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A single ap semi upright chest radiograph was obtained. Aeration of the left lung has significantly improved. Residual retrocardiac opacity obscures the left hemidiaphragm. There is a moderate effusion on the right. A right picc tip of right-sided picc line remains at the subclavian svc junction. A new left-sided internal jugular line tip is in the upper svc. Mild cardiomegaly is unchanged.
new left ij.
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The et tube, ng tube, swan-ganz catheter. Comma chest to this, mediastinal drains been removed. There is volume loss at both bases. There is a moderate right effusion that appears larger than on the prior study. There is dense retrocardiac opacity compatible volume loss/ infiltrate/effusion.
<unk> year old woman pod mvr ct removal // evaluate for ptx
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The cardiomediastinal and hilar contours are within normal limits. The lungs are clear without focal consolidation, pleural effusion or pneumothorax.
<unk>f with chest pain and shortness of breath // r/o acute process
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion or pneumothorax. Mild prominence of the interstitial markings could reflect mild edema. Cardiomediastinal silhouette is stable. Chronic right rib deformity noted.
<unk>m with cough // r/o pna
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There is no new consolidation, effusion or vascular congestion. Cardiomediastinal silhouette is stable with moderate cardiomegaly. Enlarged hila bilaterally compatible with pulmonary arterial enlargement. No acute osseous abnormalities identified, post thoracotomy changes identified on the right.
<unk>f with cough, chest tightness x sev days. // r/o cardiopulm process
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A portable frontal chest radiograph demonstrates multiple sternotomy wires with the inferior-most wire disrupted, unchanged. The cardiomediastinal silhouette is similar in appearance and there is increased vascular congestion. Increased retrocardiac opacity is likely secondary to atelectasis, but in the right clinical setting, pneumonia cannot be excluded. There is no pneumothorax or large pleural effusion.
atrial fibrillation on coumadin and copd, now with shortness of breath and productive cough. evaluate for pneumonia, worsening edema/effusion, or other acute pulmonary process.
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The newly placed ett tip is in standard position with the neck extended. The distal most aspect of the ett appears to contain some hyperdense material, perhaps hemorrhage or secretions. The enteric tube traverses the hemidiaphragm its tip is beyond the scope of this image. The right hemidiaphragm is elevated, similar the prior exam. Cardiomediastinal silhouette is unchanged. No pneumothorax. No pleural effusion or focal consolidation. Pulmonary vascular congestion is minimal. Edema it is mild, new from the prior exam. No acute osseous abnormality.
history: <unk>m with s/p intubation // intubated
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The cardiomediastinal and hilar contours are within normal limits. The lungs are hyperinflated and there is flattening of the diaphragms, consistent with chronic pulmonary disease. The upper lobes are more severely affected. No acute focal pneumonia is identified. There are no pleural effusions or pneumothorax.
<unk>-year-old female patient with elevated white blood cell count, months of nausea, vomiting secondary to terrible gastroparesis, completing infection workup. study requested for evaluation of aspiration.
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As compared to the previous radiograph, the left-sided pleural effusion has minimally decreased in extent. Otherwise, the radiograph is unchanged, with massive bilateral parenchymal opacities and consolidations as well as a moderately enlarged cardiac silhouette. No pneumothorax. The right pectoral pacemaker is in unchanged position.
klebsiella pneumonia, evaluation for interval change.
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Ap view of the chest provided. As compared to prior study from <num> day ago, interstitial opacities throughout the right lung has increased. This mild asymmetric right pulmonary edema was also previously seen on <unk> scan. There is no lobar collapse. Moderate amount of right pleural effusion is unchanged. Right upper lobe pneumatocele size is unchanged, but there is perhaps less internal fluid component. Cardiomediastinal silhouette is stable.
<unk> year old woman with treacheomalacia s/p repair, evaluate interval change post bronchoscopy
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In comparison to the prior study earlier on the same day, the left hemithorax is partially opacified by layering of the previously seen small left pleural effusion. The left lower lobe remains collapsed. No pneumothorax. No significant changes compared to prior study.
<unk> year old man s/p bronchoscopy // <unk> year old man s/p bronchoscopy
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Pa and lateral chest radiograph demonstrates persistent but decreased right pleural effusion. This appears to be a lenticular opacity laterally at the right base on frontal views raises possibility of a loculated pleural component. The lungs are otherwise clear with no focal opacity convincing for pneumonia. Cardiomediastinal and hilar contours are within normal limits. There is no pneumothorax. No acute osseous abnormalities detected.
<unk> year old woman with recent pleural effusions with continued dyspnea and decreased breath sounds at <unk> base.
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In comparison with the study of <unk>, there is some increase in the extensive opacification in the right hemithorax with less aerated lung. The left lung shows several rounded opacifications, worrisome for metastases.
malignant effusion.
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Severe levoconvex scoliosis with associated distortion of the thoracic cage. The lungs are well-expanded. Small amount of residual focal increased opacity in the right lower lung compared to the prior exam, reflecting significant interval improvement in the left lower lung pneumonia from <num> weeks ago. Left lower lobe subsegmental atelectasis. No pleural effusion, pulmonary edema, or pneumothorax. Stable mild cardiomegaly. Mediastinal contours and hila are unremarkable. Median sternotomy wires the appear intact and unchanged in position. Lower thoracic and lumbar spine surgical fixation devices are unchanged.
<unk>-year-old woman with cough, shortness of breath, ? aspiration, h/o edema, h/o pneumonia (one mo ago). evaluate for pneumonia.
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Lung volumes are normal. There is no consolidation. Pleural surfaces are smooth, without effusion or pneumothorax. Cardiomediastinal contours are normal. No subdiaphragmatic free air.
history: <unk>m with dyspnea, cough, hx of asthma // please evaluate for acute cp process
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The dobbhoff tube has been advanced and projects over the expected location of the stomach. The et tube is in stable position approximately <num> cm above the carina. The lungs are unchanged in appearance from approximately six hours prior. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are similarly unchanged. There are no pleural effusions or pneumothorax present. The bones are markedly sclerotic, consistent with known metastasis.
status post replacement of dobbhoff. assess midline position prior to advancement.
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Portable semi-upright radiograph of the chest demonstrates bilateral parenchymal opacities consistent with pulmonary edema, which is slightly improved from the prior study. Cardiomediastinal and hilar contours are unchanged. There is no pneumothorax or consolidation. The endotracheal tube tip is obscured by overlying sternotomy wires. A left-sided internal jugular line ends in the persistent left svc. A nasogastric tube courses into the stomach and out of the field of view.
<unk>-year-old man with pulmonary hypertension, ards, and new orogastric tube placement. evaluate for position of orogastric tube.
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Cardiac silhouette size remains mildly enlarged. Mediastinal and hilar contours are normal. Lungs are clear and the pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities demonstrated. Clips are noted within the right upper quadrant of the abdomen.
history: <unk>f with confusion // eval for infiltrate
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Endotracheal tube tip is <num> cm from the carina. Enteric tube passes below the field of view. Bibasilar opacities are noted which could be due to any combination of consolidation, atelectasis or effusions. Cardiac silhouette is moderately enlarged likely accentuated by technique. Calcifications are noted at the aortic arch. Bilateral rib fractures are noted laterally. Subcutaneous gas projects over the right chest wall. There is probable right apical pneumothorax laterally.
<unk>m with post-arrest, intubated // evaluate intubation, acute process
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There is upper zone redistribution and slight vascular plethora, without definite change compared with <unk>. Cardiomediastinal silhouette is unchanged. Sternotomy wires again noted. Swan-ganz catheter tip overlies the proximal right pulmonary artery, slightly retracted compared to prior. The left-sided cardiac device and leads are unchanged.
<unk>m with pmh of ischemic cardiomyopathy with ef of <unk>% s/p bms to lcx, des to lad, mitral valve repair/three vessel cabg, paf, ra thrombus, p/w atrial tachycardia and progressive doe and hypotension, concerning for cardiogenic shock, now on levophed. // pulmonary edema
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Lines and tubes: right picc, left upper chest wall pacemaker are unchanged in position. There has been interval removal of a swan-ganz catheter. Lungs: persistent low lung volumes with mild pulmonary edema and left basilar atelectasis, unchanged. Pleura: there is no pleural effusion or pneumothorax mediastinum: persistent cardiomegaly, unchanged. Bony thorax: no interval change.
<unk> year old man with acute decompensated hf, s/p rhc and swan // eval swan placement, interval change
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Portable trauma radiograph of the chest. The patient is on a trauma board, which obscures fine bony detail. The lungs are clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal. No displaced fracture is seen.
motor vehicle collision.
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Overlying soft tissue limits assessment. There is mild cardiomegaly. The mediastinal and hilar contours are unremarkable. There is no pneumothorax or large pleural effusion. There may be a small left pleural effusion. The lungs are well-expanded. Mild increased patchy opacity at the right lung base, new since the prior study may reflect early aspiration or pneumonia.
<unk> year old woman with r mca stroke, vomiting.
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Feeding tube tip projects over lower third of the mid chest, in the distal esophagus, approximately <num> cm from the gastroesophageal junction. Surgical clips in the right upper quadrant. Normal heart size, pulmonary vascularity. Lungs are clear. No pneumothorax. Posttraumatic or postsurgical stable deformity distal left clavicle.
<unk>m s/p dobhoff placement halfway to <num> cm // make sure dobhoff in esophagus, not lung
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Pa and lateral views of the chest. No prior. There is subtle increased opacity identified in the right mid lung and at the right base laterally, which could represent focal regions of consolidation. Elsewhere, the lungs appear grossly clear. There is no pleural effusion. Cardiomediastinal silhouette is within normal limits. Mitral annular calcifications are seen. Atherosclerotic calcification is seen within the aorta, which is tortuous. Surgical clips identified in the upper abdomen. Soft tissues are otherwise unremarkable, as are the osseous structures.
<unk>-year-old male with cough for last week. pcp reported he had pneumonia on outside chest x-ray. question pneumonia.
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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 fall
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Endotracheal tube, nasogastric tube, swan catheter, mediastinal and bibasilar chest tubes are in unchanged position without evidence of pneumothorax. Retrocardiac atelectasis is unchanged. No pulmonary edema or pleural effusion is seen. Moderate cardiomegaly is unchanged.
<unk>-year-old man status post cabg with chest tube on waterseal.
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Pa and lateral chest radiograph demonstrate clear lungs bilaterally. Heart is mildly enlarged. Hilar contours are normal. There is no pleural effusion, pulmonary edema or pneumothorax. There is no air in the right hemidiaphragm.
history: <unk>f with obesity, htn, who presents with exertional dyspnea, nausea, and epigrastric discomfort. // ? cardiomegaly, pna
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There is elevation of the left hemidiaphragm with multiple air-filled distended loops of bowel in the upper abdomen which were better evaluated on the concurrent ct abdomen and pelvis. Free intraperitoneal air was better assessed on the ct. There is slight improvement in the bilateral pleural effusions. Stable mildly enlarged heart size, with normal mediastinal and hilar contours. No focal consolidation or pneumothorax.
history: <unk>f with diffuse abd pain // eval for free air under diaphragm
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Single ap portable view of the chest was obtained. Endotracheal tube is seen, terminating approximately <num> cm above the level of the carina. There are low lung volumes which accentuate the bronchovascular markings. Relative right upper lobe opacity is similar as compared to the prior study from <unk>, although difficult to tell whether it resolved in the interval and recurred and whether there is some component of aspiration or infection. There may be minimal pulmonary vascular engorgement. Given low lung volumes the cardiac and mediastinal silhouettes are likely stable as compared to <unk>. No large pleural effusion or pneumothorax.
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Again seen is the pigtail left-sided chest tube coursing mediallyand apically. There may be a remnant trace left-sided pneumothorax. Left-sided picc line is unchanged in position. The cardiomediastinal silhouette is stable in appearance. Again noted is a mild to moderate degree of pulmonary edema and bilateral pleural effusions as well as a left basilar and right apical parenchymal opacity. Overall the findings are little changed.
pleural effusion.
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As compared to the previous radiograph, the central subclavian line on the left has been removed. The left picc line remains in situ. The course of the line is unremarkable, the tip of the line projects over the mid svc. There is no evidence of complication, notably no pneumothorax. Extensive soft tissue air collections bilaterally in the chest wall and in the cervical region remains unchanged. Moderate atelectasis at both lung bases. The presence of a small left pleural effusion cannot be excluded.
picc line placement, evaluation of central line, evaluation for picc line.
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Cardiomediastinal silhouette is within normal limits. New faint right basilar opacity may represent atelectasis, although superimposed infection is not excluded in this clinical setting. No pneumothorax or pleural effusions detected.
<unk>m with fever, malaise. evaluate for infectious process.
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Frontal and lateral views of the chest demonstrate normal lung volumes. There is 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.
chest pain.
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On the current image, intra-abdominal air at the level of the hemidiaphragms is no longer seen. The patient has been intubated, the tip of the endotracheal tube projects <num> cm above the carina. The large right apical, mediastinal and hilar opacity, obstructing the right main bronchus, is unchanged in extent and severity, the surrounding parenchymal reaction is also unchanged. No change in appearance of the left hilar mass, with elevation of the left hemidiaphragm.
metastatic renal cell cancer, debridement of the right middle lobe, evaluation for free intra-abdominal air or pneumothorax.
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All the monitoring devices are unchanged. A left picc line ending in the left axillary vein is re-demonstrated. The et tube ends at <num> cm from the carina bifurcation. There is increased opacification of both lungs for increased pulmonary edema and bilateral pleural effusion. Bibasilar atelectasis and large linear atelectasis of the left lung are re-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. Clips are noted in the right upper quadrant of the abdomen compatible prior cholecystectomy.
history: <unk>f with recent cholecystectomy presenting with worsening right flank pain.
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Frontal and lateral views of the chest. There is new patchy consolidation identified in the right lower and middle lobes. Elsewhere, the lungs are clear. The cardiomediastinal silhouette is unchanged. Atherosclerotic calcification seen at the aortic arch. No acute osseous abnormalities detected.
<unk>-year-old male with chest 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 cardiomediastinal silhouette is normal. The imaged osseous structures are intact. No free air below the right hemidiaphragm.
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No intravenous catheter is visualized. There is a small right apical pneumothorax. This finding was called to dr. <unk> at the time of discovery at <time> am after discovery at <time> a.m. On <unk> by dr. <unk> <unk> to reach other team members prior to this). Lungs are otherwise clear. There is no infiltrate or effusion.
rule out pneumothorax, attempted ij placement.
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The patient is intubated. The monitoring and support devices, including the right-sided chest tube, are in correct position. Moderate cardiomegaly, mild pulmonary edema. Extensive atelectasis in the left retrocardiac areas and in most of the left lower lobe. No visible pneumothorax.
status post chest closure.
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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. S-shaped thoracolumbar scoliosis is noted.
<unk>f with chest pain midsternal since last night. // <unk>f with chest pain midsternal since last night.
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Frontal and lateral views of the chest were obtained. The lungs are well expanded and clear without focal consolidation, pleural effusion or pneumothorax. Heart size is normal. Mediastinal silhouette and hilar contours are normal.
all status post bone marrow transplant with fever and cough.
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Patient is status post median sternotomy and cabg. Heart size is normal. Mediastinal and hilar contours are unchanged. Pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is seen. No acute osseous abnormality is detected.
<unk> year old woman with hx cabg <unk>, now with new left parasternal chest pain // assess for etiology of left sided chest pain
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Small right pleural effusion persists, stable to possibly minimally larger compared to the prior study. The left lung is clear. There is no focal consolidation or pneumothorax. Cardiac and mediastinal silhouettes are stable.
history: <unk>f with chest pain // eval for acute process
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Redemonstrated is a left-sided picc line with the tip seen terminating in what most likely represents the upper svc, although the azygos vein cannot be entirely excluded. Redemonstrated is linear atelectasis of the left lower lobe, as well as small bilateral pleural effusions. There is no focal consolidation or pneumothorax identified. The heart size is normal. Mediastinal contours are stable.
picc line placement.
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The heart size, mediastinal, and hilar contours are normal. The lungs are clear without pleural effusion, focal consolidation, or pneumothorax.
<unk>f with cp. rule out acute process.
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As compared to chest radiograph dated <unk>, there has been no significant changes with persistently low lung volumes. There are no new focal consolidations or pulmonary edema. There are no larger pleural effusions. A nasogastric tube is seen descending in an uncomplicated course with the tip of the tube projecting over the post pyloric position. Bilateral chest tubes are unchanged in position.
<unk>-year-old male status post cabg. evaluate for pleural effusions.
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Ng tube tip is in the stomach with the proximal port above the gastroesophageal junction. The stomach is less distended than on the prior study. Again seen is a radiopacity projecting over the gastric bubble that likely represents an aspirated tooth. The et tube is <num> cm above the carina. There is mild cardiomegaly and pulmonary vascular redistribution.
motor vehicle collision, check ett.
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Frontal and lateral views of the chest are provided. The right cardiac border is indistinct, which is partially due to epicardial fat pad, better seen on ct exam of <unk>. There is no pleural effusion. No pneumothorax. Prominent interstitial markings are more conspicuous since prior. Hilar and mediastinal silhouettes are unchanged. Aortic arch and intrathoracic aortic calcifications are noted. Heart is top normal in size. Perihilar vascular congestion is noted. Partially imaged upper abdomen is unremarkable. Degenerative changes of bilateral acromioclavicular joints are noted.
chest pain.
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Lower lung volumes seen on the current exam. The lungs are clear of confluent consolidation or effusion. The cardiac silhouette is top normal and unchanged. High density material seen within the colon likely from recent ct scan. No acute osseous abnormalities identified. Mid thoracic dextroscoliosis again noted.
<unk> year old woman with high grade fever, hypotension // evaluate for pna
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As compared to the previous radiograph, plate-like atelectasis has developed at the left lung base. No pleural effusions. Lung volumes remain low. Borderline size of the cardiac silhouette. No evidence of pneumonia.
hypoxia, increasing secretions, questionable aspiration.
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Ap upright 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.
history: <unk>m with ams, weakness // eval for pneumonia
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The lungs are clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax. There is no pleural effusion. Pulmonary vascularity is normal.
<unk>-year-old woman presenting with near-syncope and dyspnea.
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Cardiac size is enlarged. No focal consolidation. No evidence of pulmonary edema. There is no pneumothorax or pleural effusion. Again seen is the increased pulmonary vascularity bilaterally. Left picc with tip in the mid svc.
<unk> year old woman with hx of cad s/p des in <unk>, dm<num> oninsulin, htn, hld, and copd who is s/p bicondylar tibial plateau fx on <unk>, s/p i d on <unk>, now s/p i d (<unk>, <unk>). now with cough and decreased o<num>sat // ? respiratory infection
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There is new opacification at the right lung base. The remainder of the lungs are clear. Heart size is normal. Mediastinal and hilar contours are stable, but slightly shifted to the left, likely due to patient position. A left port-a-cath is present with tip terminating in the region of the cavoatrial junction.
<unk>-year-old with new fevers, on chemo recently.
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Pa and lateral views of the chest are provided. The lungs are clear without focal consolidation, effusion, or pneumothorax. The heart and mediastinal contours are normal aside from slightly unfolded thoracic aorta. The bony structures are intact. No free air below the right hemidiaphragm.
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The lungs are hyperinflated but essentially clear. Linear left basilar opacity is most suggestive of atelectasis versus scar. Prominent right cardiophrenic fat pad is again noted. Cardiomediastinal silhouette is within normal limits. Mid thoracic dextroscoliosis the similar to prior. No acute osseous abnormality is identified.
<unk>f with palpitation // eval for acute process
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The heart is again mildly enlarged. Bilateral perihilar fullness and patchy upper lobe opacities appear similar to the prior ct torso scout view, allowing for differences in technique. Surgical clips project along the right lateral chest wall. There is no evidence for pleural effusion or pneumothorax.
hypoxia and shortness of breath.
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Persistent cardiomegaly, with worsening bilateral perihilar and basilar pulmonary edema, accompanied by apparently new, partially layering right pleural effusion on this semi-upright study.
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A very small area of peribronchial opacity is seen in the right mid lung zone, which may represent a small pneumonia. Could consider shallow obliques for better evaluation of this area. There is no edema, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal.
hemoptysis. history of smoking.
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Portable semi-upright radiograph of the chest demonstrates low lung volumes with resultant bronchovascular crowding. There is stable mild cardiomegaly. Left-sided pacemaker with atrial and right ventricular leads is present. There is no pleural effusion, pneumothorax, or consolidation.
<unk>-year-old man with cough and leukocytosis. evaluate for pneumonia.
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A right dual-lumen central venous catheter terminates in the proximal right atrium. The left picc line terminates in the right atrium, possibly within the right ventricle as was noted yesterday. A new nasogastric tube has its tip projecting over the stomach. The tip turns and head cephalad but appears to be within the stomach. Lung volumes are low, resulting in mild vascular crowding not significantly changed. The heart is top normal. The retrocardiac opacity is unchanged and may represent atelectasis or small pleural effusion. There is no pneumothorax.
altered mental status now status post ng tube placement for feeding /meds. please evaluate for ng tube placement.
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As compared to the previous radiograph, the lung volumes have slightly decreased. The known bilateral subpleural reticulations, left more than right and clearly predominating in the lower lung zones, are unchanged in extent and severity. The opacities are better appreciated on the lateral than on the frontal radiograph. There is no evidence of new parenchymal opacities, in particular none that would suggest pneumonia or aspiration. Status post sternotomy and cardiac surgery. The sternal wires are in unchanged position. No pleural effusions. No pulmonary edema.
scleroderma, aspiration, rule out pneumonia.
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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.
dyspnea on exertion. rule out pulmonary process.
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Multiple right and left apical focal opacities correlate with lung parenchymal scarring seen on <unk> chest ct. Severe emphysematous changes are noted in bilateral mid lung regions. There are no visible micro or macro nodules within the lung parenchyma. The hilar, cardiomediastinal, and pleural surfaces are normal. There are no acute bony abnormalities nor fracture.
<unk> year old man with hx met prostate cancer. r/o metastatic disease to lungs. hx lung infections // pt with hx met prostate cancer;to start new treatment. r/o metastatic disease to lungs. hx lung infections
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Lung volumes are slightly low and there is volume loss at the bases. In addition to that there is an alveolar infiltrate involving the left lower lobe that is worsened compared to the study from the prior day. There is pulmonary vascular redistribution the heart is moderately enlarged
<unk> year old man with heart failure and ams // interval change
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The right-sided central line is unchanged. The feeding tube tip is off the film, at least in the stomach. There is some hazy increased lung markings in the right lower lung that could represent an area of volume loss or early infiltrate. The left lung is clear. Heart is mildly enlarged. The pulmonary vasculature is normal
<unk> year old woman with pancreatitis, hemolytic anemia, now with worsening mental status // ?pna
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The patient is rotated, limiting assessment. The mediastinum is normal in size and contour. The cardiac silhouette is normal in size. The hila are unremarkable. There is no pneumothorax lungs are expanded and clear without focal consolidation. Gaseous distention of multiple bowel loops is noted in the upper abdomen.
history: <unk>m with chest pain // eval for widened mediastinum
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Small left basal atelectatic bands have slightly increased in size. The lungs are otherwise clear. There is no pleural effusion or pneumothorax.
patient with hypoxia, wheeze, rule out pneumonia.
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Surgical chain sutures noted in the right middle lobe. The lungs are otherwise clear without focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits. Descending thoracic aorta is somewhat tortuous. No acute osseous abnormalities identified.
<unk>m with chest pain // ? ptx
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Endotracheal tube is located at the origin of the right mainstem bronchus. The tube could safely be withdrawn <num>-<num> cm. An enteric tube courses into the first portion of the duodenum. A vp shunt is partially imaged. Lung volumes are low. There are bilateral parenchymal opacities compatible with mild pulmonary edema. The heart is mildly enlarged. There is a more focal opacity in the left lower lung, which may reflect infection or asymmetric pulmonary edema. No pneumothorax. There is likely a small left pleural effusion.
evaluate after intubation.
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The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
<unk>-year-old male with joint stiffness and chest congestion. evaluate for infection.
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Ap portable semi upright view of the chest. The endotracheal tube is seen with its tip located at least <num> cm above the carina. Advancement is advised for more optimal positioning. The nasogastric tube descends into the left upper quadrant. There is left lower lobe atelectasis, difficult to exclude a component of aspiration or pneumonia. Otherwise lungs are clear. Heart size appears within normal limits. Mediastinal contour is unremarkable. No acute bony abnormalities are seen.
<unk>m with new intubation, head bleed // ? ett placement
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A left-sided central venous catheter is seen with its tip at the cavoatrial junction. The lungs are clear without evidence of focal opacity or interstitial abnormality. The heart size is top-normal and the hilar contours are normal. The pleural surfaces are clear without effusion or pneumothorax.
history of sickle cell disease and severe chest pain. evaluate for acute chest syndrome.
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Lung volumes remain low. Cardiac silhouette is mildly enlarged but stable in size, and accompanied by mild pulmonary vascular congestion and perihilar haziness as well as peribronchial cuffing and scattered bilateral interstitial opacities. There are no definite pleural effusions.
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Pa and lateral views of the chest demonstrate persistent biapical reticular opacities, right greater than left, with pleural thickening or effusion along the right lateral pleural surface at the level of the minor fissure. There is also persistent blunting of the right costophrenic angle. The heart is moderately enlarged, as before, with no evidence of pulmonary edema. Median sternotomy wires and aortic valve repair are stable in appearance. A right port-a-cath is also unchanged in position. A healed left seventh rib fracture is again seen.
<unk>-year-old man with lymphoma, on chemo, with pneumonitis in the past. evaluation for resolution of infiltrates on recent x-ray.
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Lung volumes are low which leads to bronchovascular crowding. No focal consolidation is identified. The cardiac silhouette is unchanged. There is no pleural effusion or pneumothorax. Visualized upper abdomen is unremarkable. An ng tube terminates at the gastric antrum. Osseous structures are grossly intact.
large bowel obstruction, evaluate for worsening obstruction.
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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 pulmonary edema is seen.
history: <unk>m with tachycardia, s/p hip replacement // ?pna
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As compared to chest radiograph from <num> day prior, at increasing opacification of the right lung can be worsening pneumonia. Pulmonary vascular congestion has also progressed. Moderate cardiomegaly. No pneumothorax. Likely small effusions.
<unk> year old man with worsening wbc, // r/o progression of pna
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Portable frontal radiograph of the chest demonstrates perhaps borderline enlarged heart size, although it is difficult to assess on this portable study. There is no pulmonary vascular congestion, pneumothorax, focal consolidation, or pleural effusion.
<unk>-year-old female with poor oxygen saturation and hemoptysis. rule out pulmonary edema.
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Small bilateral pleural effusions with overlying atelectasis. No pneumothorax identified. Minimally increased bibasilar reticulations likely correlate to the patient's known fibrotic changes. Chain sutures are noted in the right peripheral lower lung zone and left upper lobe. The size of the cardiac silhouette is mildly enlarged.
<unk>f pmh s/p redo l fem-bk pop gsv bypass <unk> c/b occlusion x<unk> s/p thrombolysis <unk>, <unk>, distal graft pta stent <unk>, now s/p l eia-pt with rgsv. re-admit for ssi <unk> here w/ fevers of unknown origin // intrapulmonary process?
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An endotracheal tube terminates <num> cm above the carinal a nasogastric tube extends to at least the level of the stomach, with the distal portion excluded on this examination. A right ij catheter terminates at the cavoatrial junction. There is no pneumothorax, focal consolidation, or large effusion. The lung volumes remain low. The cardiac and mediastinal contours are stable.
post intubation.
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Interval removal of the et tube. Ngt projects over the stomach. Right picc, tip terminates at the cavoatrial junction right ij cvc, tip projects over the upper svc. Left hemithorax is completely opacified, unchanged. Right lung is clear. This preliminary report was reviewed with dr. <unk>, <unk> radiologist.
<unk> year old man with small cell lung cancer now with ng tube in place // eval location of ng tube
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Single portable view of the chest. No prior. Low lung volumes are seen. The lungs are clear of large confluent consolidation noting some right basilar probable atelectasis. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.
<unk>-year-old male with fever and altered mental status and abdominal pain.
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Since <num> day prior, a right pleural effusion has increased in size, a left pleural effusion is unchanged, and a small small left apical pneumothorax appears mildly larger. The right-sided chest tube appears as it may be kinked, which is unchanged from <num> day prior. The left-sided chest tube also appears as if it may be kinked. Mild cardiomegaly is unchanged. Pulmonary vascular congestion is unchanged.
<unk> year old man with bilateral chest tubes // eval chest tube position, r/o pneumothorax
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Bibasilar atelectasis/scarring is seen. There is mild perihilar peribronchial thickening. No definite focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are unremarkable and stable.
altered mental status status post fall.
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with lightheadedness.
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Lung volumes are low. The heart size is mildly enlarged but appear similar compared to previous exam. Mediastinal and hilar contours are unremarkable. There is crowding of the bronchovascular structures. Patchy bibasilar airspace opacities likely reflect atelectasis in the setting of low lung volumes. No pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities.
chest pain, sickle cell disease.
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Single portable semi-erect chest radiograph demonstrates endotracheal tube terminating <num> cm above the carina. Enteric catheter terminates in the fundus of the stomach with sideport at the expected level of ge junction and could be advanced several centimeters for better function. Right central venous catheter terminates at the cavoatrial junction. Remainder of exam is unchanged with unremarkable cardiomediastinal borders, clear lungs and no pleural fluid.
intubation, evaluate endotracheal tube placement.
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A portable frontal chest radiograph demonstrates moderately well-aerated lungs with a normal cardiomediastinal silhouette. Streaky opacities in the bilateral lung bases are most compatible with atelectasis, with slightly better aeration of the left lower lung compared to chest radiograph in the day prior. There is no focal consolidation concerning for pneumonia. No pleural effusion or pneumothorax is identified. The visualized upper abdomen is unremarkable, other than surgical clips projecting over the mid abdomen.
evaluate for pneumonia in a patient with a history of copd, presenting with wheezing and fever.
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The heart size is normal. The mediastinal and hilar contours are unremarkable, and the pulmonary vasculature is normal. Apart from minimal atelectasis in the left lung base, there is no focal consolidation, pleural effusion or pneumothorax identified. Multiple old left-sided rib fractures are noted, but no acutely displaced fractures are seen.
right-sided chest pain after motor vehicle collision.
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In comparison with the study of <unk>, there is little change and no evidence of acute cardiopulmonary disease.
lll pleuritic pain.
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The cardiac silhouette size is mildly enlarged but unchanged. The mediastinal and hilar contours are unremarkable. The pulmonary vasculature is normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. Remote bilateral rib fractures are noted.
diabetic ketoacidosis and chest pain.
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No focal consolidation or pleural effusion is detected. No pneumothorax is seen. Heart size is top normal. Mediastinal contours are within normal limits with mild aortic tortuosity. Thyroidectomy clips are again noted.
<unk>-year-old female with altered mental status and right-sided rhonchi.
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The et tube and ng tube have been removed. . There is volume loss in the left base. There continues to be mild pulmonary vascular redistribution and small bilateral pleural effusions the right ij line is unchanged.
<unk> year old woman with copd exacerbation, ? component of myasthenia <unk> // evaluate for interval change
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The patient is status post median sternotomy. Cardiac size is normal. On the right, <unk> apically oriented chest tube is in unchanged position since the prior study. There is <unk> extensive amount of subcutaneous emphysema, which is also similar in extent to the prior study. There is now <unk> extensive right hydropneumothorax several air-fluid levels are present in the inferior right hemithorax. Interval increase in right base opacity is seen, could be from atelectasis and effusion, but underlying infection not excluded. Note is made of a prior left upper lobe resection; otherwise, the left lung is essentially clear aside from minimal basilar atelectasis.
chest pain. recent chest tube placement. evaluate for pneumothorax.
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The cardiac, mediastinal and hilar contours appear stable, including persistent, but somewhat decreased, right middle lobe opacity as well as enlarged lobular contours of the mediastinum most consistent with lymphadenopathy, which is not significantly changed. There is, in addition to right middle lobe opacity, unchanged streaky left basilar opacities probably due to scarring without clear change.
shortness of breath.
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Per the patient's nurse, the patient had pulled out his nasogastric tube prior to this chest radiograph being obtained. The lungs are hyperinflated with flattening of the diaphragms, suggesting chronic obstructive pulmonary disease. There are areas of mild bilateral lower lobe atelectasis/scarring. Relative lucency of the upper lobes likely relates to emphysema. The cardiac silhouette is top normal. The aorta is tortuous. There is no overt pulmonary edema.
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Patient is status post median sternotomy and cabg.no focal consolidation is seen. There is no pleural effusion or pneumothorax the cardiac and mediastinal silhouettes are stable. No pulmonary edema is seen.
history: <unk>f post fall, no focal neuro deficits, alert and oriented // <unk> yo female seen post fall, evaluate for chest infection