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Pa and lateral chest radiographs demonstrate clear lungs. The hilar and mediastinal contours are normal. The mediastinal appearance is unchanged from <unk> aside from new atherosclerotic calcifications in the aortic arch. The cardiac apex is upturned, which may be a normal variant, or may indicate left ventricular enlargement. However, there are no pulmonary manifestations cardiac decompensation. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal.
<unk>-year-old man with a history of myocardial infarction and acute-onset chest pain. evaluate for mediastinal widening.
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Mild enlargement of the cardiac silhouette is unchanged. Mediastinal and hilar contours are normal. Lungs are clear. No focal consolidation, pleural effusion or pneumothorax is seen. No acute osseous abnormality is detected.
history: <unk>m with difficulty breathing, change in mental status // please eval for infectious process
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Frontal and lateral views of the chest. There are patchy regions of consolidation throughout the lungs bilaterally. There is trace blunting of the left costophrenic angle which may be due to a tiny effusion. The cardiac silhouette is mildly enlarged. Median sternotomy wires and mediastinal clips are noted. No acute osseous abnormality is identified.
<unk>-year-old male with coronary artery disease and hypertension with recent diagnosis of pneumonia with abdominal pain, shortness of breath.
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In comparison with study of <unk>, there is little overall change in the diffuse bibasilar reticular opacities that have been present sporadically on prior imaging studies. Findings may reflect atypical pulmonary edema, though reaction to periodic environmental or medication exposure would have to be considered.
abnormal chest with bibasilar reticular opacifications.
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There are only mild bibasilar atelectatic changes. The lungs are otherwise clear, the cardiomediastinal silhouette and hila are normal. There is no pleural effusion and no pneumothorax.
<unk>-year-old with cough.
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Ap portable upright view of the chest. Bibasilar atelectasis is better assessed on same-day ct abdomen pelvis. No large effusion or pneumothorax. No overt signs of edema. The heart size is within normal limits. The thoracic aorta appears unfolded. No bony injuries.
<unk>f with seizure // eval for pna
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Increase in the left retrocardiac density since <unk> likely reflects worsening atelectasis and possible small left pleural effusion, however, underlying consolidation cannot be excluded. There is no pneumothorax. The right lung appears clear. The heart size is top normal. The hilar and mediastinal contours remain within normal limits.
biliary.
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The heart is normal in size. The mediastinal and hilar contours appear unchanged. There is patchy streaky left basilar opacity suggesting minor atelectasis. Otherwise, the lungs appear clear. There are no pleural effusions or pneumothorax. The bony structures are unremarkable.
unresponsive.
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Tracheostomy tube is unchanged and in standard position. Esophageal manometer/termometer ends in distal esophagus. Interval increase of bilateral opacification is due to increased pulmonary edema. Central vein engorgment is stable bibasilar pleural effusion is small and stable. Heart size is mildly enlarged and unchanged. No pneumothorax.
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Pa and lateral views of the chest provided. Right pic line with tip in the right atrium. Mild interstitial disease, best visualized in the left lung base on the frontal and lateral views. 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> year old man with port without blood return // eval for port position/malfunction
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Single portable view of the chest. There is chronic opacity at the left costophrenic angle known to at least be in part due to rounded atelectasis with possible superimposed effusion, and has not significantly changed. The remainder of the lungs are grossly clear. Cardiomediastinal silhouette is stable. Old healed mid left clavicular fracture is again seen.
<unk>-year-old male with hypoxia.
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In comparison with study of <unk>, there has been a dramatic increase in opacification at the right base consistent with large pleural effusion and compensatory atelectasis of the right lower lung. There is some increased indistinctness of pulmonary vessels in the left lower lung, raising the possibility of some overhydration.
pleural effusion.
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Right moderate pleural effusion has slightly increased since previous exam with compressive atelectasis. In the aerated portion of the lung, there is no evidence of pneumonia. The lung volumes are low. Mediastinal and cardiac contours are unremarkable. There is no pneumothorax.
patient with edema, pneumonia; to rule out pna
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The heart size is normal. The hilar and mediastinal contours demonstrate vascular congestion, there is mild pulmonary edema. There is a moderate right pneumothorax that is new compared to the prior exam. There is a small left pleural effusion, new compared to the prior exam. Note is made of intra-abdominal catheters.
history of right nephrectomy. please evaluate for pneumothorax.
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Ap upright and lateral views of the chest were provided. Low lung volumes limit the evaluation with bronchovascular crowding likely accounting for the subtle lower lung opacities. There is no evidence of chf or definite signs of pneumonia. The cardiomediastinal silhouette appears stable. Bony structures are intact.
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Compared <num> day prior, bilateral, predominantly perihilar interstitial opacities have increased, more likely pulmonary edema than bilateral pneumonia. Persistent small right apical pneumothorax. A small right pleural effusion has increased and a small left pleural effusion is unchanged. Right pleural drainage catheter is unchanged in position. Subcutaneous emphysema in the right lateral chest wall is similar. Mildly enlarged cardiomediastinal silhouette is unchanged in size. An air-fluid level projects over the expected location of the neo esophagus
<unk> year old woman pod<unk> s/p mie // evaluate for interval change
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Frontal and lateral views of the chest were obtained. Retrocardiac air-fluid level is consistent with a large hiatal hernia. No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable.
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Cardiac, mediastinal and hilar contours are normal. Pulmonary vascularity is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. No acute osseous abnormality is demonstrated.
right chest pain.
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Pa and lateral chest radiographs were provided. Opacity overlying the right hilus is consistent with known mass and lymphadenopathy. There is no pleural effusion or pneumothorax. Linear opacity at the left base is likely atelectasis. The cardiomediastinal silhouette is normal.
history of chest pain. evaluate heart and lungs.
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The lungs are normally expanded and clear. The cardiomediastinal silhouette, hilar contours and pleural surfaces are normal. There is no pleural effusion or pneumothorax.
<unk> year old woman re pre-op // pre-op bariatrics for <unk>. cc report pls: <unk>, md, pls fax to <unk>
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The previously noted tiny right apical pneumothorax is not clearly visualized. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. Spinal fusion hardware is noted.
status post t<num> rib fracture, evaluate for pneumothorax.
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Pa and lateral views of the chest, with a repeat pa view for a total of three exposures were obtained. The lungs are well inflated and clear bilaterally, with no evidence of pleural effusion, pneumothorax, pulmonary edema, or focal consolidation. Median sternotomy wires and mediastinal vascular clips are unchanged since the prior study. The cardiomediastinal contours are stable.
<unk>-year-old man with chest pain. evaluation for acute process.
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There has been an interval increase in bilateral pulmonary vascular engorgement and mild pulmonary edema. There has also been an increase in a left lower lobe consolidation with a small left pleural effusion. Mild right sided atelectasis is slightly improved. The et tube is in standard position. Right-sided ij is in the mid svc. The hilar and mediastinal contours are otherwise stable. The heart size is mildly enlarged and stable compared to exams dating back to at least <unk>. There is an enteric tube, which courses below the diaphragm with the tip out of the scope of the film.
<unk>-year-old man with urosepsis and acute kidney injury who presents for evaluation of hypoxia.
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The lung volumes are low, which limits evaluation. There is minimal right basilar atelectasis. The left upper lobe opacity appears to have nearly completely resolved; there is possible mild residual scarring or atelectasis. There is no new airspace opacity. There is no pulmonary edema, pleural effusion, or pneumothorax. The mediastinal contours are widened due to the known ectasia and tortuosity of the thoracic aorta. The heart size is enlarged, and unchanged from prior exams.
continued dyspnea on exertion. evaluate for pathology.
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No focal consolidation is identified. There is linear density adjacent to the left heart border as well as at the right lung base, likely scarring. The cardiac silhouette is unchanged. There is mild pulmonary vascular congestion. There is no pleural effusion or pneumothorax. Old right upper rib deformity is again noted.
<unk>-year-old man with cough and fever, rule out pneumonia.
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The heart is mild to moderately enlarged. Widespread pleural plaques are noted with calcifications. There is a meniscoid appearance to each costophrenic sulcus, which may reflect pleural thickening or very small effusions. Projecting over the central left lung is patchy opacification. For the most part, this is suspected to represent a pleural plaque but a superimposed parenchymal opacity in the area is suggested on the lateral view without a mass-like appearance and may reflect atelectasis, scarring or even pneumonia.
question pneumonia.
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No focal consolidation is seen peer there is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are unremarkable. No evidence of free air is seen beneath the diaphragms.
history: <unk>m with abdominal pain // abdominal pain
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There is a moderate thoracic kyphosis which increase in the ap diameter of the chest. The lungs are relatively well inflated and clear. The descending thoracic aorta demonstrates moderate atherosclerotic plaque and is unfolded. Heart size is stable, top normal. No focal consolidation or pleural effusion. No pneumothorax.
<unk>f with chest pain // r/o acute process
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A portable frontal chest radiograph demonstrates a right jugular central catheter with the tip in the low svc, an endotracheal tube in proper position, and a nasogastric tube with the tip in the stomach. There is increased pulmonary edema. Bilateral pleural effusions are redemonstrated, the left increased compared to prior radiograph. There is also bibasilar atelectasis left greater than right. Superimposed developing pneumonia cannot be excluded. Additionally, there is a small to moderate right pneumothorax. This pneumothorax is not seen on the prior study secondary to pleural effusion surrounding the upper lobe, but is now evident.
status post respiratory arrest. evaluate for interval change in pulmonary edema versus pneumonia.
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The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unchanged from prior exam. The ascending aorta again demonstrates a tortuous course.
intermittent chest pain for <num> day.
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Pa and lateral views of the chest provided. Interval removal of the right ij central venous catheter. 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 infx workup
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Cardiac size is normal. The lungs are clear. There is no pneumothorax or pleural effusion.
<unk> year old woman with recent tylenol overdose, some emesis, acidosis. // pna?
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The lungs are normally expanded. Faint, ill-defined opacities at the lung bases are improved since <unk>. The heart is top normal. The mediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. There is no confluent consolidation to suggest pneumonia.
history: <unk>m with wet cough, mild low sat, lll wheezing, sickle cell // evaluate for pneumonia, acute chest
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The lateral radiograph is suboptimal, severely limited by motion artifact and obscured by the arms. The patient is slightly rotated to the right, somewhat limiting the evaluation. The lung volumes are slightly low, similar to the prior study. There is new atelectasis at the right base. The heart is top normal. Allowing for rotation, the mediastinal and hilar contours are likely normal. There is no large pleural effusion or pneumothorax. The aorta and main thoracic vessels are heavily calcified.
leukocytosis. evaluate for interval changes in chest x-ray given recent pneumonia course.
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Pa and lateral views of the chest. Again seen is a streaky retrocardiac linear density corresponding to area of bronchiectasis on prior ct scans, unchanged, this is also unchanged from chest radiograph on <unk>. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal hilar contours are normal.
fever and cough.
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Since the prior radiograph, a right internal jugular central line has been placed and ends in the upper svc. There is no pneumothorax. A left picc ends in the mid svc. An endotracheal tube is approximately <num> cm from the carina and unchanged in appearance. A feeding tube is seen within the stomach. Sternal hardware is intact and unchanged. The cardiomediastinal silhouette is stable and has a normal postoperative expected appearance. There is mild pulmonary vascular congestion but no pulmonary edema. Bibasilar atelectasis is unchanged. There are no definite pleural effusions. There is no new consolidation.
evaluate for effusions.
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As compared to the previous radiograph, there is no relevant change, except for the fact that the patient has received a right-sided picc line. Course of the line is unremarkable, the tip of the line projects over the upper-to-mid svc. There is no evidence of complications, notably no pneumothorax. Normal size of the cardiac silhouette, normal hilar and mediastinal structures. Normal appearance of the lung parenchyma.
right picc line, evaluation.
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Small bilateral effusions, right greater than left have not significantly changed. Right greater than left bilateral lower lung heterogeneous opacities are some combination of atelectasis and infection. Mild cardiomegaly is unchanged. The mediastinal contours are unchanged. There is no pneumothorax. A small amount of pleural fluid is noted along the right lung apex. A right-sided picc previously extended into the right internal jugular vein, now withdrawn so that its tip projects over the right axilla. Scout images on the subsequent ct from <unk> show apparent picc removal.
pneumonia and recent septic shock with acute dyspnea and tachycardia. evaluate for pulmonary edema or pneumonia.
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Frontal and lateral views of the chest were obtained. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable and unremarkable. Evidence of dish is seen along the thoracic spine.
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Pa and lateral chest radiographs were provided. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. Bones are intact.
history of chest pain and pericarditis, evaluate for pneumonia or effusions.
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As compared to prior chest radiograph from <unk>, there has been significant improvement of right-sided pleural effusion. There is no pneumothorax. There is a small left pleural effusion. Cardiomediastinal contour is stable.
<unk>-year-old female patient with stage iv ovarian cancer with shortness of breath and right pleural effusion, status post thoracentesis. study requested to rule out pneumothorax.
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As compared to the previous radiograph, there is no relevant change. Identical appearance of the lung parenchyma and of the heart. The monitoring and support devices are constant. No newly appeared parenchymal opacities. The pleural effusions are constant in extent and severity.
ards, line placement, evaluation.
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Ap upright and lateral views of the chest provided. Lung volumes are low though no discrete consolidation, large effusion or pneumothorax. No convincing signs of edema or congestion. The cardiomediastinal silhouette is stable. Bony structures are intact.
<unk>m with sob, cough
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An orogastric tube is present. The radiopaque tip overlies the expected location of the ge junction and perhaps also the uppermost fundus, but has not passed completely beyond the ge junction. Again seen is a left subclavian picc line with tip over distal svc. Also again seen is a small left effusion with underlying collapse and/or consolidation as well as vascular plethora and blurring consistent with chf. Patchy opacity in the right cardiophrenic region is unchanged. Faint more confluent opacity in the right mid zone is new. The right costophrenic angles excluded from the film.
<unk> year old man with ng tube readvanced. // asess position
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Pa and lateral views of the chest are compared to previous exam from <unk>. When compared to the prior, there has been interval resolution of the bilateral regions of consolidation. There is no pulmonary vascular congestion or pleural effusion. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable. Surgical clips seen in the upper abdomen suggesting prior cholecystectomy.
<unk>-year-old female with upper chest pain. question pneumonia or chf.
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Lungs are fully expanded and clear. There is no focal consolidation, effusion, or pneumothorax. There is no central vascular congestion or overt pulmonary edema. There is mild widening of the mediastinum due to unfolding of the thoracic aorta. Otherwise, mediastinal and hilar contours are normal. Heart size is normal.
history: <unk>f with chest tightness // eval chest tightness
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Lung volumes are relatively low. Left chest wall single lead pacing device obscures visualization of the left lung base. Overall, the appearance of the lungs demonstrates interval improvement. There is persistent abnormal interstitial opacity which suggests mild edema. More dense opacity in the retrocardiac region is again seen. Cardiomediastinal silhouette is stable.
<unk>f with lethargy // acute process?
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Frontal and lateral chest radiographs were obtained. The lungs are fully expanded and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax. No radiographic evidence for acute cardiopulmonary process. Findings were communicated with dr. <unk> by dr. <unk>, <unk> telephone at time of observation at <time> p.m. On <unk>.
patient with cough for three weeks, and chest pain, rule out pna.
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Interval re-positioning of endotracheal tube, now terminating <num> cm above the carina. Placement of right internal jugular vascular sheath, with no visible pneumothorax. Nasogastric tube terminates in the stomach. Low lung volumes accentuate the cardiac silhouette and bronchovascular structures. Even allowing for this factor, there is probably mild edema present. Asymmetrically distributed opacities in the left perihilar and basilar regions could reflect asymmetrically distributed pulmonary edema or a secondary process such as aspiration with coexisting atelectasis. There is a probable layering left pleural effusion. Multiple radiodensities project over the abdomen, and may reflect radiodense filaments related to surgical sponges or other simlar surgical material. Clinical correlation suggested.
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Left picc is seen with tip in the lower svc. Linear left basilar opacity is likely atelectasis. There has been interval clearance of the previously noted retrocardiac opacity. The lungs are now clear given rotation. The cardiomediastinal silhouette is within normal limits for projection. No acute osseous abnormalities.
<unk> year old woman with n/v // verify picc line placement
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The right-sided icd appears in the appropriate position. There is no significant interval decrease in size of the loculated right-sided pleural collection. Air locule within this collection suggesting a hydropneumo/ pyopneumothorax. Persistent subcutaneous emphysema is seen in the right lateral chest wall as well as mild swelling of the chest wall. Atelectatic changes of the right lung with mild volume loss of the right hemithorax. Compensatory hyperinflation of the left lung. The left lung is clear.
<unk> year old man with remote hx of sclc s/p xrt/chemo now with large right pleural effusion s/p chest tube placement. // improvement in effusion? chest tube in correct position?
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Cardiac silhouette size remains mildly enlarged. A large hiatal hernia is demonstrated, as seen previously. Hilar contours are normal. Pulmonary vasculature is unremarkable. Streaky atelectasis is seen in the lung bases associated with the hiatal hernia, but there is no focal consolidation, pleural effusion or pneumothorax. The osseous structures are diffusely demineralized. No acute osseous abnormality is detected.
history: <unk>f with intermittent chest pain
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There is silhouetting of the left heart border with hazy increased opacity throughout the left lung on the ap view. The appearances are consistent with lingular consolidation. No other areas of consolidation are seen. No pleural effusion. The heart does appear to be mildly enlarged. No frank pulmonary edema seen however. Surgical clips and suture material seen at the left lung apex. Deformity of the left fifth rib posteriorly is presumed to be related to this prior surgery.
history: <unk>m with cough, sob, and fevers // eval for pneumonia
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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 hematemesis // r/o effusion, pna
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Single portable view of the ches. Compared to prior there has been no significant interval change. Dense right lower lobe consolidation is again seen. Underlying effusion is not excluded. Mild opacity is also at the left lung base laterally. Cardiomediastinal silhouette is unchanged.
<unk>-year-old female with right lower lobe pneumonia, sepsis with worsening shortness of breath.
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The lungs are well-expanded and clear. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable.
<unk>f with chest pain. assess for pneumothorax.
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Pa and lateral views the chest provided. Lung volumes are low limiting assessment. There is a right upper extremity access picc line with its tip terminating in the mid svc region. The lungs are clear without large effusion or pneumothorax. Cardiomediastinal silhouette is unchanged. No large pneumothorax.
<unk>-year-old female with picc line assess position.
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Pa and lateral chest radiograph demonstrate a dilated or tortuous abdominal aorta. Heart size is within normal limits. Calcifications about the aortic arch are noted. Linear opacity at the left lung base most likely reflects atelectasis. Increased interstitial markings, right greater than left, raises the possibility of chronic interstitial process. No focal opacity convincing for pneumonia is detected. There is however an <num> mm nodular opacity in the right mid lung. There is no pleural effusion or pneumothorax. Biapical scarring is symmetric. No acute osseous abnormality is identified.
<unk>-year-old male who feels unsteady on his feet.
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Heart size is mildly enlarged but similar. The mediastinal and hilar contours are relatively unchanged with mild tortuosity of thoracic aorta again noted. The imaged thoracoabdominal aorta appears diffusely calcified. Patchy ill-defined opacity in the right lung base is concerning for aspiration or pneumonia. Left lung is grossly clear with the exception of mild left basilar atelectasis. No pleural effusion or pneumothorax is seen, though assessment of the right apex is obscured by overlying soft tissue. The osseous structures are diffusely demineralized that acute abnormality.
history: <unk>f with cough
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Small bilateral opacities in the lower lungs are increased compared to the prior exam. On the left side, it is partly due to atelectasis, but on the right side, a superimposed infection cannot be excluded. There is a small pleural effusion if any. There is no pneumothorax. Important cardiomegaly is stable. The mediastinal contour is normal.
patient with morbidly obese condition. here for femur fracture. low-grade temperature, no cough, no sputum production. rule out pneumonia.
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Linear opacity in the bibasilar, left greater than right, lower lobe appear relatively stable over multiple prior studies and most likely represents atelectasis. No overt pulmonary edema, pleural effusion or pneumothorax identified. The cardiac and mediastinal contours are stable.
history: <unk>m with dyspnea // eval infiltrate
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Pa and lateral chest radiographs. The lungs are clear. There is no pleural effusion. No esophageal distention is visible. The heart size is top normal.
hypertension with bolus of food obstructed. evaluation for esophageal obstruction.
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Ng tube is visualized is coiled with the tip in the stomach, in appropriate location. A right subclavian picc line is visualized with the tip of the catheter at the svc/ ra junction, position unchanged from prior study. There is retrocardiac atelectasis which is stable from comparison study.
<unk> year old woman with glioblastoma, non-verbal // assess placement of ng tube
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Frontal and lateral radiographs were acquired of the chest. As before, the patient is status post midline sternotomy and cabg. Elevation of the left hemidiaphragm is increased compared to the prior study from <unk>. Streaky left lower lung opacities are likely atelectases, although could be aspiration or pneumonia in the appropriate clinical setting. There are no definite pleural effusions. No pneumothorax is seen. The heart size is normal. The mediastinal contours are normal. There are multilevel flowing anterior osteophytes, suggestive of dish.
status post cabg with decreased breath sounds at the left base. assess for effusion or infiltrate.
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Pa and lateral views of the chest are compared to previous exam from <unk>. Lungs are clear of focal consolidation or effusion. Biapical scarring, right greater than left is as on prior exam. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unchanged.
<unk>-year-old female with epigastric pain. question pneumonia.
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Tip of endotracheal tube terminates <num> cm above the carina with the neck in a flexed position. Cardiomediastinal contours are stable in appearance, and widespread bilateral airspace opacities have slightly worsened in the interval. Moderate pleural effusions are similar.
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Coarse reticular opacities in bilateral lungs limits evaluation of lung parenchyma for subtle pneumonia. No large opacity. Heart size, mediastinal contour and hila are unremarkable. Pleural surfaces are normal without evidence of pleural effusion. No pneumothorax. Visualized osseous structures are unremarkable.
cough, fevers. assess for pneumonia.
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<num> views were obtained of the chest. Metallic densities, likely bullet fragments, project over the right hemithorax, likely in the right back and right lung or mediastinum. The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. Heart and mediastinal contours are unremarkable.
chest pain.
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Again seen is a right basilar opacity silhouetting the right cardiac margin. There is also a retrocardiac opacity as well. Blunting of the costophrenic angles bilaterally suggests persistent bilateral pleural effusions, left greater than right as seen on prior. The cardiomediastinal silhouette is otherwise unremarkable. Right sided central venous catheter is again noted. No acute osseous abnormalities.
<unk>m with hypotension, fever, rll crackles // eval for acute process
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There has been interval placement of a right internal jugular catheter. The tip is in the mid svc. No pneumothorax seen. An endotracheal tube is unchanged in position. Persistent right upper and right lower lobe consolidation. Left lower lobe consolidation versus atelectasis. Subcutaneous emphysema again noted. Calcification of the left ventricular wall.
history: <unk>m with r ij cvl // ? cvl placement
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Compared with the prior radiograph, the left chest wall pacer device leads projecting to the right atrium, left ventricle, and right ventricle are intact and unchanged in position. Marked cardiomegaly and bilateral hilar enlargement are unchanged since <unk>. There is no focal consolidation, pleural effusion, or pneumothorax.
<unk>m with sob and weight gain. evaluate for pulmonary edema.
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Since the recent radiograph of a few hours earlier, there has been interval improved aeration of the lungs, particularly in the left upper and left lower lobes. Heterogeneous opacities in the right lung show a lesser degree of improvement, and may be due to multifocal contusion or aspiration in the setting of recent trauma. Widening of mediastinum has been more fully assessed on recent ct from two hours earlier, which demonstrated an acute aortic injury. Left rib fractures are also more fully evaluated on that study.
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There are new bilateral mid to lower lung pulmonary opacities. No pleural effusion is detected on this frontal view. No pneumothorax is seen. There is mild diffuse interstitial prominence. The aorta is tortuous and calcified, as seen previously. Heart size is top normal and possibly exaggerated by ap technique.
<unk>-year-old male with acute onset shortness of breath.
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Moderate right apical pneumothorax has slightly increased in size, with two pleural catheters remaining in place. The basilar hydropneumothorax component is probably unchanged, but difficult to assess due to differences in patient positioning. Otherwise, no relevant changes in the appearance of the chest since the previous study of earlier today.
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Large tesion left pneumothorax is new with flattening of diaphragm, displacement of the mediastinum and oligemia of contralateral lung. Left chest tube projects at the apex. Right pigtail is in unchanged position in mid thorax with stable residual <num> mm pneumothorax. Picc line ends in right axillary region. There is a feeding tube and ng tube below the diaphragm. Mediastinal and cardiac contours are unchanged in this patient who had recent sternotomy.
patient with avr, rule out pneumothorax. chest tube on waterseal.
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Pa and lateral views of the chest were provided. Lung volumes are low, though the lungs appear clear. No signs of pneumonia or chf. The heart and mediastinal contours are normal. Bony structures are intact.
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There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. Mild cardiomegaly appears unchanged. Mediastinal contours are within normal limits. No evidence of free subdiaphragmatic air.
history: <unk>f with chest pain // pneumonia?
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Single portable view of the chest. No prior. The lungs are grossly clear. Cardiac silhouette is within normal limits for technique. Osseous and soft tissue structures are unremarkable.
<unk>-year-old man found unresponsive.
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Pa and lateral views of the chest provided. The lungs appear clear without focal consolidation, effusion, or pneumothorax. There is subtle effacement of the right and left heart border on the frontal projection, which likely reflects the presence of epicardial fat pad. Cardiomediastinal silhouette is otherwise unremarkable. The bony structures are intact. No free air below the right hemidiaphragm.
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Frontal and lateral views of the chest were obtained. There are low lung volumes. Bibasilar linear opacities are without significant change, likely atelectasis versus scarring. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.
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The newly placed right internal jugular venous catheter tip projects over the expected region of the mid-upper svc. No pneumothorax. The mediastinum is not widened. Ng tube tip not well visualized. The ett tip remains approximately <num> cm from the carina with the neck in neutral or extended position, too high in the airway. Bilateral confluent airspace opacities predominantly involving the lower hemithorax with relative sparing of the lung apices persists, unchanged. The heart is normal in size. No large pleural effusions. No acute osseous abnormality.
<unk>-year-old man with sepsis, status-post central venous line placement.
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Frontal lateral views of the chest. Lower lung volumes are seen on both views on the current exam. There is secondary crowding of the bronchovascular markings. Some degree of vascular congestion is also possible. Cardiomediastinal silhouette is unchanged given differences in technique. Osseous structures are unremarkable.
<unk>-year-old female with altered mental status and slurred speech.
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Frontal and lateral views of the chest. The lungs are clear. The cardiomediastinal silhouette is within normal limits. Median sternotomy wires, mediastinal clips and aortic valve replacement are again noted. No acute osseous abnormality is identified.
<unk>-year-old male with chest pain.
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Consolidation is seen in the superior segment of the right lower lobe. The left lung is clear. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouette are unremarkable.
history: <unk>f with c/o cough with fever/chills // ? pna
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Cardiac silhouette is enlarged but stable in size. Main pulmonary artery is prominent as well as the right atrial contour. Lungs are clear, and there are no pleural effusions or concerning skeletal findings.
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Heart size is normal with mild tortuosity of the thoracic aorta. Cardiomediastinal silhouette and hilar contours are unchanged. Again seen are scattered increased reticular densities bilaterally slightly more prominent compared to <unk> compatible with known history of uip. There is no focal consolidation worrisome for pneumonia. There is no effusion or pneumothorax.
chronic cough and the known interstitial lung disease.
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Pa and lateral views of the chest are compared to previous exam from <unk>. The lungs are hyperinflated, but remain clear focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Osseous and soft tissue structures are unremarkable.
<unk>-year-old female with cough and fever with recent history of likely pneumonia.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear. There has been no definite change.
pleuritic chest pain for several hours.
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Patient is rotated to the left. There is a right basilar opacity. Blunting of the lateral left costophrenic angle could be projectional with rotation. Elsewhere, the lungs are clear. Mild cardiac enlargement is likely accentuated by technique and positioning. Tortuosity of the descending thoracic aorta is noted. No acute osseous abnormalities.
<unk>f with facial droop, r-arm weakness, osh creatinine <num> // evaluate for acute process
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The cardiac silhouette largely unremarkable. There is mild right hilar prominence, not significantly changed since prior examination. A left-sided tunneled line is in stable position since the prior examination, with the tip terminating in the cavoatrial junction. Midline surgical clips are noted. No definite consolidation is identified. Again noted is prominent soft tissue in the upper mediastinum on both the left on the right, which persists on lateral view. There is no pleural effusion or pneumothorax.
<unk>f with visual hallucinations, word finding difficulty, // eval for consolidation
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Frontal and lateral chest radiographdemonstrates well expanded and clear lungs.no pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable. Limited assessment of the upper abdomen is within normal limits. Anterior cervical spinal fusion device seen.
shortness of breath, fever. assess for pneumonia.
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Right internal jugular central venous catheter projects over mid svc. There is no pneumothorax. Lung volumes remain low. There is blunting of the left costophrenic angle suggestive of pleural effusion. Trace right pleural effusion is likely. Perihilar vascular congestion is noted. Bibasilar opacities may represent atelectasis. The hilar and mediastinal silhouettes are unchanged. The heart is mildly enlarged. Partially imaged upper abdomen is unremarkable. Patient is status post medial sternotomy. Curvilinear densities projecting over the patient's mid abdomen are likely external to the patient.
patient status post line change.
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Frontal and lateral views of the chest were obtained. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. No displaced fracture is seen.
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Pa and lateral views the chest were provided. The heart is top-normal in size. The lungs are clear bilaterally. No pneumothorax or effusion is seen. No overt signs of pneumonia. Mild hilar congestion difficult to exclude. Bony structures are intact. There is a mild pectus excavatum deformity of the sternum.
<unk>m with cp and sob, possible chf vs. less likely pna.
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Comparison is made to prior study from <unk>. There is a right-sided central venous line with distal lead tip at the cavoatrial junction. There is mild prominence of the pulmonary interstitial markings with increased density of the left side which may represent mild pulmonary edema. There is left retrocardiac opacity and left-sided pleural effusion. There are no pneumothoraces.
<unk>-year-old male with complicated course including severe protein losing enteropathy.
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The heart size is normal. The aortic knob is calcified. The mediastinal and hilar contours are normal. Scarring within the lung apices is present. Remainder of the lungs are clear. No focal consolidation, pleural effusion or pneumothorax is present. The pulmonary vascularity is normal.
chest pain.
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Left-sided pacemaker device is noted with leads terminating in the right atrium and right ventricle. The heart demonstrates mild enlargement with a left ventricular predominance. The aorta is diffusely calcified. Mediastinal and hilar contours are otherwise unremarkable. Biapical pleural parenchymal fibronodular scarring with calcifications are present. No focal consolidation, pleural effusion or pneumothorax is present. Multilevel mild to moderate degenerative changes are noted in the thoracic spine.
history: <unk>f with cough, fever
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As compared to the previous radiograph, the pneumothorax on the left, best visible at the lung bases, has slightly decreased in extent but is still clearly visible. There is no evidence of tension. The position of the pigtail catheter on the left is constant. No new parenchymal opacity. At lower lung volumes, a small area of atelectasis is seen in unchanged manner.
pneumothorax, evaluation for interval change.
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Ap upright and lateral views of the chest provided. Clips the right upper quadrant noted. The lungs are clear and hyperinflated. No focal consolidation, large effusion or pneumothorax. Cardiomediastinal silhouette appears normal. Bony structures are intact.
<unk>m with s/p fall severl days ago // eval for trumatic injury
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The et tube is <num> cm above the carina. Ng tube tip is in the stomach. There is new patchy infiltrate most marked in the right lower lobe. But also affecting the right upper lobe and left lower lobe. This is much worse than on the study from <num> hr prior. The heart is upper limits normal in size. There is pulmonary vascular redistribution. There is no effusion.
<unk> year old woman with ovarian cancer here w ftt and esophagitis now with hypotension and intubated for airway protection // s.p intubation