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There is complete opacification of the left hemi thorax secondary to massive pleural effusion with rightward shift of the mediastinum. There is also a small effusion on the right. The right lung is grossly clear. Cardiac silhouette cannot be assessed on this study. No pneumothorax is present. Surgical clips project over the left mediastinum.
<unk>f with dyspnea, renal cell ca w/ h/o effusions and post-obstructive pnas. evaluate for effusion versus pneumonia.
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A left-sided dual lead pacemaker is in stable, appropriate position. Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Right and left lower lobe opacities (left greater than right) are concerning for infection. There may be a small left pleural effusion. No pneumothorax is seen.
<unk>m with cough // pna?
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The lungs are well-expanded. In the right upper lobe, there is a subtle hazy opacity, worrisome for developing atypical or viral pneumonia. The heart is mildly enlarged. There is no pleural effusion, pulmonary edema, or pneumothorax.
history: <unk>m with ?pna // cough
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Cardiac silhouette size is borderline enlarged. Mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormality is identified.
history: <unk>m with fall
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The cardiomediastinal silhouettes are stable, within normal limits. The bilateral hila are unremarkable. The lungs are clear without focal consolidation. There is no evidence of pulmonary vascular congestion. There is no pneumothorax or pleural effusion.
<unk>f with chest pain, evaluate for acute process.
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The left picc terminates in the mid svc. There are bilateral pleural effusions and pulmonary edema, slightly worse when compared to <unk>. Persistent cardiomegaly is noted.
history of aspiration with positive cardiac enzymes and wheezes. question of pulmonary edema or pneumonia.
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No change in the overall position of the left chest a port with its tip terminating in the region of the cavoatrial junction. Lower lung volumes are again demonstrated and overall unchanged. Slight increased opacification in the lower lung bases appear overall similar to the prior exam and suggest chronic atelectasis associated with prominent epicardial fat pad, better seen on ct. No definite focal consolidation to suggest pneumonia. No pneumothorax, pleural effusion, or pulmonary edema. The cardiomediastinal silhouette is within normal limits. Multiple known bilateral pulmonary nodules are better seen on prior ct. Stable bilateral rib deformities and associated pleural thickening.
<unk>-year-old man presenting with shortness of breath, cough, and fever; evaluate for pneumonia.
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As compared to the previous radiograph, the two left-sided chest tubes have been removed. There is no safe evidence of left pneumothorax. The pre-described parenchymal opacities and the postoperative appearance of the left hemithorax are constant.
chest tube removal.
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Subtle <num> cm ovoid opacity projecting over the posterior right sixth rib may be due to overlap of structures however, recommend a shallow oblique radiographs to exclude underlying lesion. The left lung is clear. There is persistent slight blunting of the bilateral costophrenic angles. No pulmonary edema is seen. The cardiac and mediastinal silhouettes are stable.
history: <unk>m with <unk> edema // r/o acute process
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No definite focal consolidation is seen no pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with chest pain // mediastinal widening
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Pa and lateral chest radiographs were obtained. The heart is top normal in size, and cardiomediastinal contours are unremarkable. Mild deviation of the trachea to the right and widening of the mediastinum is unchanged. Thoracic aorta is tortuous. Lungs are well expanded and clear with minimal basal atelectasis. A small nodule projecting over the fifth posterior rib on the right is unchanged. No pleural effusions or pneumothorax.
<unk>-year-old woman with history of sarcoidosis, some wheezing on exam, assess lungs.
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Pa and lateral chest radiographs were provided. A left picc terminates in the mid-svc. There is prominence of the interstitial markings consistent with pulmonary edema. Streaky opacities near the bases are likely atelectasis. There is a small to moderate left pleural effusion. The cardiomediastinal silhouette is mildly enlarged. Clips are noted in the upper abdomen.
history of shortness of breath and lower extremity edema. question pulmonary edema.
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Portable chest radiograph demonstrates decreased lung volumes compared to prior study with stable elevation of the left hemidiaphragm. Improved aeration of the right upper lobe noted. Cardiomediastinal and hilar contours are unremarkable.
patient with mantle cell lymphoma, status post chemotherapy, with tachypnea, please evaluate for interval change.
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Pa and lateral views of the chest are provided demonstrating clear, well-expanded lungs without focal consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm.
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As compared to prior chest radiograph from <unk>, there has been no significant change. Endotracheal tube terminates <num> cm above the carina. A right subclavian catheter terminates in the mid-to-lower svc. Nasogastric tube terminates in the gastric fundus. The cardiomediastinal and hilar contours are within normal limits. Lungs are clear. There are no pleural effusions or pneumothorax.
<unk>-year-old female patient post-cardiac arrest, intubation. study requested for evaluation of interval change.
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A pigtail catheter is noted projecting over the right mid lung field laterally. There has been marked interval decrease in size of the previously demonstrated right pneumothorax, with only a small residual apical pneumothorax demonstrated. Previously noted leftward shift of mediastinal structures is also improved. The cardiac and mediastinal contours are normal. Lungs are clear without focal consolidation. No pleural effusion is demonstrated.
history: <unk>f with pneumothorax status post chest tube placement.
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Ap and lateral radiographs of the chest demonstrate clear lungs. The cardiac, hilar, and mediastinal contours are normal. No pleural abnormality is seen. The osseous structures are within normal limits.
chest tightness.
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Postsurgical changes from prior cabg with median sternotomy wires and surgical clips. Heart size is at the upper limits of normal or slightly enlarged. The postoperative cardiomediastinal silhouette and hilar contours are unremarkable. Lung volumes may be slightly. Mild bibasilar atelectasis. Lungs are otherwise grossly clear. Pleural surfaces are clear without effusion or pneumothorax.
altered mental status.
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Endotracheal tube is in standard position, but a nasogastric tube terminates in the lower thoracic esophagus, with side port in the mid thoracic region. Dr. <unk> has been telephoned with this result at <time> a.m. On <unk> at the time of discovery. Cardiac silhouette remains enlarged. Worsening asymmetrically distributed areas of airspace opacification are present, located in the left mid and both lower lung regions. These findings likely represent progressive multifocal pneumonia, but a component of co-existing pulmonary edema is possible. Bilateral moderate pleural effusions are again demonstrated.
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There is elevation of the left hemidiaphragm with overlying atelectasis, underlying subpulmonic effusion is not excluded. No definite focal consolidation is seen. Lung volumes are relatively low. There is no right pleural effusion. No evidence of pneumothorax is seen. The patient is status post median sternotomy and cabg.
chest pain
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In comparison with study of <unk>, all of the monitoring and support devices have been removed with a right ij sheath in place. Following chest tube removal, there is no evidence of pneumothorax. Continued elevation of pulmonary venous pressure with bibasilar atelectatic changes.
cabg with chest tube removal.
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There is no new consolidation or pleural effusion. Multiple subcentimeter nodules are better seen on the recent chest ct. There is no pneumothorax. The heart and mediastinum are within normal limits despite the projection.
? new dx mds, with new <unk> requirement // ? new infiltrates
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As compared to the most recent prior examination dated <unk>, there has been no significant interval change. Again, in a nasogastric tube is noted coiled within the stomach. Lung volumes remain low with crowding of the bronchovascular structures. The right hemidiaphragm remains chronically elevated with adjacent atelectasis. Streaky bibasilar opacities likely reflect atelectasis, and are improved. The heart size is appears top-normal.
history: <unk>f with ngt // ?ngt placement
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Ap upright and lateral views of the chest were provided. The heart is stably enlarged. There is no consolidation, effusion, or pneumothorax. Bones appear demineralized. No definite rib fracture is seen. If there is strong clinical concern for rib fracture, a dedicated rib series is advised. Bilateral ac joint arthropathy is incidentally noted.
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The current study appears to be relatively unchanged compared to the previous. Bilateral pleural effusions are still present. The slightly more blunting of the right costophrenic angle on the pa projection is not not as prominent on the lateral view. Heart size remains unchanged. Aorta is tortuous and again calcifications are noted within the arch. Chronic interstitial changes are seen in the left base. The old rib lesion on the right remains unchanged.
<unk>-year-old gentleman with thyroid cancer and pleural effusion, evaluate for changes.
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The patient is somewhat rotated. Increased interstitial markings bilaterally are worrisome for moderate interstitial pulmonary edema versus less likely atypical infection. There are small pleural effusions. The cardiac silhouette is mildly enlarged. The aorta is calcified and tortuous. Prominence of the hila may relate to fluid overload or pulmonary hypertension. There may be a hiatal hernia.
history: <unk>f with <num>h worsening sob // sob, chf?
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No displaced rib fractures are identified. The lungs are well expanded and clear. Cardiomediastinal silhouette is unremarkable. There is no pneumothorax or pleural effusion.
status post fall on left elbow and abdomen, concerning for rib fracture.
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Ill-defined opacity in the left lower lobe can be aspiration. The right lung is clear. The cardiomediastinal silhouette is unremarkable. No pleural effusions or pneumothorax.
<unk> year old man with new leukocytosis after egd // e/o focal opacity?
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Frontal lateral views of the chest were performed. There is no pleural effusion, pneumothorax or focal airspace consolidation. The cardiac and mediastinal contours are normal. The imaged upper abdomen is unremarkable. There are no osseous abnormalities appreciated.
cough, evaluate for infiltrate.
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There is mild bibasilar atelectasis. No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable and unremarkable.
shortness of breath.
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There has been interval removal of an endotracheal tube, a left chest tube, and a nasogastric tube. Redemonstrated is a right internal jugular central line which terminates in the mid svc. A new, possible small left apical pneumothorax is identified. Left lower lobe atelectasis is improving, as compared to the prior examination. There is no significant pleural effusion or pulmonary edema identified. Stable, moderate cardiomegaly is seen. Mediastinal and hilar contours are unchanged.
status post cabg, now status post chest tube removal.
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Ap upright and lateral chest radiographs. The lungs are well expanded and clear. There is no pleural effusion or pneumothorax though the extreme inferior aspect of the right costophrenic sulcus is excluded on the lateral view. The heart is normal in size with unchanged tortuous and slightly enlarged thoracic aortic contour.
shortness of breath.
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The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. The lungs are well expanded without focal consolidation concerning for pneumonia. Mild left basilar atelectasis is present. The upper abdomen is unremarkable. No acute osseous abnormality is present.
<unk>f with cp and sob pls eval cardiopulm process.
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Slightly lordotic positioning. Cardiomediastinal silhouette is enlarged, but grossly unchanged. Mild prominence of the pulmonary arteries is similar to the prior study. There is upper zone redistribution, without overt chf. There is a small to moderate size left pleural effusion, with underlying left lower lobe collapse and/or consolidation. The effusion appears larger and the consolidation more dense than on the prior study. Again seen is patchy opacity in the right cardiophrenic angle, essentially unchanged --<unk> differential diagnosis includes infection versus aspiration or early infiltrate. A small right effusion appears new.
<unk>f increased o<num> requirement in setting of blood product transfusion // evaluate for edema versus interval development of 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 displaced rib fracture is seen. No free air below the right hemidiaphragm is seen.
<unk>f with right sided rib pain
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>f with ecg changes, dizzy
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Pa and lateral views of the chest were provided. Suture are again noted in the right lower lung compatible with prior right middle lobectomy. The lungs are clear bilaterally without focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. The imaged bony structures are intact. No free air is seen below the right hemidiaphragm.
<unk>f with dyspnea, history of prior right middle lobectomy.
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There low bilateral lung volumes. No pleural effusion, focal consolidation or pneumothorax identified. Mild unchanged atelectasis/ scarring in the right mid lung zone. The size of the cardiomediastinal silhouette is within normal limits.
<unk> year old woman with new acute kidney injury. please r/o evidence of pna. // assess for pna
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Heart size is top normal. Re- demonstrated is a superior anterior mediastinal mass with deviation of the trachea to the right, similar compared to the prior exam, likely related to a large thyroid goiter. Mediastinal and hilar contours are otherwise unchanged. Lungs are clear. No focal consolidation, pleural effusion or pneumothorax is demonstrated. No acute osseous abnormalities seen.
chest pain, shortness of breath
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Nipple shadows are incidentally noted bilaterally. No focal consolidation is seen. There is no large pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable.
history: <unk>m with chest pain // eval for infiltrates
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The tip of the right port-a-cath is in the mid svc. Lung volumes are low with crowding of bronchovascular markings at the right infrahilar region. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.
<unk>m with pancreatic ca, + fever, + diarrhea, llq pain
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Pa and lateral views of the chest provided. Allowing for slightly low lung volumes, 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> year old man with known cad (<num>vd), here with chest pain.
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Subtle asymmetric increased density at the left lung base without clear lateral correlate may represent infection given correct clinical circumstance. Cardiomediastinal silhouette and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. The osseous structures are grossly unremarkable.
productive cough and fever.
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Right ij terminates in the cavoatrial junction. Sternotomy wires unchanged in comparison to the prior chest radiograph. Improving interstitial pulmonary edema in comparison to the prior chest radiograph. Stable mild enlargement of the cardiomediastinal silhouette accentuated by patient rotation. No pleural effusion or pneumothorax is seen.
<unk> year old woman with diastolic chf (ef <unk>%), cabgx<num> in <unk> c/b by infection, esrd on hd <unk>, morbid obesity, t<num>dm, and pvd s/p ble bypass, who has had multiple previous admissions for decompensated heart failure and recurrent chest pain in the setting of dialysis sessions, presenting with positive blood cx and atraumatic right hip pain. // post-dialysis interval assessment; please perform after dialysis is complte
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Moderate to severe cardiomegaly is noted. The aorta is diffusely calcified. There is mild pulmonary edema. Left-sided pacemaker device is seen with single lead terminating in the right ventricle. There is no pleural effusion or pneumothorax. No acute osseous abnormalities visualized.
new paranoid delusions.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>m with weakness // pna?
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The lungs are clear except for unchanged biapical scarring. There is no pulmonary edema. The heart is normal in size, and the mediastinal contours are normal.
<unk>-year-old male with increasing confusion over past week, not responsive to increased lactulose. evaluate for consolidation.
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In comparison with the study of <unk>, the patient has taken a better inspiration. There is a decrease in the areas of opacification, most likely reflecting decreased atelectasis related to the deeper breath. What appears to be a calcified pleural plaque in the left mid zone is seen and could be evaluated further with ct.
shortness of breath, to assess for pneumonia.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The aorta remains quite tortuous. The cardiac silhouette is top-normal to mildly enlarged. An azygos lobe is again incidentally noted.
history: <unk>m with near syncope // acute cardiopulm disease
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The lung volumes are normal. Normal appearance of the lung parenchyma. No evidence of pneumonia. No pulmonary edema. No pleural effusions. Normal size of the cardiac silhouette. Normal hilar and mediastinal contours.
fever, evaluation for pneumonia.
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The lungs are symmetrically well expanded and well aerated without focal opacity, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged. The cardiomediastinal and hilar contours are within normal limits.
multifocal brain lesions and nausea/vomiting, here to evaluate for acute cardiopulmonary process.
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The lungs are clear. There is no consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with chest pain // pna?
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The patient is status post mitral and aortic valve replacements. The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear.
delirium and right thigh pain.
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Left port-a-cath terminates at the cavoatrial junction. Slight focal narrowing of the catheter at the skin insertion site is unchanged since the post placement radiograph of <unk>. There is no focal consolidation, effusion, or pneumothorax. Mediastinal and hilar contours are normal. Heart size is normal.
<unk> yo woman with lymphoma, has port a cath which is not drawing today. need cxr to evaluate port placement // <unk> yo woman with lymphoma, has port a cath which is not drawing today. need cxr to evaluate port placement; due for chemotherapy today
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In comparison with the study of <unk>, there is little change. Continued low lung volumes with left chest tube in place. No evidence of pneumothorax, though there is again postoperative atelectasis and possible small effusion at the right base. Loculated collection of gas is seen beneath the right hemidiaphragm, somewhat more prominent than on the prior examination.
diaphragmatic hernia repair, to assess for effusion or pneumothorax.
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Frontal and lateral views of the chest were compared to previous exam from <unk> and ct scan performed just before this exam. The lungs are clear with focal consolidation or effusion. Moderate sized hiatal hernia is noted. Cardiomediastinal silhouette is unremarkable. Osseous and soft tissue structures are unremarkable.
<unk>-year-old male with chest pain.
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Tracheostomy tube and picc are in unchanged position, and cardiomediastinal contours are stable allowing for rotational differences. There are no new focal areas of consolidation to suggest the presence of pneumonia. Linear atelectasis is noted in the left mid lung.
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Pa and lateral views of the chest provided. There is new retrocardiac opacity consistent with left lower lobe pneumonia. Mild elevation of the right hemidiaphragm is again noted with stable blunting of the right cp angle suggesting small right pleural effusion versus pleural thickening. No pneumothorax. No edema. Cardiomediastinal silhouette is stable. No acute osseous abnormalities.
<unk>f with febrile neutropenia, cough, lymphoma.
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The lungs are clear without focal consolidation, pleural effusion or pneumothorax. There is no pulmonary edema. The heart is normal in size, and the mediastinal contours are normal.
<unk>-year-old male with left sided chest pain. evaluate for pneumonia, pneumothorax, congestive heart failure.
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Frontal and lateral views of the chest were obtained. A dual-lead right-sided pacemaker is seen with leads extending to the expected positions of the right atrium and right ventricle. There are patchy streaky opacities in the right upper lobe as well as in the left lower lobe, worrisome for infection or aspiration. No pleural effusion is seen. There is no pneumothorax. The cardiac and mediastinal silhouettes are stable.
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The patient is status post median sternotomy and cabg. The aorta is moderately calcified as before. Multifocal bilateral opacities are minimally increased from the prior examination consistent with moderate, pulmonary edema. There is increased opacity at the right base seen laterally. Lung volumes are markedly low. There is no pneumothorax or large pleural effusion.
<unk> year old man with toxic metabolic encephalopathy, gi bleed, hypoxemic respiratory failure s/p diuresis; please eval pulmonary vascular congestion // eval pulmonary edema
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Ap and lateral views of the chest. The lung volumes are seen. That said, there increased bibasilar opacities. There is no large pleural effusion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities detected.
<unk>-year-old male with seizures. question pneumonia.
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Interval removal of right-sided chest tube, with no evidence of pneumothorax. Exam is otherwise similar to the recent study except for slight improvement in left lower lobe opacities.
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Cardiomegaly appears similar compared to prior. Pulmonary vascular congestion has decreased. The pulmonary arteries are enlarged, suggestive of pulmonary arterial hypertension. No pleural effusion or pneumothorax is seen. Cardiac pacing hardware appears similarly positioned.
<unk>-year-old male with epigastric pain; history of cardiomyopathy and congestive heart failure.
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The lungs are well inflated and clear. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable.
<unk>f with cp. assess for acute process
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The cardiac, mediastinal and hilar contours appear stable including mild unfolding of the descending thoracic aorta. There is no pleural effusion or pneumothorax. The lungs appear clear.
chest pain.
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Since the prior radiograph performed <num> hours earlier, the left pigtail catheter has been removed. There are no other significant changes. Small to moderate bilateral pleural effusions with adjacent atelectasis have remained stable. There is no pneumothorax. Mild pulmonary vascular congestion. Stable moderate cardiomegaly. Median sternotomy wires prostatic aortic valve are intact. Right picc line is unchanged in position and terminates in the superior svc. Remnants of oral contrast are seen in the left upper quadrant.
<unk> year old woman s/p redo hernia repair // r/o ptx post left pigtail removal
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An endotracheal tube ends <num> cm from the carina. An enteric tube ends off the imaged portion of the screen. Left-sided chest tube has been placed and subsequently advanced on subsequent images on this study. The left lower lobe opacity is again seen, which is more apparent compared to prior study and likely represents a component of aspiration or pneumonia. There may also be a small right pleural effusion. Tiny left apical pneumothorax. There is some subcutaneous emphysema on the left.
left chest tube, evaluate for pneumothorax or hemothorax.
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A portable frontal chest radiograph again demonstrates cardiomegaly, pulmonary edema, and bilateral pleural effusions with likely associated atelectasis. Given changes in patient position, it is difficult to assess for interval change. No pacer lead is visualized.
heart block with temporary pacer. evaluate for interval change and location of pacer leads.
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Portable semi-upright radiograph of the chest demonstrates low lung volumes, which results in bronchovascular crowding. The region of opacification of the left upper and lower lobes, corresponding to pleural effusion and atelectasis seen on ct from <unk>, has decreased in size over the interval. There are moderate-sized bilateral pleural effusions with adjacent atelectasis. The cardiac silhouette remains enlarged which may reflect cardiomegaly although pericardial effusion should also be considered. Multiple overlying surgical clips and intact sternotomy wires are seen. Calcification of the both diaphragmatic pleura is unchanged and consistent with prior asbestos exposure.
<unk> year old man with pleural effusions, fever // ?enlarged pleural effusions or new pneumonia
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No radiopaque foreign body is identified.
history: <unk>m with esophageal/ upper thoracic pain x <num> weeks // is there foreign body or pneumothorax?
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Pa and lateral views of the chest again show some post-operative change in the right perihilar region, not significantly different compared to images from four days earlier. Small right apical pneumothorax, seen at that time, however, is no longer evident. Some linear atelectasis at the right middle lobe abuts the left hemidiaphragm and may be symptomatic. A small amount of blunting of the cp angle seen on the <unk> film has also resolved. Heart and mediastinal contours and bony structures with s-shaped scoliosis are unchanged.
<unk>-year-old woman status post right vats wedge resection. assess for interval change. reporting lots of pain. technical information states that the patient is unable to rotate the right shoulder more for an optimal pa view. unable to raise arms for a lateral view.
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There are no significant parenchymal changes since the most recent cxr performed yesterday morning. Lung volumes are still low. Bibasilar atelectasis is unchanged in appearance. No pulmonary edema or pneumothorax. No large pleural effusions. The mediastinum, hila and heart are within normal limits. The enteric tube has been removed. Ett terminates <num> cm above the carina. Left ij catheter ends at the left brachiocephalic vein-svc confluence.
<unk> year old woman ams and intubated // et tube placement
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New from the prior examination is a prostatic aortic valve and expected position. Dextroscoliosis of the thoracic spine and stabilization rods are unchanged from <unk>. Right internal jugular catheter terminates at the superior cavoatrial junction. The cardiomediastinal and hilar contours are within normal limits. The patient is status post right upper lobectomy resulting in apical thickening and elevation of the right hilus, as before. Rounded lucency at the apex of the right lung persists and represents an air-filled pleural space, unchanged from <unk>. The right lower lung is hyperexpanded but clear. The left lung is clear. There is no effusion or pneumothorax.
patient with tavr <unk> // please assess for acute processes
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Compared to radiograph from <unk>, there is likely increased left pleural effusion and increased amount of associated atelectasis. Small amount of right pleural effusion is new. Heart size is mildly enlarged. Mediastinal and hilar contours are unremarkable. There is no evidence for pulmonary edema, pulmonary consolidation or pneumothorax.there has been interval removal of the left pigtail catheter.
<unk> year old woman with pleural effusion and pericardial effusion. evaluate for progression of fluid collections.
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Right-sided picc terminates in the mid to lower svc without evidence of pneumothorax.the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with reported picc in rue // eval picc
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No previous images. No evidence of acute cardiopulmonary disease or old tuberculous disease. There is a slight impression on the right side of the lower cervical trachea, possibly relating to a thyroid mass.
possible latent tb.
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The endotracheal tube terminates <num> cm from the carina. The degree of vascular congestion has increased, with possible small bilateral pleural effusions. Atelectasis of the left lower lobe is unchanged. No focal consolidation concerning for pneumonia. A hiatal hernia is unchanged, and an ng tube follows the hernial contour below the diaphragm.
<unk> year old woman s/p seizure, intubated. presence of pulmonary edema, infiltrate.
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An nodule in the left upper lobe appears unchanged compared to the prior chest radiograph and has been previously evaluated with chest ct and pet-ct. No new focal opacity, pulmonary edema, pleural effusion or pneumothorax. The cardiac and mediastinal contours are normal. There is chronic disk space narrowing in the thoracic spine.
history: <unk>f with acute ams // acute process
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Heart appears to be mildly enlarged. The calcification within the aortic arch is unchanged from the prior exam. Cardiomediastinal contours are otherwise unremarkable. There is a degree of haziness within the costophrenic angles as well as redistribution of pulmonary vasculature to suggest pulmonary vascular congestion; however, the degree of congestion does not appear to be significantly different from the prior study <unk> <unk>. Lungs are otherwise clear with no focal infiltrates, pleural effusions or evidence of pneumothorax. Bony structures are intact.
<unk>-year-old lady with bilateral crackles, assess for edema.
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The lung volumes are slightly low. The lungs are clear. The heart size is normal. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen.
dyspnea. assess for pneumonia.
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Low bilateral lung volumes. Right infrahilar fullness as well as a retrocardiac and left lower lobe opacities are present, possibly reflecting new consolidations. No pneumothorax identified. The size the cardiomediastinal silhouette is within normal limits.
<unk> year old woman with cholangiocarcinoma s/p <unk> ptbd today now with hypoxia to <unk>% on ra // any obvious cause of her hypoxia?
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The cardiomediastinal and hilar contours are stable. The lungs are hyperinflated as before consistent with copd. Subtle opacity involving the left mid lung is slightly increased from the prior chest radiograph on <unk> and may represent a focus of infection. No pleural effusion or pneumothorax.
<unk> year old woman with crohn's, copd and worsening dyspnea + inc secretions, also with recent infiltrate noted in the lingula. please evaluate for pna
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The lungs are clear. The heart size is normal. There is no pleural effusion, pneumothorax or pulmonary edema. A tortuous aorta is not calcified.
syncope.
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There are linear opacities of the right middle and lower lobes, representing atelectasis. There is a moderate sized left pleural effusion with left lower lobe atelectasis. Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. No pneumothorax is seen. There are no acute osseous abnormalities. Surgical in the right upper quadrant appear unchanged from the prior chest radiograph
<unk> year old woman s/p exlap with new onset sob, right sided pleuritic pain // rule out infiltrate, effusion
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Interval extubation. Left picc is unchanged in position, and nasogastric tube continues to terminate within the stomach with side port in close proximity to the ge junction. Cardiomediastinal contours are stable. Diffuse opacification of the right upper lobe persists, with associated mild volume loss. Internal lucencies within this lobe likely represent necrotizing pneumonia. Within the left lung, improving interstitial edema is present, as well as decreasing atelectasis at the left base. Persistent small left pleural effusion.
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An endotracheal tube terminates in appropriate position. A right-sided ij terminates in the low svc. There are bibasilar opacities, right slightly greater than left, which may be due to pneumonia/aspiration. There are also probably small bilateral pleural effusions.
respiratory failure, intubated.
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Portable semi-erect frontal chest radiograph again demonstrates mild cardiomegaly and moderate pulmonary edema, with slightly improved aeration of the right mid to low lung compared to <unk>. Slightly more focal opacity in the left mid lung with sparing of the left costophrenic angle could also represent pulmonary edema, but superimposed infection cannot be excluded in the right clinical setting. There are bilateral pleural effusions, moderate to large on the right and trace the small on the left. No pneumothorax is visualized.
<unk>m w/dyspnea, crackles in left base and diminished in right, febrile, please eval for pna // <unk>m w/dyspnea, crackles in left base and diminished in right, febrile, please eval for pna
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Pa and lateral views of the chest are compared to previous exam from <unk>. The lungs are clear. There is no pneumothorax, effusion or consolidation. Cardiomediastinal silhouette is normal. Osseous and soft tissue structures are unchanged.
<unk>-year-old female with chest pain.
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The patient is status post median sternotomy, and multiple mediastinal surgical clips likely reflect prior bypass surgery. Coronary artery stents are also seen. The lungs are well aerated without focal consolidation, pleural effusion or pneumothorax. No pulmonary edema is seen, and the cardiac silhouette is normal in size. The mediastinal and hilar contours are normal. No acute osseous abnormality is seen.
<unk>-year-old female with chest pain. evaluate for infectious process.
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The tracheostomy tube is in appropriate position. There is no radiographic evidence of complications. Mild-to-moderate cardiomegaly is stable compared to the prior exam. There appears to be interval increase in opacification at the left lung base likely secondary to pneumonia. No large pleural effusion is identified. No pneumothorax.
history of trach and previous left lower lobe pneumonia, please evaluate.
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The left pectoral aicd device terminates in the right ventricle. There is no focal consolidation, sizeable pleural effusion or pneumothorax. No pulmonary edema. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
history: <unk>m with dyspnea // ? acute cardipulm process
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Frontal and lateral radiographs the chest demonstrate complete opacification of the right hemithorax. There is rightward deviation of the trachea and cardiac silhouette, consistent with known right-sided pneumonectomy. There is persistent shift of the mediastinum to the right with hyperexpansion of the left lung. The left lung is clear. There is no pneumothorax, or left-sided pleural effusion.
history lung cancer status post lobectomy now with chest pain and shortness of breath. evaluate for pneumonia, pneumothorax, or acute process.
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Frontal and lateral views of the chest show no pleural effusion, pneumothorax or focal airspace consolidation. The heart size is normal. The mediastinal and hilar structures are unremarkable.
chest pressure. evaluate heart and lungs.
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No previous images. The heart is enlarged with some tortuosity of the aorta. No definite vascular congestion, pleural effusion, or acute focal pneumonia. The tip of the iabp lies just superior to the left mainstem bronchus.
pre-operative for cabg.
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Costochondral calcification is noted at multiple levels. No definite focal consolidation is seen. No large pleural effusion or pneumothorax is seen. The cardiac silhouette is mildly enlarged. The aorta is calcified and tortuous. The lungs remain hyperinflated. Degenerative changes noted at the right glenohumeral joint, not fully assessed.
history: <unk>f with s/p fall obvioius wrist deformity, pain ttp in the hips knee and femur // eval for fracture x rayseval for ich for ct head eval c spine for c-spine
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Patchy opacity in the right infrahilar region is new compared to the prior radiograph, and projects over the lower thoracic spine on the lateral view. Lungs are otherwise clear, and cardiomediastinal contours are stable in appearance.
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There is probable hyperinflation with background copd. There are diffusely increased interstitial markings, with more pronounced bibasilar opacities, which may represent atelectasis or aspiration in the appropriate clinical setting. No substantial pleural effusion. There is no pneumothorax. Heart size is mild to moderately enlarged. Aorta is calcified and slightly unfolded. No acute osseous abnormalities identified. Severe right glenohumeral joint osteoarthritis noted. Rounded lucency projecting over the left cardiophrenic region raises the possibility of a small hiatal hernia.
<unk>-year-old female on coumadin status post fall onto left knee and right lower back
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As compared to the previous radiograph, the small effusion has not substantially changed. In the interval, the patient has been extubated and the nasogastric tube has been removed. As a consequence, the lung volumes have decreased, with increasing density of the vascular and bronchial structures. Right chest tube is in situ. No pneumothorax.
left pleural effusion, evaluation for interval change.
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As compared to the previous radiograph, the lung parenchyma shows no relevant change. There is no evidence of pneumonia, pulmonary edema, pleural effusion or pneumothorax. Normal size of the cardiac silhouette. However, on the frontal radiographs only, a rounded structure has newly appeared. The structure projects over the dorsal part of the eighth rib and has a diameter of <num> cm. It is not visible on the lateral radiograph. Given that this structure has newly occurred, it is likely reflecting a foreign body or object outside the patient. A repeat radiograph should be performed to confirm this.
gastroparesis, malaise, evaluation for pneumonia.