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Pa and lateral views of the chest. There are low lung volumes which exaggerate the size of the mediastinum. The aorta is tortuous. There is no focal consolidation, pleural effusion or pneumothorax.
fever and chills, question pneumonia.
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Dual lead pacer is seen projecting over the left chest with pacer leads terminating over the right atrium and right ventricle. Lung volumes are low and there is elevation of the right hemidiaphragm. Heart size is grossly unchanged. Atherosclerotic calcifications are seen within the aortic arch. There is no evidence of pneumothorax. Trace pleural fluid is possibly seen at the right costophrenic angle. There is retrocardiac opacity that likely represents atelectasis, although infection is not excluded. Surgical clips are seen projecting over the lower midline.
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Rounded mass in the right infrahilar region corresponds to known paramediastinal metastasis. Other smaller metastatic lesions are not as well appreciated on this radiograph as on a prior ct from <unk>. Moderate cardiomegaly is unchanged. No focal parenchymal consolidation concerning for pneumonia. No pleural effusion or pneumothorax. Mediastinal and hilar contours are normal.
history: <unk>m with metastatic renal cell carcinoma presenting with mid back and chest pain. evaluate for pneumonia.
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Mild bibasilar opacities are new since <unk> and may represent aspiration or pulmonary vascular congestion. The cardiomediastinal silhouette, hilar contours, pleural surfaces are normal. No pneumothorax or pleural effusion.
<unk> yo male w/cervical myelopathy s/p c<num>-c<num> laminectomy with evacuation of abscess(<unk>, dr. <unk>) // pre-op planning surg: <unk> (acdf)
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Frontal and lateral views of the chest were obtained. There are relatively low lung volumes. There is prominence of the hila bilaterally which could relate to lymphadenopathy. Adjacent perihilar consolidation is not entirely excluded. Patchy left retrocardiac opacity most likely represents atelectasis. There is no pleural effusion or pneumothorax. The cardiac silhouette is top normal. There may be mild thickening of the soft tissue in the right lower paratracheal region which could also relate to underlying lymph nodes.
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As compared to the previous radiograph, the tip of the tube is now visualized. It projects over the proximal parts of the stomach and has not substantially changed since the previous examination. No pneumothorax. The other monitoring and support devices are constant, with the exception of the fact that the patient has been extubated. Unchanged appearance of the lung parenchyma and the mediastinal structures.
nasogastric tube placement.
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Tracheostomy tube is in place with no evidence of pneumomediastinum or pneumothorax. With left chest tube on waterseal, no definite pneumothorax is appreciated. The lungs are essentially clear except for the previously described perihilar opacification. Central catheter remains in place.
tracheostomy with chest tubes on waterseal.
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Single portable chest radiograph demonstrates unremarkable cardiomediastinal and hilar contours. Compared to prior chest radiograph there are slightly lower lung volumes with a slighlty more conspicuous retrocardiac opacification is seen with faint bronchograms identified, new compared to recent ct and may represent developing atelectasis or aspiration in setting of known t<num> burst fracture. The small pneumothorax identified on ct is not identified on radiography, which is less sensitive. No pleural effusion present. Endotracheal tube and enteric tube well positioned.
known small pneumothorax evaluate after positive pressure ventilation.
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Et tube ends <num> cm from the carina. Enteric tube ends off the inferior portion of the image, at least in the stomach. Left ij central venous line ends in the upper svc. Decrease in bilateral lung opacities compared to <unk>. No pleural effusion or pneumothorax. Cardiomediastinal and hilar contours are stable.
ng tube placement.
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Stable cardiac and mediastinal silhouettes. Mild right base atelectasis. No definite focal consolidation. No pleural effusion or pneumothorax is seen. Stable appearance of the hila.
<unk> year old woman with recent onset of fevers, diarrhea, hemolysis and cough not responding to oral antibiotics // please evaluate for pneumonia or other intra-thoracic process
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Icd in the left pectoral region with single lead tip in the right ventricle. Clear lungs bilaterally without pleural effusion or pneumothorax. Cardiac size, mediastinal contour, and hilum are normal. Aortic calcifications noted and no bony abnormality.
female status post icd to axillary vein. assess for pneumothorax.
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In comparison with the study of <unk>, there is little overall change. Again there are diffuse bilateral coarse reticular opacifications consistent with the pulmonary fibrosis. Continued low lung volumes. The overall appearance of the heart and lungs is essentially unchanged. The mediastinal lucency at the left of the trachea has virtually cleared, reflecting either improved pneumomediastinum or less air within the normal esophagus.
pulmonary fibrosis with exacerbation.
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The lungs are clear without focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is stable. No acute osseous abnormalities.
<unk>f with cp // chest pain
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In comparison with the earlier study of this date, the temporary pacer appears to extend to the level of the right atrium. Endotracheal tube has been removed. Pulmonary vasculature appears less engorged, though much of this could reflect the better inspiration.
pacer wire placement.
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Markedly low lung volumes limits assessment at the bases. There is bibasilar atelectasis. The upper 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 man with likely need for abdominal surgery. evaluate for acute abnormality (pre op cxr).
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Bilateral mid and lower lung pulmonary opacities which progressed between <unk> and <unk> have remained unchanged since then. Since prior imaging history shows a very slow progression of these pulmonary opacities between <unk> and <unk> in this patient with known bronchioloalveolar carcinoma, short interval progression as mentioned above is more likely due to aspiration/infection or hemorrhage. Interval worsening from lung malignancy is less likely. Cardiomediastinal silhouette is stable.
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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 episodes of hypoglycemia presents with upper respiratory tract symptoms and congestation.
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Patient is status post right upper lobectomy. Persistent postoperative changes at the right hilum are unchanged since most recent examinations and smaller when compared to radiographs obtained <unk>, most probably a fluid collection. Lungs are otherwise clear with no focal opacity convincing for pneumonia. There is no pleural effusion or pneumothorax.the heart appears within normal limits.
<unk>-year-old male with fever status post surgery.
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As compared to the previous radiograph, there is improved ventilation of the lung bases bilaterally. However, there is still a small left pleural effusion and a relatively extensive left lower lobe atelectasis. The monitoring and support devices are constant. No parenchymal opacities have newly appeared.
pleural effusion, no drainage, evaluation for interval change.
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The lungs are clear, the cardiomediastinal silhouette and hila are normal. There is no pleural effusion and no pneumothorax.
<unk>-year-old woman with chest pain.
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As compared to the previous radiograph, there is no relevant change. Retrocardiac atelectasis but no evidence of other lung parenchymal opacities. An area of hypoventilation at the lower aspect of the right hilus is constant in appearance. No pleural effusions. Unchanged size of the cardiac silhouette. Status post bilateral clavicular fractures. Tracheostomy tube in situ. No pleural effusions.
low oxygen saturation, evaluation for infection.
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In comparison with the study of <unk>, there are continued low lung volumes that may account for much of the prominence of the transverse diameter of the heart. There is increasing opacification at both bases with silhouetting of the hemidiaphragms. This is consistent with pleural effusions and compressive atelectasis. However, in the appropriate clinical setting, supervening pneumonia could not be excluded. Of incidental note are skin <unk> projected to the right of the mid and upper lungs.
shortness of breath with desaturation.
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There is mild cardiomegaly. The mediastinal and hilar contours are unremarkable. There is evidence of a right lower lobe opacity; however, this could correlate with the previously seen nodules on the chest ct. No other focal opacities are seen within the lungs. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.
<unk>-year-old female who presents for evaluation of recent cough and shortness of breath.
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Ap portable upright view of the chest. Lung volumes are low limiting assessment. There is reticulonodular opacity in the lower lungs which in the correct clinical setting could represent an atypical pneumonia. No large effusion or pneumothorax. Cardiomediastinal silhouette appears normal. Bony structures are intact.
<unk>m with hypotension
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Triple-lead left-sided aicd is again seen, unchanged in position, with leads extending in the expected positions of the right atrium, right ventricle, and coronary sinus. The cardiomediastinal silhouette remains stably enlarged. Again, there is mild indistinctness of the pulmonary vessels, raising the possibility of elevated pulmonary venous pressure. No large pleural effusion or pneumothorax is seen. No definite focal consolidation.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. Diffuse cystic lung disease is better assessed on recent ct. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. S shaped scoliosis of the thoracolumbar spine is re- demonstrated.
history: <unk>f with ap and lateral chest tenderness, right wrist lesion <unk> <unk> etiology, possible retained needle. // please evaluate for fracture, foreign body
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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.
<unk>f with chest pain // r/o pna
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Cardiac size is normal. The lungs are clear. There is no pneumothorax or pleural effusion. Lines and tubes are in unchanged standard position
<unk> year old man with new cardiogenic/mixed shock // any e/o acute cardiopulm process
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The lungs are relatively well expanded and clear. The cardiomediastinal silhouette is unremarkable. The hilar and pleural surfaces are normal. Surgical material is noted within the left upper quadrant and right upper quadrant of the abdomen. There is no evidence of subdiaphragmatic free air.
history: <unk>f with luq abdominal pain hx perforated ulcer // r/o free air under diaphragm
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The cardiac silhouette size is top normal. The mediastinal and hilar contours are within normal limits. The pulmonary vascularity is normal. The lungs are clear. Elevation of the left hemidiaphragm is noted due to gaseous distention all the bowel. No pleural effusion or pneumothorax is identified. No acute osseous abnormalities are seen.
left chest pain after fall.
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Pa and lateral views of the chest. Sternotomy wires are unchanged. The cardiomediastinal hilar contours are normal. Moderate hiatal hernia is seen. Mitral valve replacement is seen. Subtle opacity in the lower lungs seen on lateral view is likely a confluence of shadows. There is no focal consolidation, pleural effusion or pneumothorax. Mild increase in interstitial opacities may represent mild interstitial pulmonary edema.
afib, cad, chf, lower extremity edema, worsened dyspnea on exertion.
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Heart size is mildly enlarged, unchanged. The aorta is mildly tortuous with atherosclerotic calcifications noted at the aortic knob. Mediastinal and hilar contours are similar and the pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
history: <unk>f with chest pain
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There is a dual-lead pacemaker with leads again terminating in the right atrium and ventricle, respectively. The cardiac, mediastinal and hilar contours appear stable allowing for small differences in orientation including cardiomegaly. There is similar to mildly increased mild elevation of the left hemidiaphragm, probably due to volume loss. Patchy left basilar opacities are most likely due to atelectasis. There is no definite pleural effusion or pneumothorax. The bones are probably demineralized. Evaluation is limited, but there is no definite fracture.
unwitnessed fall.
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The lungs are clear. Azygos fissure is incidentally noted. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormality.
<unk>m with right tibfib nonunion with cement through skin. // tibfib- eval nonunion. cxr - preop
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There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. The imaged upper abdomen is unremarkable. The bones are intact.
history: <unk>f with <num> hrs r chest pain, <num> days uri sxs, copd/asthma, clear fields on auscultation. // evaluate pleuritic-type chest pain on r
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Allowing for positioning, the retrocardiac opacification and the opacification of the right lower lung are unchanged compared to the prior study <unk>. The left upper lobe postsurgical changes continue to improve. There is no pneumothorax or pulmonary edema. The cardiomediastinal silhouette is within normal limits.
<unk>f with recurrent bladder cancer s/p robotic l vats thymectomy and lul wedge <unk> tx icu <unk> with respiratory failure after initial recovery, found to have rul/rml pe // interval change
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Stable cardiomegaly, with worsening congestive heart failure manifested by pulmonary vascular engorgement, perihilar haziness, and widespread septal thickening. An apparent focal rounded area of consolidation is seen in the left upper lob ein the juxtahilar region at the level of the left third anterior rib, but is difficult to assess due to an overlying external monitoring lead at this site. Persistent bilateral small pleural effusions are present. Note is made of previous median sternotomy and coronary artery bypass surgery.
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Mild bibasilar opacities are consistent with atelectasis. There is no pneumothorax or large pleural effusion. Mildly enlarged cardiac silhouette and prominent pulmonary vessels appear improved compared to <unk>. No pulmonary edema is identified.
history: <unk>m with hypotension, arf // infiltrate, pulmonary edema
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There is worsened opacification in the superior segment of the left lower lobe compatible with pneumonia as demonstrated one day prior. There is no evidence of increased associated effusion. There is no evidence of pneumothorax. The remainder of the lungs are clear with no evidence of multifocal spread. The cardiomediastinal and hilar contours are stable demonstrating mild tortuosity of thoracic aorta. Heart size is normal. Pulmonary vascularity is within normal limits.
<unk>-year-old male with likely pneumonia with recurrent fevers despite antibiotics. evaluate for effusion.
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Ap portable upright view of the chest. Previously noted right ij central venous catheter is been removed. Midline sternotomy wires and mediastinal clips are again noted. Multiple overlying ekg leads are present. Cardiomegaly is unchanged with left basilar opacity likely representing a pleural effusion. There is probable bibasilar atelectasis. Difficult to exclude pneumonia in the correct clinical setting. Mediastinal prominence is unchanged which may reflect recent cabg. Bony structures appear intact.
<unk>m with recent cabg, now with tachycardia
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The lungs are clear bilaterally. No focal consolidations, pleural effusions or pneumothorax. No pulmonary edema. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk> year old woman with sbo // pre-op surg: <unk> (ex-lap)
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Ng tube tip is in the proximal stomach with proximal port just above the gastroesophageal junction. This should be advanced. Right ij line tip is in the svc. Sternal wires and mediastinal clips are again seen. Compared to the study from <unk>, the vascular plethora is less pronounced. There continues to be moderate cardiomegaly and small bilateral effusions, left greater than right.
chf, check ng tube.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. Streaky opacity at the right lung base is consistent with minor atelectasis. There is otherwise no focal opacity. The chest is hyperinflated. There is no pleural effusion or pneumothorax.
confusion and head trauma.
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The heart is top-normal in size. The cardiomediastinal and hilar contours are within normal limits. There is mild pulmonary vascular congestion as well as mild interstitial pulmonary edema. A more confluent opacity in the right infrahilar region is again demonstrated and similar in appearance to <unk>. There is a small right pleural effusion. There is no pneumothorax.
history: <unk>m with sob on exertion // eval for pulm edema
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In comparison with the study of <unk>, the nasogastric tube now extends well into the stomach before crossing the lower margin of the image. There is continued enlargement of the cardiac silhouette with pulmonary vascular congestion. Bibasilar opacifications are consistent with layering effusions and compressive atelectasis. In the appropriate clinical setting, supervening pneumonia would have to be considered.
pneumonia, to assess for ng placement.
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Mild elevation of the left hemidiaphragm limits evaluation of the cardiac silhouette; however, heart size appears normal with mild tortuosity of the thoracic aorta. Hilar contours are unremarkable. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax. Multiple healed rib fractures appear chronic.
hepatic encephalopathy.
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Frontal and lateral radiographs of the chest show persistently low but improved inspiratory lung volumes with right lower lobe atelectasis. The lungs are otherwise clear without focal consolidation, pleural effusion, or pneumothorax. Haziness in the left upper lobe is likely post-operative. Prominence of the cardiomediastinal silhouette is unchanged and likely post-surgical. The cardiac silhouette is mildly enlarged with a tortuous thoracic aorta.
<unk>-year-old male status post left upper vats segmentectomy, here to re-evaluate for interval changes.
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Ap portable upright view of the chest. A metallic stent projects over the right axilla and subclavian region. Cardiomegaly is re- demonstrated with diffuse pulmonary opacity concerning for severe pulmonary edema/ fluid overload. No large effusion or pneumothorax is seen. Mediastinal contour appears grossly within normal limits. Deformity at the medial aspect of the humeral heads could reflect prior posterior dislocation. Please correlate clinically.
<unk>f with esrd ams // r/o pna
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On the current radiograph, there are small bilateral pleural effusions. Effusions are better appreciated on the lateral than on the frontal radiograph. Borderline size of the cardiac silhouette without pulmonary edema persists. No pneumothorax.
pleural effusions, evaluation.
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As compared to the previous radiograph, the lung volumes have increased, likely reflecting a deeper inspiration. The evidence of lymphadenopathy has decreased, the hilar structures are better defined and less dense than on the previous exam. The size of the cardiac silhouette has slightly decreased. Currently, there is no evidence of lung nodules, pulmonary fibrosis or other parenchymal change.
proven sarcoid, followup of lymphadenopathy.
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The heart continues to be severely enlarged. There is pulmonary vascular redistribution and patchy areas of alveolar infiltrate bilaterally. There are bilateral pleural effusions. There is opacity at both lower lungs consistent volume loss/infiltrate/effusion. Left subclavian line tip is downward pointing in the proximal svc. The feeding tube tip is at least in the stomach.
subdural hematoma and aspiration pneumonia.
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The mediastinal and hilar contours are stable, with expected postsurgical changes post cabg. There has been interval increase in the left pleural effusion with suggestion of a loculated component and rounded atelectasis at the left base. There is a small right pleural effusion. There is no pneumothorax. There is no pulmonary edema or focal consolidation concerning for pneumonia. Cholecystectomy clips are seen in the right upper quadrant.
recurrent pleural effusions.
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The lungs are clear. There is no focal consolidation, effusion or pneumothorax. Cardiomediastinal silhouette is stable noting tortuosity of the thoracic aorta. There is no pneumomediastinum. Osseous structures are unremarkable.
<unk>m with acute shortness of breath after choking on food, now back to baseline // eval for foreign body
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Frontal and lateral views of the chest demonstrate normal lung volumes. There is no pleural effusion, focal consolidation or pneumothorax. The hilar and mediastinal silhouettes are unremarkable. Mild tortuosity of the descending aorta is noted. Heart size is normal. There is no pulmonary edema.
vomiting.
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Low lung volumes are again noted. The lungs are clear without focal consolidation, effusion, or edema. The cardiomediastinal silhouette is stable noting mild cardiomegaly. Aortic valve replacement is faintly visualized. Median sternotomy wires are intact. Left chest wall battery pack with lead projecting over the anterior chest wall is unchanged compared to prior. No acute osseous abnormalities.
<unk>m with dizziness and diarrhea // r/o acute process
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The cardiomediastinal and hilar contours are within normal limits. The lung fields are clear. There is no pneumothorax, fracture or dislocation. Limited assessment of the abdomen is unremarkable. Moderate degenerative changes of the thoracic spine.
history: <unk>m with postoperative r thumb infection // preop
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The cardiomediastinal and hilar contours are within normal limits. Lungs are clear. There are no masses, focal consolidations or pleural effusions. There is no pneumothorax.
<unk>-year-old man with hyponatremia. study requested for evaluation of mass.
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Heart size and cardiomediastinal contours are normal. Lung volumes are low but the lungs are clear. No displaced fracture is identified.
<unk>-year-old male status post assault. evaluate for fracture.
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Pa upright and lateral images of the chest demonstrate clear lungs bilaterally. There is no pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are unremarkable. Pulmonary vasculature is within normal limits.
<unk>-year-old male with cough and dyspnea.
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The heart appears mildly enlarged. Widened right mediastinal contour is associated with thyroid nodules that have been previously characterized. A nodular focus projects over the lingula measuring about <num> mm. Gastrostomy tube projects over the left upper quadrant.
shortness of breath.
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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. Visualized upper abdomen is unremarkable. Osseous structures are grossly intact.
chest pain, evaluate for infection.
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Diffuse increased interstitial thickening is consistent with mild pulmonary edema. Heart size is normal. No pleural effusions. Mediastinal contour is stable.
<unk> year old man with cardiomyopathy presents with cough/dyspnea, equivocal right basilar crackles. // ? edema
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The cardiac silhouette size is likely top normal. The mediastinal and hilar contours are unremarkable. There is mild pulmonary vascular congestion. Moderate sized left pleural effusion, partially loculated laterally, is noted. Left basilar opacification may represent known tumor with infection or atelectasis. Trace right pleural effusion is also demonstrated. There is no pneumothorax. Mild s-shaped scoliosis is seen with multilevel degenerative changes.
recently diagnosed lung cancer with weakness and malaise.
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Comparison is made to prior study from <unk>. Heart size is enlarged. There is tortuosity and calcification of the thoracic aorta. There is coarsening of the bronchovascular markings with more confluent opacity at the lung bases. Underlying infiltrate in this location cannot be excluded. There are no pneumothoraces.
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Single portable supine frontal image of the chest. The lungs are well expanded and clear. The right hilus is noted to be more prominent than the left, which can be seen with but is not diagnostic of pulmonary embolism. There is no pleural effusion or pneumothorax. The cardiac silhouette is unremarkable.
found down.
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Et tube ends <num> cm above the carina. Ng tube is below the diaphragm. Bibasilar opacity has slightly increased on the right side. Pleural effusions are small if any. There is no pneumothorax. Left subclavian line ends in the upper svc.
patient with cardiac arrest, ards.
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Pa and lateral views of the chest provided. Prominent breast tissue overlies the lower lungs with increased opacity noted in these areas. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. Mild pectus excavatum deformity of the sternum noted. No free air below the right hemidiaphragm is seen.
<unk>f with cough // eval for pneumonia
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A moderate right pleural effusion is again seen, with increasing overlying atelectasis. The left lung remains clear. No left pleural effusion is seen. There is no evidence of pneumothorax. The cardiac and mediastinal silhouettes are stable. The patient is status post median sternotomy and cardiac valve replacement. .
history: <unk>m with dyspnea // eval for effusion on r vs pna
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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 cp // r/o infiltrate
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As compared to the previous radiograph, there is no relevant change. Massive pulmonary emphysema, radiographically predominately at the lung bases. No new parenchymal changes such as pneumonia or pulmonary edema. No pleural effusions. Unchanged size of the cardiac silhouette.
copd, increased work of breath. evaluation.
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A right-sided ij catheter terminates at the upper atrium. A new nasogastric tube with extends to the level of the diaphragm, and appears to be either within a patulous esophagus or small hiatal hernia. The lung volumes are low. The hilar mediastinal contours remain unchanged. A normal bowel gas pattern is demonstrated.
ng tube placement.
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The heart size is normal. The heart and mediastinal contours are within normal limits. There is no pneumothorax, focal consolidation, or pleural effusion. Mild degenerative changes are seen throughout the thoracic spine.
smoking, with prolonged cough.
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Pa and lateral views of the chest were compared to previous exam from <unk>. Lungs are clear. There is no effusion or pneumothorax. Cardiomediastinal silhouette is normal. Osseous and soft tissue structures are notable for hypertrophic changes in the spine.
<unk>-year-old male with chest pain and tachycardia.
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There is significant elevation of the right hemidiaphragm with multiple surgical clips projecting over the right upper quadrant. A streaky opacity seen across the right lower lung is compatible with scarring. No other focal opacities are noted bilaterally with the exception of biapical pleuroparenchymal scarring. There is no pleural effusion or pneumothorax. Multiple surgical clips are noted throughout the neck and left supraclavicular region. Deformity of left clavicle appears chronic and post-traumatic. Cervical spine fixation devices are also identified.
patient with chest pain. evaluate for pneumonia.
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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.
history: <unk>m with chest pain // eval for structural process
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Endotracheal tube tip terminates approximately <num> cm from the carina. An enteric tube tip courses below the gastroesophageal junction with tip off the inferior borders of the film. Lung volumes are low. Heart size is normal. Mediastinal contour is widened as a result of low lung volumes and supine technique. Pulmonary vasculature is not engorged. Patchy bibasilar opacities likely reflect atelectasis. No definite focal consolidation is present. No large pleural effusion or pneumothorax is seen on this supine exam though the extreme left costophrenic angle is excluded from the field of view. Clips are noted projecting over the left perihilar region and left chest.
history: <unk>m with intubated // confirm ett placement
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A right pigtail catheter projects over the right hemithorax in unchanged position. Cardiomediastinal and hilar contours are stable. No focal consolidation, or pleural effusion. A right apical pneumothorax has nearly resolved.
<unk> year old man with ptx // ?ptx please get <unk> @ <unk> am
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Ap upright and lateral views of the chest provided. The lungs are clear without focal consolidation, large effusion or pneumothorax. The heart size is normal. The aorta is unfolded. Bony structures are intact. Degenerative changes again noted at the shoulders.
<unk>f with ams, s/p complicated course, tachycardic
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The heart the great vessels are normal. The lungs are clear of an active process and well-expanded. No pleural effusion or pneumothorax..
cough
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The heart size remains mildly enlarged. The mediastinal and hilar contours are unchanged. Increased interstitial markings are demonstrated diffusely, similar compared to the prior exam. More focal opacity within the right lung base is also noted. Small bilateral pleural effusions are present. There is no pneumothorax. No acute osseous abnormalities identified.
history: <unk>m with shortness of breath
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The heart size normal. No pulmonary edema. No airspace consolidation. No pneumothorax. No pleural effusion.
<unk> year old woman with sob // eval for chf
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Since the prior radiograph performed <num> hours earlier, there has been interval repositioning of the ng tube, which now terminates in the stomach. The right-sided picc line terminates at the cavoatrial junction. Improving right lung base opacity, and stable appearance of left lung base opacity. There is no pneumothorax. Cardiomediastinal silhouette is mildly enlarged. Atherosclerotic calcifications noted in the aortic arch.
<unk> year old man with ngt placement // ngt placement
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Compared with <unk>, i doubt significant interval change. Again seen is moderate cardiomegaly, with a calcified aorta. There is upper zone redistribution, without other evidence of chf. No focal infiltrate or effusion is detected. Possible minimal atelectasis at the right lung base laterally.
<unk>f pmhx for multiple vascular interventions admitted for hep gtt in preparation for her scheduled aorto bi femoral bypass graft. // pre-op
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Pa and lateral views of the chest were provided. No focal consolidation, effusion or pneumothorax is seen. Cardiomediastinal silhouette appears normal. The left sixth posterior rib appears irregular which corresponds with the site of known metastatic lesion on prior ct. A pathological fracture through this level has been seen on prior ct exams dating back to <unk>. A lesion in the left lateral arch of the seventh rib is also noted with bulbous expansion at this level appearing grossly unchanged from prior ct. Additional osseous metastatic lesions are better assessed on the recent ct chest from <unk>.
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Esophageal stent remains in place, unchanged in appearance. Cardiomediastinal contours are otherwise unremarkable. Within the lungs, linear opacities in the left upper and lower lobes likely represent linear scar and/or atelectasis. Left-sided pleural opacity corresponds to a combination of calcified pleural thickening and extrapleural fat on recent ct. No new areas of consolidation are evident in the lung, and there are no pleural effusions.
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Frontal views of the chest were obtained. The heart size and cardiomediastinal contours are normal. The lungs are clear. No focal consolidation, pleural effusion, or pneumothorax. The osseous structures are unremarkable. No radiopaque foreign body.
<unk>-year-old male with hyperglycemia and altered mental status. evaluate for pneumonia.
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No consolidation, pleural effusion or pulmonary edema is seen, and the cardiac and mediastinal contours are normal. No cavitations or calcified granulomas are seen.
<unk>-year-old woman with positive ppd, evaluate for active tb.
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In comparison with the study of <unk>, the patient has taken a slightly better inspiration. There is still bilateral pleural effusions, more prominent on the right with pulmonary vascular congestion and substantial enlargement of the cardiac silhouette. Bibasilar compressive atelectasis. Single channel pacer defibrillator again exchanged the region of the apex of the right ventricle. There appears to be bullous changes in the apical region on the right. Slight impression on the right side of the lower cervical trachea could reflect a thyroid mass.
severe chf with diffuse pulmonary edema.
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Frontal and lateral views of the chest were obtained. There is elevation of the right hemidiaphragm. Relative <unk> of the left hemidiaphragm on the frontal view is felt to most likely be due to overlying soft tissue, as it is not substantiated on the lateral view. No definite focal consolidation or pleural effusion is seen. The cardiac and mediastinal silhouettes are stable. No overt pulmonary edema is seen. No evidence of free air is seen beneath the diaphragm. Curvilinear opacity projecting just right lateral to the lower thoracic spine correlate with osteophyte as seen on prior studies, including <unk>.
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Port-a-cath catheter tip terminates at the mid svc. The left pleurx is in similar position. No pneumothorax. Small right-sided pleural effusion has decreased. Small left pleural effusion is unchanged. Retrocardiac opacity and right basilar opacity have both improved. No pulmonary edema or acute focal consolidation. Mild cardiomegaly.
<unk> year old woman with dlbcl and neutropenic fever. // evaluate for cause of fever.
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Endotracheal tube is seen with tip <num> cm from the carina. Enteric tube passes below the inferior field of view with side port in the gastric body. Low lung volumes are seen with crowding of the bronchovascular markings. Focal opacity at the left lateral costophrenic angle is nonspecific, potentially atelectasis. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>-year-old female with altered mental status.
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There are bibasilar parenchymal opacities, right greater than left. Blunting of the posterior costophrenic angles could be due to small effusions. Superiorly the lungs are clear. Moderate cardiomegaly is noted as well as tortuosity of the descending thoracic aorta with atherosclerotic calcifications at the arch. No acute osseous abnormalities.
<unk>f with abd pain/ascites // acute process
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Pa and lateral views of the chest. There is slight elevation of the left hemidiaphragm, not significantly changed since prior chest x-ray. Left basilar opacity obscuring the left costophrenic angle and retrocardiac opacity are most likely due to atelectasis. Elsewhere, the lungs are clear. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified.
<unk>-year-old female with dyspnea.
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Pa and lateral views of the chest demonstrate the lungs are well expanded and clear. The cardiomediastinal silhouette is unremarkable. A right port terminates at the cavoatrial junction. There is no pulmonary edema, pleural effusion, pneumothorax or focal opacity concerning for pneumonia.
<unk>-year-old male with history of laryngeal cancer, presents with dysphagia. evaluation for pneumonia.
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Tip of dobbhoff tube is unchanged in position since the recent radiograph, terminating in the proximal stomach. Overall, there has not been any relevant change in the appearance of the chest since the prior study performed about one hour earlier.
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Ap single view of the chest has been obtained with patient in upright position. Comparison is made with the next preceding portable chest examination obtained one hour earlier during the same day. During the interval, left-sided chest tube has been removed. The chest findings are unchanged and no pneumothorax has developed.
<unk>-year-old male patient status post surgery and left-sided chest tube removal.
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Minimal dependent atelectasis is seen at the right lung base. No focal consolidation, pleural effusion or pneumothorax is detected. Heart and mediastinal contours are within normal limits.
<unk>-year-old male status post blunt trauma to the chest.
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In comparison with study of <unk>, there is little overall change. Monitoring and support devices remain in place. Continued enlargement of the cardiac silhouette with probable elevation of pulmonary venous pressure. Extensive retrocardiac opacification could reflect merely volume loss in the left lower lobe and pleural effusion. However, in the appropriate clinical setting, supervening pneumonia would have to be seriously considered.
possible pneumonia.
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Enteric tube is seen, coursing over expected location of the right mainstem bronchus into the right lower lobe bronchus. Recommend removal. There is a large hiatal hernia with adjacent atelectasis. Blunting of the right costophrenic angle may be due to overlying soft tissue and atelectasis versus small pleural effusion. There is mild left base atelectasis. The cardiac silhouette is mildly enlarged. Mediastinal contours are grossly unremarkable. There is no pulmonary edema. No pneumothorax is seen.
history: <unk>m with epigastric pain, large hiatal hernia // eval ngt placement
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Since the prior radiograph, the right chest tube has been removed. There is no residual pneumothorax. A right picc ends in the mid right subclavian vein. A right internal jugular central venous catheter ends in the upper svc. It appears kinked at the most proximal end, which may be external to the patient. A left subclavian central line ends in the low svc. A left chest tube is present. Sternal wires are intact. The moderate right pleural effusion has increased in size. A small left pleural effusion is stable. Multiple bilateral opacities and cavitary nodules reflect the patient's known septic emboli. Possible mild edema may be present, but is difficult to determine with the multifocal opacifications. It is unchanged from the prior exam. The cardiomediastinal silhouette is unchanged with the expected postoperative appearance.
status post mitral valve and tricuspid valve replacement. evaluate for pneumothorax after right chest tube was removed.