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Cardiac silhouette size appears top normal. Rightward shift of mediastinal structures is noted as result of volume loss in the right lower lobe. Right lower lobe central mass resulting in a right lower lobe patchy opacity, likely postobstructive atelectasis, is noted, but better visualized on the previous ct. Remainder of the lungs are clear without new focal consolidation. No pneumothorax or pleural effusion is identified. The pulmonary vasculature is not engorged. Soft tissue calcifications are seen within the left chest wall. Degenerative changes with anterior osteophyte formation is noted in the thoracic spine. No acute fractures are clearly seen.
history: <unk>m with fall with neck pain, on coumadin
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The cardiac, mediastinal and hilar contours are normal. Lungs are clear and the pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. There are mild multilevel degenerative changes in the thoracic spine.
dyspnea.
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Pa and lateral chest radiographs demonstrate clear lungs. The heart size is normal. There is no pleural effusion or pneumothorax.
chest pain after weight fell on patient.
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Stable cardiomegaly accompanied by slightly worsening diffuse pulmonary opacities, most likely representing pulmonary edema, although atypical pneumonia could produce a similar appearance in the appropriate clinical setting. All radiographs after diuresis may be helpful in this regard. Persistent small left pleural effusion. No visible pneumothorax.
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The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. The lungs are well-expanded and clear without focal consolidation concerning for pneumonia. Height loss of a vertebral body near the thoracolumbar junction with focal kyphosis at this level is chronic.
<unk>m with cough.
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A vague opacity is noted in the right upper lung and new compared to prior study and is likely an osseous deformity of the <unk> anterior right rib. Otherwise, previously noted right internal jugular central venous catheter has since been removed. The lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. No acute fractures are identified.
evaluation of patient with chest pain.
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Pa and lateral views of the chest were provided. There is stable borderline cardiomegaly. There is again noted to be prominence of the right pulmonary hilum which is unchanged compared with multiple prior exams and is thought to reflect patient's known pulmonary hypertension and enlarged pulmonary arteries. Please note, the patient is also known to have hilar lymphadenopathy as seen on prior ct chest from <unk>. There is similar overall appearance of the chest compared with the prior exam with no overt signs of pneumonia or chf. No pneumothorax or pleural effusion is seen. Bony structures are intact.
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There is new left basilar opacity silhouetting the hemidiaphragm. Elsewhere, the lungs are clear. Cardiac silhouette is mildly enlarged. Atherosclerotic calcifications are noted at the aortic arch. Left chest wall dual lead pacing device is seen with tips in the left ventricle left atrium. Calcified breast implants are noted. No acute osseous abnormalities.
<unk>f with cough // evidence of pneumonia
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As compared to the previous radiograph, there is no relevant change. With nipple markers in place, there is no evidence of the pre-described nodules being the nipples. Known apical scarring, but no signs of overinflation. No acute changes.
shortness of breath, questionable nodule.
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Lung volumes are low. Patient is status post left-sided aicd device with single lead terminating in the right ventricle, unchanged. Patient is also status post median sternotomy and cabg. Moderate cardiomegaly is re- demonstrated. Mediastinal and hilar contours are unchanged. Mild interstitial pulmonary edema is not substantially changed in the interval. No focal consolidation, pleural effusion or pneumothorax is present.
history: <unk>m with cough, confusion
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There is focal opacity in left mid lung, obscuring the left heart border, likely due to pneumonia in the lingula. Heart size is difficult assess, the likely normal. Mediastinal and hilar contours are unremarkable. There is no evidence for pulmonary edema, pleural effusion, or pneumothorax.
<unk> year old woman with cough, fever, sob x <num> days. evaluate for pneumonia.
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Endotracheal tube terminates approximately <num> cm above though a chronic area enteric tube is seen coursing below the level of the diaphragm, terminating in the expected location of the distal stomach. Left base opacity is seen which could be due to aspiration or infection. A small left pleural effusion is not excluded. No pneumothorax is seen. The right lung is clear. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with ams // confirm placement of et tube
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Cardiac silhouette size is normal. Mediastinal and hilar contours are unchanged. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is identified. No acute osseous abnormality is present.
history: <unk>f with confusion // eval pneumonia
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Lungs are clear without focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits. Atherosclerotic calcifications are noted at the aortic arch. No acute osseous abnormalities identified. Surgical clips are seen in the right upper quadrant suggesting prior cholecystectomy.
<unk>f with chest pain // please evaluate for pneumonia, mediastinal widening, cardiac size.
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Frontal and lateral views of the chest were obtained. There is blunting of the posterior costophrenic angle suggesting trace pleural effusions. Bibasilar atelectasis is seen. There is diffuse mild increase in interstitial markings bilaterally, which may relate to chronic lung disease with possible minimal interstitial pulmonary edema. The cardiac and mediastinal silhouettes are stable. The aortic knob is calcified.
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Frontal and lateral views of the chest demonstrate no focal areas of consolidation. Scarring at the left lung apex is unchanged. A double contour on chest x-ray in the left lower lung represents mediastinal fat. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unchanged.
history breast cancer currently undergoing chemotherapy with persistent cough, evaluate for pneumonia.
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As compared to the previous radiograph, the patient has received a nasogastric tube. The tip of the tube is in the proximal part of the stomach, the sidehole projects approximately <num> cm beyond the gastroesophageal junction. No evidence of complication is seen. Otherwise, unchanged chest radiograph with known right rib fractures.
left acute subdural hemorrhage, evaluation for nasogastric tube placement.
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The midline is visualized. Large hiatal hernia in the left lower chest is larger than on <unk>. Adjacent atelectasis is unchanged. The right lung is clear. Mediastinal contours and cardiac silhouette are stable from <unk>. No pleural effusion or pneumothorax.
<unk>f with mid-line // line check
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The lungs are clear besides calcified granuloma at the right lung base which is unchanged. The cardiomediastinal silhouette is within normal limits. Slightly tortuous descending thoracic aorta is noted with atherosclerotic calcifications at the arch. No acute osseous abnormalities. Surgical clips in the right upper quadrant suggest prior cholecystectomy.
<unk>f with htn, new onset bigeminy w/ bradycardia. please eval heart size, lung fields. // cardiomegaly?
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Left picc terminates in the azygos vein. Interval placement of the tracheostomy tube appears in appropriate position. Surgical suture is noted overlying the left upper lung. Dense right lung base opacity is increased than before and may reflect increased atelectasis. Cardiomediastinal silhouette is normal size. There is probable small right pleural effusion. Displaced lateral right third rib fracture is noted.
<unk> year old man with prolonged ventilator dependence in the setting of ivh s/p fall // ? interval change
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Cardiomediastinal contours are normal. The lungs are clear. There is no pneumothorax or pleural effusion. The osseous structures are unremarkable. There is a new dual lead pacemaker with tips projecting over the expected location
<unk> year old man s/p ppm // <unk> year old man s/p ppm
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In comparison with study of <unk>, the right upper lobe pneumonia has completely cleared and there is no evidence of acute cardiopulmonary disease.
follow up pneumonia.
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There is no definitive evidence of a pneumothorax. Multiple right lateral and posterior rib fractures are redemonstrated, some with interval callus formation, like the right ninth posterior rib. A small amount of right pleural fluid, best appreciated on the frontal view may be loculated anteriorly and laterally. No left pleural effusion is present but there is mild left basilar atelectasis. The cardiomediastinal and hilar contours are within normal limits.
right pneumothorax, here to evaluate for interval changes.
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Pa and lateral chest radiographs were provided. There is no focal consolidation or pneumothorax. There is mild prominence of the pulmonary interstitium consistent with mild pulmonary edema. A small amount of fluid is present in one of the major fissures seen on the lateral projection. The heart is mildly enlarged. The aorta is tortuous and calcified. The right shoulder appears anteriorly subluxed. There are mild degenerative changes in the spine.
history of worsening dyspnea and edema. rule out acute process.
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Mild cardiomegaly is stable. The lungs are clear. There is no pneumothorax or pleural effusion. There is mild scoliosis and degenerative changes in the thoracic spine
<unk> year old woman with cough x <num> days. low grade fever, clear lungs on exam. // r/o infiltrate.
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There are slightly low lung volumes. No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable and unremarkable. No displaced fracture is identified.
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Frontal and lateral views of the chest demonstrate normal lung volumes without focal consolidation, pleural effusion or pneumothorax. Left hilar opacities are obscured by overlying pacemaker, which may represent infection in the appropriate clinical setting. Hilar and mediastinal silhouettes are otherwise unremarkable. Heart size is normal. The patient is status post median sternotomy and cabg. Pacemaker leads project over the right atrium and ventricle.
productive cough for three weeks.
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Frontal and lateral views of the chest demonstrate low lung volumes, which accentuate bronchovascular markings. The left hemidiaphragm is elevated and obscured. A small left pleural effusion is likely. There is no right pleural effusion. No pneumothorax. Bibasilar opacities are noted. There is no pulmonary edema. Heart is normal in size. The descending aorta is tortuous. Aortic arch calcifications are noted.
patient is status post fall. assess for underlying infection.
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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 cough, shortness of breath
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Endotracheal tube terminates <num> cm above the carina. Ng tube terminates below the diaphragm. Heart size and cardiomediastinal contours are normal. No focal consolidation, pleural effusion or pneumothorax. The left costophrenic angle is excluded from this film.
<unk>m with intubation
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Single ap portable upright chest radiograph provided. There has been interval repositioning of the picc line which now terminates in the mid svc region in appropriate position. Otherwise no change.
<unk> year old man with malpositioned picc
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The ett tip projects over the midline at approximately the level of the fourth rib. An enteric tube traverses the midline and side port and tip projects over expected region of the stomach in the left upper quadrant. The lungs are well-expanded. Bilateral interstitial prominence is similar to the exam earlier this morning and is non-specific but may suggest interstitial pneumonia in the appropriate clinical situation. No pleural effusion, pneumothorax, or focal consolidation. The heart is normal in size. The mediastinum is not widened. No acute osseous abnormality. The visualized upper abdomen is unremarkable.
<unk>-year-old woman who is intubated. evaluate ett placement.
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The cardiac, mediastinal and hilar contours appear unchanged including mild cardiomegaly with a left ventricular configuration to the heart. There is slight blunting of the right costophrenic angle which may reflect a subpulmonic effusion. There is a new mild interstitial opacity suggesting pulmonary edema in addition to a vague but focal lateral right apical opacity, the latter unchanged.
possible cholangitis.
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No radiopaque densities are seen. Normal heart size, pulmonary vascularity. Lungs are clear. No pleural fluid. No pneumothorax.
<unk> year old woman with <unk>f with complex mental health history including schizoaffective disorder, multiple ingestions and suicide attempts, who presented with pencil ingestion x<num> in setting of suicidal ideation. then swallowed a hook. // ?where is the hook at. stomach or esophagus or somewhere else?
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Ap single view of the chest has been obtained with patient in semi-upright position. Comparison is made with the next preceding similar study obtained nine hours earlier during the same day. Previously described left-sided internal jugular approach central venous line remains in unchanged position terminating in the upper svc. Also previously identified small caliber right basal pig-tail end catheter remains in unchanged position. Left-sided chest tube has changed its position, apparently it has been pulled back so that its pigtail end now is overlying the posterolateral pleural sinus. There is no evidence of pneumothorax or new parenchymal infiltrates. The pulmonary vascular pattern is compatible with advanced congestion, a finding that existed already on the previous examination.
<unk>-year-old male patient with desaturation, evaluate for possible worsening pulmonary edema.
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In comparison with the study of <unk>, the dobbhoff tube extends to the distal stomach, where it coils upon itself so that the opaque tip lies close to the esophagogastric junction. There is a large left and moderate right pleural effusion with compressive atelectasis at the bases. Hemodialysis catheter remains in place.
dobbhoff placement.
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Stable scarring and volume loss in the right lung apex with adjacent pleural thickening and elevation of the right hilum, consistent with prior thoracotomy and probable right upper lobectomy. No new focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. Stable appearance of the enlarged right pulmonary artery. Persistent and stable cardiomegaly. No change in the appearance of the mediastinum or hila. A scar marker overlies the incision site in the right lower chest, consistent with prior mastectomy.
<unk>-year-old woman presenting for tuberculosis screening for dialysis. she is asymptomatic. remote history of lobectomy for tuberculosis.
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Enteric tube has been removed. Heart size is accentuated by shallow inspiration. Bilateral perihilar opacities have worsened, suggest edema. Increased bibasilar opacities, likely atelectasis, consider pneumonitis in the appropriate clinical setting. There are mild bilateral pleural effusions, more prominent on the right, left costophrenic angle was not included on the prior exam. Widening of the right ac joint, likely posttraumatic or postsurgical.
<unk> year old man with cirrhosis. // acute cardiopulmonary process to explain respiratory distress
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As compared to the pre-operative radiograph, there is no relevant change. The lung volumes have slightly decreased. There is unchanged evidence of cardiomegaly and minimal pulmonary edema. Atelectasis at both lung bases, but no evidence of pneumonia. No larger pleural effusions. No pneumothorax.
multiple medical problems, status post hip surgery, evaluation for cardiomegaly.
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As compared to the previous radiograph, there is no relevant change. No evidence of pneumonia or other parenchymal abnormality. Normal size of the cardiac silhouette. No pulmonary edema. Normal hilar and mediastinal contours. No pleural effusions, no pneumothorax. Moderate scoliosis of the thoracic spine.
low-grade fever, questionable pneumonia.
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Compared with <unk>, there is little interval change. Again seen is a right-sided central line with tip over proximal svc. No pneumothorax detected. Cardiomediastinal silhouette is unchanged. Single ap view excludes the extreme inferior right greater the left costophrenic angles. Allowing for this, no chf, focal infiltrate or gross effusion is identified.
<unk> year old man with lymphoma now d+<num> of autologous transplant. has new fever in setting of neutropenia. // ?consolidation to explain new fever
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Single supine ap portable view of the chest was obtained. A vasovagal nerve stimulator is noted projecting over the left upper hemithorax. The cardiac and mediastinal silhouettes are likely accentuated by ap position and supine technique. No focal consolidation is seen. There is no large pleural effusion. The right costophrenic angle is not entirely imaged. Slight prominence of the central pulmonary vasculature, most likely relates to low lung volumes, supine position and ap technique, although mild vascular congestion is not excluded.
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Decreased bilateral lung volumes. Increased bilateral vascular congestion. Increased bibasilar atelectasis and increased bilateral pleural effusions may be exaggerated in appearance by superimposed vascular congestion. Cardiac size is unchanged. No pneumothorax.
<unk>m with hx of chronic low back pain since <unk> (sees pain management clinic), likely alcohol abuse, and ascites of unknown etiology who presented to <unk> <unk> w/ with progressive lower and upper extremity weakness x<num> week, mri showed c/f cord compression and pt transferred to <unk> for further management, now self-extubated // eval for worsening atelectasis, edema
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The cardiomediastinal silhouette and pulmonary vasculature are unremarkable. In the left perihilar region, there is a subtle opacity that was not definitively seen on the prior examination. This may represent developing pneumonia. There is no pneumothorax or pleural effusion.
<unk>f with inc. sputum in cough // eval for consolidation
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Pa and lateral views of the chest were provided. Lungs are clear. No signs of edema or pneumonia. No effusion or pneumothorax. Cardiomediastinal silhouette is stable with a markedly unfolded thoracic aorta again noted. Bony structures are intact. No free air below the right hemidiaphragm.
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Both lung volumes are low. Tracheostomy tube is in standard position. Increased retrocardiac density reflecting left lower lung atelectasis is unchanged since yesterday. Mild right basal atelectasis has improved. Bilateral small pleural effusions appear similar. No new lung opacities of concern moderately enlarged heart size, mediastinal and hilar contours are unchanged.
evaluate for pneumonia.
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One portable ap upright view of the chest. Mild interstitial edema and pulmonary vascular engorgement is slightly increased compared to most recent study. Bilateral small-to-moderate pleural effusions, left greater than right, have mildly increased. The ng tube ends in the stomach and is slightly coiled distally. There is no evidence for pneumonia. There is no pneumothorax. The left picc line ends in the low svc.
status post exploratory laparotomy with lysis of adhesions, presenting with shortness of breath and cough. evaluate for fluid overload or infectious process.
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Pa and lateral chest radiographs are provided. There is no focal consolidation, pleural effusion, or pneumothorax. Cardiomediastinal silhouette is normal. Osseous structures are unremarkable.
<unk>-year-old female with chest pain, question cardiomegaly.
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No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. There is minimal prominence of the pulmonary vasculature, possible minimal pulmonary vascular congestion. Minimal anterior wedging of a mid thoracic vertebral body is stable.
past medical history of hiv with productive cough for <num> days.
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Frontal and lateral radiographs of the chest demonstrate clear lungs. The cardiac and mediastinal contours are normal. No pleural effusion or pneumothorax is seen. Mild biapical pleural thickening is again seen, unchanged.
cough and fever. evaluate for pneumonia.
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Endotracheal tube terminates approximately <num> cm above level the carina. An enteric tube courses below the diaphragm, terminating in the expected location of the stomach. Bilateral perihilar opacities are worrisome for pulmonary edema. Overall increase in opacity projecting over the right hemi thorax as compared to the left could be due to asymmetric pulmonary edema, underlying consolidation, less likely layering pleural effusion. Subtle left basilar opacity may be due to atelectasis. Component of bibasilar aspiration not excluded. The cardiac silhouette is top-normal to mildly enlarged.
history: <unk>f with ich, intubated // eval for ett placement
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Since prior radiograph, the right picc line has been repositioned and now the tip ends approximately <num>-<num> cm below the carina in the lower svc/cavoatrial junction. Tiny left pleural effusion is unchanged. Heart size is normal. Mediastinal and hilar contours are unchanged. No pleural abnormality on the right side. There are no other interval changes in the lung.
<unk>-year-old woman with pneumonia, rhonchi; please evaluate for interval changes.
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Frontal and lateral views of the chest demonstrate normal lung volumes. No pleural effusion, focal consolidation or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is no pulmonary edema. Partially imaged upper abdomen is unremarkable.
left-sided pleuritic chest pain.
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The lungs are clear. There is no consolidation, effusion, or edema. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with positional chest pain // pneumonia, mass, effusion, cardiomegaly
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There is no focal consolidation or pneumothorax. A small left-sided pleural effusion is little changed from <unk>. However, in comparison to the prior study, there is new mild alveolar pulmonary edema. Heart size is moderately enlarged. Osseous structures are diffusely demineralized. Known bilateral rib fractures are better demonstrated on the prior ct dated <unk>.
history: <unk>m with new diagnosis chf // chf exacerbation? edema?
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Endotracheal tube is in appropriate position. A nasoenteric tube is present with its side port at the ge junction. If the desired location of a side port is within the stomach, it can be advanced approximately <num> cm. The mediastinal contour remains widened with a new left juxtahilar opacity, likely representing atelectasis. There is no large pneumothorax. Relative opacity of the left lung likely represents dense layering pleural fluid.
<unk> year old woman with stemi presenting after mva. // interval change; pulmonary edema vs consolidation .
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Portable ap upright chest radiograph obtained. A left chest tube is in place, unchanged in position with tip oriented towards the left lung apex. Chest wall emphysema along the left chest tube insertion site is redemonstrated. There is a persistent left pleural effusion which is stable to slightly increased from prior exam. Left basal atelectasis is also again noted. There is no pneumothorax.
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Comparison is made to previous study from <unk>. The right ij central line has been removed. There is hardware within the lower cervical spine. The heart size is unchanged and stable. There is some atelectasis at the lung bases. There are no signs for overt pulmonary edema or definite consolidation. No pneumothoraces are present.
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Mild to moderate enlargement of the cardiac silhouette is present. A small hiatal hernia appears to be present. Mediastinal and hilar contours are otherwise unremarkable. Lungs are hyperinflated without focal consolidation. No pleural effusion or pneumothorax is identified. There are mild degenerative changes noted in the thoracic spine.
history: <unk>f with facial numbness // stroke?
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As compared to the previous radiograph, there is improved ventilation of the right lung base with reduction of the pre-existing pleural effusion. Lung volumes have overall slightly increased. The very extensive bilateral parenchymal opacities, however, persist. Unchanged moderate cardiomegaly. Unchanged monitoring and support devices.
ards, pneumonia.
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Moderate enlargement of the cardiac silhouette is re- demonstrated. The aorta is diffusely calcified and unfolded. The mediastinal and hilar contours appear similar with calcified mediastinal and right hilar lymph nodes compatible with prior granulomas disease. No pulmonary edema is present. A patchy opacity is seen within the right lung base, not present on the recent chest ct, but similar compared to the prior chest radiograph. Left lung remains clear. No pleural effusion or pneumothorax is identified. No acute osseous abnormalities detected.
history: <unk>f with cough, fever // eval for pneumonia
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An accessed port-a-cath ends in the upper superior vena cava. The lungs are clear without focal consolidation, pulmonary edema, pleural effusion or pneumothorax. There are mediastinal clips and sternotomy wires. The cardiomediastinal silhouette is stable. No acute osseous abnormalities. Compression deformity of a lower thoracic vertebral body was better seen on previous exam.
<unk>-year-old woman with chest pain.
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Supine portable view of the chest demonstrates endotracheal tube terminating <num> cm above the carina. There is interval placement of the nasogastric tube, which is seen coursing through the esophagus, its tip out of view. Low lung volumes. No pleural effusion, pneumothorax or focal consolidation. Perihilar vascular congestion. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal.
patient with hypoxia and intracranial hemorrhage.
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Left pigtail pleural catheter has been placed laterally in the left mid hemithorax. A previously present loculated left lateral pneumothorax has been largely replaced by loculated pleural fluid, but there is an apparent residual loculated hydropneumothorax adjacent to the left heart border in the lower left hemithorax. Stable cardiomegaly accompanied by pulmonary vascular congestion and moderate pulmonary edema. Moderate layering right pleural effusion is again demonstrated.
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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 right sided chest pain and previous congestive heart failure
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There is an ng tube in the stomach. There is some residual contrast in the kidneys from earlier ct
small bowel obstruction and antique g tube placement.
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Cardiac and mediastinal silhouettes are stable. Posterior left lower lobe nodule opacity correspond the patient's known pulmonary malignancy. Multiple smaller or pulmonary nodules bilaterally, better assessed on ct. Since the prior study, there has been development of large right lower lung field, possibly right middle lobe consolidation, worrisome for pneumonia. Left base and right perihilar opacities are grossly stable. Evidence of pulmonary emphysema is noted. Trace pleural effusions.
<unk> year old woman with lung cancer, copd, on home o<num>, presents from rehab with sob + cough + inc sputum production // ?pneumonia vs. copd exacerbation
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Portable semi-upright radiograph of the chest demonstrates well expanded clear lungs. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, consolidation are pleural effusion.
<unk> year old man with known meningioma, presented with altered mental status, unclear if <unk> infection. // ?pna
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As compared to the previous radiograph, there is no relevant change. Borderline size of the cardiac silhouette. Mild retrocardiac atelectasis. No pulmonary edema. No pneumonia. No larger pleural effusions. The left picc line is in unchanged position.
hepatitis, evaluation for acute cardiopulmonary process.
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Right picc has been re-positioned, with tip now terminating at the medial aspect of the right clavicle in the expected junction of the right subclavian and right brachiocephalic veins. Cardiomediastinal contours are stable. Mild pulmonary vascular congestion is present without overt pulmonary edema. Small left pleural effusion is also demonstrated.
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There is no evidence of focal consolidation, pleural effusion, pneumothorax, or frank pulmonary edema. The cardiomediastinal silhouette is within normal limits.
history: <unk>f with asthma exacerbation // evidence of infection
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There is mild pulmonary vascular congestion/interstitial edema. Mild cardiomegaly is seen. Aorta is calcified and tortuous. No focal consolidation is seen. There is no pleural effusion or pneumothorax. Thyroidectomy surgical clips are noted. Subtle right paratracheal opacity is similar in distribution compared to <unk> studies and may relate to prominent vasculature. No pneumomediastinum is seen. Surgical clips are noted in the right upper quadrant.
history: <unk>f with food bolus/pain // perforation/food bolus
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As compared to the previous radiograph, there is no relevant change. Post-surgical wires seen over the manubrium sterni. Moderate widening of the mediastinum with increased soft tissue density that is, however, unchanged. Obliteration of the paratracheal stripe, also unchanged. No new parenchymal opacities. No pleural effusions. Unchanged borderline size of the cardiac silhouette with moderate tortuosity of the thoracic aorta.
right hemithyroidectomy and resection of substernal goiter, partial sternotomy.
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In comparison with study of <unk>, there is a triple-channel pacer device with leads extending to the usual positions in the right atrium, right ventricle, and posteriorly towards the left ventricle. No evidence of vascular congestion, pneumothorax, or acute pneumonia.
lead placement.
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Left chest wall pacemaker has leads in the right atrium and right ventricle. Another pacer implanted in the left upper abdomen has epicardial leads projecting over the left ventricle. The lungs are normally expanded and clear. There is no pleural effusion or pneumothorax. Heart size is normal. There is no pulmonary edema.
history: <unk>f with cough and malaise // r/o acute process
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Frontal and lateral radiographs of the chest demonstrate normal heart size. The cardiomediastinal silhouette and hilar contours are normal. The lungs are clear. No pleural effusion or pneumothorax. No displaced rib fracture identified. There is a <num> mm nodular density projecting over the rib shadow on the lateral projection anteriorly without correlate on the frontal. Those of unknown etiology
left-sided chest pressure evaluate for pneumonia ,pneumothorax or effusion
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is stable with top-normal heart size. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with sob daily
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The endotracheal tube projects <num> cm above the carina. The aortic balloon pump is located approximately <num> cm below the top aspect of the aortic arch. There is gastric overinflation despite the normal placement of a nasogastric tube. The patient shows signs of likely acute relatively massive pulmonary edema and mild cardiomegaly. There is no evidence of pneumothorax. No larger pleural effusion.
flash pulmonary edema, evaluation of device placement.
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Frontal and lateral views of the chest were obtained. The lateral view is suboptimal due to the patient's overlapping arm. Mild cardiomegaly is seen. There may be mild central pulmonary vascular engorgement without overt pulmonary edema. There is no pleural effusion or pneumothorax. No definite focal consolidation is seen. Degenerative changes are seen along the spine, including dish.
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Ap upright and lateral views of the chest were provided. Vagal nerve stimulator is present in the left chest wall with catheter extending into the left neck soft tissues. The heart is top normal in size. The lungs are clear. No effusion or pneumothorax is seen. The bony structures are intact. Hypertrophic changes at the right ac joint noted.
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Subtle opacities in the right middle lobe somewhat obscuring the right medial heart border felt to more likely represent overlapping vasculature structures, but developing pneumonia not entirely excluded. Otherwise, the lungs are clear. No pleural effusion, pneumothorax or pulmonary edema. Cardiac silhouette is normal in size.
<unk>-year-old female with fever and cough, question pneumonia.
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As compared to the previous radiograph, there is no relevant change. The monitoring and support devices, including the left pigtail catheter and the pleural space are in constant position. There is no evidence of pneumothorax. The minimal right pleural effusion might be present. No pneumonia, no overt pulmonary edema.
lung contusions, evaluation.
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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 cough, fever
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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs. There is no focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable.
evaluate for acute cardiopulmonary process in a patient with transient left-sided chest pain and shortness of breath.
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Two frontal images of the chest demonstrate low lung volumes, likely secondary to poor inspiration. There is asymmetric, right greater than left, diffuse opacification of the lungs which is consistent in appearance with vascular congestion and pulmonary edema, though in the appropriate clinical context pneumonia cannot be completely excluded. There is no pneumothorax or pleural effusion. Cardiomegaly is again seen.
<unk>-year-old female with diabetes and gastric cancer, now with dka and question and concern for pneumonia.
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There is patchy consolidation at the left lung base localizing to the lower lobe on the lateral view. Elsewhere, lungs are clear. The cardiomediastinal silhouette is within normal limits.
<unk>f with cough and shortness of breath // ?pneumonia
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Again re- demonstrated is severe kyphosis with multiple compression deformities in the thoracic spine, which limits assessment. The cardiac, mediastinal and hilar contours appear relatively unchanged, with the heart size appearing mildly enlarged. Previous pattern of mild pulmonary edema has improved. Small bilateral pleural effusions persist, with interval decrease in size of the right pleural effusion. No pneumothorax is identified.
shortness of breath, back pain.
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Frontal and lateral views of the chest. The lungs are well expanded and clear. Nipple shadows project over the lower lungs bilaterally on one of the two frontal views. The lungs are clear of consolidation, effusion or pulmonary vascular congestion. The cardiomediastinal silhouette is within normal limits. Hypertrophic changes seen in the spine.
<unk>-year-old male with chest pain.
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Frontal and lateral views of the chest were compared to previous exam from <unk>. Lungs are clear. There is no effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable. Seen on the lateral view are linear densities in the upper abdomen, compatible with cholecystectomy clips.
<unk>-year-old female with suicidal ideation, prior foreign body ingestion, rule out foreign body.
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Pa and lateral views of the chest were provided demonstrating no focal consolidation, effusion or pneumothorax. The cardiomediastinal silhouette is normal. Bony structures are intact. There is no free air below the right hemidiaphragm.
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The cardiac, mediastinal and hilar contours are unchanged, with mild tortuosity of the thoracic aorta again noted. Heart size is normal. Lungs are clear and the pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities seen.
chest pain.
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Frontal and lateral views of the chest demonstrate normal cardiomediastinal silhouette. The lungs are clear. There is no pneumothorax, vascular congestion, or pleural effusion. A previously noted <num>-mm radiodensity projecting over the left upper lung is unchanged since <unk>, of doubtful clinical significance.
<unk>-year-old female with chest pain. question cardiomegaly.
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Ap portable upright view of the chest. Patient has been intubated with the tip of the et tube located <num> cm above the carina. Lungs are clear. No pleural effusion or pneumothorax. Cardiomediastinal silhouette is normal. Bony structures are intact.
<unk>m with intubation // assess et tube, og tube
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Portable ap semi upright chest radiograph was obtained. The lung volumes are low without pleural effusion or pneumothorax. Perihilar linear opacities are consistent with prior radiation therapy. Linear left midlung opacity could reflect progression of this radiation-induced change or reflect subsegmental atelectasis without pneumothorax or free air projecting on the diaphragm, but this is not a fully upright view. No displaced rib fractures are identified. Dual lead pacemaker is noted. Right-sided port-a-cath as before. Cardiomediastinal contours are unchanged. Rounded nodular opacity in the lower right chest is more apparent than the prior and could reflect metastasis. Additional nodular opacity seen betweeen the anterior first and second ribs on the right.
fall and abdominal pain, assess for free air or fractures.
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There is marked hyperinflation consistent with copd. Heterogeneous opacification in the right mid and left perihilar lung is probably due to bilateral pneumonia. Probable trace right pleural effusion. No pneumothorax. Heart size is normal.
<unk>f with sob/chest pain, history of pneumonia.
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Portable chest radiograph demonstrates endotracheal tube in appropriate position. Lungs are grossly clear but low in volume. No interval accumulation of pleural fluid. No pneumothorax. Enteric tube identified with its tip terminating in the expected location of the stomach.
<unk> year-old male with open abdomen and ventilator dependent. evaluate for interval change.
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Lung volumes are relatively low. The lungs are clear. Skin fold overlying the left lung apex mimics a pneumothorax. Blunting of the right posterior costophrenic angle is compatible with a small pleural effusion. The cardiomediastinal silhouette is within normal limits. No displaced acute fractures. Deformity of the proximal left humerus suggests prior healed fracture.
<unk>m with fall // rib fracture?
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Frontal and lateral views of the chest. Lower lung volumes seen on the current exam, particularly on the frontal view. The lungs however remain clear of consolidation, effusion, or pulmonary vascular congestion. Cardiomediastinal silhouette is stable. No acute osseous abnormality is detected.
<unk>-year-old male with chest pain, recent history of pneumonia.
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The cardiac, mediastinal and hilar contours appear unchanged including moderate unfolding of the thoracic aorta. The heart is at the upper limits of normal size. There is no definite pleural effusion or pneumothorax. Air bronchograms can be seen in the medial retrocardiac region which may indicate a subtle left lower lobe opacity. The right humerus shows apparent inferior positioning compared to the glenoid consistent with chronic dislocation not significantly changed since earlier studies.
altered mental status. non-verbal.
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As compared to previous radiograph, the right pleural effusion has decreased in extent and is now minimal. On the left, the blunting of the costophrenic sinus is unchanged. In the interval, the swan-ganz catheter has been removed and the patient has received a new picc line. The tip of the line is difficult to visualize because of overlay with the pacemaker wires. However, it appears to project over the upper aspects of the right atrium and could be pulled back by <num> to <num> cm. Unchanged position of the left pectoral pacemaker, unchanged course of the pacemaker wires.
chronic heart failure, pulmonary hypertension, questionable pleural effusion.