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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 hiv positive with nausea, vomiting, mild shortness of breath.
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In comparison with the earlier study of this date, the left pneumothorax has substantially decreased. Otherwise, little change.
chest tube, to assess for interval change.
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Compared to prior, there has been no significant interval change. Prominence interstitial markings are noted in the lungs but are unchanged over multiple priors. Linear left basilar opacities likely scarring versus atelectasis. There may be trace pleural effusions as demonstrated by blunting of the posterior costophrenic angles. Mild cardiac enlargement is noted. Tubing projects over the upper abdomen bilaterally.
<unk>f with dchf, bladder cancer, b/l perc nephrostomy tubes here with left flank and left abdomen pain. crackles on lung exam // any evidence of pulmonary edema?
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The lungs are clear. The cardiomediastinal silhouette and hilar contours are stable. There is no pleural effusion or pneumothorax. Osseous structures are grossly intact.
<unk> year old man pre op for liver transplant.
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Pa and lateral views of the chest provided. Left chest wall port-a-cath is noted with catheter tip in the region of the upper svc. The lungs are clear bilaterally. No focal consolidation, large effusion or pneumothorax is seen. Tiny surgical clips are noted in the right axilla. No signs of congestion or edema. Bony structures are intact. No free air below the right hemidiaphragm.
<unk>f with back pain, history of breast cancer.
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There is no focal consolidation, pleural effusion or pneumothorax. Linear bibasilar opacities are unchanged and likely represent chronic atelectasis. The cardiomediastinal silhouette is unchanged. The imaged upper abdomen is unremarkable. The bones are intact.
history: <unk>f with copd, afib on coumadin, presents with mild sob // eval for acute cardiopulmonary pathology
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A right-sided picc terminates at the mid to distal svc. Left anterior hydropneumothorax is unchanged. Pleural thickening along the left lateral chest wall is unchanged. A loculated fluid collection contiguous with the major fissure in the posterior left superior hemithorax appears unchanged compared to chest x-ray from <unk>. Bibasilar atelectasis and left pleural effusion are stable. No evidence of pneumothorax.
<unk> year old man with persistent bilateral pleural effusions; please evaluate for ptx post- l-sided chest tube pull. // evaluate for pneumothorax
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Lungs are well inflated and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax. A left chest single lead pacemaker with is in unchanged position.
<unk>m with rle ischemic leg, chest pain, evaluate for acute process.
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Ap portable chest radiograph. Mild interstitial edema with small left pleural effusion is unchanged to slightly worse. Mediastinal wideness is due to known mediastinal adenopathy. There is no pneumothorax. The heart contours are not well seen due to the above findings.
hypoxemia. leukocytosis and concern for pneumonia.
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Tortuous and dilated thoracic aorta appears similar to prior study, and cardiac silhouette is also similar in size and configuration. Worsening patchy and linear right basilar opacities favor atelectasis, but developing infectious process is difficult to exclude and short-term followup radiographs may be helpful in this regard. Small left pleural effusion is also noted.
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Mild cardiomegaly and a calcified aorta are again seen. Hilar contours are unremarkable. There is no evidence for pulmonary edema, pulmonary consolidation, or pleural effusion. Eventration of the anterior right hemidiaphragm is again seen. Small endplate osteophytes are again seen in the thoracic spine.
cough.
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Left lung mass corresponding to the biopsied site is still present. No pneumothorax is identified. Cardiac size is again large, but stable.
<unk>-year-old woman status post lung biopsy. question pneumothorax.
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As compared to the prior examination, there has been minimal interval change. Redemonstrated is a right-sided picc line seen terminating in the mid svc. The lungs are essentially clear without focal consolidation, pleural effusion, pneumothorax, or pulmonary edema . The heart size is top normal. Mediastinal and hilar contours are stable.
history of lymphoma, now with chills and cough.
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The tip of the endotracheal tube projects <num> cm above the carina and should not be withdrawn any further. No change in the positioning of the left-sided dialysis line, terminating in the right atrium. Intact median sternotomy wires, and unchanged mediastinal surgical clips. Lung volumes remain low, with moderate cardiomegaly and improved mild to moderate pulmonary edema. The right effusion has decreased in size. Right lower lobe is better aerated. Retrocardiac atelectasis is unchanged. No pneumothorax.
<unk> year old man with chf exacerbation, cardiogenic shock. evaluate for interval change.
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In the interval, the patient has been intubated. The tip of the endotracheal tube projects approximately <num> cm above the carina. The lung volumes have increased, possibly is an effect of a change in ventilatory pressure. Mild volume loss in the upper lobe. The pre-existing bilateral pleural effusions have minimally decreased. Subsequent bilateral areas of atelectasis. Borderline size of the cardiac silhouette. No pneumothorax.
status post cabg, intubation.
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Frontal and lateral views of the chest were obtained. There is mild right base and right middle lobe atelectasis. No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable. Aortic knob calcification is incidentally noted.
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Right picc line terminates at the cavoatrial junction. The pleura, cardiomediastinal silhouette, and lungs are unchanged.
<unk> year old woman with <num>cm picc, pulled back <num>cm as directed // re-eval picc tip re-eval picc tip
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The heart is mild-to-moderately enlarged. The mediastinal and hilar contours appear unchanged. There is similar moderate relative elevation of the left hemidiaphragm compared to the right. There is no definite pleural effusion or pneumothorax. There is a new widespread moderate interstitial abnormality with perihilar fullness, more extensive on the right than left, but suggestive of moderate interstitial pulmonary edema. This is superimposed on pre-existing right basilar opacities. Relative depression of the right acromion compared to the distal right clavicle appears unchanged and suggests a history of prior shoulder separation.
hypoxia and bilateral rales, status post recent stent placement. patient with peripheral vascular disease.
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The heart is mildly enlarged with a left ventricular configuration. The mediastinal and hilar contours appear unchanged. The lungs appear clear. Blunting of the right posterior costophrenic sulcus may reflect a trace pleural effusion on that side only. Mild degenerative changes are similar along the thoracic spine.
chest pain.
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Frontal and lateral chest radiographs again demonstrate multiple sternal wires, which remain intact. The exam is largely unchanged, with with similar appearance of a moderate left hydro pneumothorax. No new focal consolidation is identified.
evaluate left apical pneumothorax in a patient status post bentall.
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Cardiac silhouette size is normal. Mediastinal and hilar contours are unremarkable with minimal atherosclerotic calcifications noted in the aortic knob. Patchy opacities are seen within the left upper and lower lung fields which are nonspecific but may reflect areas of infection in the correct clinical setting. No pleural effusion or pneumothorax is present. Cervical spinal fusion hardware is incompletely imaged.
history: <unk>m with altered mental status
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As compared to the prior radiograph performed yesterday morning, there is interval enlargement of an area of opacification in the right perihilar region, which most likely represents worsening pulmonary edema. However, an underlying infection cannot be excluded. A small right pleural effusion is noted. There is no pneumothorax. The heart remains enlarged. Atherosclerotic calcifications are noted in the aortic arch.
<unk> year old woman with hypoxia, pneumonia and chf // ?interval change
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Compared to the prior study, there is now near complete opacification of the left chest, with multiple small lucent foci in the upper half of the lung which likely represent small areas of aerated long versus focal air within fluid. New compared to the prior study, sternotomy wires and midline mediastinal skin <unk> are now visualized, compatible with interval surgery. There has been leftward shift of the mediastinum, likely contributing to the left chest opacity. The left chest tube, mediastinal drains, and <num> swan-ganz catheter have all shifted leftward. The plane of imaging of the prosthetic valve is also slightly different. The right chest tube remains in place, canal lying slightly lower over the lower right lung. The carina is not well delineated, but i suspect the et tube tip lies approximately <num> cm above the carina. An ng tube is present, tip and side-port overlying the upper stomach. Aside from mild plethora of upper zone vessels in the right lung, the right lung is grossly clear. Large rounded calcification, likely a large gallstone, again noted in the right upper abdomen
<unk> year old man s/p emergent cabg // eval for ett position s/p chest closure
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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. Bilateral shoulder arthroplasty noted. No free air below the right hemidiaphragm is seen.
<unk>f with s/p renal transplant fever n/v cough // eval for pna
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Low lung volumes are low. The heart size is mildly enlarged, and slightly increased compared to the previous exam. The mediastinal contours are unchanged. Crowding of the bronchovascular structures is noted with mild pulmonary vascular congestion. A focal patchy opacity is seen within the right lower lobe, which could reflect an area of atelectasis or infection. No pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities.
cough.
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The patient has undergone thoracocentesis on the left. There is a further decrease in extent of the pre-existing pleural effusion with subsequent better ventilation of the upper parts of the left lung. However, there is a millimetric lucent zone at the left lung apex, so that a small post-procedural pneumothorax cannot be excluded. No evidence of tension. Unchanged appearance of the right lung. At the time of dictation and observation, <time> p.m., on the <unk>, the referring physician, <unk>. <unk> was paged for notification.
pleural effusion, status post thoracocentesis.
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As compared to the previous radiograph, there is no relevant change. Moderate cardiomegaly, no overt pulmonary edema. No pleural effusions. No pneumonia. Tortuosity of the thoracic aorta continues to be present. Minimal enlargement of the left atrium.
chest pain, evaluation for signs of pneumonia.
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Pa and lateral views of the chest provided. Multiple clips are again noted in the left axilla. The heart remains mildly enlarged. There is mild interstitial pulmonary edema with mild bibasilar atelectasis. There is a small left pleural effusion not significantly changed from prior exam. Mild hilar congestion is noted. Mediastinal contours unremarkable. Bony structures appear intact.
<unk>f with copd on <num>l o<num> nc, ?chf
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Ap upright and lateral views of the chest provided. Port-a-cath projects over the right chest wall with catheter extending to the region of the mid svc. Lung volumes are low. No convincing signs of pneumonia or chf. The heart remains moderately enlarged. Mediastinal contour is stable. Bony structures are intact.
<unk>f with cough, chills, history of recurrent myeloma, breast cancer // eval for pna
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The lungs are clear with no evidence of consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. No acute fractures are identified.
evaluation of patient with cough.
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The lungs are clear of focal consolidation, pleural effusion or pneumothorax. The heart size is normal. The mediastinal contours are normal. Degenerative changes are noted in the mid-lower thoracic spine.
<unk>-year-old man with confusion after falls.
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Right picc line tip near cavoatrial junction. Very shallow inspiration. Increased heart size, similar. Increased lower lung opacities, atelectasis likely, consider pneumonitis. Few strands of basilar fibrosis. Sternotomy, valve prosthesis. Cardiac defibrillator. Thoracolumbar curve.
<unk> year old man with chf and picc line // eval picc, eval chf
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There is mild hyperexpansion of the lung, similar to prior to studies. There is no focal airspace opacity. Atelectasis at the lung bases is mild. The cardiomediastinal silhouette and hilar contours are normal. There is no pleural effusion or pneumothorax.
history of dvt, on coumadin, chest pain, headaches.
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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 chest pain // ?pneumonia
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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.
<unk>m with syncope.
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Lordotic positioning. No lines or tubes identified. Clinical correlation is requested. Multiple ekg leads overlie the chest. There are very low inspiratory volumes. Allowing for this, no definite cardiac enlargement. Mild upper zone redistribution, without other evidence of chf. No focal infiltrate or effusion. No pneumothorax detected.
<unk> year old man with stemi // evaluate for line placement, consolidation, edema, effusion.
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The lungs are well inflated and clear. There is interval resolution of previously noted left pleural effusion. Persistent cardiomegaly with enlargement of the left atrium. Sternal sutures noted in situ. No interval change in the bony thorax. Surgical clips project over the right lung apex.
<unk> year old woman with asc aorta aneurysm eval for effusions // effusion
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Compared to the prior study, the lines and tubes have been removed. There are low inspiratory volumes. The cardiomediastinal silhouette is unchanged. Again seen is patchy opacity at the left base, with air bronchograms. This appears slightly more pronounced than on the prior study, with some interval obscuration of the left hemidiaphragm and new opacity along the left chest wall. The right infrahilar patchy opacity is similar to the prior film. Mild vascular plethora is more pronounced.
<unk> year old woman with respiratory failure of unknown etiology // eval for interval change
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The lungs are probable hyperinflated. There is moderate to moderately severe cardiomegaly. There is upper zone redistribution, without other evidece of chf. On the right, there is pleural fluid and/or thickening, with underlying patchy opacity. Undulating vertical linear opacity along the right chest wall is thought to represent some scarring and/or calcification along the pleural-parenchymal interface. On the left, there is slight retrocardiac opacity. No left effusion. A well-marginated right hilar opacity likely represenrs an enlarged right pulmonary artery. The left hilum is obscured by overlying structures, but not clearly enlarged. Partially imaged left shoulder prosthesis noted.
<unk>-year-old female with hypoxia, evaluate for pneumonia.
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Lung volumes are low. Heart size is normal. The aorta is tortuous and diffusely calcified. Mediastinal and hilar contours are otherwise grossly unremarkable. No overt pulmonary edema is present. Patchy opacities are seen in both lung bases as well as a linear opacity within the right mid lung field, likely reflective of atelectasis. No large pleural effusion or pneumothorax is present. No displaced fractures are clearly identified.
history: <unk>m with fall from wheelchair, sah and sdh on ct scan
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No acute pathology including focal consolidation is seen. There are multiple signs of copd including hyperinflated lungs. Cardiacmediastinal silhouette and pleural surfaces are normal.
<unk>-year-old man with prolonged cough and uri symptoms. history of copd.
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Lower lung volumes exaggerate pulmonary vascular engorgement and mild cardiomegaly, although this has improved since the prior. Hiatus hernia with oral contrast seen in the upper abdomen. No acute focal consolidation. No pleural effusions or pneumothorax.
<unk> year old woman with aspiration episode and high grade av block // ?aspiration
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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 no significant pmhx here w/ cough, chills // pneumonia
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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 stable with top-normal heart size imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with mild hypoxia, h/o chf.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.
history: <unk>f with h/o renal and pancreatic transplant, on immunosuppressive medications. now with increasing white count // patient chronically immunosuppressed with increasing white count. please evaluate for infection.
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Low lung volumes account for some degree of bronchovascular crowding. Vague opacities in both lung bases may be due to underinflation and summation of structures given superimposition of multiple ribs, although pneumonia cannot be completely excluded. There is no pleural effusion or pneumothorax. The cardiomediastinal contour is unchanged. Spinal hardware is also stable without evidence of hardware-related complications.
<unk>-year-old male with multiple myeloma and fever. evaluate for pneumonia.
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There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema identified. Multiple tiny calcified granulomas are noted. The heart size is normal. Mediastinal contours are normal. No bony abnormalities detected.
positive ppd.
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Cardiomediastinal contours are stable in appearance. A small right pneumothorax is present. Within the lungs, right retrocardiac opacity has improved, but patchy opacity persists at the left lung base, and could relate to either atelectasis or pneumonia. Pigtail catheter overlies the right upper quadrant of the abdomen and has been re-positioned since the previous study.
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As compared to the previous radiograph, the patient has undergone right thoracocentesis and a pigtail catheter has been placed into the right pleural space. There is no evidence of pneumothorax or other complication. The previous fluid in the pleural space is almost completely resolved. Relatively extensive right parenchymal changes persist, reflecting multifocal pneumonia. The left lung is unchanged. Unchanged position of the monitoring and support devices.
multifocal pneumonia, pleural effusion, status post thoracocentesis and pigtail placement.
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Heart size is normal. Small to moderate-sized hiatal hernia is re- demonstrated. The mediastinal and hilar contours are unchanged. The pulmonary vasculature is not engorged. No focal consolidation, pleural effusion or pneumothorax is present. Remote right-sided rib fractures are again noted. There mild degenerative changes noted in the thoracic spine.
history: <unk>f with recurrent abdominal, chest pain, recent discharge for pancreatitis
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Pa and lateral chest views have been obtained with patient in upright position. Comparison is made with the next preceding similar study of <unk>. The heart size remains unchanged and is within normal limits. No mediastinal abnormalities identified. The pulmonary vasculature is not congested. No signs of acute or chronic parenchymal infiltrates are present, and the lateral and posterior pleural sinuses remain free. No pneumothorax in the apical area on frontal view. Previously described discrete structural changes in posterolateral aspect of right-sided sixth rib remain unchanged. No new skeletal abnormalities are seen.
<unk>-year-old male patient with fever to <unk> f and respiratory symptoms. evaluate for possible infiltrates.
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As compared to the previous examination, the minimal pleural effusions have completely resolved. Currently, there is no evidence of pleural effusions. Otherwise the radiograph is unchanged. There is normal alignment of sternal wires. Constant size of the cardiac silhouette, tortuous thoracic aorta with known focal aneurysmatic enlargements. Known hiatal hernia repair.
rule out worsening pleural effusions.
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Post left upper lobectomy. There is moderate pneumothorax at the left apex. There is likely small amount of hemorrhage adjacent to suture lines. Left pleural tube is seen draped over the apex of the lung. The right lung is unremarkable. The heart is chronically enlarged.
<unk> year old woman with l vats bisegmentectomy // ? ptx ? ptx
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Enteric tube tip is in the proximal stomach. Shallow inspiration. Bibasilar opacities, likely atelectasis, similar to prior. Probable small pleural effusions, similar. Mildly enlarged pulmonary vascularity, similar. Dilated bowel loops in the upper abdomen are partially seen.
<unk> year old man with ng tube // ?ng placement
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Heart size is normal. Calcifications are noted at the aortic knob. Cardiomediastinal silhouette and hilar contours are otherwise unremarkable. Lungs appear hyperexpanded with flattening of the diaphragm. Lungs are grossly clear. Pleural surfaces are clear without effusion or pneumothorax. Bones are diffusely demineralized with mild to moderate anterior wedging of multiple thoracic vertebral bodies.
cough and crackles of bilateral lung bases.
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The heart is mildly enlarged, and there is mild central pulmonary vascular congestion. No focal consolidation, pleural effusion or pneumothorax is seen. Prior right rotator cuff surgery is noted.
<unk>-year-old male with confusion.
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Ap and lateral chest radiograph demonstrates clear lungs bilaterally. Cardiomediastinal and hilar contours are within normal limits. No evidence of pulmonary edema. There is no pneumothorax or pleural effusion. Osseous structures demonstrates no acute abnormality.
<unk>-year-old male with weight loss.
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Lung volumes remain low with mild pulmonary edema persisting. There is a new right basilar opacity suggestive of pneumonia. Small left pleural effusion and left basilar atelectasis appear unchanged. Moderate cardiomegaly persists and appears relatively stable. No pneumothorax is identified.
history of a flutter status post cardioversion with hypotension and productive cough.
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The known mediastinal bullous air collection on the right, documented on the ct examination from <unk>, is not seen on the current examination. There is no evidence of pneumothorax. Moderate cardiomegaly. Mild tortuosity of the thoracic aorta. No pleural effusions. No other abnormalities.
increasing pleuritic chest pain, apical pneumothorax seen on ct, evaluation.
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Since the prior exam, there is little change. Again demonstrated are heterogeneous opacities in the in right mid and lower lung zones. There appears to be a moderate size loculated right pleural fluid collection. A patchy opacity at the left base is noted. There is no left pleural effusion. Mild pulmonary vascular congestion is new no pneumothorax is identified. There is persist prominence of the right mediastinal and hilar contours. The osseous structures are unremarkable.
history of pneumonia. evaluate for acute process.
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Platelike atelectasis seen in the right lung base, no other consolidations. The cardiomediastinal silhouettes are without abnormality. There are no pleural effusions. The patient has mild right convex scoliosis.
<unk> year old woman with severe asthma, recent pneumonia with cold like symptoms // evaluate for infiltrate/pneumonia
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No previous images. There is striking scoliosis of the thoracic spine convex to the right and centered at approximately t<num>. However, there is no evidence of acute pneumonia, vascular congestion, or pleural effusion.
possible preoperative study.
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Patient is status post median sternotomy and cardiac valve replacement. Cardiac and mediastinal silhouettes are stable. Mild pulmonary vascular congestion persists. No new focal consolidation or pleural effusion is seen. Surgical clips are again seen overlying the right upper hemithorax.
history: <unk>f with dyspnea and cp // r/o acute process
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Pa and lateral views of the chest provided. Minimal subsegmental left mid to lower lung atelectasis noted. No convincing signs of pneumonia. No large effusion or pneumothorax. Cardiomediastinal silhouette appears unremarkable aside from an unfolded thoracic aorta. No free air below the right hemidiaphragm. Bony structures are intact.
history: <unk>m with abdominal distention, ?jaundice per wife // obstruction? hepatobilairy pathology
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In comparison with the study of <unk>, there is little overall change. Nasogastric tube again extends to the upper body of the stomach. Cardiac silhouette is somewhat prominent and there is indistinctness of engorged pulmonary vessels consistent with increased pulmonary venous pressure. Bibasilar atelectasis and possible small effusions.
hypoxia.
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A single frontal chest radiograph demonstrates severe emphysema, characterized by pulmonary hyperexpansion, reticular basilar opacities, and lucency indicating bullae at the apices. There is increased opacity in the left lung base concerning for pneumonia. The cardiac silhouette is mildly enlarged, the mediastinal contours are notable only for tortuosity of the aorta.
<unk>-year-old male with hypoxia and coarse breath sounds with history of copd, evaluate acute process.
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Left picc line tip in the upper svc. Heart size at the upper limits are normal. Increased pulmonary vascularity, more apparent. More prominent interstitial markings, basilar opacities, may represent edema or infection. New trace pleural effusion. Postoperative change left chest. Postoperative change right shoulder.
<unk> year old woman with myelofibrosis here with fever // eval pna
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Pa and lateral views of the chest provided. Lungs are hyperinflated. There is left lower lobe opacity, concerning for pneumonia. Heart size is normal. There are no pleural effusions.
<unk> year old man with history of multiple myeloma presents with persistent cough
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The lungs are clear. No signs of pneumonia or chf. No pleural effusion or pneumothorax. Heart and mediastinal contours are normal. Bony structures are intact. There is no free air below the right hemidiaphragm.
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As compared to the previous radiograph, the patient has received a nasogastric tube. Course of the tube is unremarkable, the tip of the tube is not clearly identified on the image. No pleural effusions. No complications such as pneumothorax. No pulmonary edema. Normal size of the cardiac silhouette.
pancreatitis, evaluation for nasogastric tube placement.
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Heart size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. There is minimal atelectasis in the left lung base. Remainder of the lungs are clear. No focal consolidation, pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
chest pain.
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The lungs are hyperinflated but clear of focal consolidation. The cardiomediastinal silhouette is within normal limits. Atherosclerotic calcifications are noted at the arch. No acute osseous abnormalities identified.
<unk>f with chest pain, h/o copd // acute process?
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Compared with prior, there has been no significant interval change. Small-moderate right pleural effusion persists with adjacent atelectasis. The left lung is clear. The cardiomediastinal silhouette is stable. Median sternotomy wires are again noted. No acute osseous abnormalities identified.
<unk>m with dyspnea // infiltrate? effusion?
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There are significantly dilated loops of bowel better assessed on ct from outside institution compatible with colonic obstruction. There is no evidence of abdominal free air. Lung volumes are low without focal opacities. The heart is not enlarged. There is no pleural effusion or pneumothorax. A single-lead pacemaker is seen in the left upper hemithorax with the leads ending in the right ventricle.
<unk>-year-old male with abdominal pain and distention. evaluate for free air.
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Ap single view of the chest has been obtained with patient in semi-upright position. Analysis is performed in direct comparison with a next preceding similar study of <unk>. The position of the ett is unaltered and terminates some <num> cm above the level of the carina. A right-sided wide caliber sheath advanced via the internal jugular right approach remains in unchanged position. The same holds for a right-sided picc line terminating in the mid portion of the svc. A new ng tube is now seen reaching well below the diaphragm. Evidence of bilateral pleural effusion, slightly more on the right than the left appears unchanged. No pneumothorax on either side in the apical area.
<unk>-year-old female patient with cold foot edema.
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There are small bilateral pleural effusions with bibasilar atelectasis. There is moderate pulmonary vascular congestion and mild interstitial edema. The cardiac silhouette is mildly enlarged. No pneumothorax is seen. Degenerative changes are seen at the right acromioclavicular joint and throughout the thoracic spine.
<unk>-year-old woman with shortness of breath, evaluate for chf versus pneumonia.
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In comparison with the earlier study of this date, with the chest tube on waterseal there is no evidence of pneumothorax. Atelectatic changes are again seen at the left base. Endotracheal tube and nasogastric tube have been removed.
left chest tube on waterseal, to assess for recurrent pneumothorax.
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Endotracheal tube terminates <num> cm above the carina. Enteric tube courses below the diaphragm, out of the field of view. There are low lung volumes. Previously seen bibasilar opacities have decreased in the interval with possible minimal residua remaining at the left lung base, which could be due to atelectasis or aspiration. No large pleural effusion pneumothorax is seen. Cardiac and mediastinal silhouettes are stable.
history: <unk>m with intubated // intubated
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There is an apparent <num> cm rounded opacity in the retrocardiac region on both the frontal and lateral views. The lungs are otherwise clear without consolidation, effusion, or edema. Cardiomediastinal silhouette is within normal limits. Atherosclerotic calcifications noted at the aortic arch. Lower thoracic vertebral body height loss is age indeterminate.
<unk>f with right facial droop unknown onset // ?pna, bleed
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Pa and lateral views of the chest were obtained. Heart is normal in size and cardiomediastinal contour is unremarkable. Lungs are well expanded and clear. There is no pleural effusion or pneumothorax. No displaced rib fracture is identified.
<unk>-year-old woman presenting with pain status post fall, evaluate for posterior rib fracture.
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The heart is normal in size. The descending aorta shows mild it unfolding. There is no pleural effusion or pneumothorax. The lungs appear clear. The chest is mildly hyperinflated. There is no free air. Dilated small bowel loops are present in the upper abdomen.
small bowel obstruction.
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Heart size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is present. No acute osseous abnormality is detected.
history: <unk>m with neutropenic fever, sirs(+), wheeze on right
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Frontal and lateral views of the chest were obtained. Per the radiology technologist, the patient was unable to remain still for the exposure. The cardiac silhouette remains markedly enlarged. Mediastinal contours are stable. There is no pleural effusion or pneumothorax. Subtle right basilar opacity best seen on the frontal view could be due to atelectasis or due to mild vascular congestion. Underlying consolidation is difficult to entirely exclude, but no definite consolidation is seen. Surgical clips again are seen projecting over the right axilla.
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Right pneumothorax has increased in size, going from <num> mm to <num> mm. The chest tube is unchanged at the right lung base. Left lung base minimal atelectasis has slightly improved. Mediastinal and cardiac contours are normal.
patient with right pleural effusion, biopsy, pleurodesis, interval change?
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In comparison with the study of <unk>, there is little change and no evidence of acute cardiopulmonary disease. No pneumonia, vascular congestion, or pleural effusion.
to assess for pneumonia.
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Pa and lateral chest views were obtained with patient in upright position. Comparison is made with the next preceding ap single view chest examination of <unk>. The previously identified new pulmonary parenchymal infiltrate in the right upper lobe area persists and has increased in size. Noted is an additional rather well-demarcated round density in the right lower lung field overlying the sixth right-sided rib anteriorly. It is possible that this later lesion existed already on the preceding study, albeit less prominent in comparison. The possible mild blunting of the right lateral pleural sinus is again noticed, but does not extend into the posterior pleural sinus area which appears free on the lateral view. No pneumothorax has developed. Skeletal structures of the thorax grossly unremarkable.
<unk>-year-old female patient with fever and hypotension. evaluate for infiltrates or consolidation.
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The lungs are relatively hyperexpanded and clear without focal consolidation, pleural effusion, or pneumothorax. The pulmonary vasculature is not engorged and there is no overt pulmonary edema. The cardiac silhouette is mildly enlarged. The mediastinal and hilar contours are within normal limits. There is mild tortuosity of the thoracic aorta. There is kyphotic curvature of the thoracic spine with hypertrophic changes and mild generalized loss of vertebral body height.
left facial droop, here to evaluate for acute cardiopulmonary process.
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The endotracheal tube ends <num> cm above the level of the carina. A right internal jugular central venous catheter ends in the mid svc. An enteric catheter courses below the level of the diaphragm, extending into the first portion of the duodenum. Dense left retrocardiac opacification is concerning for infection versus aspiration, although atelectasis could have a similar appearance. Bandlike atelectasis in the left lower lung is increased. Heterogeneous opacities at the right lung base are also increased, concerning for infection/aspiration. Mild enlargement of the cardiac silhouette is not significantly changed. There are no pleural effusions. No pneumothorax is seen.
hypoxic respiratory failure, now with increasing oxygen requirement. evaluate for pneumonia and/or pneumothorax.
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Pa and lateral views of the chest provided. A wispy opacity in the left upper lung may represent an area of atelectasis. No discrete consolidation concerning for pneumonia. No effusion or pneumothorax. The cardiomediastinal silhouette is normal. Bony structures are intact.
<unk>m with asthma flare, doe, chest pain // ? pna/ chest process
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Right-sided picc terminates in the low svc. Single lead left-sided pacer device, inferior aspect of the lead not well seen. No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable.
history: <unk>m with picc // see picc
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An endotracheal tube terminates at the orifice of right mainstem bronchus. An enteric tube passes far into the stomach. Evaluation of the chest is limited due to multiple overlying lines and tubes. Within this limitation, there are widespread interstitial opacities throughout the right lung with a basilar predominance as well as the left lung base. There is mild pulmonary vascular congestion and subtle kerley b lines suggesting interstitial edema. A small right pleural effusion cannot be excluded. No pneumothorax is detected on this semi-erect view. The cardiac silhouette is incompletely visualized in the setting of bibasilar opacities. The mediastinal contours are prominent due to tortuosity of the thoracic aorta with partial calcification of the aortic knob. Densities projecting over the right humerus and soft tissues of the upper arm are likely external to the patient.
sudden unresponsiveness requiring intubation, here to evaluate et tube position.
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As compared to the previous radiograph, the extent of the pleural effusions has decreased. Also decreased are the pre-existing signs of interstitial lung edema. However, there is still some remnant mild interstitial lung edema on the current image. Atelectasis at the right lung bases. Minimal plate-like atelectasis on the left in the perihilar regions. Borderline size of the cardiac silhouette.
history of pleural effusions, evaluation for interval change.
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Frontal and lateral views of the chest demonstrate low lung volumes. There is no pleural effusion, focal consolidation or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. No pulmonary edema.
cough and myalgias. assess for pneumonia.
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As compared to the previous radiograph, the patient has received a pericardial drain. The overall size of the heart is unchanged. There is a small newly appeared right pleural effusion. The lung volumes continue to be low. Minimally increasing left lower lobe atelectasis. No pneumothorax.
pericardial effusion, evaluation.
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The cardiac, mediastinal and hilar contours appear unchanged including mild cardiomegaly and mitral annular calcifications. The aortic is tortuous and calcified. There is no definite pleural effusion or pneumothorax. The lungs appear clear. Moderate degenerative changes again affect the mid through lower thoracic spine. A left ninth rib fracture is not well visualized.
recent fall and oliguria. history of congestive heart failure.
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Compared with the immediate prior study, the heterogeneous opacities at the left base have slightly improved, with only mildly increased opacities remaining. The left chest wall dual-chamber pacemaker leads project in unchanged standard position. There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.
<unk> year old woman with ?lll atelectasis and dyspnea // f/u on lll infiltrate
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A large pleural effusion has been almost fully evacuated from the right side of the chest. The right lung demonstrates patchy opacities throughout the right mid to lower lung, which are nonspecific but could be explained by incompletely resolved atelectasis. A small right-sided pleural effusion persists. There is no definite pneumothorax. The left lung remains clear.
patient with pleural effusion status post thoracentesis.
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The lung volumes are normal. No evidence of pleural effusions. No pulmonary edema. Normal hilar and mediastinal structures. No evidence of pneumonia. No other abnormalities.
chronic heart failure.
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Bilateral lung volumes are low. The left chest tube seen in <unk> chest radiograph has been removed. There is no pneumothorax. There is massive cardiomegaly. The degree of pulmonary vascular congestion and bilateral diffuse interstitial edema has mildly improved. No pleural effusion appreciated. The sternotomy wires are intact and aligned. Intrathoracic surgical clips are seen.
<unk> year old man s/p l thoracotomy, lll // r/o ptx post ct removal
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Patient has had right middle lobectomy. Post-operative appearance of the chest on the frontal view is unchanged since <unk>. Anatomic detail on the lateral view is partially obscured by respiratory motion. There could be a new lung nodule as large as <num> mm wide projecting over the upper portion of the lowermost visible thoracic vertebral body. For that reason i would recommend a repeat lateral view at suspended full inspiration supplemented by shallow off lateral oblique views. The costal margins are thickened by extrapleural fat, and there is no pleural effusion or evidence of central adenopathy. Heart size is normal.
hiv. resected lung carcinoma. severe coughing.