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Pa and lateral views of the chest are obtained demonstrate clear lungs with minimal plate-like left basilar atelectasis. No pleural effusion or pneumothorax. Cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm.
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Portable upright frontal view of the chest. There is bibasilar atelectasis. Right, greater than left, air space opacities represent mild to moderate pulmonary edema. The patient is rotated which makes evaluation of the mediastinum difficult; however, it appears widened. The heart is mildly enlarged. There is no large pleural effusion or pneumothorax. No acute osseous abnormality is seen.
<unk> year old male with history of chf now with sob.
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Frontal and lateral views of the chest were obtained. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. Some degenerative changes are seen along the spine. The cardiac and mediastinal silhouettes are stable.
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The patient has received a new right-sided picc line which ends at mid/lower svc. Both lungs are clear. There are no lung opacities concerning for pneumonia or pulmonary edema. There is no pleural effusion or pneumothorax. Mildly enlarged heart size has been stable since at least <unk>.
evaluate for acute process.
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There is no radiographic evidence of pneumothorax following a recent procedure. Large cavitary right upper lobe mass is again visualized, with apparent slight increase in opacity adjacent to the mass, potentially representing post-procedural hemorrhage. Linear atelectasis has developed at the left lung base. Otherwise, no relevant short interval changes.
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In comparison with the study of <unk>, there is no definite evidence of pleural effusion or vascular congestion. Some vague opacification at the left base could well represent atelectatic changes. However, in the appropriate clinical setting, supervening pneumonia would have to be considered.
hypoxia and cough.
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In comparison with the study of earlier in this date, there is little change in the diffuse opacification filling the left hemithorax with apparent shift of the mediastinum to the left indicating underlying left lobe collapse. Right lung is clear. Monitoring and support devices are essentially unchanged.
left lung collapse.
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Left chest tubes remain in place with a small left apical hydropneumothorax. Stable enlargement of cardiac silhouette and upper zone vascular redistribution. Heterogeneous opacities in the right mid and lower lung are again demonstrated as well as a moderate right pleural effusion and small left pleural effusion. Subcutaneous emphysema in the chest wall has slightly decreased.
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The lungs are well inflated. The trachea is central. The cardiomediastinal contour is normal. The heart is not enlarged. No blunting of the costophrenic angles to suggest a pleural effusion. No areas concerning for consolidation seen. No destructive bony lesions seen.
<unk> year old man with renal transplant, rejecting, and on pulse steroids with cough. // pna eval
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Frontal and lateral views of the chest were obtained. The heart size and cardiomediastinal contours are normal. The lungs are clear. No focal consolidation, pleural effusion, or pneumothorax. The osseous structures are unremarkable. No radiopaque foreign body.
<unk>-year-old male with cough. evaluate for pneumonia.
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In comparison with the study of <unk>, there is increased opacification at the right base consistent with developing effusion. Continued hyperexpansion of the lungs is consistent with chronic pulmonary disease. No definite vascular congestion or acute focal pneumonia.
fever, to assess for pneumonia.
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The heart is normal in size. The mediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. The lungs appear clear. Bony structures are unremarkable.
syncope.
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Since <unk>, new mild diffuse bilateral opacities are seen with increased retrocardiac atelectasis, possibly representing pulmonary edema although superimposed pneumonia cannot be excluded. The bilateral hila appear enlarged, which may be seen in sarcoidosis. Moderate cardiomegaly is unchanged. Right picc line terminates in the svc atrial junction. No pneumothorax.
<unk> year old man with ? developing pna // <unk> year old man with ? developing pna.
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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 // please evaluate for acute abnormality
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There has been hazy opacification at the left lung base compared to the right, which may be related to soft tissue attenuation. No definite focal consolidation concerning for pneumonia is seen. No pleural effusion or pneumothorax is present. The pulmonary vasculature is not engorged. There is a <num>-mm calcified nodule in the right lung base, which likely represents a calcified granuloma. The cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits with mild tortuosity of the thoracic aorta. No acute osseous abnormality is detected.
epigastric pain, here to evaluate for pneumonia.
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As compared to the previous radiograph, pre-existing minimal basal opacities bilaterally have completely resolved. Currently, there is no evidence of pneumonia or other acute lung change. No pulmonary edema. No pleural effusion, no pneumothorax. Borderline size of the cardiac silhouette. Moderate tortuosity of the thoracic aorta. Unchanged left pectoral pacemaker.
history of aml, worsening dyspnea, rule out acute process.
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Bilateral opacities more severe on the right side has rapidly increased since yesterday and consistent with aspiration. There is no pleural effusion or pneumothorax. Mediastinal and cardiac contours are normal.
patient with hypoxia, tachycardia, evaluation of pulmonary edema.
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Patient is rotated to the left. Subtle opacity is seen projecting over the medial left lung apex. The right lung is clear. No pleural effusion or pneumothorax is seen. The right hemidiaphragm is mildly elevated. The cardiac silhouette is not enlarged. There may be mild enlargement of the main pulmonary artery.
<unk> year old man with ?schizophrenia presenting with ha, presyncope, and chest pain // evaluate for pneumonia or intrapulmonary processes
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Of note, the right costophrenic angle is not imaged. Enteric tube terminates over the proximal stomach. 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.
<unk> year old woman with new ngt // confirm placement
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Right-sided picc catheter is seen in unchanged position terminating within the right atrium. Tracheostomy tube is seen in unchanged position with no obvious signs of cuff hyperinflation. There has been increase in right pleural effusion with likely superimposed right-sided edema. There has been decrease in the observed left-sided effusion. Apparent shift in pleural effusion is most likely related to patient positioning. There is stable cardiomegaly. Sternotomy wires are seen in unchanged position, aligned along the midline with no evidence of failure. Aortic valve prosthesis is seen unchanged in position within the heart.
<unk>-year-old female with tracheostomy and recently placed picc.
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Cardiomediastinal silhouette is unchanged compared to prior study. A pigtail catheter is again seen projecting over the right lung base medially. Moderate bibasilar atelectasis is noted. A small right pleural effusion versus pleural thickening is unchanged. Enteric tube terminates in the mid neo-esophagus. There has been interval removal of a right picc. No evidence of pneumothorax.
<unk> year old man pod<unk> s/p <unk> esophagectomy // evaluate for interval change
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The cardiomediastinal and hilar contours are normal. The lungs are clear with the exception of some right basal atelectasis in response to a small right pleural effusion. The left lung and pleural space are both clear. There is no pneumothorax. Clips in the right upper quadrant are compatible with prior cholecystectomy.
<unk>-year-old male with hepatitis and right pleural effusion in need of assessment for pleural effusion reaccumulation.
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The patient is status post esophagogastrectomy. The neoesophagus remains distended, and a column of barium persists in the distal portion of the neoesophagus, with the barium column slightly more distal than on the prior radiograph of a few hours earlier. Moderate right pleural effusion appears similar, but adjacent atelectasis and/or consolidation in right middle and right lower lobes has slightly improved. Patchy and linear atelectasis at left base is slightly worse.
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Pa and lateral views of the chest were reviewed and compared to the prior studies. Severe scoliosis that distorts the intrathoracic cavity is unchanged. Minimal left lower lung atelectasis is unchanged. The cardiac and mediastinal contours are unchanged. The visualized portions of the lung are free of focal consolidation, pulmonary edema, pleural effusion or pneumothorax. A ventriculoperitoneal shunt coures from the right neck through the thorax and into the abdomen.
cough and low-grade fevers in a patient with rheumatoid arthritis on plaquenil.
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with chest pain, evaluate for acute cardiopulm process
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Portable upright radiograph of the chest demonstrates markedly low lung volumes with bibasilar atelectasis. There is a right chest wall port-a-cath terminating at the cavoatrial junction. There is no pneumothorax or right sided pleural effusion. A small left pleural effusion is not excluded. The mediastinal contours are normal. There is no evidence of intraperitoneal free air. There are erosive changes at the left distal clavicle. No subdiaphragmatic gas is seen.
abdominal pain and tachypnea. evaluate for pneumonia or free abdominal air.
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Once again, the heart is enlarged. There is prominence of the bilateral hila and pulmonary vasculature with prominent interstitial markings. Overall, the appearances are consistent with pulmonary vascular congestion. <unk> b-lines noted at the right lung base. Small nodular opacities, most prominent in the right upper lobe may represent early pulmonary edema. No definite areas of consolidation seen. Degenerative changes throughout the thoracic spine.
<unk> year old man with dm and new sob // evaluate for edema or effusion
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with right sided chest pain // r/o acute process
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Patient has been extubated and the enteric tube has been removed. A right internal jugular central venous catheter is unchanged in position with the swan-<unk> catheter again seen extending beyond the desired margins of the mediastinum. There is decreased right apical capping, but persistent layering of a moderate right pleural effusion from <unk>. There is no definitive evidence of pneumothorax. Right basilar atelectasis is increased from <unk>. Retrocardiac opacification compatible with left lower lobe atelectasis is unchanged. The cardiac silhouette is normal in size. The mediastinal contours are within normal limits.
post-op day #<num> status post liver transplant, here to evaluate for interval change in pleural effusion.
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The lungs, bilateral hemidiaphragms, cardiac borders, and mediastinal silhouettes are clear without pleural effusion, pneumothorax, or focal consolidation.
<unk> year old man with asthma and <num> weeks of worsening shortness of breath, productive cough, chest pain // assess for pneumonia
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Heart size is mildly enlarged, unchanged. Mediastinal and hilar contours are stable, with a small hiatal hernia again seen. The pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities. Multiple clips are seen within the neck compatible with prior thyroidectomy. Partially imaged is lumbar spinal fusion hardware.
fevers and chills.
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Again seen is a right-sided pneumohydrothorax, essentially unchanged in size. There is adjacent subcutaneous air in the chest wall which is unchanged. Left linear atelectasis is slightly more prominent. There is stable pleural thickening of the right superior hemithorax. Right-sided chest tube is seen in place again unchanged in position.
<unk>-year-old male with stage iiib colon adenocarcinoma status post folfox chemotherapy with bilateral lung nodules, status post left thoracotomy, status post right middle lobectomy and right basilar segmentectomy.
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Ap upright and lateral views of the chest. Suture material projects over left apex with adjacent scarring. Lung volumes are low with mild basilar atelectasis as well as bronchovascular crowding. No large effusion or pneumothorax. No convincing signs of pneumonia or edema. The cardiomediastinal silhouette is stable. No acute displaced rib fracture is seen. There is a chronic deformity involving a left lower lateral rib as on prior.
<unk>m with rib pain // r/o fx
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Endotracheal tube ends approximately <num> cm above the carina and is adequately positioned. Orogastric tube is seen coursing into the stomach; however, the distal end is off radiographic view. Since <unk>, right lower lung opacities have increased and is concerning for aspiration/pneumonia. Increased retrocardiac density suggestive of lower lung atelectasis and presumed small bilateral pleural effusions is similar. Left-sided internal jugular line ends at upper svc.
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Surgical materiel in-situ in the left upper quadrant in keeping with gastric surgery. Left lower lobe atelectasis has slightly progressed with mild increase in the left pleural effusion. Right moderate effusion is unchanged. Cardiomegaly is stable. Lad stent in situ. Unfolding of the aortic arch with associated atherosclerotic calcific changes. No new pulmonary edema or airspace consolidation. Left-sided picc line terminates in the left axillary vein. Ett in situ with the tip <num> mm proximal to the carina. Feeding tube in situ coursing out of sight inferiorly.
<unk>m hx cad, schf ef <unk>%, paraesophageal hernia s/p repair <unk> p/w gastric distention and perforation, septic shock. // assess for interval change
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There is minimal decrease in the extent of the pulmonary edema. Unchanged pleural effusions and bibasilar opacities, greater on the left. Underlying pneumonia cannot be excluded in the proper clinical context. No pneumothorax identified. The size of the cardiac silhouette is enlarged but unchanged.
<unk> year old woman with hx asthma, pericardial effusion with new chest pain and tachycardia, shortness of breath. // evidence of enlarged heart from prior? evidence of new pleural effusion? evidence of consolidation?
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Compared with the earlier film, a right ij line, presumably the transvenous pacing wire, has been placed. The wire loops over the right heart. The tip likely overlies the right heart, question relation to the right atrium or the right ventricle, but is not fully localize on this examination. An et tube is present, tip approximately <num> cm above the carina, at the level of the mid clavicular heads. An orogastric type tube is present, looped over the expected site of the stomach and extending beyond the inferior edge of this film. An ng tube is present, tip not optimally demonstrated, but likely extending to the ge junction and very slightly beyond it. No obvious sideport is seen, but if present, the sideport is not extend beyond the ge junction. A left-sided central line is present, tip over mid svc. No pneumothorax detected. There are low inspiratory volumes. Although the cardiomediastinal silhouette and upper zone vessels are prominent, they are likely accentuated by low lung volumes slight increased retrocardiac density consistent with left lower lobe collapse and/or consolidation. Otherwise, no focal infiltrates identified. Minimal atelectasis at the right lung base. No gross effusion or pneumothorax detected.
<unk> year old man with decompensated cirrhosis, multiple episodes of asystole // s/p r transvenous pacing wire, lij triple lumen
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The lungs are well expanded and clear. Mediastinal contours, hila, and cardiac silhouette are normal. There is no pneumothorax or pleural effusion. Degenerative changes are seen in the spine.
<unk>m with cough, fever // eval for pna
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Heart size is top normal. Mediastinal and hilar contours are within normal limits. Pulmonary vasculature is normal. Faint patchy opacity in the retrocardiac region most likely reflects atelectasis. No focal consolidation, pleural effusion or pneumothorax is present. Moderate multilevel degenerative changes are noted in the imaged thoracic spine.
history: <unk>m with concern for stroke with <num> aphasic episodes, per neuro workup requesting cxr
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No focal consolidation, pleural effusion, or pneumothorax. Deformity of the posterolateral right eighth rib is unchanged. Cardiomediastinal silhouette is normal. Evaluation for metastatic disease is limited on chest radiograph.
<unk> year old man with rcc known lung mets s/p resection and recent chemo. presents with fever and weakness. evaluate for pneumonia.
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The lungs are clear but hyperinflated. There is no focal consolidation, pleural effusion, or pneumothorax. Heart size and mediastinal contours are normal.
history: <unk>f with chest pain and dizziness. evaluate for pneumonia.
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A right dual lumen central venous catheter is unchanged in position with the tip projecting over the right atrium. Moderate cardiomegaly is unchanged. Vascular congestion is persistent without frank interstitial edema. Lungs are otherwise clear. Pleural surfaces are clear without large effusion or pneumothorax.
history of <unk> <unk> d and chf presenting with hypoxemia. concern for volume overload.
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Multiple images show final placement of new enteric tube with its tip terminating in the expected location of the stomach in the left upper quadrant. The terminal end is seen with its tip pointing upward. The lungs are not adequately visualized for interpretation.
<unk>-year-old male with psoriatic arthritis and newly placed nasogastric tube. evaluate placement.
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The lungs are clear. The heart size is normal. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen.
fever and cough. assess for pneumonia.
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Single portable view of the chest. Endotracheal tube is seen with tip approximately <num> cm from the carina, in appropriate position. An enteric tube is seen with tip in the region of the gastric fundus side port likely in the distal esophagus. Low inspiratory volume is seen. Increased opacity at the right lung apex suggestive of right upper lobe collapse. Elsewhere the lungs are grossly clear noting left basilar linear opacity suggestive of atelectasis. Cardiomediastinal silhouette is unremarkable.
<unk>-year-old male intubated.
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Compared with prior radiographs on <unk>, there has been interval improvement in edema. There is persistent patchy opacity at the right lung base. Small bilateral pleural effusions are stable to mildly improved. No pneumothorax. Mild cardiomegaly is stable. Pacemaker wires are stable in position.
<unk> year old man with schf, ppm, afib with respiratory distress // interval change, pulmonary edema
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Ap and lateral chest radiographs demonstrate clear lungs with no focal opacity convincing for pneumonia. There is no pleural effusion. When compared to prior radiograph dated <unk>, normal cardiomediastinal and hilar contours are unchanged. There is no evidence of pneumonia or cardiac decompensation. Cement infusion of a lower thoracic vertebral body, below the level of thoracic scoliosis, has taken place in the interim.
<unk>-year-old female with dyspnea and fevers.
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The lungs are well expanded. Two foci of patchy opacities are seen in the right mid lung field on the frontal view. They are not definitively seen on the lateral but potentially localize to the middle lobe. Otherwise, no other opacities are identified. There is no pleural effusion or pneumothorax. Cardiomediastinal contour is unremarkable. An esophageal tube is seen with the tip out of view.
<unk>-year-old female with fever and productive cough. evaluate for pneumonia.
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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 chest examination <unk> <unk>. There is status post sternotomy and bypass surgery as before. Observed that a rounded needle fragment is again observed just on top of the sternotomy sutures seen on frontal and lateral view. The patient's heart size remains completely unchanged. No pulmonary congestive pattern is identified. There is now evidence of a small amount of pleural effusion blunting the right lateral pleural sinus and extending into a small amount of pleural effusion accumulating in the dependent posterior pleural sinus. The amount is small. No pneumothorax has developed.
<unk>-year-old male patient with recent decreased breath sounds on right base. history of recent chemoembolization of liver, evaluate for possible pleural effusion.
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Frontal and lateral views of the chest demonstrate normal cardiomediastinal silhouette allowing for low lung volumes. The lungs are otherwise clear. There is no pneumothorax, vascular congestion, or pleural effusion.
<unk>-year-old male with hypoglycemia. question pneumonia.
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Portable ap chest radiograph. The patient has been extubated in the interim. The right ij catheter and ng tube have been removed. Mediastinal drain and left-sided chest tube are stable in position. Left apical pneumothorax is no longer visible. Median sternotomy wires are intact. Pneumopericardium has decreased in the interim. New left lower lobe opacity probably represents atelectasis.
post-extubation radiographs. the patient had a recent cardiac surgery and air leak was seen on the left chest tube. concern for pneumothorax.
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A right ij central venous catheter terminates in the low svc. A nasogastric tube enters the stomach, tip not visualized. Multifocal airspace opacities, particularly in the perihilar locations and left lower lobe are most likely due to pulmonary edema. The opacity at the left lung base may be due to atelectasis, aspiration or pneumonia. There is no pneumothorax.
<unk> year old man with pneumonia, cirrhosis, fluid overload and worsening dyspnea despite antibiotics and diuresis // ? fluid overload or progressive pneumonia
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The heart continues to be enlarged with pulmonary edema. A cardiac device is in stable position with leads projecting over the right atrium and right ventricle. A superimposed infection cannot be excluded.
<unk> year old female with congestive heart failure and shortness of breath. evaluate for edema.
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Right-sided picc terminates in the low svc. 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.
history: <unk>f with fever and tachycardia // eval for picc placement
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Pa and lateral views of the chest were provided. There has been interval placement of a left chest wall icd with lead tip positioned in the region of the right ventricle. Lungs are clear without focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette appears grossly within normal limits. The bony structures are intact. No free air below the right hemidiaphragm.
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Even allowing for the projection, the heart size appears enlarged. This is similar in appearance when compared to the prior study. No consolidation, pleural effusion or pneumothorax seen.
<unk> year old woman s/p r craniotomy for r external/internal artery bypass // serial cxr
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Bilateral pleural effusions are small, decreased from prior. Fluid is again seen in the left major fissure on the frontal view. The cardiomediastinal silhouette is unremarkable. There is no pneumothorax.
history: <unk>m with sepsis, unclear source // acute intrathoracic process?
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Pa and lateral chest radiographs were obtained. The lungs are well expanded and clear. There is no focal consolidation, effusion, or pneumothorax. The cardiac and mediastinal contours are normal.
productive cough.
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The cardiac, mediastinal and hilar contours appear stable including unfolding of the thoracic aorta. The right upper mediastinal contour as well as the right lung apex are obscured by chin flexion, however. There is probably a trace pleural effusion on the right only. The lungs appear clear within the limitations of technique. Prior open reduction and fixation of the lower of thoracic and upper lumbar spines is incompletely characterized but involves placement of a fusion cage without obvious change. A moderate mid to lower compression deformity along the lower thoracic spine is probably unchanged.
status post fall and lethargy.
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. Heart size is top-normal to mildly enlarged. The cardiomediastinal silhouette is otherwise normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with l sided cp // eval for cardiomegaly
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The lungs are clear. There is no effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities, mid thoracic dextroscoliosis is noted.
<unk>f with chest pain // evaluate for ptx, pneumonia, volume status, effusion
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Lungs are well-expanded and clear. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable. Limited assessment of the upper abdomen is unremarkable. No secondary signs of free intraperitoneal air.
<unk>m with diffusely tender abdomen after cholecystectomy <num>d ago. ?pathologic free air.
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Cardiomediastinal contours are normal. Right hydro pneumothorax is stable. . Cardiomediastinal contours are midline. Increasing opacities in the left base are a combination of small pleural effusion and adjacent consolidation, this consolidation could be atelectasis but superimposed infection cannot be excluded. There are no other interval changes
<unk> year old woman s/p chest tube removal, ? enlargemnt of hydropneumothorax, please perform exam at <num>pm // eval for interval change
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As compared to the previous radiograph, there is no relevant change. Borderline size of the cardiac silhouette. Low lung volumes, but no evidence of pneumonia or other parenchymal lung disease. No pleural effusions.
trauma, rule out pneumonia.
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There has been no significant interval change. No new focal consolidation is seen. The appearance of the lungs, mediastinum, cardiac silhouette, hilar contours are stable.
history: <unk>f with lymphoma, here w/ prolonged fever, cough, new sob // infiltrate?
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The heart is normal in size. There is slight unfolding of the thoracic aorta. The mediastinal and hilar contours are otherwise unremarkable. There are multiple nodular opacities in each lung, the most prominent of which projects over the left mid-to-upper lung with a rounded contour. There is no pleural effusion or pneumothorax. Mild degenerative changes are noted along the thoracic spine.
lower extremity swelling.
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The heart size is normal. The hilar and mediastinal contours are normal. The lungs are clear without evidence of focal consolidations concerning for pneumonia. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.
history of chest pain. please evaluate for pneumonia.
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Sternotomy wires are demonstrated. 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.
cough and copd.
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
history: <unk>f with facial and arms numbness // r/p pna
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Right picc tip projects over the low superior vena cava. Tracheostomy cannula is re- demonstrated. Lower cervical fusion hardware is partially visualized. There is unchanged mediastinal widening. Cardiomegaly is unchanged. Large right effusion has increased in size. Moderate left pleural effusion is unchanged. Prominent pulmonary vasculature is unchanged. Bibasilar opacities obscuring the hemidiaphragms are concerning for bilateral lower lobe collapse.
<unk> year old man with pulm edema // int change int change
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Pa and lateral chest views were obtained with patient in upright position. Lungs are well inflated and clear. There are no consolidations or nodules. Cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax.
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Compared to the prior film, inspiratory volumes are lower. The cardiomediastinal silhouette is more pronounced, likely accentuated by low lung volumes. There is patchy opacity in both at both bases, more pronounced medially. There is minimal blunting of both costophrenic angles, consistent with small effusions. Mild vascular plethora is likely accentuated by low inspiratory volumes. Doubt overt chf.
<unk> year old man with dka, known osteomyelitis, likely aspiration, with fever // any evidence of intrapulmonary infection
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The patient is intubated. The tip of the endotracheal tube projects approximately <num> cm above the carina. The tube should be pulled back by <num> to <num> cm. The lung volumes are low. Plate-like atelectasis at the right lung bases. Borderline size of the cardiac silhouette. No pulmonary edema. The patient also has a right internal jugular vein catheter. Tip of this catheter projects over the right atrium, the line should be pulled back by approximately <num> cm. There is no evidence of pneumothorax. The nasogastric tube has a normal course. The tip projects over the proximal parts of the stomach. At the time of observation and dictation, <time> p.m., on <unk>, the referring physician <unk>. <unk> was paged for notification.
intubation, evaluation.
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Heart size is normal. Mediastinal contour is unremarkable. Within the left upper lobe there is a <num> x <num> cm rounded opacity concerning for a mass. Left hilum is enlarged concerning for left hilar lymphadenopathy. Right hilum is normal. The pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is seen. The lungs are hyperinflated. No acute osseous abnormalities detected.
history: <unk>f with pathologic fracture to lumbar -spine, no history of cancer, <unk> year smoker // evaluate for lung mass, infiltrate, effusion
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Frontal and lateral views of the chest were obtained. A left-sided port-a-cath is seen terminating in the mid svc without evidence of pneumothorax. No focal consolidation, pleural effusion or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
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The lungs are well expanded and clear without focal consolidation, effusion, or edema. Mild biapical scarring is again noted. Nipple shadows project over the lung bases. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with altered mental status // eval for pneumonia
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Ap upright and lateral views of the chest provided. The patient is intubated with the tip of the endotracheal tube located approximately <num> cm above the carina. A stent is seen projecting over the left axilla. An aortic core valve is in place. The heart is mildly enlarged. The hila appear slightly congested. There is mild bibasilar atelectasis. No overt edema or definite signs of pneumonia. No og tube is seen.
<unk>m s/p intubation, please eval for ett placement, and og placement
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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 heart size remains unchanged and is normal. The patient is status post surgical intervention for a traumatic aortic injury with following pseudoaneurysm. Multiple surgical clips around the area of the aortic arch. Pulmonary vasculature is not congested and no new acute infiltrates can be identified. The previously described mild elevation of the left-sided hemidiaphragm and blunted lateral pleural sinus is again noted. Comparison on the lateral view suggests that increasing scar formations have occurred, but there is no evidence of new acute free pleural effusion.
<unk>-year-old male patient with cough, wheezing on right base. assess for pneumonia.
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In comparison with the study of <unk>, there has been reduction in the left pleural effusion. There is a small-to-moderate left apical pneumothorax. Little change in the volume loss and pleural effusion at the right base. The presence of pneumothorax was telephoned to dr. <unk> at <time> p.m. On <unk>, immediately after detection.
thoracentesis, to assess for pneumothorax.
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Heart size is normal. Cardiomediastinal silhouette and hilar contours are unremarkable. Heterogeneous retrocardiac opacities are identified which project posteriorly on the lateral view concerning for pneumonia. The right lung is clear. There is trace left pleural effusion. There is no pneumothorax. Trace pneumoperitoneum is expected given recent abdominal surgery.
ulcerative colitis status post laparoscopic proctocolectomy and diverting loop ileostomy, presenting with tachycardia to the <num>s and white count of <num>s, intermittently febrile.
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In comparison with the study of <unk>, there has been a substantial increase in the ill-defined consolidation in the right mid-to-lower zone, consistent with widespread pneumonia. There is also a large pleural effusion. On the lateral view, there is apparent increased opacification posteriorly and more superiorly, which could represent another focus in the upper lobe, though this is not definitely seen on the frontal view. The left lung is essentially clear. Pacer device remains in good position. The right subclavian picc line is somewhat difficult to see, but appears to extend to the lower svc. This information was telephoned to dr. <unk>.
aspergillus pneumonia.
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Cardiac silhouette size is normal. The mediastinal and hilar contours are unchanged. The pulmonary vasculature is not engorged. Consolidative opacities are noted in both lung bases, more so on the right. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are detected.
history: <unk>m with altered mental status// eval for acute process
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In comparison with study of <unk>, there is little change in the appearance of the bilateral regions of consolidation. Little change in the appearance of the right ij catheter.
worsening white count in patient with pneumonia.
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Single ap upright chest radiograph demonstrates hyperinflated lungs and emphysematous changes. Patchy bibasilar hazy opacities are noted most pronounced within the right lower lung zone. Heart size is within normal limits. Mediastinal and hilar silhouette is otherwise unremarkable. No overt pulmonary edema, large pleural effusion, or pneumothorax.
<unk>-year-old male with acute shortness of breath.
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The lungs are well expanded. There are bibasilar reticular opacities with a more consolidated appearance in the left lower lung region, which obscures the left heart border. There is some pleural thickening seen along the lateral aspect of the right lower lung. No pleural effusion is identified. There is no pneumothorax. Cardiac size cannot be properly assessed due to obscuration of the left heart margin. No rib fractures are identified. Diffuse decrease bone density is likely fom osteoporosis but no compression fractures are seen.
<unk>-year-old male with back pain status post fall. evaluate for evidence of rib fracture or fracture of the thoracic or lumbar spine.
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The cardiac, mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are multilevel degenerative changes in the thoracic spine.
dizziness and left arm numbness.
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As compared to the prior examination performed <num> hours earlier, there has been significant interval widening of the mediastinum, concerning for postoperative hemorrhage. The remainder of the lungs are grossly unremarkable and unchanged from the prior examination. Findings were conveyed by dr. <unk> to ms. <unk> <unk> surgery pa) via telephone at <time> on <unk>, <unk> min after discovery.
status post cabg, evaluate for interval bleed.
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The heart size is normal. The mediastinal and hilar contours demonstrate mild unfolding of the thoracic aorta, but otherwise are unremarkable. The lungs are clear and the pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
left chest pain, wheezing.
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The cardiac silhouette remains moderately enlarged. The pulmonary vasculature is normal. No focal consolidations concerning for pneumonia are identified. There is no evidence of pulmonary edema. There is no pleural effusion or pneumothorax. Sternotomy wires, mediastinal clips, and an aortic prosthetic valve are in appropriate, and unchanged position.
history of recent aortic valve replacement and repair of ascending aortic aneurysm. the patient complains of chest discomfort. please evaluate for any signs of vascular congestion.
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In comparison with the study of <unk>, there is increasing right effusion with extension into the minor fissure. Compressive atelectasis at the right base. Substantial enlargement of the cardiac silhouette with some degree of elevated pulmonary venous pressure.
right effusion.
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Lung volumes are low and the lungs are clear. The aorta is tortuous. Hila are normal. Cardiac silhouette is top-normal in size. Surgical clips overlie the neck. No pneumothorax or pleural effusion.
<unk>f with vertigo, fall with head strike. //
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There has been interval placement of a right basilar chest tube place decreased amount of right pleural fluid. A small central region of aerated right lung is now seen. Loculated pleural fluid remains. There is subcutaneous emphysema on the right. There is no pneumothorax. At the left lung is clear. The right cardiomediastinal border is obscured by the loculated pleural process.
<unk> year old man with right sided pleural effusion with chest tube placed // eval for chest tube placement
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Interval removal of endotracheal tube and nasogastric tube with central venous catheter remaining in place. Slight improvement in widespread bilateral parenchymal opacities, and apparent decrease in size of bilateral pleural effusions.
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The cardiomediastinal and hilar contours are within normal limits. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. A subtle linear opacity at the base of the left lung seen on the frontal view may reflect some minimal linear atelectasis. Surgical clips in the right upper quadrant suggest prior cholecystectomy.
<unk>f with central chest pain and pressure. // ?pneumonia
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As compared to the previous radiograph, there is unchanged moderate cardiomegaly and evidence of a small left pleural effusion. The pre-described signs suggesting mild pulmonary edema are present in unchanged manner. The right basal parenchymal opacity is stable in extent and severity, the right upper lobe parenchymal opacities have increased in extent and severity. This reinforces the previously raised suspicion for multifocal pneumonia. Unchanged moderate cardiomegaly. Unchanged retrocardiac atelectasis.
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Pa and lateral views of the chest were provided demonstrating mild left basilar plate-like atelectasis. No focal consolidation suggestive of pneumonia. No pleural effusion or pneumothorax. The heart size is normal. The aorta is unfolded. Bony structures are intact. No free air below the right hemidiaphragm.
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The lungs are clear without consolidation or edema. The mediastinum is unremarkable. The cardiac silhouette is within normal limits for size. No effusion or pneumothorax is noted. Degenerative changes are noted throughout the mid thoracic spine.
chest pain.
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Pa and lateral chest radiographs demonstrate opacification of the left lower lobe with air bronchograms. The patient has been entubated. There is also bibasilar atelectasis. The heart size is mildly enlarged. Prominence of the azygos vein and pulmonary vasculature is unchanged from <unk>.
cirrhosis, now ongoing alcohol abuse with a resolved upper gi bleed. new fevers and shortness of breath. concern for pneumonia.
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Frontal and lateral radiographs of the chest demonstrate apical scarring in the left lung which may be from prior lobectomy. Otherwise, the lungs are well inflated with no opacities. No pleural effusion or pneumothorax is seen. Cardiomediastinal contour is normal.
prior left lobectomy for tb in <unk>. now with pressure in left chest. evaluate for pleural effusion or other abnormality.
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Frontal and lateral views of the chest are compared to previous exam from <unk>. There are increased interstitial markings similar to previous exam. There is also left basilar opacity which partially silhouettes the hemidiaphragm and descending thoracic aorta. Elsewhere the lungs are clear of confluent consolidation. Cardiac silhouette is enlarged but stable. There is no large effusion. Compression deformities in the lower thoracic and upper lumbar spine are as on previous exam. Acute slighlyt displaced left posterior <unk> through <num>th rib fractures are seen.
<unk>-year-old female with afib and chf, status post fall one week ago, now with shortness of breath.