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Frontal and lateral views of the chest were obtained. Inferior right upper lobe consolidation is worrisome for pneumonia. Left lung is clear. No pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are unremarkable. Hilar contours are stable.
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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 weakness // eval for chf/pneumonia
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The lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen.
<unk> year old man with cough, bibasilar crackles. // ? pneumonia
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The lung volumes are stable. The increased opacification of the right lower lung, which was of concern on earlier study, has improved and was likely due to pulmonary edema rather than an infectious consolidation. Mild improvement of pulmonary edema. Stable moderate cardiomegaly. The pleural surfaces are stable. The ng tube is located near the esophagogastric junction. The right ij terminates in the lower svc.
<unk> year old woman with ngt // anesthesia attending here bedside needs stat
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Pa and lateral views of the chest were obtained demonstrating clear well-expanded lungs without focal consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. Bony structures are intact. There is no free air below the right hemidiaphragm.
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Pa and lateral views of the chest provided. Mild basilar atelectasis is noted. No focal consolidation, large effusion or pneumothorax. The cardiomediastinal silhouette appears normal. Gaseous distention of the bowel in the upper abdomen noted. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with pre op // pre op
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As compared to the previous radiograph, there is no relevant change. Known right rib defect. No pneumonia. No pulmonary edema. No pleural effusion. Widened mediastinum with lobulated border, likely reflecting lymphadenopathy. No pneumothorax.
lymphoma, eligibility for bone marrow transplant.
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>m with c/o cough and fever and cp // ? pna
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The lungs are well-expanded and clear. No focal consolidation, edema, effusion, or pneumothorax. The heart is normal in size. The mediastinum is not widened. The descending thoracic aorta is not tortuous. Linear metallic densities projecting over the left lower hemi thorax appear to be in the chest wall/ soft tissue on the prior ct from <unk>. No evidence of fracture on this nondedicated exam.
<unk>-year-old woman presents after mvc with chest pain. vss. (also hx of bilateral breast reconstruction s/p mastectomy for breast ca.) evaluate for fracture, ptx, or widened mediastinum (but low suspicion for dissection, cardiac contusion).
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Portable upright frontal view of the chest demonstrates clear, well-expanded lungs. Pleural surfaces, and mediastinal contours are normal. Cardiac silhouette is mildly enlarged, although is unchanged from <unk>. Pulmonary vasculature is normal.
<unk>-year-old female with chest pain and dyspnea on exertion.
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The et tube terminates approximately <num> cm above the carina. A right-sided ij terminates in the mid svc. An enteric tube courses below the diaphragm with the tip likely in the body of the stomach. There is mild cardiomegaly. The aorta is tortuous, otherwise the hilar and mediastinal contours are unremarkable. Chain sutures are seen along the medial right hemithorax. There may be small bilateral pleural effusions. Mild bibasilar atelectasis with bronchiectasis predominantly at the right lung base is seen. There is no evidence of a pneumothorax. The visualized osseous structures are unremarkable.
history of hypoxia, v-tach arrest. please evaluate.
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Mild to moderate cardiomegaly is unchanged. The aorta remains calcified, with the mediastinal and hilar contours appearing otherwise unremarkable. There is no pulmonary vascular engorgement. Lungs are clear. Hyperinflation of lungs with flattening of the diaphragms suggests copd. No pleural effusion or pneumothorax is identified. There are mild degenerative changes in the thoracic spine. Clips are seen within the upper abdomen. Widening of the left acromioclavicular joint suggest prior trauma.
chest pain and history of congestive heart failure.
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Frontal portable views of the chest were obtained. A new moderate-sized left pneumothorax is present without evidence of tension. Generalized increased opacity of the left lung, greater than expected for the degree of volume loss, may represent lavage fluid, although post-procedural hemorrhage is not excluded. A large left hilar mass is similar in size to <unk>, allowing for differences in modality. Linear opacities at the right lung base are compatible with atelectasis. No pleural effusion is seen. The cardiomediastinal silhouette is stable. No radiopaque foreign body.
<unk>-year-old male, status post flexible bronchoscopy, bronchoalveolar lavage, and transbronchial needle aspiration of a left hilar mass, now with stridor and cough.
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Ap and lateral views of the chest. Right picc again seen with tip in the lower svc. The lungs remain clear without focal consolidation. There is slight thickening along the major fissure, potentially on the right which could be due to fluid within the fissure. Cardiac silhouette is enlarged, similar to prior. Atherosclerotic calcifications again noted at the arch. No acute osseous abnormalities.
<unk>-year-old female with chest pain.
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There is streaky atelectasis at the left lung base. No focal consolidation is seen. There is mild central vascular congestion but no overt edema. The cardiac silhouette is unchanged. There is no pleural effusion or pneumothorax. Eventration of the right hemidiaphragm anteriorly is again noted. Degenerative changes are seen in the thoracic spine.
<unk>f with syncope and palpitations, evaluate for pneumonia.
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As compared to the previous radiograph, the monitoring and support devices are unchanged. No change in appearance of the cardiac silhouette and of the lung parenchyma, with exception of a minimal blunting of the left costophrenic sinus. This, however, could be positional. The known right rib fractures are less well seen than on the previous examination. No current evidence for the presence of a pneumothorax.
extubation, rib fractures, evaluation.
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A new endotracheal tube tip terminates approximately <num> cm from the carina. Nasogastric tube is noted which terminates below the left hemidiaphragm, off the inferior borders of the film,. Lung volumes are low. Heart size appears moderately enlarged. Widening of the superior mediastinum is likely due to supine technique and low lung volumes. There is crowding of the bronchovascular structures. No overt pulmonary edema is noted. Retrocardiac hazy opacity may reflect atelectasis. A small left pleural effusion may be present. No pneumothorax is identified.
endotracheal tube placement.
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The lungs are hyperinflated but grossly clear. Small bilateral pleural effusions are unchanged on the right and decreased on the left. There is no pneumothorax. Mild cardiomegaly despite the projection is unchanged. Aortic arch calcifications are incidentally noted. Multiple metallic right upper quadrant surgical clips are per imaged. The heterogeneous appearance of the bones corresponds to known metastases.
<unk> year old woman with met bc, shortness of breath // lymphangitic spread?
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Single ap portable view of the chest was obtained. The extreme left lateral costophrenic angle is not fully included on the image. Given this, no focal consolidation, pleural effusion, or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No displaced fracture is seen.
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Stable heart size and mediastinal contours. Bibasilar opacities persist and could represent aspiration or infection. Mild pulmonary vascular congestion is unchanged. No large pleural effusion or pneumothorax.
concern for aspiration pneumonia versus pneumonitis. evaluate for interval change.
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Allowing for the differences in technique and patient position, since <unk>, right lower lung consolidation is unchanged. Mild-to-moderate right pleural effusion appears to have minimally increased. Small left pleural effusion and left lower lung atelectasis is unchanged. Top normal heart size, mediastinal and hilar contours are stable. The patient is status post median sternotomy with intact sternal sutures - post-avr. There is no pneumothorax.
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Portable semi-upright radiograph of the chest demonstrates well expanded, clear lungs. The cardiomediastinal and hilar contours are unchanged. A tracheostomy tube is in expected position. Right-sided picc line ends at the cava atrial junction. A nasogastric tube ends in the stomach.
<unk> year old woman with ngt placement // ngt position
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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. Bony structures are unremarkable.
cough and fever.
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As compared to the previous radiograph, there is no relevant change. Axillary clips and nodule at the right lung bases, of unchanged size and morphology. Unchanged size of the cardiac silhouette. Unchanged hilar and mediastinal contours. No pneumothorax.
melanoma, recent cyst excision.
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Mild cardiomegaly is present with a left ventricular predominance. The aorta is tortuous. Mediastinal and hilar contours are otherwise unchanged. Patient is status post right upper lobectomy with postsurgical changes re- demonstrated in the right hilum and evidence of chronic volume loss in the right hemi thorax. Linear scarring is noted within the right lung base. No focal consolidation, pleural effusion or pneumothorax is detected. Clips are seen in the neck compatible with prior thyroidectomy. No displaced fractures are evident.
history: <unk>m with fall and left anterior lower rib pain
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The lungs are clear. There is no consolidation, effusion or pneumothorax. The cardiomediastinal silhouette is normal. No acute osseous abnormalities.
<unk>m with chest pain // acute process?
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Marked tortuosity of the thoracic aorta appears unchanged. The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear.
unsteady gait and weakness.
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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and fairly well-aerated lungs, without pleural effusion or pneumothorax. Mildly increased opacity adjacent to but not obscuring the right heart border has a linear quality on lateral view suggestive of atelectasis. The visualized upper abdomen is unremarkable.
evaluate for pneumonia in an <unk>-year-old woman with fever.
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In comparison to the chest radiographs obtained <num> days prior, no significant changes are appreciated. Lungs are fully expanded and clear without consolidations or suspicious pulmonary nodules. No pleural abnormalities. Heart size is normal. No pulmonary vascular congestion. Cardiomediastinal and hilar silhouettes are normal.
<unk> year old man with history of autonomic dysfunction, worse cough // acute process, pna
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Patient is status post median sternotomy and mitral valve replacement. Right-sided dual-chamber pacemaker device is noted with leads terminating in the right atrium and right ventricle. Mild enlargement of the cardiac silhouette is unchanged. The mediastinal and hilar contours are similar with mild tortuosity of the thoracic aorta again noted. Pulmonary vasculature is not engorged. Lungs are clear. No pleural effusion or pneumothorax is seen. Clips are noted in the right upper quadrant of the abdomen compatible with prior cholecystectomy.
history: <unk>f with shortness of breath, history of congestive heart failure
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Pa and lateral chest radiographs provided. Lung volumes are slightly low. There is no focal consolidation, pleural effusion, or pneumothorax. Cardiomediastinal silhouette is mildly enlarged since the prior exam. Old healed rib fractures are noted on the right.
history of physical assault, loss of consciousness and intoxicated. question malalignment.
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Pa and lateral views of the chest were provided. Dual-lead pacer is unchanged. Patient's chin obscures the superior mediastinum and lung apices. There are bilateral pleural effusions, similar to prior radiograph. No convincing signs of pneumonia, though the lung bases are partially obscured. No large pneumothorax. Cardiomediastinal silhouette appears grossly stable. Bony structures appear intact.
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Cardiomediastinal silhouette is unchanged. There is no pleural effusion or pneumothorax. There is no focal consolidation.
<unk>-year-old man with shortness of breath, evaluate for pneumonia
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The lungs are fully expanded and clear. The cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. Views of the upper abdomen are normal.
<unk>m with chest pain, evaluate for pneumonia..
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Small bilateral pleural effusions with pleural fluid seen in the major fissure on the lateral view. Also on the lateral view there appears to be increased opacity in the lower lobe, possible pneumonia, though no definite correlate on the frontal view differentiate which side. No pneumothorax is seen. Mild cardiomegaly unchanged. Mediastinal contours are unchanged. Median sternotomy wires and mediastinal clips are again noted, patient is status post cabg and mitral valve replacement.
<unk> year old woman with chf, asthma, p/w <num> week of sob, increased phlegm. weight stable from prior // eval for pneumonia, pulmonary edema
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Frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. No pleural effusion, focal consolidation or pneumothorax. No pulmonary edema. Partially imaged upper abdomen is unremarkable.
cough.
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One upright portable chest x-ray. The right picc line ends in the mid svc. Icd lead ends likely in the right ventricle; however, the tip is not visualized. There is mild left lower lobe atelectasis. Otherwise, the lungs are clear. There is possible small right pleural effusion.
picc line placement.
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As compared to the previous radiograph, there is no relevant change. No newly appeared focal parenchymal opacities suggesting pneumonia. Known right pericardial fat pad. No pulmonary edema. No pleural effusions. Normal appearance of the hilar and mediastinal contours.
two weeks of cough, no fever, history of lupus, evaluation for pneumonia.
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Pa and lateral views of the chest provided. Allowing for low lung volumes, there is no overt evidence of pneumonia or chf. There is mild retrocardiac opacity which is most compatible with atelectasis, though a very early pneumonia is impossible to exclude. No large effusion or pneumothorax is seen. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>m with cough and fever // r/o pneumonia
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The heart continues to be moderately enlarged and there is pulmonary vascular redistribution and few patchy areas of alveolar infiltrate. Compared to the prior study vascular plethora is increased
fever and new oxygen requirement.
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Somewhat limited exam due to patient rotation. The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette appears much wider than on prior exam, likely due to differences in rotation. The stomach is large and gas filled.
<unk> year old man with fever, n/v/diarrehea, recent weakness, hx of aspiration, now desaturating to <unk>% on <num> l // ?aspiration, ?pulmonary infection ?acute process
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f hx dm, fibromyalgia p/w abdominal and back pain, focal rales in lll // ? infiltrate / atelectasis / pna
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There is mild prominence of the pulmonary vasculature and mild pulmonary edema. Heart size is within normal limits. There is no pneumothorax. Degenerative changes at the left shoulder joint are unchanged.
history: <unk>f with malaise, weakness, chronic cough // eval for pneumonia
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Endotracheal tube is seen terminating approximately <num> cm above the level of the carina. Enteric tube seen coursing below the level of the diaphragm, inferior aspect not included on the image, but side port appears to be in the left upper quadrant in expected location of the stomach. There is left base opacity which may represent combination of pleural effusion and atelectasis or underlying consolidation due to aspiration or contusion. Additional left perihilar opacity is seen which may also relate to aspiration, asymmetric pulmonary edema, or infection. There is slight blunting of the right costophrenic angle and a trace pleural effusion may be present. The cardiac and mediastinal silhouettes are grossly stable. The superior mediastinum remains widened although slightly less prominent as compared to this prior study and findings are likely accentuated by supine position in the ap technique. However, if there is clinical concern for acute mediastinal injury, ct is more sensitive.
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Lung volumes are normal. No focal consolidation pleural effusion or pneumothorax. Note is made of a <num> cm rounded density at the left lung base, likely representing a hamartoma or calcified granuloma. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
history: <unk>m with fever and chest pain // ?pneumonia
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Pa and lateral views of the chest reviewed and compared to the prior study. There is minimal bilateral basilar atelectasis; otherwise, the lungs are clear. Compared to the prior study, there has been interval increase in the prominence of the central pulmonary arteries. There is no pleural effusion or pneumothorax. There are no concerning osseous or soft tissue lesions. There is minimal bilateral basilar atelectasis.
hypoxia.
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Cardiac size is top normal. Mild vascular congestion is new. Small right effusion is a stable. Right lower lobe atelectasis have minimally improved. . There is no pneumothorax.
<unk> year old woman with cirrhosis, chf, with worsening sob despite good diuresis // evaluate for worsening or improved edema, pna
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The heart size is normal. Mediastinal prominence probably reflects mediastinal lipomatosis as demonstrated on prior ct chest of <unk>. Lungs and pleural surfaces are clear.
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No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with cough, fever to <num> // please assess for pneumonia
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Frontal and lateral views of the chest. The lungs are clear without consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. No acute osseous abnormality is detected.
<unk>-year-old male with chest pain and dyspnea.
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Lung volumes are low, leading to crowding of the bronchovascular structures. No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. Stable, moderate to severe cardiomegaly is noted. The aorta is tortuous and contains atherosclerotic calcifications. Mediastinal contours are otherwise stable. Redemonstrated is a metallic density seen projecting over the heart, which may relate to a prior cardiac surgery. A left ventriculoperitoneal shunt is noted.
delirium, evaluate for pneumonia.
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A post-pyloric feeding tube is present, although the tip was not included in the field of view. The lungs are clear. No pleural effusion, pneumothorax or focal airspace consolidation. Heart is normal size. Mediastinal and hilar contours are unremarkable.
cough, fever, and feeding tube. evaluate for pneumonia.
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Ap and lateral views of the chest. The lungs are hyperinflated but clear of consolidation or definite effusion. Opacity at the right lung base medially on the frontal view is likely due to a hiatal hernia seen on prior ct scan. The cardiomediastinal silhouette is within normal limits. Atherosclerotic calcifications noted at the aortic arch. No definite displaced fracture is identified.
<unk>-year-old female with fall.
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Ap portable supine view of the chest. The endotracheal tube is again seen located approximately <num> cm above the carina. There has been interval placement of right and left-sided chest tubes. Subcutaneous emphysema is noted near the chest tube insertion sites. A left pneumothorax is new. Pulmonary opacities appear similar to progressed remaining concerning for severe pulmonary edema superimposed upon background severe emphysema.
<unk>m coded likely <unk> ptx
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There are no pleural effusions or pneumothorax. Bony structures are unremarkable.
status post fall. pre-operative for repair of right femur fracture.
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Interval removal of enteric catheter, endotracheal tube and bilateral drains without development of pneumothorax. Linear lucency at the level of the left upper mediastinum may represent a small pneumomediastinum. Cardiomediastinal and hilar contours are unremarkable. Minimal left lower lung opacification likely reflects atelectasis. No pleural effusion evident.
status post cabg. evaluate for pneumothorax.
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No new focal parenchymal opacity. The left basal opacity has improved. Mild pulmonary edema has worsened when compared to the prior exam. Moderate cardiomegaly. Layering opacity seen best on the lateral view, is favoured to represent a moderate left sided effusion.
<unk> year old woman with elevated wbc, ?finding of opacity on last cxr of consolidation, now with persistent white count. also found to have pulmonary edema, given lasix since last cxr. // ?pneumonia
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The lungs are hyperinflated. There is no consolidation, edema, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Overall, there is no significant change from the prior radiograph.
chest pain.
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In comparison with the study of <unk>, there are innumerable rounded metastatic foci throughout both lungs. The left subclavian port-a-cath extends to the mid-to-lower portion of the svc. No evidence of abnormal kinking.
port malfunction.
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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. Mild degenerative changes are noted in the thoracic spine.
history: <unk>f with chest tightness, chest pain // evaluate for infection, cardiomegaly
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The right-sided loculated effusion is smaller status post thoracentesis. The left lung is clear. There is no pneumothorax. The heart, mediastinum and hilar contours are unchanged.
right-sided loculated effusion status post thoracentesis. rule out pneumothorax.
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As compared to the previous radiograph, the extent of the right pleural effusion has decreased. There is no evidence of pneumothorax. Moderate cardiomegaly, small left pleural effusion. Unchanged course and position of the nasogastric tube.
desaturation after thoracocentesis. rule out pneumothorax.
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Normal cardiomediastinal and hilar contours. Right port-a-cath is in unchanged position, terminating at the cavoatrial junction. Lungs are clear. Pleural surfaces are normal.
<unk>-year-old woman with a history of breast cancer, now with discomfort related to the right port-a-cath. assess tip of catheter.
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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>f with s/p fall l ankle deformity. pre-op cxr as well. // fx, pre-op
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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 cough, bronchial breath sounds lml/lul, bibasilar crackles, positional cough.
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Right infrahilar, and left basilar opacity is unchanged, with a small left pleural effusion also unchanged. The cardiac silhouette remains moderately enlarged. There is mild engorgement of pulmonary vasculature. There is no pneumothorax. The mediastinal contours are notable only for a tortuous aorta. A pigtail catheter is noted in the right upper quadrant.
<unk>-year-old female with rising white count and desaturation, evaluate for pneumonia.
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Pa and lateral chest radiograph demonstrates ill-defined patchy opacities diffusely throughout the right lung. The left lung is clear. The cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion. Visualized osseous structures are unremarkable.
history: <unk>f with chest pain and vomiting // eval for cardiomegaly, pna, pleural effusions
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Lung volumes are slightly lower compared to the exam in <unk> with bronchovascular crowding. There is no focal consolidation, edema, effusion, or pneumothorax. The heart is normal in size. The mediastinum is not widened. No acute osseous abnormality.
<unk>-year-old man with cold foot. preoperative evaluation.
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An endotracheal tube is in stable position. Enteric tube descends below the field of view. Lung volumes are low, which accentuates bronchovascular markings. Increased density throughout both lungs is likely related to lower lung volumes. There is no large pleural effusion or pneumothorax.
<unk>f presented to osh with ams and seizure, imaging shows acomm aneurysm rupture, transferred to <unk> for further care // pna?
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Endotracheal tube ends <num> cm from the carina and is appropriate in position. An orogastric tube courses below the diaphragm into the stomach, however, distal end is off the radiograph view. Increased retrocardiac density, which was new yesterday reflecting aspiration or atelectasis has completely resolved. Mild right lower lung opacity due to small effusion and right basal atelectasis is unchanged since <unk>, but decreased since <unk>. Heart size, mediastinal and hilar contours are normal. The left lung and right upper lung are clear.
<unk>-year-old man with history of hcc/cirrhosis status post tace, intubated.
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Bilateral moderate pleural effusions with superimposed atelectasis are unchanged from the prior study of <unk>. The right apical pneumothorax is stable. A right pleural drain and left chest pigtail catheter are in unchanged position. The right-sided picc line ends at the low svc. Note is made of median sternotomy wires, left mediastinal clips, and a prosthetic mitral valve. Overall, there is little change from the prior study of <unk>.
<unk> year old woman with h/o b/l chylothorax, s/p repair, now w/ effusion left lung // pls eval interval change pls eval interval change
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Frontal and lateral radiographs of the chest demonstrate normal heart size, mediastinal and hilar contours. No focal consolidation or pneumothorax. Blunting of the posterior costophrenic sulcus may reflect trace if any effusion. Diffuse interstitial abnormality which is commonly seen in smokers or asmatics.
dyspnea.
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Right chest wall port is in standard position. The lungs are clear and the cardiomediastinal contour is normal. No pleural effusion or pneumothorax.
history: <unk>m with hx of pancreatic ductal adenocarcinoma with liver mets p/w <num> day of fever, change in chronic ruq pain.
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Pulmonayr edema has slightly improved since <unk>. Moderate left and small right pleural effusions are similar to prior with adjacent bibasilar atelectasis. Widespread pleural and parenchymal nodules are unchanged. No pneumothorax. Heart size and cardiomediastinal contours are stable. A cbd stent is noted in the right upper quadrant.
history: <unk>m with history of pleural effusions and fever. left midline in place and incr. pain. hx dvt // eval for interval incr in effusions, subsequent <unk> of pneumonia
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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 female with anemia, chest pain and dyspnea. please evaluate for acute cardiopulmonary process.
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No focal consolidation is seen. There may be a tiny pleural effusion. Enlarged cardiac silhouette and mild pulmonary vascular prominence is again noted. No pneumothorax is detected.
<unk>-year-old female with sickle cell anemia and left-sided pain.
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A left internal jugular central venous line ends in the low svc. There is no evidence of pneumothorax. The cardiomediastinal silhouette is normal. There is no pleural effusion. There is no focal lung consolidation.
<unk>f with left ij, status post line placement..
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Orogastric tube courses below the diaphragm into the stomach with its tip ending in the distal end of the stomach. Right-sided picc line ends <num> cm below the carina, probably in the upper right atrium. Consider retracting the picc by <num> cm for appropriate positioning. Moderate right pleural effusion associated with right lung atelectasis is unchanged. Left lung is clear. Cardiomediastinal silhouette is normal.
to confirm position of the nasogastric tube.
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Pa and lateral chest were provided. There is an area of consolidation at the right lung base, raises concern for pneumonia. There is no pneumothorax or pleural effusion. Cardiomediastinal silhouette is stable from prior study with the heart size being top normal.
<unk>-year-old woman with fever and cough, question cardiopulmonary process.
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A newly placed ng tube terminates in the stomach. The swan-ganz catheter has been removed. Small bilateral pleural effusions with minimal bibasilar subsegmental atelectasis are unchanged. There is no pneumothorax. Mild cardiomegaly despite the projection is unchanged.
<unk> y/o male s/p placement of ngt // eval position of ngt
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Stable symmetric bilateral apical pleural thickening. Clear lungs bilaterally without pleural effusion or pneumothorax. Heart size, mediastinal contours and hila are normal. No bony abnormality.
female with family history of breast and lung cancer, brca and mid thoracic pain. assess for thoracic bony abnormality or lung parenchymal disease.
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Moderate-to-large right pleural effusion, accompanying right lung atelectasis is unchanged since <unk>. Increased retrocardiac density on the left side and reflecting left lower lung volume loss and probably small left pleural effusion is also similar. Right internal jugular catheter sheath tip is at upper/mid svc. There is evidence of prior median sternotomy and sternal sutures are intact, consistent with status post avr. Mild to moderately enlarged heart size and minimally widened mediastinum suggesting mediastinal congestion is unchanged.
status post avr, to rule out effusion or changes in the effusion.
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In comparison to prior same-day chest x-ray from <unk> at <time>, there has been interval enlargement of the left-sided pneumothorax, status post water seal of pigtail catheter. Again visible are apical and superolateral components of the pneumothorax, similar, but slightly increased in size. There is has been re-appearance of a sizable anterior/retro-sternal component seen on lateral view -- this is similar in size and appearance to previous chest x-ray from <unk> at <time>, but increased compared with the film obtained earlier today. The hydro pneumo thorax component seen posteriorly on the lateral view is fairly similar to the most recent prior film. Bilateral pleural effusions are unchanged. No shift of mediastinal structures. No additional significant interval changes. Minimal atelectasis in the right cardiophrenic region again noted.
<unk> year old woman with ptx s/p port placement // please do exam at <unk> <unk>. question: status of ptx (put on water seal <unk> <unk>).
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Shallow inspiration. Minimal right basilar opacity, likely atelectasis. Normal heart size, pulmonary vascularity. No pleural fluid.
<unk> year old man with new stroke symptoms // rule out infection
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Patient's condition required examination in sitting position using ap frontal and left lateral views. Comparison is made with the next preceding similar study of <unk>. Status post sternotomy and bypass surgery as well as permanent pacer with dual intravascular electrodes are unchanged. Same holds for the cardiomegaly. On previous examination noted marked perivascular haze in the pulmonary circulation has regressed and almost normalized, indicating successful dehydration. The left-sided pleural effusion is minimal with mild blunting of the lateral and posterior pleural sinus. The large size right-sided pleural effusion is stable and apparently unrelated to the patient's now intermittent episode of pulmonary congestion.
<unk>-year-old male patient with large right pleural effusion, evaluate for interval change.
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In comparison with study of <unk>, there is no change. Endotracheal tube tip lies just above the clavicular level, approximately <num> cm above the carina. Right ij catheter again extends well into the right atrium.
et tube placement.
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As compared to the previous radiograph, the tracheal stent is in unchanged position. The known opacity at the right lung base has improved in the interval. However, the opacity is still clearly seen and shows air bronchograms in unchanged manner. Otherwise, the lung parenchyma is unremarkable. Moderate cardiomegaly. No pleural effusions. No new pneumonia.
tracheal stenosis, right lower lobe stenosis, rule out pneumothorax.
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Low lung volumes. There are multiple cavitating lesions slightly obscured by superimposed interstitial edema and are better seen on prior radiographs and ct. Interval increase in interstitial edema, however this can be exaggerated by low lung volumes. Mild platelike atelectasis in the right mid lung. The cardiomediastinal and hilar contours are stable. The small right pleural effusion has increased in the interval. The remaining pleural surfaces are normal. The left picc line terminates in the mid to lower svc.
<unk> year old woman with tricuspid endocarditis and septic arthritis // per rehab (want a baseline)
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There are bibasilar airspace opacities new compared to the prior study. Left lower lobe atelectasis also noted however the appearances are suspicious for aspiration. There is prominence of the pulmonary vasculature which appears hazy consistent with a degree of congestive heart failure. The projection precludes assessment of the heart size however prominence of the hila suggest a degree of congestive heart failure. Probable small left pleural effusion. No pneumothorax seen.
<unk> year old woman l basal ganglia hematoma, extending to ventricle // r/o aspiration pna
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There are bilateral hazy interstitial opacities likely representative of moderate pulmonary edema. Cardiomediastinal silhouette appears enlarged in comparison to prior study. There is a small right pleural effusion. Overall, these findings are representative of heart failure. Furthermore, a focal <num> x <num> cm nodularity is noted in the right upper lobe. No acute fractures identified.
evaluation of patient with cough and shortness of breath.
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Portable frontal radiograph of the chest demonstrates a right chest tube in unchanged position ending at the right apex. The right basilar pneumothorax continues to decrease in size. The pneumomediastinum is also decreasing. Extensive subcutaneous emphysema persists. Stable heart size and mediastinal contours. Small left pleural effusion is unchanged.
pneumothorax status post mitral valve repair. followup size of pneumothorax.
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Endotracheal tube terminates <num> cm above the carina. Consider advancing ett by <num>-<num> cm for appropriate seating. Orogastric tube ends within the stomach. Both lungs are well expanded without any opacities of concern. Heart size, mediastinal and hilar contours are normal. There is no pleural effusion.
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Small right pleural effusion and possible small left pleural effusion. Minimal interstitial edema and chronic interstitial changes. Cardiomegaly is mild. There is no pneumothorax.
history: <unk>m with sob // ? infiltrate
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There is minimal streaky density bilaterally consistent with subsegmental atelectasis or scarring. The lungs appear otherwise clear. The heart is normal in size. The aorta is tortuous. Mediastinal structures are stable in appearance. The bony thorax is grossly intact. A radiopaque catheter remains in place in the region of the inferior vena cava.
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<num> views were obtained of the chest. The lungs are well expanded and clear without pleural effusion or pneumothorax. The heart is normal in size with no pleural effusion or pneumothorax. The heart is normal in size with normal mediastinal and hilar contours. No free air is seen under the right diaphragm.
no bowel movement or flatus after procedure, assess for free intraperitoneal air.
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A right picc ends in the proximal right atrium. Bibasilar opacities are most consistent with atelectasis. Parenchymal opacity in the right upper lobe and bilateral lower lobes appears improved since the prior radiograph performed <num> day ago. Aortic knob is calcified. The heart is mildly enlarged. There is no pleural effusion or pneumothorax.
<unk> year old woman with picc transfer from osh. confirm picc line placement.
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In comparison with the study of <unk>, there has been some improvement in aeration of the right hemithorax with the mediastinum now midline. Nevertheless, there remains extensive opacification in the right hemithorax consistent with atelectasis and effusion. There may be some element of asymmetric pulmonary edema as well. On the left, opacification at the base is consistent with some combination of effusion and atelectasis. In the appropriate clinical scenario, superimposed pneumonia would have to be considered. Tracheostomy tube remains in place, and there is again evidence of cervical fusion.
bronchoscopy for heavy secretions.
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Left-sided pleural catheter projects over the left mid lung. Previously seen left pneumothorax no longer visualized. Previously described rib fractures are again seen. Otherwise, there has been no change.
<unk>f with traumatic pneumothorax s/p chest tube // chest tube placement
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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. The cardiac and mediastinal silhouettes are unremarkable. No overt pulmonary edema is seen.
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Comparison is made to prior study from <unk>. There is a new enteric tube whose side port is at the ge junction. The tip is in the fundus of the stomach. Heart size is within normal limits. There is a small right-sided pleural effusion, unchanged. There has been improved aeration of the right lung. There are no pneumothoraces.