lateral views of the chest provided. Scattered opacities within the lung in the right upper and lower lobes as well as in the left lower lobe appear concerning for metastatic disease, less likely pneumonia. <num> clips are seen projecting over the left lower lung. Heart size cannot be assessed. Mediastinal contour appears relatively stable though difficult to accurately assessed given rotation on the ap view. Mild scoliosis is unchanged.
<unk>m with weakness, lightheadedness, history of metastatic colon cancer to the lung.
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The tip of a new ng tube is seen in the stomach and turns back on itself to face the gastroesophageal junction. The tip of the endotracheal tube is seen <num> cm above the carina and will need to be pulled back by several cm. A right picc line is in unchanged position in the mid svc. Since earlier same day chest radiograph, moderate left pleural effusion and adjacent atelectasis appears minimally worse. Mild basilar atelectasis is seen in the right lung but otherwise remains clear. The heart size is unchanged.
<unk> year old man with new ngt placement // ? ngt placement
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Interval removal of the ett, ngt, and temporary pacemaker. Interval placement of a left-sided two-lead intracardiac device, with one lead terminating in the right atrium and the other in the right ventricle. The aortic valve prosthesis appears unchanged. Bilateral low lung volumes and moderate bibasilar atelectasis. No pneumothorax, focal consolidation, pulmonary edema, or pleural effusion. Stable post-operative appearance of the cardiomediastinal silhouette. Stable scoliosis. Unchanged position of the right catheter sheath with the tip in the approximate upper svc.
<unk> year old woman with new pacemaker; evalaute for pneumothorax and lead placement.
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Frontal and lateral views of the chest demonstrate normal lung volumes. There is no pleural effusion, focal consolidation or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is no pulmonary edema. Partially imaged upper abdomen is unremarkable.
chest pain.
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There is increased opacification involving the right infrahilar region with increased density overlying the spine on lateral view. The cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. There is no acute osseous abnormality.
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Frontal and lateral views of the chest were obtained. The lungs remain hyperinflated. Slight blunting of the posterior costophrenic angles may be due to trace pleural efffusions. Evidence of a hiatal hernia is again seen. Left base linear streaky opacity is most likely due to atelectasis. The cardiac and mediastinal silhouettes are stable with the cardiac silhouette top normal to mildly enlarged and the aorta calcified and tortuous. Right paratracheal density is again seen, most likely due to vascular structures and is stable.
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A right picc line terminates in the distal svc. There is mild cardiomegaly. No definite findings suggestive of pneumonia. Small bilateral pleural effusions are present. No definite pneumothorax. Sternotomy wires are midline.
<unk>-year-old woman with left lower extremity fem-ak pop bypass ptfe <unk>, with <num>-day rest pain, and no signals status post angio on <unk> showing thrombosed graft, status post left cfa-pop graft thrombectomy and stent x <num> on <unk>. patient now presents with persistent elevated white blood cell, but afebrile and asymptomatic.
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As compared to the previous radiograph, there is no relevant change. The lung volumes remain low. Borderline size of the cardiac silhouette. Mild fluid overload. Mild right pleural effusion. Newly appeared parenchymal opacities. The pre-existing areas of atelectasis at both lung bases are constant.
gastrointestinal bleed, assessment for interval change.
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In comparison with the study of <unk>, there is again enlargement of the cardiac silhouette with pulmonary vascular congestion and bilateral pleural effusions with compressive atelectasis at the bases. Monitoring and support devices remain in place.
possible pneumonia or fluid overload.
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In comparison with the study of <unk>, the monitoring and support devices are essentially unchanged. The diffuse bilateral pulmonary opacifications are similar to previous studies. Small bilateral pleural effusions persist.
ards and hypoxia.
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The cardiomediastinal and hilar contours are stable, with mild unfolding of the descending aorta. There is no pneumothorax or large pleural effusion. Lungs are well expanded with redemonstration of chronic interstitial abnormality. The previously noted right upper lobe opacity is no longer visualized, and there are no new opacities.
<unk>-year-old with shortness of breath, cough and recent pneumonia.
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New since the prior radiographs but also since the recent prior ct are opacities in the superior segment of the left lower lobe and also more vague but new right upper lobe opacity, all suggesting development of pneumonia. There is no pleural effusion or pneumothorax. Mild to moderate degenerative changes are similar along the thoracic spine.
cough.
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Lungs are fully expanded and clear. No pleural abnormalities. Heart size is normal. Cardiomediastinal and hilar silhouettes are unchanged. A portion of the left fifth rib is again absent. The median sternotomy wires, mediastinal clips, and anterior right chest wall clips are again noted.
<unk>m presenting after house fire. shortness of breath.
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Frontal and lateral views of the chest. No prior. Dual-lead pacing device seen with lead tips in the right atrium and right ventricle. Where not obscured by left chest wall pacing device, the lungs are clear. There is no effusion. Cardiac silhouette is top normal in size, potentially accentuated by low lung volumes. Hypertrophic changes seen in the spine. Osseous and soft tissue structures are unremarkable.
<unk>-year-old male with syncope.
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Frontal and lateral radiographs of the chest were obtained. The heart size and mediastinal contours are normal. The lungs are well expanded and clear with no focal consolidation. No pleural effusion or pneumothorax.
cough, 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. Chain sutures are noted in the left upper quadrant of the abdomen.
history: <unk>f with hypotension
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The patient is status post median sternotomy and cabg. The cardiomediastinal and hilar contours are within normal limits. The aorta is tortuous. Lung volumes are somewhat low. There is a small right pleural effusion and minimal right lower lobe atelectasis, not significantly changed from the prior examination. A small linear opacity adjacent to the left hilum is consistent with some platelike atelectasis. There is no pneumothorax.
<unk>m s/p cabg <unk> now w/ afib w/ rvr // eval ? effusion, infiltrate
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In comparison with the study of <unk>, there is no interval change or evidence of acute cardiopulmonary disease. Specifically, no evidence of lymphadenopathy or tuberculosis.
erythema nodosum, to assess for hilar lymphadenopathy or tb.
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The cardiomediastinal and hilar contours are stable. There is no pleural effusion or pneumothorax. Linear atelectasis at the left lung base is again seen. New minimal kerley b lines are seen at the right lung base. There is no focal consolidation concerning for pneumonia. Again seen is a right chest port with tip terminating in the low svc.
lymphoma, on chemotherapy, with shortness of breath.
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As compared to the previous radiograph, there is evidence of a right upper quadrant drain. The extent of the right pleural effusion has minimally increased, as has the atelectasis at the right lung bases. Otherwise, no relevant change is seen. In particular, there is no evidence for pneumonia. Crowding of the vascular structures in the perihilar areas is caused by a decrease in lung volumes.
biliary drainage, evaluation for new cardiopulmonary process.
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As compared to the previous radiograph, no relevant change is seen. Moderate cardiomegaly with minimal non-characteristic scarring at the right lung base but no evidence of recent pneumonia or pulmonary edema. Pleural effusions, if any, are minimal. The monitoring and support devices are constant.
pneumonia, evaluation for interval change.
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No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable. Stable prominence thoracic scoliosis is re- demonstrated.
history: <unk>f with cp // ?cpd
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There is a tiny pneumothorax after thoracocentesis measuring at most <num> mm. Right significant pleural effusion has improved and is now moderate. Pulmonary edema is mild. There is bibasilar atelectasis. Cardiac contour is normal.
patient with right-sided hepatitic hydrothorax, rule out pneumothorax after thoracocentesis.
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The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
<unk> f with upper respiratory infection and syncope.
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Frontal and lateral chest radiograph demonstrates well expanded and clear lungs. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable. There is a right upper lobe <num> mm nodule seen on prior chest ct. No focal consolidation identified. Limited assessment of the osseous structures are notable for degenerative changes of the thoracolumbar spine. Visualized upper abdomen is unremarkable.
<unk>f on chemotx for metastatic melanoma, on prednisone for colitis, s/p fever x<unk> yesterday and overall worsening clinical status, w/u for infection. assess for pneumonia.
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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. No displaced fracture is seen.
history: <unk>m with right shoulder and clavicle pain after snowboarding // eval fx
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Extensive subcutaneous emphysema throughout the thorax and visualized neck. Two chest tubes project over the left hemithorax and are unchanged in position. A trace left medial pneumothorax is visualized. The endotracheal tube projects over the mid thoracic trachea and a feeding tube extends into the stomach. The size of the cardiac silhouette is within normal limits.
<unk> year old man with left ptx // any change in chest tube placement?
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The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear. The vertebral body heights and interspaces appear preserved. No fracture is identified. Cholecystectomy clips project over the right upper quadrant.
schizophrenia status post fall landing on the right side and complaining of pain.
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The lung volumes are normal. There is no pleural effusion, pneumothorax or focal airspace consolidation. Linear atelectasis at the left lung base. The heart is normal size. The mediastinal and hilar contours are unremarkable.
weakness. evaluate for pneumonia.
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No focal consolidation is seen. There is no pleural effusion or pneumothorax. Cardiac and mediastinal silhouettes are stable. No pulmonary edema is seen.
history: <unk>m with chest pain s/p cath on <unk> // acute cardiopulmonary process
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There is increased opacity projecting over the left hemi thorax compatible with pleural effusion, with fluid seen abutting the lung apex. There is superimposed mild pulmonary edema. Enlargement of the cardiac silhouette and upper mediastinum is similar compared to prior. Right chest wall surgical <unk> are noted.
<unk>m with sob // ?pneumonia
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Right parenchymal opacification is concerning for aspiration. Low lung volumes are low. The heart is top-normal in size. A right chest wall port-a-cath terminates at the cavoatrial junction. Left internal jugular vein catheter terminates at the upper svc. A tracheostomy tube is in place. Scoliotic curvature of the lumbar spine is noted.
history: <unk>f with hypoxia // infiltrate
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Pa and lateral views of the chest. The left apical pneumothorax is decreased. There is residual hydrothorax. The cardiac silhouette is still enlarged signifying residual pericardial effusion. The right lung is clear. The left lower lobe retrocardiac opacity consistent with atelectasis is unchanged. Small bilateral pleural effusions are unchanged.
status post pericardial window operation, question of pneumothorax.