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No significant change compared to the prior exam. The lungs are expanded and clear. There is no pleural effusion, pneumothorax, or focal consolidation. The cardiomediastinal silhouette, pulmonary vasculature, hila, and pleura are normal. There is no acute osseous abnormality.
<unk>-year-old man with a substance use disorder and depression; evaluate for tb with a homeless shelter.
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The lungs are clear besides mild left basilar atelectasis. The cardiomediastinal silhouette is stable. Left chest wall vagal nerve stimulator is seen.
<unk>f with ams // eval for consolidation
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Frontal and lateral chest radiographs demonstrate clear lungs, without pleural effusion or pneumothorax. The cardiac silhouette remains mildly enlarged. The thoracic aorta is mildly tortuous, also unchanged. Lateral left rib deformities of t<num> through t<num> ribs are unchanged from <unk>.
<unk>-year-old male with coronary artery disease, diabetes, and hypertension who presents with pleuritic chest pain.
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The lungs are clear. Cardiac silhouette is moderately enlarged. There is tortuosity of the descending thoracic aorta. No acute osseous abnormality. Surgical clips seen in the neck.
<unk>f with cough, wheezing // pna?
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Mild cardiomegaly is unchanged since the prior study. No new focal consolidation, pleural effusion, or pneumothorax. Right lower lobe opacity is likely atelectasis. Lung volumes are low, causing bronchovascular crowding.
<unk>m with weakness, s/p fall this am. evaluate for acute cardiopulmonary process.
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As compared to the previous radiograph, there is unchanged evidence of minimal-to-mild pulmonary edema. The presence of a minimal left pleural effusion cannot be excluded, given that blunting of the left costophrenic sinus is visualized. Mild retrocardiac atelectasis. No newly appeared parenchymal opacities. Unchanged left pectoral pacemaker, no pneumothorax.
chronic heart failure, peripheral vascular disease. questionable fluid overload.
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Lung volumes are low. This accentuates the size of the cardiac silhouette which is likely top normal. Mediastinal and hilar contours are likely within normal limits. There is crowding of the bronchovascular structures, but no pulmonary edema is present. Streaky bibasilar airspace opacities may reflect atelectasis. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
cough, asthma exacerbation.
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Heart size is top normal. The mediastinal and hilar contours are unremarkable. The pulmonary vascularity is normal. The lungs are clear without focal consolidation. Previously noted bibasilar airspace opacities have resolved. No pleural effusion or pneumothorax is identified although the right costophrenic sulcus is not completely imaged on this exam. There are no acute osseous abnormalities.
abdominal pain.
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Pa and lateral views of the chest were provided. The lungs are clear bilaterally without focal consolidation, effusion, or pneumothorax. The heart and mediastinal contours are normal. Bony structures are intact. No free air below the right hemidiaphragm is seen.
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A tracheostomy tube is in place. The patient is rotated. A small layering left pleural effusion with associated left basilar subsegmental atelectasis is not appreciably changed. There are no new focal consolidations in either lung. The heart and mediastinum cannot be accurately assessed due to projectional and rotational limitations, but contours are stable. There is no pneumothorax. There is stable marked s-shape scoliosis of the thoracolumbar spine.
<unk>f found down w/ruptured r pcomm with r temporal iph and sah now s/p coiling <unk> and ivh post evd <unk> (now removed) and lumbar drain <unk>. // interval changes? pna?
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Frontal and lateral chest radiographs demonstrate a normal cardiac silhouette and lungs which are clear without focal consolidation, pleural effusion, or pneumothorax. A widened mediastinum is likely due to mediastinal lipomatosis and appear similar to prior studies. The visualized upper abdomen is unremarkable.
chest pain. evaluate for pneumothorax.
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Assessment is slightly limited due to patient rotation. Allowing for this, the cardiac silhouette size appears borderline enlarged, unchanged. The mediastinal and hilar contours are grossly similar with mild atherosclerotic calcifications noted at the aortic knob. The pulmonary vasculature is normal. The lungs are clear. No pleural effusion or pneumothorax is demonstrated. Dextroscoliosis of the thoracic spine is re- demonstrated.
history: <unk>f with past medical history of asthma and dchf presents with shortness of breath for <num> hours
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As compared to the previous radiograph, the endotracheal tube has been slightly advanced. The tip of the endotracheal tube now projects <num> cm above the carina. The course of the nasogastric tube is unchanged. Unchanged appearance of the right and left lung base. Unchanged size of the cardiac silhouette. The pre-existing parenchymal opacities are unchanged.
metastatic esophageal cancer, evaluation of endotracheal tube placement.
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Frontal and lateral views of the chest. The lungs are clear of focal consolidation or effusion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is detected.
<unk>-year-old male with weakness.
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In comparison with the study of <unk>, there are continued low lung volumes with right chest tube in place. Apical pleural capping is seen, but no definite pneumothorax. The tip of the endotracheal tube remains in the supraclavicular region, though only <num> cm above the carina. Nasogastric tube extends well into the stomach. Pulmonary vasculature is essentially within normal limits. There is an area of increased opacification in the right upper zone that could reflect pulmonary contusion. Mild atelectatic changes are seen at the bases.
mva with possible contusion, status post diaphragm repair.
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Heart size is top normal. Lungs are hyperinflated without focal consolidation, pleural effusion, or pneumothorax. Bibasilar atelectasis is mild. Intact median sternotomy wires. The aorta is calcified and tortuous.
<unk>m with weakness and sob and weight loss x <num> weeks. evaluate for pneumonia.
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Single ap view of the chest was obtained. There are low lung volumes and bibasilar atelectasis. Relative right base opacity most likely relates to atelectasis, although early consolidation from infection or aspiration cannot be excluded in the appropriate clinical setting and could consider repeat pa and lateral views with deeper inspiration when patient able. Bilateral diaphragmatic and pleural plaques seen to suggest prior asbestos exposure. Cardiac silhouette is not enlarged. Hilar contours may be accentuated by ap technique.
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As compared to the previous radiograph, the nasogastric tube has been exchanged. New tube shows a normal course and the tip projects over the middle parts of the stomach. Pre-existing retrocardiac atelectasis has completely resolved. No evidence of pneumonia or other pathologic parenchymal process. Normal appearance of the mediastinum.
chronic pancreatitis, mesenteric ischemia, nasogastric tube placement.
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The lungs are clear. The hilar and mediastinal contours are normal. There is no pneumothorax or pleural effusion. The pulmonary vasculature is normal.
<unk>-year-old man with a cough, chills, hemoptysis. evaluate for pneumonia, hemorrhage, or arthrosis.
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The swan-ganz catheter tip is in the outer most portion of the mediastinal right pulmonary artery. Otherwise, little change.
swan placement.
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Port-a-cath terminates in the lower svc, unchanged. The lung volumes are lower. Small bilateral pleural effusions, left more than right, are new compared to the prior examination. Bibasilar opacities likely represent atelectasis. No pneumothorax.
history: <unk>f with ovarian ca now w/ doe, incr abd distention, likely hypoventilation from ascites // eval ? infection, malignant effusion
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There is no pneumonia. The inspiration is worse than the previous exam, so there is mild bronchovascular crowding at the lung bases. There is no pneumothorax and no pleural effusion. The cardiac and mediastinal contour are normal.
recent fever, cough, rule out infection or other pathology.
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The visualized mediastinal structures are unremarkable. There is no cardiomegaly. There is a new retrocardiac opacity present in the left lower lobe which is concerning for pneumonia. No associated effusions. The faintly visible right mid lung opacity projecting over the posterior seventh rib is again visualized. No pneumothorax. There is a right sided picc line with distal tip projecting over the upper svc.
<unk> year old man with aml neutropenic fever // eval for infiltrates, picc placement
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There is no pleural effusion, or pneumothorax. Mild bibasilar atelectasis is similar compared to <unk>. Emphysematous changes are noted in bilateral lungs. Cardiomediastinal and hilar silhouettes are normal size.
<unk>f with cough anddyspnea // r/o acute infectious process
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Unchanged widening of the cardiac silhouette, but no vascular congestion or pulmonary edema. There is a new small left pleural effusion. There is no pneumothorax. There is some improvement of the left retrocardiac opacity consistent with improved atelectasis. The right picc line has been retracted and now ends in appropriate position at the mid svc.
<unk>-year-old woman with oxygen desaturation to the <num>s, crackles on exam, please assess for acute process.
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Pa and lateral chest radiographs were obtained. A large right pleural effusion is new since <unk>. The left lung is clear. The left heart border is normal. There is no central vascular congestion.
<unk>-year-old woman with history of hcv, on interferon, presenting with diffuse anasarca and cough.
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The heart size is within normal limits. The mediastinal contours are within normal limits. The lungs are clear. There is no pleural effusion or pneumothorax.
<unk>-year-old male with chest pain and a known small thoracic aortic aneurysm.
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Low lung volumes are again noted with secondary crowding of the bronchovascular markings. Bibasilar opacities may be secondary to atelectasis and are grossly unchanged. There is no effusion. Cardiomediastinal silhouette is stable. No acute osseous abnormalities identified.
<unk>m with hypotension // eval infiltrate
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There is tortuosity of the aorta. There is no pleural effusion and no pneumothorax. The cardiomediastinal silhouette and hila are normal. Patient is status post median sternotomy. There is no evidence of pneumonia.
<unk>-year-old with subarachnoid hemorrhage.
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Moderate cardiomegaly has been stable compared to exams dating back to <unk>. There is mild perihilar vascular congestion, otherwise, the hilar and mediastinal contours are unremarkable. There appears to be an interval increase in mild-to-moderate pulmonary edema, right greater than left compared to the prior exam from <unk>. There is no evidence of pleural effusion. No evidence of pneumothorax. The visualized osseous structures are unremarkable.
history of shortness of breath. please evaluate for infiltrate.
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There is interval development of nodular opacities in the left upper lobe from <unk> concerning for developing infection. There is no significant pleural effusion or pneumothorax. The lungs appear slightly hyperinflated. There is no pulmonary vascular congestion or edema. The cardiomediastinal and hilar contours are within normal limits.
cough and chest congestion for the past four weeks.
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Pa and lateral views of the chest. No prior. The lungs are clear of focal consolidation or effusion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is detected.
<unk>-year-old female with fever, question pneumonia.
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Pa and lateral views of the chest were obtained. Overlying ekg leads are present. The lungs appear clear and well inflated without focal consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette appears normal. Bony structures are intact. There is no free air below the right hemidiaphragm.
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Lung volumes are low. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette and pulmonary vasculature is unremarkable. Minimal right infrahilar opacity is seen, not definitively identified on prior examinations, which may represent vascular crowding or atelectasis, though focal consolidation is not entirely excluded. Vague new retrocardiac opacity is also seen, which may be related to atelectasis, though aspiration is not excluded.
history: <unk>m with worsening hypoxemia. // is there interval change?
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In comparison with the prior exam, the lung volumes are lower. The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. No fracture is identified.
left upper chest pain with movement.
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No previous images. There is mild hyperexpansion of the lungs suggesting some chronic pulmonary disease. However, the cardiac silhouette is within normal limits and there is no vascular congestion or pleural effusion. No acute focal pneumonia. There is degenerative change involving the thoracic spine. No evidence of rib fracture or pneumothorax.
intermittent left chest pain.
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Moderate cardiomegaly, unchanged. Lung fields are clear. There is no pulmonary edema. There is trace right pleural effusion. No pneumothorax. Osseous structures are unremarkable.
<unk>m with hx of renal txp with worsening cr and hypertension // eval for edema
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Pa and lateral views of the chest were provided. Port-a-cath residing over the right chest wall is unchanged, with catheter tip extending to the region of the mid svc. Lungs are clear. No signs of pneumonia or chf. Cardiomediastinal silhouette is normal. No pleural effusion or pneumothorax. Bony structures are intact. No free air below the right hemidiaphragm.
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The lungs are clear without focal consolidation. There is mild linear atelectasis in the left mid lung. No pleural effusion or pneumothorax is seen. The heart size is mildly enlarged and remains larger than on preoperative radiographs, possibly due to a small postoperative pericardial effusion. Median sternotomy wires are intact.
<unk> year old man s/p cabg with question of pneumonia, no white count or fever // evidence of infection?
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When compared to chest radiograph dated <unk>, this portable chest radiograph demonstrates improved lung volumes with no new opacifications. Mild pulmonary vascular congestion persists. No overt pleural effusion. No pneumothorax. An enteric tube is seen in appropriate position with its terminal and in the expected location of the stomach.
<unk>-year-old male status post craniotomy for cerebellar hemorrhage. evaluate for acute process.
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There is a mildly tortuous thoracic aorta, with aortic arch calcifications noted, unchanged from prior; the remainder of the cardiomediastinal silhouettes are stable and within normal limits. The bilateral hila are unremarkable. A rounded opacity at the left lung base measures approximately <num> mm, not clearly seen on the lateral projection, and not apparent on prior radiographs. The lungs are otherwise clear. There is no evidence of pulmonary vascular congestion. There is no pneumothorax or pleural effusion.
<unk>-year-old woman with cough and dyspnea, evaluate for infiltrate.
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The lungs are clear. There is no effusion, consolidation, or pneumothorax. The cardiomediastinal silhouette is within normal limits. No displaced fractures identified.
<unk>f with r shoulder pain s/p mvc // eval for ptx, effusion
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The monitoring and support devices remain in place. Diffuse bilateral pulmonary opacifications persist. Again, this pattern could reflect non-cardiogenic pulmonary edema, ards, or even diffuse infection.
to assess for change.
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Sternotomy. Right ij central line tip mid svc. Interval removal of chest tubes, mediastinal drains. Extensive chest wall, neck subcutaneous emphysema. No definite pneumothorax. Consider follow-up radiograph. Mild patchy bibasilar atelectasis, more prominent. Wiring projecting over upper abdomen, partially seen. Remainder normal.
<unk> year old man s/p cabg and ct removal // eval for pneumo
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The heart is mildly enlarged, with cephalization of the pulmonary vasculature, increased interstitial lung markings, small bilateral effusions, and fluid in the fissures, compatible with pulmonary edema on a background of copd. Hemidiaphragms appear flattened. No focal consolidation or pneumothorax.
<unk>-year-old man with dyspnea. evaluate for consolidation.
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The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. Slight blunting of the left costophrenic angle appears chronic and unchanged, probably due to minor scarring. The lungs appear clear.
shortness of breath and cough.
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As compared to the previous radiograph, the patient has received a nasogastric tube. The tip of the tube projects over the middle parts of the stomach, the side port is at the level of the gastroesophageal junction. No evidence of complications. Limited view of the lung parenchyma. However, mild cardiomegaly and small bilateral pleural effusions might be present.
status post liver transplant six weeks ago, evaluation for nasogastric tube placement.
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The inspiratory lung volumes are decreased. Streaky opacities in the right lung base with a linear configuration are improved from <unk> and most likely reflect atelectasis. There is no pleural effusion or pneumothorax. The cardiac silhouette remains top normal in size. The mediastinal and hilar contours are unchanged. No acute osseous abnormality detected.
history: <unk>f with lethargy // eval for cardiopulmonary process
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Pa and lateral views of the chest provided. There has been interval clearance of left lower lung opacity. Currently, 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. Tiny clips project over the right upper quadrant with a metallic biliary stent in place.
<unk>f with cholangiocarcinoma p/w temp to <unk>.<num> and nausea/vomiting.
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The cardiac silhouette size is normal. Mediastinal contours are within normal limits. The hilar contours are unremarkable, and the pulmonary vascularity is not engorged. No focal consolidation, pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
tachypnea and tachycardia.
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Ap upright and lateral views of the chest were provided. The lungs are clear. No signs of pneumonia or chf. No free air below the right hemidiaphragm. The cardiomediastinal silhouette is normal. Bony structures are intact.
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The lungs are normally expanded. Retrocardiac opacity worsened between <unk> and <unk>, persists. Heart size is exaggerated by ap technique and is likely normal. The mediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax.
chest pain. evaluate for acute process.
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The left lung volume is low with elevation of left hemidiaphragm suggesting volume loss likely secondary to left basilar atelectasis. Small moderate left pleural effusion. Right basilar atelectasis. There are extensive indistinct interstitial markings which are more likely consistent with pulmonary edema but some may reflect chronic lung disease and/or interstitial lung disease. The cardiomediastinal silhouette is enlarged with associated pulmonary vascular congestion. Stable calcification of the aortic arch and descending aorta.
<unk> year old man with sob, crackles all the way both lung fields // ? chf
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Heart size and cardiomediastinal contours are stable. Lung volumes are very low. Subtle retrocardiac opacity may be accentuated by patient rotation. The right lung is clear. No large pleural effusion or pneumothorax.
history: <unk>m with fever // eval infiltrate
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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, cough
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Lung volumes are low, contributing to vascular crowding. Despite that, there is likely mild pulmonary vascular congestion. Sternotomy wires are intact and aligned. Moderate cardiomegaly despite the projection is unchanged. Small left pleural effusion has slightly increased. Increased retrocardiac airspace opacification may be due to atelectasis or aspiration. There is no pneumothorax.
<unk> year old man s/p right colectomy with sob // please eval for chf
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Left catheter has been removed since prior. No pneumothorax. Lungs are clear. Normal heart size, pulmonary vascularity. No effusion.
<unk> year old man with ptx // post ctx-pull at <time>
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A port-a-cath terminates in the lower superior vena cava. The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. Streaky opacity effacing the right costophrenic angle suggests minor atelectasis. Otherwise the lungs appear clear.
abdominal pain.
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Ap portable upright chest radiograph obtained. The pacer and aicd devices are again seen projecting over the bilateral chest wall with catheter extending into the right ventricle and coronary sinus. Midline sternotomy wires and prosthetic cardiac valve unchanged. The heart remains markedly enlarged. There is slight worsening of pulmonary interstitial edema compared with the prior exam. There is consolidation again noted at the right lung base which is similar to prior. Calcified lesion again noted in the left upper quadrant, which is compatible with a calcified splenic cystic lesion.
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Cardiomediastinal contours are normal. Slight prominence of central pulmonary vasculature is noted and may be related to known history of central pulmonary embolism. Lungs are clear except for a nonspecific patchy opacity in the left mid lung region.
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The rounded opacity at the right lung base has improved. Although improved, there is persistent patchy opacification. The lungs are otherwise clear. Heart size is stable. The mediastinal and hilar contours are stable. The pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen.
<unk> year old man with new sob and tachy. // concern for chf vs infection
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Pa and lateral views of the chest were provided. The lungs are clear without focal consolidation, effusion or pneumothorax. The heart is stably enlarged with an lv configuration. The aorta is markedly unfolded as seen on prior. No effusion or pneumothorax is seen. No free air below the right hemidiaphragm. Bony structures are intact.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No displaced fracture is seen.
fall with rib pain on the left.
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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 fever
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As compared to the previous radiograph, there is no relevant change. Low lung volumes. Borderline size of the cardiac silhouette. No overt pulmonary edema. No pleural effusions. No pneumonia.
evaluation for pneumonia.
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Comparison is made to previous study from <unk>. There has been placement of a left-sided picc line with distal lead tip in the mid svc. There is a nasogastric tube with tip of the side port below the ge junction. There are low lung volumes. There is prominence of the pulmonary vascular markings with atelectasis at the lung bases. No overt pulmonary edema is seen. There are no pneumothoraces.
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Low lung volumes accentuate the cardiac silhouette and bronchovascular structures. Diffuse tortuosity of the thoracic aorta is probably unchanged allowing for differences in lung volumes. However, if there is a concern for aortic dissection based on clinical symptoms of back pain and hypotension, dedicated ct angiogram study would be recommended to more fully evaluate the aorta. Patchy opacities at the lung bases, right greater than left, likely represent atelectasis, and note is made of a persistent small right pleural effusion.
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The patient is status post coronary artery bypass graft surgery. There is a persistent moderate-sized loculated pleural effusion on the left with mid to lower lung opacities suggestive of associated atelectasis. There has been no significant change in this appearance. The right lung remains clear. There is no pleural effusion on the right.
acute inspirational chest pain.
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There is leftward deviation of the cervical trachea. Mediastinum wires and mediastinal clips are unchanged. Heart size is normal. Postoperative cardiomediastinal silhouette and hilar contours are otherwise unremarkable. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax.
chest pain.
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The cardiomediastinal and hilar contours are within normal limits. Round <num> mm density in the left lower lobe corresponds to a known pulmonary nodule. There are smaller diffuse nodularities which likely reflect additional pulmonary nodules, better assessed on prior chest ct examination. There is no new focal consolidation, pleural effusion or pneumothorax.
history: <unk>f with s/p fall/syncope with l forehead hematoma // r/o fx, ich, occult infection
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As compared to previous radiograph, there is unchanged tube position and position of the right internal jugular vein catheter. The lung volumes are unchanged. No change in size of the cardiac silhouette. No larger pleural effusions. No newly appeared focal parenchymal opacities.
intubation, evaluation for interval change.
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Pa and lateral chest radiograph demonstrates clear lungs bilaterally. Cardiomediastinal and hilar contours are within normal limits. There is no evidence of pulmonary edema, pleural effusion, or pneumothorax.
<unk> year old woman with gerd, tachycardia // eval for pna, effusion
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In comparison with study of <unk>, there are lower lung volumes. There is increasing opacification at the left base consistent with volume loss in the lower lobe and pleural effusion. The right base is essentially clear. The monitoring and support devices are essentially unchanged.
hemodialysis with increasing edema and unequal breath sounds.
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As compared to the previous radiograph, the patient has received a new left subclavian catheter. The course of the catheter is unremarkable, the tip projects over the mid svc. There is no complication, notably no pneumothorax. The endotracheal tube and the nasogastric tube are in unchanged position. Unchanged appearance of the heart and the lung parenchyma.
subclavian line placement, evaluation.
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Frontal and lateral radiographs of the chest demonstrate well-expanded and clear lungs. Cardiac and mediastinal silhouettes are stable. Surgical clips again are seen projecting over the right lower chest. Stable heterogeneity of the right clavicle with a moth-eaten appearance is unchanged from <unk>, and was not noted to be concerning on recent chest ct dated <unk>. There is no pleural effusion or pneumothorax.
<unk>-year-old female with cough. evaluate for pneumonia.
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The lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen.
history: <unk>f with cough, sob. evaluate for pneumonia
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No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. Heart and mediastinal contours are stable with aortic tortuosity. Unchanged thoracic vertebral body compression deformities are seen.
<unk>-year-old female with hallucinations.
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Compared with the prior radiograph, the right upper lobe opacity now involves the right middle lobe, suggesting worsening of the pneumonia. Indistinctness of the pulmonary vessels suggests mild pulmonary congestion. The remainder of the study is essentially unchanged.
<unk> year old man with r <unk> toe ulceration/gangrene s/p r sfa stent and <unk> toe amp w/ previous cxr concerning for rul pna. interval progression of pna.
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Portable supine radiograph shows interval placement of a left-sided subclavian line, the tip of which terminates in the upper to mid svc. An endotracheal tube terminates approximately <num> cm above the carina. A transesophageal tube is seen, the tip is not visualized. Supine technique exaggerates central pulmonary vasculature engorgement. Again seen is a right basilar opacity, not significantly changed since the prior examination, which may represent aspiration or edema in the appropriate clinical context. No definite pleural effusion or pneumothorax is identified, though sensitivity is limited on supine film.
history: <unk>m with s/p cvl // s/p cvl
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Et tube is in standard position with tip ending at <num> cm from carina. Left subclavian catheter has been pulled back, but still in upper svc. Ng tube ends below the diaphragm. Compared to previous radiograph, there are no major interval changes; the right infrahilar consolidation is stable with persistently enlarged right pulmonary artery. The vascular congestion is still mild. There is no pneumothorax or increased pleural effusion.
interval change.
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Right ij central line tip low svc. Stable cardiac enlargement, pulmonary vascularity. Interstitial prominence has mildly improved, likely improving edema. Stable left basilar opacity, likely atelectasis. Small bilateral pleural effusions, more apparent.
<unk> year old woman with esrd and increase o<num> requirement, inability to lie flat. // pulmonary edema?
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As compared to the previous radiograph, there is no relevant change. Extensive right pneumothorax with practically unchanged <unk>. Right chest tube unchanged position. Status post right rib fixations. Moderate areas of atelectasis at the right lung base. Normal appearance of the left lung. Normal size of the cardiac silhouette.
status post rib fractures, chest tube placement. evaluation.
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Pa and lateral views of the chest are compared to previous exam from <unk>. Since prior, there has been interval removal of the left picc and right internal jugular central line. There is minimal linear opacity at the left lung base most suggestive of atelectasis. Lungs are otherwise clear. There is no effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. Posterior right eighth rib fracture appears old.
<unk>-year-old female with malaise.
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Heart size and cardiomediastinal contours are normal. Inspiratory volumes may be slightly decreased, with trace bibasilar atelectasis. However, no chf, focal consolidation, pleural effusion, or pneumothorax is detected.
history: <unk>f with chest heaviness, tightness, hyperglycemia // eval for ? infection, effusion
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The heart size is normal. The mediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. The lungs are well expanded. Small opacity in the retrocardiac space on the lateral view may correspond to mild left basilar atelectasis on the frontal view. Previously noted pulmonary edema has resolved. There has been interval placement of a femoral approach dialysis catheter, terminating near the ivc ra junction.
<unk>m with diaphoresis and syncope // eval pna
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Lung volumes are low. There is bibasilar atelectasis. The hilar and cardiomediastinal contours are normal. There is no pneumothorax. There is no pleural effusion. Pulmonary vascularity is normal.
new fever in a patient with multiple rib fractures.
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A left picc is seen best on the lateral view, likely in the low svc. Allowing for differences in positioning, the moderate right pleural effusion is unchanged. There is associated right middle lobe atelectasis. There is no focal consolidation or pneumothorax. The cardiomediastinal silhouette is within normal limits.
history of melanoma and cll. right pleural effusion, evaluation for interval change.
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As compared to the previous radiograph, the bilateral interstitial opacities have increased in severity and extent. They are now more severe on the left than on the right, with a relatively extensive left lower lobe opacity. The opacity is indicative of a combination of pulmonary edema and infection, as suggested in the previous report. There is no evidence of coexisting complications, such as larger pleural effusions. No pneumothorax. Borderline size of the cardiac silhouette.
hypoxia, questionable pneumonia.
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Lung volumes are normal and the lungs are clear. There is no pleural effusion, pneumothorax or focal airspace consolidation. Heart is normal size. The mediastinal and hilar contours are unremarkable. There is no free air seen underneath either diaphragm.
recent colonoscopy now with back pain. evaluate for air under the diaphragm or pneumatosis.
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The inspiratory lung volumes are decreased. There is increased opacification at the right lung apex laterally compared to the prior study of <unk>, which may be due to overlapping bony structures. A small focal airspace opacity is also noted in the right lung base, which is at the level of the nipples but has no correlate in the left hemithorax. There is streaky opacification of the left lung base, which projects over the lower lobe on the lateral view. A small left pleural effusion is present. Mild apical pleural thickening is noted bilaterally. No pneumothorax is present. The pulmonary vasculature is not engorged and there is no overt pulmonary edema. The cardiac silhouette is mildly enlarged, but stable. The mediastinal and hilar contours are within normal limits and unchanged. The trachea is slightly deviated to the right by the aortic arch. A lucency projecting to the right of the trachea in the cervical region likely represents air within the esophagus.
history of hcv cirrhosis, admitted with spontaneous bacterial peritonitis and hepatic encephalopathy, here to evaluate for pneumonia or pleural effusion.
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In comparison with the study of <unk>, there is stable mild-to-moderate cardiomegaly without vascular congestion, pleural effusion, or acute focal pneumonia. Right ij swan-ganz catheter remains in place with its tip in the right pulmonary artery.
fever of unknown origin.
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Lung volume is low. Moderate pulmonary edema is increased. Mediastinum appears wider compared to <num> day prior, probably due to technical reasons. Right mid lung pulmonary contusion and adjacent right rib fractures are similar to prior. No new focal opacity is identified in the lungs.
<unk> year old man s/p mvc w/ polytrauma, rib fractures with increasing oxygen requirement // interval change from admission
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Bibasal, layering pleural effusions are similar when compared to the prior study. There is persistent left lower lobe atelectasis. Right basal airspace opacity is similar when compared the prior study. The upper lungs are grossly clear. A right internal jugular catheter terminates in the mid svc. A nasogastric tube terminates in the stomach. The endotracheal tube terminates <num> cm above the level of the carina.
<unk> year old man with complicated by resistant utis/colonization, chronic sacral and ischial ulcers complicated by acinetobacter osteomyelitis, and pvd with chronic gangrenous r leg, with recent hospitalization for hypoxia and dyspnea // intubated, compare to prior
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There has been interval removal of the right ij catheter. The right picc terminates in the upper svc. No pneumothorax is seen. Left basilar effusion and atelectasis is unchanged. There is increased opacity in the right upper lobe concerning for a pneumonia. Bilateral pulmonary edema is stable. Moderate cardiomegaly is stable.
<unk> year old woman with pneumonia, pulmonary edema // please evaluate for interval change
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Again, there is mild interstitial prominence, slightly improved from the prior exam. This likely represents mild pulmonary edema. Trace bilateral pleural effusions are unchanged. There is no consolidation or pneumothorax. The mediastinal contours are unchanged. Again, the trachea is deviated rightward, due to a known thyroid nodule identified on the ct of the cervical spine. The heart is moderately enlarged, and unchanged from the prior exam. A gas bubble in the retrocardiac area is likely due to a hiatal hernia. A large soft tissue prominence over the right shoulder is likely a hematoma.
history of chf. post-op day <num> from orif with hypoxia.
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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 fever and cough
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Tip of the endotracheal tube terminates about <num> cm above the carina and could be advanced slightly for standard positioning. Other indwelling devices are in standard position. Cardiomediastinal contours are stable. Worsening opacity in right upper lobe adjacent to the minor fissure, which may be due to a developing focus of infection. Improving right lower lobe atelectasis, and similar appearance of left lower lobe atelectasis with adjacent pleural effusion. No visible pneumothorax.
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There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.
<unk> year old id md at <unk> with prolonged cough not responsive to post nasal gtt/gerd rx. // pls. assess for effusion/infiltrate/mass.
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In comparison with study of <unk>, there has been placement of a nasogastric tube that extends to the mid to upper stomach. The side hole is about at the level of the esophagogastric junction and the tube should be pushed forward somewhat. There is again diffuse bilateral pulmonary opacification, though somewhat less than on the previous study. In view of the enlargement of the cardiac silhouette, this most likely represents improving pulmonary edema. However, in the appropriate clinical setting, supervening pneumonia would have to be considered. Left subclavian catheter remains in place.
ng tube placement.
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Interval removal of the ett and right ij. Stable bilateral lower lung volumes, with expected slightly increased bibasilar atelectasis status-post ett removal. New small bilateral pleural effusions, slightly greater on the left compared to the right, since <unk>. Otherwise, no focal consolidation, overt pulmonary edema, or pneumothorax. The cardiomediastinal silhouette is overall unchanged. The moderate hiatal hernia is also unchanged.
<unk> year old woman with resolving urosepsis, previously intubated, with cough evaluate for any infectious process.