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Frontal and lateral views of the chest. Low lung volumes are seen on the current exam with secondary crowding of bronchovascular markings and accentuation of the mediastinum which given differences in positioning and technique is not changed. There is no confluent consolidation, effusion or pneumothorax. No acute osseous abnormality is identified.
<unk>-year-old male with concern for possible dissection, chest pain.
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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. There is no pulmonary edema.
history: <unk>m with chest pain, presyncope // r/o chf
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As compared to prior chest radiograph from <unk>, there has been interval removal of a right-sided picc line. The cardiomediastinal and hilar contours are within normal limits. The lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax. No acute osseous abnormality.
status post bone marrow transplant with weakness, fatigue, syncope. evaluate for pneumonia.
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The cardiomediastinal contours are normal. The patient has been extubated, and there is resultant mild pulmonary edema. Opacification of the right lower lobe with air bronchograms may be accounted for by pulmonary edema, but attention on followup after treatment is recommended. Enteric tube is in standard position. There is no pleural effusion or pneumothorax.
evaluate for interval change in a patient with right mca aneurysm status post treatment.
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Endotracheal tube is in standard position with tip terminating approximately <num> cm from the carina. An enteric tube tip is within the stomach. Right sided port-a-cath tip terminates at the junction of the svc and right atrium, unchanged. Lung volumes are low. The heart size is mildly enlarged. Mediastinal and hilar contours are unchanged. Pulmonary vasculature is not engorged. Linear opacity within the right lung base is worse in the interval compatible with progressive atelectasis. Minimal atelectasis is also noted in the left lung base. There may be a small right pleural effusion. No pneumothorax is identified. Several clips are seen projecting over the right upper quadrant of the abdomen.
history: <unk>m with intubation.
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Ap and lateral chest radiographs were obtained. Lung volumes are low. The lungs are clear. There is no nodule, consolidation, effusion, pneumothorax. Moderate to severe cardiomegaly is unchanged. The trachea remains deviated rightward.
altered mental status.
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An opacity at the right mid and lower lung zones is noted. Again seen is a small right pleural effusion. No pneumothorax is seen. Mild cardiomegaly is noted. Left-sided port-a-cath terminates in the distal svc.
<unk> year old woman with hx breast cancer on chemo p/w cough, sob, desatting to <unk>% ra // evaluate for presence of infiltrate
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Frontal and lateral views of the chest were obtained. A status post median sternotomy and cardiac valve replacement. Somewhat rounded retrocardiac opacity is seen with slight lucency within, most likely relating to a hiatal hernia; recommend clinical correlation with history of such if none, consider nonurgent chest ct to evaluate this. Posterior basilar opacity is seen most best on the lateral view and underlying infection or aspiration may be present. Cardiac silhouette is mildly enlarged. The aorta is calcified and tortuous. Degenerative changes are seen at the left shoulder joint; difficult to exclude trace effusion.
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Right mid lung linear atelectasis/ scarring is again seen. There is also minimal left mid lung atelectasis/scarring. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.
<unk> year old woman with vomiting // eval for pna, aspiration
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The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. Obscuring of the heart apex is likely from prominent epicardial fat pad, better seen in the lateral view. A spinal stimulator is seen in the mid thoracic region.
<unk>-year-old female with cough. evaluate for infiltrate.
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The lungs are well inflated and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax. Degenerative changes are noted in the thoracic spine.
cough, evaluate for pneumonia
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The lungs are hypoinflated with bibasilar atelectasis. Heart size is mildly enlarged and likely accentuated by the portable technique. There is no pleural effusion or pneumothorax. Osseous structures are intact
<unk>f with cholecystitis, hypoxia // eval for acute abnormality
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There is no consolidation, pleural effusion, or pneumothorax. Cardiomediastinal and hilar silhouettes are normal size.
history: <unk>f with copd, atypical chest pain p/w uri sxs and now <unk> min episode severe cp // eval ? infiltrate, effusion
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Frontal and lateral views of the chest demonstrate low lung volumes. No focal consolidation is seen. There is no pleural effusion or pneumothorax. Right-sided aortic arch is present. There is no pulmonary edema. Heart size is normal. Linear opacity involving left lung base likely represents atelectasis, and appears slightly less conspicuous from <unk> exam.
patient with productive cough and liver failure. assess for pneumonia.
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Lung volumes are slightly low. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable. Imaged upper abdomen is unremarkable. The bones are intact.
history: <unk>m with urinary retention, low wbc, low platelets, febrile to <num> // ?consolidation
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Pa and lateral views of the chest are compared to previous exam from <unk>. Linear opacities in the retrocardiac region and at the bilateral bases are most suggestive of atelectasis. Superiorly, the lungs are clear. There is no pulmonary vascular congestion. The cardiomediastinal silhouette is within normal limits. The osseous structures are notable for two vertebroplasties in the mid thoracic spine. Surgical clips are identified in the left upper quadrant.
<unk>-year-old female with sepsis. question pneumonia.
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Single portable upright frontal chest radiograph demonstrates mildly hypoinflated lungs. No pleural effusion or pneumothorax. Persistent mild cardiomegaly. Mediastinal contour and hila are otherwise unremarkable. No free air under the diaphragm.
<unk>f with severe abdominal pain. assess for free air.
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As compared to chest radiograph from earlier the same day, left-sided apical pneumothorax has slightly decreased and is small. No evidence of tension. The lungs are otherwise unremarkable. The cardiac silhouette is unremarkable.
<unk> year old woman with left pneumothorax // check for re-expansion of left lung with ct on suction
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Pa and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding similar study of <unk>. Chest findings are completely unaltered between the two examinations of <unk> and <unk>. Thus, there is no evidence of any rib fracture or detectable chest wall injury. The patient underwent a right-sided specific rib cage examination on <unk>, again with negative results. The patient's character of symptoms may call for repeat of a dedicated rib examination.
<unk>-year-old male patient with right lateral rib cage pain for <num> months, assess for fracture or other abnormality.
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The heart size is difficult to assess due to the presence of bibasilar airspace opacities, possibly reflecting atelectasis though aspiration or infection are not excluded. There are bilateral pleural effusions, small on the left and moderate on the right, with mild pulmonary edema noted. The mediastinal contours are unchanged. There is no pneumothorax. Diffuse demineralization of the osseous structures is present with mild loss of height of several thoracic vertebral bodies, similar compared to the previous exam.
worsening pedal edema.
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Upright ap and lateral views of the chest demonstrate low lung volumes. The lungs are clear, with no evidence of pneumothorax, pulmonary edema or focal airspace opacity. No large pleural effusion is identified. The heart is moderately enlarged, best appreciated on the lateral view. No displaced rib fractures are identified on the ap and lateral views.
<unk>-year-old female status post fall. evaluation for rib fractures.
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There is stable enlarged cardiac silhouette without signs of pulmonary edema or pulmonary vascular congestion. There is poor definition of one hemidiaphragm suggestive of pleural thickening or pleural effusion. The lungs are otherwise clear. There is no pneumothorax. Dual-lead pacer is again seen with lead terminating in expected position at the right ventricle.
<unk>-year-old with signs and symptoms of chf exacerbation.
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There is persistent slight blunting of the costophrenic angles. Cardiac and mediastinal silhouettes are stable. No focal consolidation is seen. There is minimal interstitial edema. There is no pneumothorax. Mediastinal contours are stable and unremarkable.
history: <unk>f with history of cad p/w chest pain // eval for pneumonia, chf
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The lungs are clear. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits. Calcified mediastinal lymph nodes are again noted. No acute osseous abnormalities. Right-sided breast implant is noted.
<unk>f with kidney/panc transplant and rca stenting with sharp left sided cp. // pneumonia?
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The patient's chin overlies the medial lung apices, obscuring the view. There are linear opacities at the lung bases, left greater than right, suggesting atelectasis. Underlying consolidation at the left lung base is not excluded in the appropriate clinical setting. No large pleural effusion is seen although a trace right pleural effusion be difficult to exclude. There is no overt pulmonary edema. The aorta is calcified with the upper mediastinum is not well assessed due to patient's overlying chin. The cardiac silhouette is enlarged.
chf.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>m with chest pain
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Cardiac, mediastinal and hilar contours are normal. Lungs are clear. No pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities.
pain to the chest and leg with leg swelling.
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In comparison with the study of <unk>, there are even more prominent diffuse bilateral pulmonary opacifications consistent with severe pulmonary edema. Monitoring and support devices remain in place. Bibasilar opacifications with poor definition of the hemidiaphragms is consistent with volume loss in the lower lobes and small effusions.
crackles, to assess for pulmonary edema.
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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. A catheter projects over the left upper abdomen.
<unk>m with cp, fever // pna?
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The cardiomediastinal and hilar contours are within normal limits. The lungs are clear. There is no pleural effusion or pneumothorax.
<unk>-year-old female with left wrist pain and generalized weakness.
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Frontal and lateral radiographs of the chest demonstrate normal heart size, mediastinal and hilar contours. No focal consolidation, pleural effusion or pneumothorax is present.
chest pain.
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Pa and lateral views of the chest provided demonstrate no signs of pneumonia or chf. Cardiomediastinal silhouette is normal. Bony structures are intact. Hardware is noted in the cervicothoracic junction. There are clips noted in the right upper quadrant and partially visualized ivc filter noted on the lateral view.
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A portable frontal chest radiograph demonstrates a left chest pacemaker with the leads overlying the right atrium and ventricle, a right jugular central catheter with the tip in the mid svc, and a nasogastric tube which extends at least into the stomach. The endotracheal tube tip is <num> cm above the carina. The cardiomediastinal silhouette is normal. There is a moderate right pleural effusion. The lungs are otherwise clear. There is no pneumothorax.
pneumothorax status post intubation. evaluate for pneumothorax.
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There is a retrocardiac opacity with air bronchograms concerning for infection. The cardiac silhouette is moderately enlarged but unchanged. There is no pleural effusion or pneumothorax. Surgical clips are noted in the region of the thyroid gland. Included upper abdomen is unremarkable. Osseous structures are grossly intact.
chest pain, evaluate for pneumonia.
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The small to moderate left apical pneumothorax has increased in size compared to the prior examination. No appreciable atelectasis is identified. The left hemidiaphragm contour is unchanged. The mediastinum remains midline. The heart is not enlarged. Cardiomediastinal silhouette and hilar contours are unchanged. No chf, focal infiltrate or pleural effusion. Minimal right and likely also left apical pleural thickening is unchanged.
chest pain
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<num> mm calcified nodular opacity projecting over the right upper lung most likely represents a calcified granuloma. No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are unremarkable. No displaced fracture identified.
history: <unk>f with rib pain after amusement park ride incident striking right chest on restraint bar. // rib fx.
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In comparison with the earlier study of this date, the patient has substantially rotated, making it difficult to evaluate the heart and lungs. There is new opacification projected over the outer aspect of the lower half of the left lung. It is unclear whether this merely represents overlying soft tissues due to change in patient's position. Hazy opacification bilaterally is consistent with pleural effusions. Continued opacification in the right mid and lower zones suggests pneumonia in a patient with some interstitial prominence related to elevated pulmonary venous pressure. Stable enlargement of the cardiac silhouette.
difficulty swallowing, to assess for radiopaque foreign body.
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Semi upright view of the chest provided. Side port of the gastric tube is below the ge junction, but the tip appears to be coiled back up into the esophagus. Et tube tip is approximately <num> cm above the carina. There is no focal consolidation or pneumothorax. There is questionable trace left pleural effusion and/or atelectasis. The heart size is top-normal. No free air below the right hemidiaphragm is seen. Surgical clips are project over both breasts and the right upper abdomen.
<unk>f with ett ogt // ogt intubated
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The lungs are clear and well expanded. Minimal bilateral apical scarring is unchanged since <unk>. There is no focal opacity, pleural effusion or pneumothorax. The cardiac and mediastinal contours are normal.
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The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. No fracture is identified on this limited ap view.
weakness (per omr), and lower extremity swelling and pain. evaluate for acute process.
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New right lower lung consolidation is compatible with aspiration or pneumonia. Fissural loculation in right minor fissure has resolved. Left lower lobe collapse has slightly improved. There is no pneumothorax. Et tube ends <num> cm above carina. Ng tube is in the stomach. Mediastinal and cardiac contours are normal. The patient had prior surgery of cervical spine. A right-sided picc line ends in mid svc.
patient with c<num> quadriplegia, recurrent fever, on antibiotics, please evaluate for interval change.
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There is no focal consolidation. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. There is no evidence of pulmonary edema.
cardiac history, presenting with chest pain and cough, question of acute process.
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Pa and lateral views of the chest provided demonstrate no focal consolidation, effusion or pneumothorax. The heart and mediastinal contours are normal. Bony structures are intact. No free air below the right hemidiaphragm.
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The tip of the right-sided picc line that was previously inside the atrium is now at the level of mid svc. There are no other significant changes compared to the prior study. No pneumothorax.
<unk>-year-old man with new picc line, line was pulled back <num> cm for better placement, reevaluate.
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The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The mediastinal contour is normal. The heart size is moderately enlarged. In several of the mid thoracic and lumbar vertebral bodies, there is mild anterior wedging, which is likely chronic, though there are no prior exams for comparison.
chest pain, leg swelling, and recent plane flight. evaluate for infiltrate or signs of pulmonary embolism.
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Lung volumes are low normal. There is no focal consolidation, effusion, or pneumothorax. There is mild unfolding of the thoracic aorta and mild calcification at the aortic knob. Otherwise, mediastinal and hilar contours are normal. There is mild central vascular congestion without overt pulmonary edema. Moderate cardiomegaly, of indeterminate chronicity. Old left rib fractures are noted.
history: <unk>f with headache, dysarthria, since awakening this morning // ?ich
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Ap upright portable chest radiograph was provided. There is increased nodular opacity in the left lung base concerning for pneumonia. The right lung is clear. Heart size is difficult to assess. Mediastinal contour is stable. No large effusion or pneumothorax is seen. Bony structures appear intact, though degenerative changes at the glenohumeral joint is noted bilaterally.
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Right internal jugular venous access catheter with tip in lower svc is in unchanged position. Bibasilar opacity seen previously are stable. There is slight increase in upper zone pulmonary vascular redistribution. Osseous structures appear unchanged. No pneumothorax.
post-op day <num> after renal transplant with increased shortness of breath in setting of aggressive volume resuscitation and fevers.
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In comparison with study of <unk>, there is little change other than healing of the upper rib fractures on the left. No pneumonia, vascular congestion, or pleural effusion.
left chest pain.
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with arm/leg numbness. // pna?stroke?
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Pa and lateral views of the chest. The lungs are clear. There is no consolidation, effusion or pulmonary vascular congestion. The cardiomediastinal silhouette is normal. No acute osseous abnormalities.
<unk>-year-old male with dyspnea.
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The ng tip and side hole are both in the stomach. The right picc has a tortuous course and the tip lies somewhere in the upper to mid svc. The lungs remain clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is stable. Mediastinal surgical clips are unchanged.
chronic lingular suppressed. evaluation for pneumonia.
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Single frontal view of the chest was obtained. The heart is of normal size with normal cardiomediastinal contours. Atelectasis is seen at the bilateral lung bases. No focal pulmonary consolidation, pneumothorax, or pleural effusion. Osseous structures are unremarkable. No radiopaque foreign body.
<unk>-year-old male with hypotension. evaluate for pneumonia.
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Frontal and lateral views of the chest are compared to previous exam from <unk>. The lungs are clear of focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.
<unk>-year-old man with mvc.
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Frontal and lateral views of the chest. Left upper lobe pulmonary nodule with fiducial marker is again seen and grossly unchanged. The lungs are clear of new consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is stable. No acute osseous abnormality is detected.
<unk>-year-old male with chf and copd, multiple myeloma, presents with dyspnea.
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Ap and lateral views of the chest are compared to previous exam from earlier the same day at <time> a.m. Within limitation of patient body habitus, the lungs are clear. There is no effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.
<unk>-year-old female status post <unk> x<num> in the past <num> hours. chest pain.
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Ap and lateral views of the chest. Blunting of the left lateral costophrenic angle may be due to a combination of atelectasis and small effusion. Low lung volumes seen on the lateral view. The lungs elsewhere are grossly clear. Chronic changes seen in the glenohumeral joints bilaterally and posterior spinal fixation hardware in the thoracolumbar region.
<unk>-year-old female with syncope versus seizure.
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The heart is normal in size. Small right hilar calcifications suggest prior granulamtous exposure. The mediastinal and hilar contours appear otherwise unremarkable. There is no pleural effusion or pneumothorax. The lungs appear clear. Nondisplaced fractures involving the posterior right fifth through seventh rib fractures appear probably old.
intermittent substernal chest pain.
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The lungs are clear without infiltrate or effusion. The aorta is mildly tortuous. The cardiac silhouette is normal. No bony abnormalities are seen.
fever and cough.
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Lung volumes are normal. There are bilateral perihilar opacities and reticular markings likely representing septal thickening, all of which are compatible with pulmonary edema. A mass overlies the left lung measuring <num> x <num> cm, minimally changed in size from chest ct <unk>. There is blunting of the bilateral costophrenic angles which may be compatible with a trace bilateral pleural effusions linear opacities overlying both lower lobes likely represent subsegmental atelectasis.
history: <unk>f with sob after iv dye // eval infiltrate
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There is a retrocardiac opacity which persists on the lateral view. Elsewhere, lungs are clear. The cardiomediastinal silhouette is stable. No acute osseous abnormalities.
<unk>f with htn, dm<num>, off meds, here w/ cough for <num> month, bloody sputum production // please eval for pneumonia, pulm edema
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A dual lumen right-sided central venous dialysis catheter is seen, terminating in the low svc and cavoatrial junction/proximal right atrium. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No overt pulmonary edema is seen.
hiv, end stage renal disease on hemodialysis, presenting with dyspnea and fever.
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with unexplained epigastric pain, difficulty breathing when lying on side // eval for ?orthopnea
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The lungs are well inflated and clear. No pulmonary edema. No pleural effusions. Mild cardiomegaly with aortic knuckle prominence and calcification. Left upper chest wall pacemaker and into pacer wires are intact. There is no pneumothorax. Ekg leads overlie the upper abdomen. Multilevel degenerative changes of the thoracic spine noted.
<unk> year old woman with pacemaker // eval for leads and pneumothorax
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The right port-a-cath tip projects over the expected region of the mid to upper svc, unchanged. No significant interval change from the prior exam. Cardiomediastinal silhouette is unchanged. There is central pulmonary vascular prominence, unchanged. No pneumothorax, effusion, or edema.
<unk> year old man with tachycardia, fever, concern for pe, refusing ct r/o pe // eval for pneumonia.
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Pa and lateral views of the chest provided. Lungs are clear. No signs of pneumonia or chf. No foreign bodies are seen. Cardiomediastinal silhouette is normal. Bony structure is intact. No free air below the right hemidiaphragm.
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Frontal and lateral views of the chest. No prior. The lungs are clear of consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is within normal limits. Hypertrophic changes are seen in the spine. Severe degenerative changes noted at the left shoulder with rounded calcific densities projecting over the scapula, potentially intra-articular bodies.
<unk>-year-old female status post fall versus syncope on <unk>.
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As compared to the previous radiograph, there is no relevant change. The lung volumes remain low. There are signs of moderate pulmonary edema. Unchanged monitoring and support devices. Unchanged areas of atelectasis at the lung bases. No evidence of pleural effusions.
status post acute mitral insufficiency, evaluation for interval change.
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Et tube tip in satisfactory position approximately <num> cm above the carina. Ng tube present, extending beneath diaphragm. The tip overlies the stomach. The sideport likely also overlies the stomach, but may lie just distal to the ge junction. A left ij central line tip overlies the proximal svc. No pneumothorax detected. Again seen areextensive diffuse bilateral alveolar opacities and as well as increased retrocardiac density, obscuration of the left hemidiaphragm, and of the extreme lateral right hemidiaphragm. Confluent biapical opacity again noted. The overall appearance is similar to the prior study, allowing for technical differences. The right hemidiaphragm is slightly better defined on today's examination, which could reflect very slight improvement at the right lung base. The possibility of bilateral small effusions cannot be excluded.
this is a <unk> f from <unk>, recent diagnosis of bilateral cryptogenic pneumonia, pmr, afib, nstemi last week, cath with <num>vd, schf (ef <unk>%), who initially presented with fever and respiratory distress to bi-n. // evaluate interval change
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The cardiac silhouette is mildly enlarged. The hilar and mediastinal contours are stable. There is mild bibasilar. There is no pulmonary edema. There is no focal consolidation, pleural effusion or pneumothorax.
history: <unk>m with whipple <unk> now presenting after <num> wk at rehab for sepsis, now mild incr o<num> requirement // eval ? interval changes, edema
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Frontal and lateral views of the chest were obtained. The pleurx catheter projects over the right hemithorax, unchanged in position. A small right apical pneumothorax is noted. Small bilateral pleural effusions are slightly decreased on the right and similar on the left with adjacent atelectasis. No pneumothorax. The right upper lobe mass is again seen. Pulmonary vasculature is within normal limits. Cardiac and mediastinal silhouettes are stable.
pleural effusion and small pneumothorax with pleurx catheter in place.
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Cardiomediastinal contours are normal. Aside from minimal residual opacities likely atelectasis in the lingula, the lungs are grossly clear. There is no pneumothorax or pleural effusion. The osseous structures are unremarkable. Surgical clips project in the right upper quadrant
<unk> year old man with lymphoma admitted with fever w/complaints of right rib pain. // r/o infiltrate, rib pathology
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Lead of a right chest wall generator terminate in stable position. Mild cardiomegaly and upper mediastinal contours are stable. Medial left lower lobe opacity has slightly improved compared to the prior exam. No substantial pleural effusion or pneumothorax.
history: <unk>m with fever // infiltrate?
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There is a focal region of consolidation projecting over the anterior left sixth rib without localization on the lateral view. Elsewhere, the lungs are clear. Cardiomediastinal silhouette is stable noting prosthetic mitral valve. No acute osseous abnormalities.
<unk> year old man with hypotension and brady with previous history of ivdu and endocarditis. xray part of infectious work-up. // any possible source of infection?
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The lungs are well expanded and clear without evidence of interstitial thickening or nodularity. Postoperative mediastinum and cardiac borders are normal. The heart is top-normal in size. No pleural effusion.
<unk> year old woman with af on amiodarone, screening for toxicity // <unk> year old woman with af on amiodarone, screening for toxicity
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The lungs are hypoinflated with crowding of vasculature. No pleural effusion or pneumothorax. Heterogeneous right lower lobe opacity is most consistent with atelectasis. Heart size, mediastinal contour, and hila are unremarkable. An enteric feeding tube is seen coursing midline with tip in stomach and side ports above the level of the diaphragm. An endotracheal tube is in appropriate position.
<unk>f with status ep. intubated. assess endotracheal tube placement.
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Ap upright and lateral views of the chest provided. Lung volumes are low limiting evaluation. Allowing for this, there is diffuse interstitial pulmonary edema. No large effusions or pneumothorax. Heart is mildly enlarged. Aorta is unfolded and calcified. Bony structures appear grossly intact though diffusely demineralized. Hyperdense foci overlying the right hemi abdomen may reside external to the patient.
<unk>f with unwitnessed fall // eval for bleed, fracture
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Frontal and lateral views of the chest. The lungs are grossly clear. Costophrenic angles are obscured, likely due to overlying soft tissues. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified.
<unk>-year-old female with one month of cough and bilateral ear pain.
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Right picc line ends close to the superior cavoatrial junction. Mild enlargement cardiac silhouette unchanged. Left pleural effusion small on the left if any, in the setting of chronic elevation of the left hemidiaphragm laterally probably due to pleural scarring. The lungs are unchanged with minimal retrocardiac atelectasis. No pulmonary edema.
<unk> year old man s/p kidney transplant and nephrostomy placement now with chills. // eval for pna
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The patient is status post right pneumonectomy with associated shift of midline structures. There is opacity within the left mid and lower lung base concerning for pneumonia, less likely pulmonary edema. There is no pleural effusion.
<unk>-year-old male with dyspnea, evaluate for acute process.
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Subtle change in the contour of the medial right diaphragm that cannot be completely characterized on single view. The lungs are otherwise clear. No pleural effusions or pneumothorax. Right picc tip ends in mid svc. Mild cardiomegaly is unchanged from prior exam.
acute chills, evaluate for infectious process.
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Heart size is top normal. The aorta is mildly tortuous. Mediastinal and hilar contours are otherwise unremarkable. Pulmonary vasculature is not engorged. Scarring is noted right upper lobe with a <num> mm circular opacity noted, potentially an area of cavitation. Linear opacities within the right middle lobe are compatible with areas of subsegmental atelectasis or scarring. No focal consolidation, pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities.
<unk> year old woman on treatment for tb, now with influenza like illness
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On this single ap view, ill-defined, right perihilar opacity is present, either represent summation of soft tissue/vascular shadow or true parenchymal abnormality. Heart size is normal, mediastinal and hilar contours are unremarkable. There is no pleural abnormality.
preop radiograph.
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As compared to the previous radiograph, the lung volumes have slightly increased. The extent of the bilateral pleural effusions is not substantially changed. They continue to be moderate-to-severe in extent. Subsequent areas of atelectasis are also constant. Unchanged size of the cardiac silhouette.
evaluation for pleural effusions.
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An enteric catheter crosses the diaphragm and extends inferiorly out of the field of view. Assymetric right pulmonary vascular congestion has worsened since <num>am. Layering right effusion and basilar atelectasis are similar. Extensive subcutaneous emphysema along the right lateral chest wall extends up to the neck.
<unk>-year-old man with nasogastric tube placement.
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There is a severe levoconcave scoliosis of the thoracic spine. The compensatory dextroconcave scoliosis of the lumbar spine is not included on this radiograph as in priors. The lungs, however, remain clear without consolidation or edema. Evidence of prior median sternotomy and cabg noted. The cardiac silhouette size is stable. There is suggestion of blunting posteriorly of the left costophrenic angle which has been noted on prior exams may be due to chronic effusion or scarring. No right effusion is noted. There is no pneumothorax. No displaced fractures are evident.
nausea.
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Pa and lateral views of the chest provided demonstrate no focal consolidation, effusion, or pneumothorax. The heart and mediastinal contours are normal. Bony structures are intact. No free air below the right hemidiaphragm.
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Cardiomediastinal contours are normal. Lungs are clear except for a calcified granuloma in the right mid lung. Focal pleural or extrapleural opacity adjacent to the intersection of the left eighth posterior and left seventh anterior ribs is noted. Costophrenic sulci appear clear. Degenerative changes are present in the spine.
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The lungs are well expanded and clear. A <num>-cm rounded opacity projecting over the right hilum is better assessed in prior ct and represents hilar lymphadenopathy. No new hilar or mediastinal mass is observed. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. A right-sided port-a-cath line ends in lower svc.
patient with history of lymphoma and new fever. evaluate for acute cardiopulmonary process.
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Right internal jugular central venous catheter tip terminates in the mid svc. The cardiac, mediastinal and hilar contours are unchanged with the heart size appearing mildly enlarged. Pulmonary vasculature is not engorged. No focal consolidation or pneumothorax is seen. The right costophrenic angle is excluded from the field of view. No left pleural effusion is present. Partially imaged is a left percutaneous nephrostomy catheter. Tips is seen within the right upper quadrant of the abdomen.
history: <unk>m with cvl placement
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As compared to the previous radiograph, patient is extubated and the nasogastric tube has been removed. The right picc line is in unchanged position. There is unchanged evidence of minimal bilateral pleural effusions and overall lower lung volume. Atelectatic changes are seen at both lung bases. No pulmonary edema. No cardiomegaly. No pneumonia.
pneumonia, pleural effusion, history of burkitt's lymphoma.
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In comparison with the study of <unk>, the area of patchy opacification in the right lower lung is unchanged, consistent with pneumonia. Blunting of the right costophrenic angle is again noted. No evidence of pulmonary vascular congestion.
wegener's and recent sepsis.
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No pleural effusion or pneumothorax. The icd leads follow their expected course. The heart is normal.
<unk> year old man with biv icd and new noise seen on rv lead // evaluation of rv lead evaluation of rv lead
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The lungs are clear without focal consolidation, effusion, or edema. There is relative elevation of left hemidiaphragm. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with back pain and abdominal pain. // eval for any evidence of widened mediastinum
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Frontal and lateral views of the chest. No prior. Relatively low lung volumes are seen. The lungs, however, are clear of focal consolidation, effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. There is a mid-to-lower thoracic dextroscoliosis. There is relative height loss at the left lateral aspect of the t<num> vertebral body which is age indeterminant. Osseous structures are otherwise unremarkable.
<unk>-year-old male status post high-speed mvc <num> hours ago, car flipped and positive seatbelt sign note airbag.
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Patient is status post median sternotomy, cabg, and mitral valve replacement. Heart size is normal. Mediastinal and hilar contours are unchanged. Mild pulmonary vascular congestion appears slightly improved in the interval. There is atelectasis noted at the lung bases without focal consolidation. No pleural effusion or pneumothorax is detected.
history: <unk>f with chest pain // eval for infiltrate
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Left small pleural effusion has slightly increased since previous exam. The pleural effusion on the right side is minimal. Moderate cardiac contour enlargement is stable. It is impossible to assess the quantity of pericardial fluid left. The lungs are otherwise clear. There is no pneumothorax.
patient with pleural effusion, evaluation.
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A right picc is unchanged in position with the tip terminating in the low svc. The patient is status post median sternotomy with multiple intact appearing sternal wires. The lung volumes remain low, which accentuate bronchovascular markings. A left basilar consolidation is unchanged. There is unchanged small bilateral pleural effusions. There is no pneumothorax. The cardiac silhouette is top normal in size. The mediastinal and hilar contours are within normal limits with mild tortuosity of the aorta.
fever and bacteremia, here to evaluate for pneumonia.
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Frontal and lateral views of the chest were obtained. There are relatively low lung volumes on the frontal view. Evidence of volume loss in the right upper lung is again seen, without retraction of the right hilum consistent with prior history of right upper lobectomy, similar in appearance as compared to the prior study, given differences in inspiration. The left lung is clear. No pleural effusion or pneumothorax is seen.
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Lungs are distorted by a marked kyphosis of the thoracic spine and patient rotation. There is mild vascular congestion with tiny bilateral pleural effusions. Heart is moderately enlarged but unchanged. No pneumothorax or focal airspace consolidation. There is a large hiatal hernia. Multilevel degenerative changes of the thoracic spine are unchanged.
metastatic breast cancer and chronic kidney disease here with a likely tia, now with new onset hypoxemia. evaluate for pulmonary edema.