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The patient is status post median sternotomy and cabg. Heart size is normal. Mediastinal and hilar contours are unremarkable. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormality is detected.
history: <unk>m with bradycardia, syncope
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Heart size is normal with mild unfolding of the thoracic aortic arch. Left hilar contour is normal. Right hilar contour is not well assessed due to presence of a moderate right pleural effusion which was partially visualized on the same day outside ct examination. This right pleural effusion appears partially loculated on ct from earlier today. Increased adjacent densities may be secondary to compressive atelectasis though infection is not excluded. There is mild linear left base atelectasis. There is no pneumothorax.
tachypnea and increased oxygen demand. recent appendectomy.
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As compared to the previous radiograph, there is no relevant change. Radiographically, there is no evidence of left or right pneumothorax. The monitoring and support devices are constant. Unchanged parenchymal opacities and soft tissue air collections. Unchanged size of the cardiac silhouette.
new air leak, questionable pneumothorax.
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There is stable appearance of the large left pleural effusion with slight increase in the small right pleural effusion. The small left apical pneumothorax is slightly decreased in size. Again the heart size is difficult to evaluate due to overlying effusion. The large hiatus hernia is noted projecting over the left hemithorax. Pulmonary vascular congestion is stable.
<unk> year old woman with cirrhosis and gib, found to have left sided pleural effusion and ptx // assess for changes in pneumothorax and pleural effusion on prior x-ray
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The side hole of the right chest tube lies outside the chest and in the subcutaneous tissue. There is persistent moderate right pneumothorax with more anterior component component than apical. The pneumothorax may be slightly larger. The moderate residual right pleural effusion is stable and contains locules of air including fissural component. Mild pulmonary vessel congestion is improved. Mild cardiomegaly is unchanged.
<unk>m s/p falls on <unk> presented w/large right hemothorax s/p chest tube, on waterseal // interval changes, effusions, pneumothorax. please do at <num>am
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Pa and lateral views of the chest are obtained. The lungs appear clear bilaterally without focal consolidation, effusion, or pneumothorax. Heart size is mildly enlarged. Mediastinal contour is unremarkable. No signs of chf. Bony structures are intact. No free air below the right hemidiaphragm.
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A single lead left chest pacer, median sternotomy wires and mediastinal clips are demonstrated. The lungs are clear without focal opacity, pulmonary edema, pleural effusion or pneumothorax. The mediastinal contours are stable over multiple prior studies. There is right atrial enlargement.
history: <unk>m with h/o cad s/p multiple stents, here with cp. // pt with chest pain, h/o cad, please eval
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Obscuration of the left heart border by left upper lobe atelectasis is chronic. Lateral view shows a small region of atelectasis or pneumonia in the right middle lobe. No pleural effusion or pneumothorax is seen.
<unk>m with shortness of breath and cough // r/o chf/pneumonia
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Heart size is normal. No definite pneumonia or chf. There is posterior blunting/pleural thickening on both sides accounting for some of the increased density in the retrocardiac region. Allowing for differences in rotation appearances are similar to the prior study from <unk> and <unk>. .
history: <unk>f with copd/ sob // r/o pna
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The cardiac, mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. Mild loss of height of a mid thoracic vertebral body is unchanged. No displaced rib fractures are identified.
chest pain after trauma.
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The images are centered over the left chest and left forearm. Contrast is seen in the colon. The picc line is not visualized. There is no pneumothorax. The visualized portions of the lungs are clear
<unk> year old man with picc removed by patient. // ?picc tip still in.
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There is a large half left pleural effusion layering posteriorly that is increased in size compared to prior there is mediastinal shift to the left suggesting volume loss/ collapse of the left lower lung. Compared to the prior study the effusion and associated volume loss on the left are increased the right lung is relatively clear the appearance of the right central line is unchanged
<unk> year old man with leukocytosis, delirium // eval for pna, interval change
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Single erect portable view of the chest demonstrates low lung volumes, which accentuate the vasculature. Given the low lung volumes, it's difficult to discern the heart size, but it is likely normal. No pleural effusion, edema, pneumothorax or evidence of pneumonia. There is no evidence of free air.
<unk>-year-old man with abdominal pain and tachycardia. rule out free air.
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Frontal and lateral views of the chest were obtained. Minimum bibasilar atelectasis is seen. No discrete focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable and unremarkable. Surgical metallic hardware is seen in the visualized lower cervical spine.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>m with <num> episode of seizure today
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There has been interval removal of a previously seen right-sided picc. The cardiac silhouette is mild to markedly enlarged. Mediastinal contours are stable. There are the small bilateral pleural effusions. Mild pulmonary vascular congestion is seen. No frank focal consolidation. No pneumothorax is seen.
shortness of breath, crackles.
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Lung volumes are low, which accentuates the transverse diameter of the heart. The mediastinal and hilar contours are normal.the lungs are otherwise clear without pleural effusion, focal consolidation, or pneumothorax.
<unk> year old man with myeloma. needs cxr prior to vq scan.
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Compared with most recent prior radiographs, there has been no significant change. There is no change in position of trach tube and left dialysis line which is pointing horizontally rather than down into the svc. There is no significant change in moderate cardiomegaly, and bilateral pleural effusions with associated atelectasis. No new focal opacities are present. There is no evidence of pneumothorax.
chronic trach, multifactorial narrowing and worsening respiratory status. evaluate for mucous plugging or increasing pneumonia.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear. There is mild s-shaped curvature to the thoracic spine. There has been no significant change.
chest pain.
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An endotracheal tube is in the high trachea at the level of the thoracic inlet. A nasogastric tube courses below the diaphragm with the tip out of the field of view. The lung volumes are low. Within the limitations, the lungs are clear without a focal airspace consolidation or pulmonary edema. There is no pleural effusion or pneumothorax. Allowing for low lung volumes, the cardiomediastinal silhouette is normal.
history of seizures with status epilepticus. it is now intubated. evaluate endotracheal tube placement.
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The large left pleural effusion is decreased as evidenced by significantly better visualization of the left hemidiaphragm which was previously silhouetted by the pleural effusion. Significant opacification of the left chest is still present and likely represents a combination of remaining moderate-to-large pleural effusion and atelectasis. The right lung appears well expanded and clear. No pneumothorax is present.
left upper lobe pleural effusion status post left upper lobe lobectomy. the patient has mild dyspnea on exertion and dry cough. status post thoracentesis.
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Portable ap chest radiograph demonstrates endotracheal tube terminating <num> cm above the carina. There is now mild interstitial edema, noticeable at the left lung base. Moderate cardiomegaly and right pleural effusion are unchanged. Again seen are aortic and mitral valve replacements. There is no pneumothorax.
evaluation of endotracheal tube placement.
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Pa and lateral chest views were obtained with patient in upright position. There is status post sternotomy and the presence of multiple surgical clips in the anterior left-sided mediastinum indicative of previous bypass surgery. There is moderate cardiac enlargement mostly involving the left ventricle which is prominent to the left and posteriorly but also a moderate enlargement of the left atrium is noted. The pulmonary vasculature shows an upper zone redistribution pattern, but there is no evidence of advanced interstitial or alveolar edema. The lateral and posterior pleural sinuses remain free. No localized discrete parenchymal infiltrates suggesting pneumonia. The apical areas do not disclose the presence of any pneumothorax. Skeletal structures of the thorax grossly within normal limits with the exception of the described sternotomy. When comparison is made with the next preceding chest examination of <unk>, the findings are stable. Sternotomy wires and status post bypass surgery existed already at that time.
<unk>-year-old female patient with mild dyspnea on exertion, history of coronary artery disease, diabetes and hypertension, evaluate for chf.
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There is no significant change compared to prior examination. Cardiomediastinal silhouette and hilar contours are unchanged with redemonstration of vague paramediastinal linear opacities suggestive of radiation fibrosis. The inferior lung fields are increased in density from overlapping breast prostheses. The lungs are clear without focal consolidation. There is no pleural effusion or pneumothorax.
chest pain status post transbronchial biopsy.
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An endotracheal tube ends approximately <num> cm from the carina. A left swan-ganz catheter is in proper position in the proximal right pulmonary artery. A right internal jugular central venous catheter ends in the upper svc. There has been significant improvement in the pulmonary edema, with only mild edema persisting. A new small left pleural effusion is present. There is no pneumothorax. The cardiomediastinal silhouette is normal.
status post liver transplant. evaluate prior to extubation.
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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 r sided chest wall pain // eval pneumonia
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with no pmh presents after a mvc (bus driver that was hit by a car while bus at rest).
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The lungs are clear. There is no pneumothorax. The previously described opacity in the infrahilar region on the lateral view is artifactual, and likely due to confluence of vascular structures. Regional bones and soft tissues are unremarkable.
<unk> year old woman with concern for pna. follow pa/lat film needed to re-assess infrahilar region on lateral to r/o nodule(s).
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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. Cardiac and mediastinal contours are normal.
epigastric pain
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As compared to the previous radiograph, there is unchanged evidence of a zone of increased opacity in the retrocardiac lung areas. In the appropriate setting, this change could represent pneumonia but this possibility remains unlikely given the stability over almost <num> months. No overt pulmonary edema. No pleural effusion. Borderline size of the cardiac silhouette. Unchanged position of the dialysis catheter.
fever, evaluation for pneumonia.
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Low lung volumes bilaterally with mild improvement in pulmonary edema. No pneumothorax, pleural effusion or new focal opacity. Heart size is mildly enlarged with normal mediastinal contour and hila. Aortic arch calcifications and a tortuous nondilated aorta noted. No bony abnormality.
female with abdominal pain and shortness of breath. assess for pulmonary edema, pneumonia or effusion.
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The heart appears mildly enlarged as on prior. The mediastinal contour is unremarkable. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>m with complete heart block
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Left internal jugular central venous catheter tip has been slightly withdrawn with tip projecting over in the region of the upper svc however curved appearance of the distal aspect of the catheter may suggest that it is approaching the azygos vein. Lung volumes remain low. Heart size remains mildly enlarged. Bibasilar atelectasis is demonstrated. No pneumothorax or pleural effusion is present. Crowding of bronchovascular structures is re- demonstrated without overt pulmonary edema. Assessment of the medial lung apices is obscured by the patient's neck and chin.
history: <unk>f with line readjustment
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Frontal and lateral radiographs of the chest demonstrates stable top-normal heart size and low lung volumes. The nodular opacity in the left mid lung is unchanged, representing scarring. Persistent bibasilar atelectasis. No evidence of pulmonary vascular congestion or edema. No pleural effusion or pneumothorax.
chest pain, shortness of breath, received fluids overnight. evaluate for fluid overload.
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Chest, pa and lateral. There is a possible small left pleural effusion and there are bilateral lower lobe opacities. The lungs are otherwise clear. The heart size is top normal or slightly enlarged. Probable background hyperinflation. No chf. There is no pneumothorax.
dyspnea on exertion for one week, with recent exacerbation and elevated bnp.
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The heart size, mediastinal, and hilar contours are normal. The lungs are clear without pleural effusion, focal consolidation, or pneumothorax.subtle distortion of the left perihilar markings on the frontal radiograph reflect radiation related changes better assessed on prior ct and unchanged in appearance. Bony structures appear intact.
<unk>f hx kidney transplants on immune suppression; elevated wbc, malaise. evaluate for infection or other acute cardiopulmonary process.
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As compared to the previous radiograph, no relevant change is seen. No evidence of pneumonia. Unchanged appearance of the lung parenchyma, unchanged size of the cardiac silhouette. Unchanged monitoring and support devices. Unchanged hypoplastic right first rib.
stroke, evaluation for pneumonia.
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Frontal and lateral radiographs of the chest demonstrate stable post-radiation changes in the left upper lung. The heart is not enlarged. Prominence of the right hila corresponds to known hilar lymphadenopathy, which is stable. There is no pneumothorax, pleural effusion, or consolidation.
<unk> year old woman with plan for brain biopsy // pre-op surg: <unk> (brain biopsy)
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal. Mediastinal contours are unremarkable.
history: <unk>f with chest pain // acute process
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In comparison with the study of <unk>, there is little change and no evidence of acute cardiopulmonary disease. Specifically, no parenchymal or skeletal metastasis. The lucency overlying the right chest wall is less prominent, most likely external to the patient.
melanoma, to assess for disease status.
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Scattered areas of mid to lower lung atelectasis/ scarring is seen. There is no definite focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable with the cardiac silhouette mildly enlarged. No pulmonary edema is seen. .
history: <unk>f with hx of dchf p/w sob, cp and weight gain // assess for edema, effusion, infiltrate
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Compared to the previous radiograph, there is no relevant change. Constant appearance of the lung parenchyma and of the cardiac silhouette. No pleural effusions. No intra-abdominal air. No pneumothorax. No parenchymal opacity suggesting pneumonia.
evaluation.
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Endotracheal tube tip terminates approximately <num> cm from the carina. Orogastric tube side port is within the stomach and tip projects off the inferior border of the film. The lateral aspects of the chest bilaterally are excluded from the field of view. Overlying trauma board limits evaluation. Heart size appears mildly enlarged, but this may be due to supine technique and low lung volumes. Similarly, the mediastinum appears widened, this again may be due to low lung volumes and supine technique. Streaky opacities in the lung bases may reflect atelectasis. Assessment for pneumothorax and pleural effusion are limited, but no large pneumothorax or effusion is seen.
endotracheal tube placement. possible traumatic subarachnoid hemorrhage now posturing.
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When compared to previous exam, there has been no significant interval change. Elevation the right hemidiaphragm is again noted. Blunting of the right lateral costophrenic angle could be due to pleural based scarring. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with fever, hx of mrsa septic emboli <unk> endocarditis // pna?
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As compared to the previous radiograph, there are newly appeared areas of right basal and retrocardiac atelectasis. Unchanged borderline size of the cardiac silhouette. No evidence of pneumonia or larger pleural effusions. The known rib fractures are not clearly identified on the image. No evidence of mediastinal enlargement. No pneumothorax.
sternal fractures, rib fractures, vertebral fractures, chest pain.
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Lung volumes are may be slightly low, though is probably background hyperinflation, with flattened diaphragms. Rotated positioning. The heart is not enlarged, though there is left ventricular configuration. Aorta is calcified and tortuous. There is minimal atelectasis/ scarring at both lung bases. No chf, focal infiltrate or gross effusion is identified. No pneumothorax is detected.slight blunting of the costophrenic angles posteriorly is noted.
history: <unk>m with hypoxia and fever // eval for pna
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Frontal and lateral radiographs of the chest demonstrate low lung volumes, which results in bronchovascular crowding. There is bibasilar atelectasis. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation.
history: <unk>m with chest pain // eval for pneumonia
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The left pleural effusion has decreased slightly, now small to moderate. Substantial left lower lobe atelectasis is unchanged. The small right-sided peridiaphragmatic collection of air and fluid is unchanged. This collection could be subphrenic or possibly subpulmonic based on the provided images. Cross-sectional imaging could be performed for exact anatomic location. <num> right-sided chest wall drains are in unchanged position. The enteric tube ends within the remaining intrathoracic esophagus.there is no focal consolidation, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.
<unk> year old man with esophageal adenoca at gej (stage iiia pt<num>n<num>m<num>) s/p chemoradiation completed in <unk>, repeat pet/ct shows avidity of esophageal mass s/p mie // evaluate for any interval changes
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Compared to the prior study there is no significant interval change. Lung volumes are slightly low. The picc line appearance is unchanged. The heart is upper limits normal in size
<unk> year old man s/p ileostomy reversal w/ fever, tachypnea, cough // eval for pneumonia / other pulmonary process
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There has been significant interval improvement in large left effusion with a small amount of remnant fluid and associated compressive atelectasis as well as a linear streak of atelectasis in the lingula. Remainder of the lungs is clear. There is no pneumothorax. Cardiomediastinal silhouette and hilar contours are normal.
left-sided pleural effusion status post thoracentesis.
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In comparison with study of <unk>, the tip of the endotracheal tube lies approximately <num> cm above the carina. The right subclavian catheter tip is in the mid svc. There are lower lung volumes with bibasilar atelectatic changes and possible small pleural effusions. There also may be mild elevation of pulmonary venous pressure, though this also could reflect the lower lung volumes.
recurrent seizures, for et tube placement.
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Single frontal view of the chest was obtained. The exam is suboptimal due to underpenetration, particularly at the left costophrenic angle due to patient body habitus. There are also low lung volumes. The cardiac silhouette remains moderately to severely enlarged. The left lung base is not well evaluated due to underpenetration. No large pleural effusion is seen, but a small effusion would be difficult to exclude. There is mild prominence of the central pulmonary vasculature, which may be due to pulmonary vascular congestion or could be related to low lung volumes.
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Pa and lateral views of the chest demonstrate bronchiolar nodularity within the right perihilar region as well as some bronchial wall thickening and bronchiectasis on the left, possibly reflecting the sequelae of asthma. Otherwise, no focal pneumonia, pleural effusion, pulmonary edema or pneumothorax is present. The heart size is normal.
<unk>-year-old female with chest pain. evaluation for pneumonia.
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Moderate pulmonary edema has significantly improved. Et tube ends <num> cm above the carina. Ng tube is in adequate position. Right jugular line has been pulled back slightly and is now at cavoatrial junction. Bibasilar atelectasis, left side slightly worse than yesterday. Pleural effusion is small, if any. Mediastinal and cardiac contours are normal.
patient with pulmonary edema, fasciotomy.
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The dobbhoff is coiled in the esophagus. A fracture of the most superior sternal wire is stable. The other sternal wires are intact. There has been a slight increase in size of left pleural effusion. Small right pleural effusion is unchanged. Multiple pulmonary nodules are again noted and unchanged.
evaluate dobbhoff.
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Right port-a-catheter ends at lower svc. New fudicial markers are seen in the right subcarinal regions. A large right lower lung opacity from known right lower chest wall mass, better evaluated on prior torso ct dated <unk> is unchanged. Cardiomediastinal silhouette is normal. No lung opacity is of concern on the left side. No pneumothorax.
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There are low lung volumes in the suboptimal inspiratory effort. There is mild to moderate enlargement of the cardiac silhouette. The mediastinal contours are within normal limits. The bilateral hila are obscured. Retrocardiac opacity obscuring the left hemidiaphragm likely relates to basilar atelectasis in the setting of a suboptimal inspiratory effort, however infection or sequela of of aspiration are possible in the correct clinical setting. There is no focal consolidation elsewhere. There is no pneumothorax or pleural effusion.
<unk>f with schizophrenia, evaluate for pneumonia?
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No focal consolidation is seen. There is minimal basilar atelectasis. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with sob, cough // eval for pna
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Frontal and lateral views of the chest were obtained. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are unremarkable. No displaced fracture is seen. Evidence of dish is seen along the spine.
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Cardiomediastinal contours are stable. Interval improvement in bibasilar opacities, most likely due to resolving atelectasis with adjacent small pleural effusions. No new foci of consolidation are identified to suggest a new source of infection.
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Frontal and lateral views of the chest. Heart size and cardiomediastinal contours are normal. Lungs are clear without focal consolidation, effusion or pneumothorax.
leg swelling and chest pain.
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Compared with the prior chest x-ray, hyperinflated lungs with flattened diaphragms are consistent with copd. Cardiomediastinal and hilar silhouettes are unchanged. Increased opacification in the retrocardiac region could indicate developing consolidation.
<unk> year old woman with increased reticular marking in the left lung base on recent thoracic spine radiograph. evaluate further.
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The lungs are well-expanded. Oblique linear band in the right upper lobe with surgical clip is compatible with post treatment changes and prior resection of a mass. Streaky opacity in the left costophrenic angle likely reflects scarring or atelectasis. The heart is mildly enlarged. Mediastinal contours are unchanged. Left pectoral pacemaker device is unchanged. No pulmonary edema, effusion, or pneumothorax.
history: <unk>f with recent pacemaker placement here with chest pain. evaluate for effusion.
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The patient is rotated to the left. The cardiac silhouette remains enlarged. Mediastinal contours are stable. No definite focal consolidation is seen. There is minimal to no pulmonary vascular congestion. No large pleural effusion or pneumothorax. Chronic change again seen at the right acromioclavicular joint and right shoulder with the humeral head high-riding. No displaced fracture is seen.
history: <unk>f with seizure, fall, head strike // eval acute process
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In comparison with the study of <unk>, the patient has taken a somewhat better inspiration. Monitoring and support devices are unchanged. Areas of increased opacification are seen at both bases, most likely representing atelectasis. However, in the appropriate clinical setting, supervening pneumonia would have to be considered.
hypoxemia.
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Since the prior study, there is unchanged position of a tracheostomy tube, terminating in the mid trachea. There has been interval removal of the right picc. The lungs are well inflated and clear. Cardiomediastinal silhouette is unremarkable. There is no pleural effusion, pneumothorax, pulmonary edema, or focal airspace opacification.
history: <unk>m with trach, now with increased pain and dysphagia // ? acute process
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Low lung volumes are present, which accentuates the size of the cardiac silhouette which is at least moderately enlarged. Aortic arch calcifications are present. Mild widening of the superior mediastinum is presumably due to low lung volumes. There is crowding of the bronchovascular structures without overt pulmonary edema demonstrated. Bibasilar airspace opacities likely reflect atelectasis. No large pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
shortness of breath.
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Pa and lateral views of the chest demonstrate hyperexpansion of the lungs bilaterally. The previously seen central venous catheter has intervally been removed. The patient is status post sternotomy and aortic valve graft repair, with a stable postoperative appearance. There has been near complete interval resolution of the previously seen left-sided pleural effusion. There is no focal opacity and no pneumothorax is seen. There is no evidence of pulmonary edema. Degenerative changes are present within the thoracic spine. Clips are noted in the right neck.
pulmonary hypertension and <num> month of shortness of breath. evaluation for fluid overload.
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As compared to the previous radiograph, there is an increase in extent of the right pleural effusion. Otherwise, the radiograph is unchanged, with moderate right mid zone consolidation consistent with pneumonia and a markedly enlarged cardiac silhouette. No pneumothorax. Marked degenerative shoulder disease.
acute hypoxia, evaluation for pulmonary edema.
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A chest port ends in the right atrium. Reticular and micronodular opacities at the lung bases, right greater than left are new. The heart size is within normal limits. The upper abdomen is unremarkable. Emphysema is noted with upper lung predominance.
history: <unk>m with metastatic esophageal ca presenting with weakness, decreased appetite and cough // consolidation
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Ap and lateral views of the chest. The cardiac silhouette is significantly enlarged. Instinct pulmonary vascular markings are seen compatible with edema. There is no large effusion. Hypertrophic changes are seen in the spine. Linear opacity in the left mid lung suggestive of atelectasis.
<unk>-year-old female with diastolic congestive failure who presents with leg swelling and fluid overload.
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Dual-lumen left internal jugular catheter and right internal jugular line ends at right mid atrium. Bilateral lung volumes remain low. Since <unk>, right basal atelectasis has improved, whereas left basal atelectasis is unchanged. No new lung opacities of concern. Small left pleural effusion is stable. There is no evidence of pulmonary edema. Heart size, mediastinal and hilar contours are normal. Atherosclerotic calcification in the aortic arch and descending thoracic aorta is moderate-to-severe.
to evaluate for pulmonary edema.
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The cardiac, mediastinal and hilar contours appear unchanged including tortuosity of the aorta and borderline cardiomegaly. There is a mild interstitial abnormality suggestive of pulmonary vascular congestion. Patchy opacities are present at both lung bases, not specific although most suggestive of atelectasis. There is no definite pleural effusion or pneumothorax.
cough and dyspnea.
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The heart size is normal. The mediastinal contours are unchanged. There is no pulmonary vascular congestion. Coarse interstitial and alveolar opacities are demonstrated, primarily within both lung bases, left greater than right, findings which have progressed when compared to the prior study. There are emphysematous changes again seen, most pronounced at the lung apices. No pleural effusion is identified and there is no pneumothorax. There are no acute osseous abnormalities.
cough and fever.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. No pulmonary edema is seen.
history: <unk>f with chest pain // acute process
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Cardiac, mediastinal, and hilar contours are normal. The lungs are clear and the pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormalities seen. No pneumomediastinum is identified. No free air is seen under the diaphragms.
hematemesis for <num> hours, abdominal pain.
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As compared to the previous radiograph, the monitoring and support devices are unchanged. Moderate-to-severe cardiomegaly remains unchanged, but a pre-existing left pleural effusion has slightly decreased in extent. Also decreased is a pre-existing left perihilar opacity. Overall, the lungs appear better ventilated. Plate-like atelectasis at the right lung bases, associated with a small right pleural effusion. No new parenchymal opacities. No pneumothorax.
sepsis, ischemic bowel disease, intubation, evaluation for interval change.
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The lungs remain relatively hyperinflated. Subtle patchy opacity projecting over the lateral right mid-to-lower lung, approximately at the level of the posterior eighth rib on the frontal view. Non-specific, but a small focus of infection is not excluded, nor is an underlying pulmonary nodule. The left lung is clear. There is no pleural effusion or pneumothorax. The aorta is calcified and tortuous. The cardiac silhouette is mildly enlarged.
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Ap single view of the chest has been obtained with patient in sitting upright position. Analysis is performed in direct comparison with the next preceding pa and lateral chest examination <unk> <unk>. The heart size has increased, but may be accentuated by the ap frontal portable chest technique. Thoracic aorta unremarkable. The pulmonary vasculature appears more congested with perivascular haze, crowded appearance on the bases. On the left base in retrocardiac position, there are some linear densities obliterating the diaphragmatic contour and that of the lower descending thoracic aorta suggestive of either right atelectasis or possible pulmonary infiltrate. There is no evidence of pneumothorax.
<unk>-year-old female patient status post revision of hepaticojejunostomy, now with shortness of breath, evaluate for possible pulmonary process.
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Again seen is a large left pleural effusion with overlying atelectasis. The left aspect of the cardiac silhouette is not well assessed due to the left-sided pleural effusion and atelectasis, opacity. Known cavitary mass in the left lung apex, better assessed on ct. The right lung is clear. There is no right pleural effusion. No pneumothorax is seen.
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The heart size, mediastinal, and hilar contours are normal. The lungs are clear without pleural effusion, focal consolidation, or pneumothorax.incidental note of increased hydroxyapatite deposition in the bilateral subdeltoid bursae is made.
<unk> year old woman with cough, sweats, feeling feverish. lungs clear. non-smoker. rule out pneumonia.
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Opacities in the bilateral apices are compatible with the expansile soft tissue masses in the upper ribs. The other osseous lesions are better appreciated on the prior ct of the chest. There is new mild pulmonary edema. A small left pleural effusion and bibasilar opacities appear grossly stable in size. There is no definite right pleural effusion. No pneumothorax is identified. The patient is status post a cabg. The cardiomediastinal silhouette, including mild cardiomegaly, is unchanged.
altered mental status. evaluate for infection.
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The lungs are normally expanded. Ill-defined opacity at the left base on the frontal projection is not confirmed on the lateral and may reflect a pericardial fat pad. The heart is not enlarged. The mediastinal hilar contours are normal. Mild blunting of the posterior costophrenic sulcus may reflect a small pleural effusion of unclear laterality. There is no pneumothorax. A curvilinear opacity just under the medial right hemidiaphragm is likely contained within bowel.
history: <unk>m with afib, hypotension // eval for pna
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Left chest wall dual lead pacing device is again seen. The lungs are clear. The cardiomediastinal silhouette is within normal limits. Surgical clips seen at the lower aspect of the neck on the right. No acute osseous abnormalities identified. Surgical clips in the right upper quadrant.
<unk>f with chest pain // r/o acute process
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The cardiomediastinal silhouette is normal. The hila and pleura are unremarkable. A right infrahilar consolidation seen on pa view which corresponds to consolidation projecting over the anterior cardiac silhouette on lateral view, consistent with small region of right middle lobe pneumonia. No pleural effusions or pneumothorax are seen.
<unk> year old woman with hx lupus nephritis on mycophenolate with <num> weeks of cough, uri symptoms and intermittent fever // please evaluate for pneumonia
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Portable frontal view of the chest demonstrates low lung volumes. Subcutaneous gas is seen in the right lateral chest, likely post-surgical. Right-sided chest tube is in place, its tip projecting over right lung apex. Trace right apical pneumothorax is present. Right lung base opacities likely represent post-surgical changes. Lung volumes exaggerate bronchovascular markings. Heart is normal in size. Small amount of subcutaneous gas is also noted in the right neck.
patient is status post right vats, assess for interval change.
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Double-lumen right chest wall port catheter terminates at the superior cavoatrial junction. The lungs are well inflated and clear. Heart size and mediastinal contours are normal. No pleural effusion or pneumothorax. Osseous structures are intact.
<unk>f with tachycardia, sob // pna?
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A left pectoral mediport courses into the right atrium. The lung volumes are low, resulting crowding of the bronchovascular structures. There is central vascular congestion without frank pulmonary edema. The heart is normal size. No pleural effusion, pneumothorax or focal airspace consolidation worrisome for pneumonia. There is a paucity of bowel gas.
diffuse abdominal pain with ascites. rule out small bowel obstruction.
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Increase in pulmonary vessel size is due to volume overload. Lungs volume is low. Cardiac contour is mildly enlarged. There is no pneumothorax or pleural effusion.
patient with closed head injury, acute renal failure, multiple fluid bolus now with low saturation, evaluate for heart failure, pulmonary edema.
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There is moderate cardiomegaly. The small left pleural effusion is unchanged compared to the prior exam. There appears to be mild interstitial edema. No new focal consolidations are identified. There is no pneumothorax. The transvenous right atrial and left ventricular pacer leads and right ventricular pacer defibrillator leads are unchanged in position compared to the prior exam.
<unk>-year-old male with a history of chf, who presents for evaluation of abnormal left base breath sounds.
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There is little change compared to earlier same day radiograph with persistent small to moderate right-sided pleural effusion, bibasilar atelectasis, dependent interstitial edema particularly in the left lung base, emphysema and unchanged position of a right subclavian central venous catheter. Right internal jugular catheter appears slightly caudal compared to prior exam with the tip projecting over the cavoatrial junction.
low o<num> saturation.
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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. Bilateral nipple piercings are incidentally noted.
history: <unk>f struck by car on left side. // traumatic injuries?
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There has been interval decrease or resolution of the left pleural effusion. Small right pleural effusion persists. Interstitial prominence has increased compared to prior with peribronchial cuffing, suggestive of superimposed edema. Cardiomegaly persists. Aortic calcifications are noted. No pneumothorax is detected.
<unk>-year-old female with hypotension.
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The patient is status post prior median sternotomy. Interval decrease in the extent of the bilateral predominantly central confluent airspace opacities as well as the interstitial thickening. No pleural effusion or pneumothorax identified. The size of the cardiac silhouette is mildly enlarged but unchanged. Calcification of the aortic arch is noted.
<unk> year old man with pneumonia. // evaluate for shortness of breath.
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The patient is status post median sternotomy, cabg, and stenting of the coronary arteries. Heart size remains mildly enlarged. Mediastinal and hilar contours are unchanged. Pulmonary vasculature is normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is identified. Moderate multilevel degenerative changes are noted in the thoracic spine.
history: <unk>m with palpitations
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There is likely a small left pleural effusion. Atelectasis and pleural thickening is seen at the left lung base. The right lung is essentially clear. A tortuous aorta and top normal cardiac silhouette are again noted. There is no pneumothorax.
status post left vats decortication for empyema. evaluate for interval change.
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Left-sided icd device is re- demonstrated with single lead terminating in the right ventricle. Moderate cardiomegaly is again noted. Mediastinal contours are similar. Previously demonstrated linear lucencies about the mediastinum are not visualized on the current exam, and no definite evidence for pneumomediastinum is present. There is mild upper zone vascular redistribution without overt pulmonary edema, overall improved. Patchy opacities in the lung bases likely reflect areas of atelectasis. No pneumothorax or pleural effusion is demonstrated. There are no acute osseous abnormalities.
history: <unk>m with ventricular tachycardia, hyperkalemia
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Ap upright and lateral views of the chest were obtained. The cardiac silhouette has slightly increased in size. There is increased bilateral opacification with perihilar predominance and peribronchial cuffing, consistent with mild pulmonary edema. Retrocardiac opacification may be related to edema; however, underlying consolidation is not excluded. Small bilateral pleural effusions are present. No pneumothorax. Displaced and angulated fracture of the left mid clavicle is chronic.
<unk>-year-old man with dyspnea and cough, evaluate for pneumonia.
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<num> views were obtained of the chest. The lungs are well expanded with left basilar opacity reflecting minimally increased moderate left pleural effusion with accompanying atelectasis. There is no pneumothorax or right pleural effusion. The heart is normal in size with post cabg changes noted.
chest pain, assess for acute process.
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As compared to the previous radiograph, the position of the endotracheal tube, the esophageal device and the feeding tube are unchanged. Moderate cardiomegaly persists. Increasing atelectasis in the retrocardiac lung areas. Likely presence of a small left pleural effusion. Minimal fluid overload. No other parenchymal changes.
intubation, evaluation.