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Patient had recent esophagectomy for malignancy. Right chest tube has been removed. There is no residual pneumothorax. Widespread bilateral opacities are unchanged. Pleural effusions are small if any. Ng tube is in unchanged position in the neoesophagus. Cardiac and mediastinal contours are unremarkable. Right-sided subclavian line and port-a-cath are in adequate position in mid svc.
patient with chest tube removal, rule out pneumothorax.
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As compared to the previous radiograph, no relevant change is seen. The pre-existing extensive parenchymal opacities are constant in severity and extent. No new opacities. Minimally increased lung volumes might reflect increased ventilatory pressures. Moderate cardiomegaly persists. The monitoring and support devices are constant.
ards, evaluation for interval change.
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There blunting of the right lateral costophrenic sulcus with associated mild volume loss in the right hemi thorax. Lungs appear hyperinflated with flattening of the hemidiaphragms. . There is no evidence of focal consolidation, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits. Incompletely imaged metallic hardware is noted along the cervical spine.
history: <unk>m with fever, cough // eval for pna
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Since <unk>, there is been interval development of a soft tissue density opacity projecting over the right hilum. Heart size and cardiomediastinal silhouettes are otherwise unchanged. No pulmonary vascular congestion or pulmonary edema. Lungs are fully expanded and clear. No pleural effusions or pneumothorax.
r/o hilar fullness // ? hilar fullness on outside hsoptial xray
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There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.
<unk>-year-old male with weakness and dizziness, evaluate for 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. There is similar moderate relative elevation of the right hemidiaphragm compared to the left. The lungs appear clear. Mid thoracic interspaces are mildly narrowed.
chest pain.
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The cardiac, mediastinal and hilar contours are unchanged and within normal limits. Linear and streaky opacities are noted in both lung bases similar compared to the prior exam, likely reflective of atelectasis. No pleural effusion or pneumothorax is present. Pulmonary vasculature is normal. Scarring is seen within the right apex. Mild elevation of the right hemidiaphragm is again noted.
history: <unk>m with altered mental status, on chemotherapy
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A right double lumen hemodialysis line terminates in the lower right atrium, overall unchanged compared to the prior exam. Left-sided pacemaker leads terminate in the right atrium and right ventricle unchanged in position compared to the prior exam. Mild cardiomegaly is been stable compared to exams dated back to at least <unk>. The hilar and mediastinal contours are normal. Obscuration of the left hemidiaphragm is concerning for a left lower lobe consolidation. There may be a small left pleural effusion. There is no evidence of a pneumothorax. The visualized osseous structures are unremarkable.
history: <unk>m with pmhx including copd, chf s/p aicd, cad, mi, ckd on hd, now with cough and sob // pleave eval for fluid overload, pneumonia.
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Et tube is present with tip less than <num> cm from the carina. Additionally, the et tube cuff appears to be overinflated. An ng tube is present with tip in the stomach but side holes near the ge junction. There is no pleural effusion or pneumothorax. The heart size is stable. The lungs are well expanded. A stable opacity obscuring the left hilus and causing tracheal deviation to the right is concerning for a mass and/or lymphadenopathy. There is also mild interstitial pulmonary edema.
status post craniotomy excision for a left frontal lobe lesion, evaluate ng tube placement.
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The lungs are well-expanded and clear. No focal consolidation, edema, effusion, or pneumothorax. The heart size is normal, decreased from prior. The mediastinum is not widened. The pulmonary arteries are persistently enlarged. Hilar contours are unchanged. No acute osseous abnormality. Degenerative changes in the thoracic spine are mild.
history: <unk>f with chest pain please eval for pneumonia versus effusion // pneumonia versus effusion
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As compared to the previous radiograph, there is no relevant change. Normal appearance of the lung parenchyma, no pneumonia, no pulmonary edema, no pleural effusions. Normal size of the cardiac silhouette. No hilar or mediastinal abnormalities.
prolonged cough, rule out pneumonia.
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The lungs are well expanded. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. No pulmonary edema, pleural effusion, or pneumothorax. No focal consolidations are identified.
history: <unk>m with fever // please eval for pna
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Frontal and lateral views of the chest were obtained. There is persistent elevation of the left hemidiaphragm. Overlying left basilar/lingular atelectasis is seen. Right-sided port-a-cath is again seen, terminating at the cavoatrial junction/right atrium. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. Cardiac and mediastinal silhouettes are stable. Evidence of dish is again seen along the spine.
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A mild baseline interstitial abnormality is much improved from previous radiographs; the lungs are clear of any acute abnormality. The cardiac, hilar and mediastinal contours are stable, with mild hilar prominence likely mild central adenopathy since at least <unk>.no pleural abnormality is seen.
<unk>m with elevated wbc. evaluate for pneumonia or other acute process
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Support and monitoring devices are in standard position. Lungs are currently clear except for minor linear atelectasis at the left base. Minimal blunting of costophrenic angles could reflect pleural thickening or small effusions. No evidence of pneumothorax.
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Heart size is mildly enlarged. Patient is status post median sternotomy and cabg. Atherosclerotic calcifications are noted predominately about the aortic arch. Pulmonary vasculature is normal. Hilar contours are unremarkable. Subsegmental atelectasis is demonstrated in both lung bases. No focal consolidation, pleural effusion or pneumothorax is detected. There is no subdiaphragmatic free air noted.
history: <unk>m with gi bleed. evaluate for free air.
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Frontal and lateral chest radiographs demonstrate a normal cardiac silhouette. The aorta is tortuous or dilated, with calcifications seen within the aortic knob. The lungs are moderately hypoinflated, with atelectasis at the left base. No focal consolidation, pleural effusion, or pneumothorax is seen. The visualized upper abdomen is unremarkable.
acute on chronic full-body burning sensation.
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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> m with syncope. evaluate for widened mediastinum
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Frontal and lateral views of the chest were obtained. Subtle opacity along the left heart border is stable as compared to the prior study and may represent atelectasis/scarring or fat pad. No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable and unremarkable. Old fracture deformity of the posterior right eighth rib is again seen, unchanged.
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The lungs are clear without focal consolidation, effusion, or edema. There is mild cardiomegaly. Slight tortuosity of the descending thoracic aorta is noted. Mild anterior vertebral body height loss noted in the lower thoracic vertebral body, age indeterminate.
<unk>f with weakness // infiltrate?
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Pa and lateral views of the chest provided. There is extensive left pleural effusion, increased since prior ct chest from <unk>. There is no pleural effusion on the right. There is evidence of prior resection of the right upper lung.
<unk> year old woman with metastatic breast cancer with pleural effusion
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There is marked increase in bilateral hazy alveolar infiltrates central greater than peripheral. The heart is mildly enlarged. There small bilateral pleural effusions. Picc line is unchanged.
<unk> year old man with s/p mvr // eval for infiltrate - fevers
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Single portable ap chest radiograph demonstrates clear lungs bilaterally. No focal opacity convincing for pneumonia is identified. Cardiomediastinal and hilar contours are within normal limits. There is no evidence of pulmonary edema. No large pleural effusion is present. There is no pneumothorax. Visualized osseous structures are unremarkable.
<unk>-year-old female with overdose.
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The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.
history: <unk>f with word finding difficulty, dizziness // ? acute process
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Chest, pa and lateral. The lungs are clear. The hilar cardiomediastinal contours are normal. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal.
hemoptysis.
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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. Bony structures are unremarkable.
dyspnea on exertion.
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Interval intubation with tip of endotracheal tube terminating <num> cm above the carina. The left lung volumes are increased compared to the prior pre-intubation radiograph, and there is associated improved aeration at the lung bases. Otherwise, widespread pulmonary parenchymal and pleural abnormalities appear similar to the recent radiograph performed a few hours earlier. Note is also made of interval placement of nasogastric tube, terminating within the stomach.
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Compared to previous radiograph, the patient still carries an endotracheal tube. The tip of the tube projects <num> cm above the carina. Course of the nasogastric tube is unremarkable. There is unchanged evidence of a relatively extensive left lung parenchymal opacity that is exaggerated on today's radiograph given patient positioning. The pre-existing right middle and lower lung opacity is constant. Unchanged position of the vertebral stabilization devices. The contour of the cardiac silhouette cannot be delineated on the current image.
re-intubation, evaluation.
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Large bilateral pleural effusions have slightly decreased in size since <unk>. The left lower lobe remains collapsed. A left-sided picc line terminates in the low svc. No new airspace opacities are detected. There is mild central pulmonary vascular congestion, but no frank pulmonary edema. The heart is top normal in size. There is no pneumothorax.
crackles on exam. evaluate for consolidation, or pulmonary edema.
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Pa and lateral views of the chest provided demonstrate no focal consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. Bony structures are intact.
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Pa and lateral views of the chest were obtained. The lungs are clear bilaterally without focal consolidation, effusion, pneumothorax. Heart size is normal. No signs of congestive heart failure or pulmonary edema. Mediastinal contour is normal. Bony structures are intact. No free air below the right hemidiaphragm.
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Compared to most recent prior exam, there has been interval development of a small right pleural effusion. There is new mild interstitial edema. Heart size is moderately enlarged, as seen previously. Mediastinal contours are stable. No pneumothorax is seen. Increased density of the major fissure may represent fluid, pleural thickening, or other material within the fissure. There has been interval removal of an intestinal catheter.
<unk>-year-old male with substernal chest pain.
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The lung volumes are low with secondary widening of the cardiomediastinal silhouette and vascular congestion. There is no pleural effusion and no pneumothorax. There is mild cardiomegaly and mild pulmonary edema.
<unk>-year-old woman with cough. please assess for pneumonia.
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Frontal and lateral views of the chest were performed. The lungs are clear. There is no pleural effusion, pneumothorax or focal airspace consolidation. The cardiac and mediastinal contours are normal. The pleural and hilar structures are unremarkable. The imaged upper abdomen is normal. There are no osseous abnormalities appreciated.
lower extremity edema shortness of breath, evaluate for fluid overload.
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Mediastinal and hilar contours are unremarkable. Appearance of a rounded opacification in the right upper mediastinal corresponds with vessels exaggerated by patient rotation. Heart size remains top normal. Lungs are clear. No pleural effusion or pneumothorax. Stable eventration of the right hemidiaphragm again noted. Redemonstration of multiple compression deformities throughout the thoracic spine with slight progression of the most superior, thoracic compression deformity.
somnolence, assess for infectious process.
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There are relatively low lung volumes. Increased interstitial markings bilaterally suggests mild pulmonary vascular congestion. The cardiac and mediastinal silhouettes are stable with the cardiac silhouette enlarged. No pleural effusion is seen. There is no focal consolidation. Hilar contours are stable. Patient is status post median sternotomy. Evidence of dish is seen along the thoracic spine.
history: <unk>f with abd pain, diffuse tenderness, vomiting, chest pain, recent pna // eval for acute process
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. The cardiac and mediastinal silhouettes are unremarkable. Pulmonary vasculature is not engorged. Multilevel degenerative changes of the thoracic spine noted.
<unk> -year-old female with cough. evaluate for pneumonia.
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The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. Stable opacity along the right cardiophrenic angle is consistent with an epicardial fat pad.
generalized malaise. morbid obesity.
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Pa and lateral views of the chest are provided. Lungs are clear bilaterally without focal consolidation, effusion, or pneumothorax. The heart and mediastinal contours are normal. The imaged osseous structures are intact. Anterior osteophytes are seen in the lower thoracic spine. No free air below the right hemidiaphragm.
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The heart size is normal. The hilar mediastinal contours are normal. Patchy opacities overlying the lower lung fields bilaterally are worse compared to the exam one hour prior, and is concerning for pneumonia. Mild bibasilar atelectasis, left greater than right is persistent. There is mild diffuse bilateral emphysema. Small left pleural effusion is unchanged. There is no pneumothorax. Again seen are the rib fractures involving the left <unk> <unk> and <num>th ribs, of indeterminate chronicity. Et tube terminates approximately <num> cm above the carina. There is a left-sided ij which appears to terminate in the mid svc. The enteric tube extends below the diaphragm with the tip by review of this film.
history of left ij placement. please evaluate.
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is unchanged with tortuous thoracic aorta again noted. No acute bony abnormality. Numerous chronic fractures of the right posterolateral ribcage re- demonstrated. No free air below the right hemidiaphragm is seen.
<unk>f with cough and chills. s/p fall // pneumonia?
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There are no pleural effusions or pneumothorax. Slight degenerative changes are present along the thoracic spine.
cough. question pneumonia.
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The lungs are clear. There is no focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with l tib plateau fx, or today // preop cxr r/o acute pulmonary process
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Left lung base atelectasis is improved. Lung volume remains low. There is no pneumothorax or large pleural effusion. Pulmonary edema is mild. No new consolidation is identified. Moderately enlarged cardiac silhouette is stable.
<unk> year old man with mm p/w ams and fevers // consolidations, interval changes
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New et tube has been placed with tip ending at <num> cm from carina. New ng tube has been placed with side hole in proximal gastric cavity, can be advanced a few centimeters. Lung volume has minimally increased with interval improvement of bilateral opacities, especially on the left lung due to improved pulmonary edema,which is still mild in the right lung. Heart size is moderately enlarged. Bbibasilar pleural effusions is unchanged, larger to the left. There is no pneumothorax.
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As compared to the previous radiograph, the lung volumes have increased, reflecting improved ventilation. There are several non-characteristic parenchymal scars, notably at the lung periphery, but no evidence of relevant disease such as pneumonia or pulmonary edema. Status post cabg and sternotomy. The alignment of the sternal wires is unchanged. Status post valvular replacement. Borderline size of the cardiac silhouette, no pleural effusions.
history of diabetes, search for cardiac or pulmonary disease.
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Frontal radiograph of the chest. Fine detail is obscured by overlying trauma board. Technique and positioning likely accentuate the heart and mediastinal contours. No pleural effusion or pneumothorax. A round <num> mm structure over the seventh posterior rib could be external to the patient, but recommend pa lateral radiographs or chest ct when clinically stable. No displaced rib fracture identified.
trauma, stabbing.
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There is little interval change in comparison to prior study from the day before. The lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. The heart is normal in size. Mediastinal contours are normal. No acute fractures are identified.
fever and cough.
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The cardiomediastinal silhouette and pulmonary vasculature are unremarkable. The lungs are grossly clear aside from a nodular opacity in the left midlung. This may represent a vessel, though nodular opacity is not excluded. There is no pleural effusion or pneumothorax. No subdiaphragmatic air is identified.
<unk>f with epigastric pain, n/v // rule out free air
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Frontal and lateral 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. No radiopaque foreign body.
<unk>-year-old female with cough and fever for <num> days. evaluate for pneumonia.
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Single portable view of the chest. Et, enteric, and right picc are in stable positions. New right ij line is seen with tip at the svc/ra junction. There is no pneumothorax. Low lung volumes again noted, with crowding of the bronchovascular markings. More focal opacity at the left lung base is likely due to atelectasis.
<unk>-year-old female, intubated with right ij placement.
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The patient is status post median sternotomy and cabg. The heart remains mildly enlarge. The aorta is tortuous and demonstrates calcifications along the aortic arch. The mediastinal and hilar contours are relatively unchanged. Previous pattern of interstitial pulmonary edema has improved. Hyperinflation of lungs with flattening of the diaphragms suggests copd. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
shortness of breath and cough.
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Cardiomediastinal contours are normal. The lungs are clear. There is no pneumothorax or pleural effusion. A portion of the ventriculoperitoneal shunt is again seen coursing over the right hemithorax
<unk> year old man with spontaneous pneumothorax // eval
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A left-sided port-a-cath catheter remains in unchanged position, likely terminating at the cavoatrial junction. A right sided pleural effusion is unchanged. There is bibasilar atelectasis. There is no pneumothorax. The cardiomediastinal and hilar contours are stable.
shortness of breath. evaluate for pneumonia.
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In comparison with the study of <unk>, there is a slightly more globular appearance to the cardiac silhouette which most likely reflects the more lordotic technique. Continued evidence of pulmonary vascular congestion with bilateral pleural effusions and compressive atelectasis at the bases.
pericardial stripping, to assess for effusion.
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Pulmonary edema has resolved. <num>-cm right upper lobe cavitary lesion has already been investigated by recent ct scan. Bilateral big atelectatic bands are unchanged. There is no pneumothorax or pleural effusion. Ng tube is probably in the stomach. There is no pleural effusion. The right-sided picc line ends in lower svc.
patient with cirrhosis, cavitary lung lesion, increased sputum.
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The lungs are clear without focal consolidation, effusion, or edema. Cardiomediastinal silhouette is stable given patient rotation to the left. Accentuated thoracic kyphosis is noted. Unchanged lower thoracic compression deformity is again noted.
<unk>f with cp and cough // eval pneumonia
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The lungs are moderately well inflated with worsening pulmonary edema.there is mild cardiomegaly as before.hilar prominence due to dilated vasculature noted. There is no pneumothorax. Bilateral, right greater than left pleural effusions noted. Unchanged position of endotracheal tube terminating <num> cm above the carina. Enteric tube traverses below the diaphragm, tip not visualized. Left sided central venous catheter tip terminates in the svc. Ekg leads overlie the chest wall.
<unk> year old man with hypoxemic respiratory failure s/p cardiac arrest, dka now w/ards. // ?interval change
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There is increased alveolar infiltrate in the upper lobes right greater than left that are increased compared to the study from the prior dayl there is also volume loss/infiltrate both lower lungs which is also increased .et tube and ng tube are unchanged.
multi focal pneumonia, intubated increased white count.
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Pa and lateral chest views were obtained with patient in upright position. Comparison is made with the next preceding similar study dated <unk>. The heart size appears within normal limits. No typical configurational abnormalities are seen. Mildly widened and elongated thoracic aorta without evidence of local contour abnormalities or walled calcifications. The pulmonary vasculature is not congested. No evidence of acute or chronic parenchymal infiltrates are noted, and the lateral and posterior pleural sinuses are free. Mildly elevated right-sided hemidiaphragm, finding which however was present already on the previous study. There is no pneumothorax in the apical area and the skeletal structures of the thorax are grossly unremarkable.
<unk>-year-old female patient with shortness of breath, chest pain, evaluate for pneumonia or chf.
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As compared to the previous radiograph, there is increasing bilateral pleural effusions at simultaneously/decreasing lung volumes. Areas of atelectasis are seen at both lung bases. Moderate cardiomegaly with minimal fluid overload persists. The monitoring and support devices are constant.
laparoscopic converted open gastrectomy, evaluation.
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Cardiomediastinal contours are normal. Right upper lobe opacities have markedly improved. Minimal peripheral left apical opacities are more conspicuous than in the prior study but improved from <unk>. There is no pneumothorax or pleural effusion. The osseous structures are unremarkable
<unk> year old woman with sarcoid. now on prednisone. // progression of infiltrates
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In comparison with the study of <unk>, there is little change in the diffuse bilateral pulmonary opacifications. No change in the retrocardiac atelectasis and moderate cardiomegaly and mild bilateral apical thickening. Pacer device remains in place.
worsening mental status.
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Heart size is normal. Aortic knob calcifications are again demonstrated. Hilar contours are normal. Ill-defined patchy opacity is demonstrated within the periphery of the right upper lung field. Findings could reflect an infectious or inflammatory process. No pleural effusion or pneumothorax is present. There are mild degenerative changes within the thoracic spine. Cervical spinal fusion hardware is again noted.
shortness of breath.
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Cardiac silhouette size is normal. Mediastinal and hilar contours are within normal limits. Pulmonary vasculature is normal. Minimal blunting of the left costophrenic sulcus is unchanged from prior, likely reflective of a trace pleural effusion. No right-sided pleural effusion is present. There is no pneumothorax. There is minimal atelectasis in the left lung base. No acute osseous abnormalities present.
history: <unk>m with chest pain
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Pa and lateral chest radiographs were provided. Compared to the most recent prior radiograph, there is no significant change. Again seen are changes of a right upper lobectomy. Chronic pleural abnormality at the right base with some effusion is stable. Prominent right hilus is unchanged. There is no focal consolidation or pneumothorax. The bones are intact.
<unk>-year-old woman with copd and history of chf, now with dyspnea on exertion. rule out chf.
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The lungs are clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax. There is no pleural effusion. Pulmonary vascularity is normal.
<unk>-year-old woman presenting with lightheadedness and coarse lung sounds on exam. evaluate for pneumonia
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As compared to the previous radiograph, the previously placed right-sided picc line is no longer visible. No new line is apparent on the current image. Unchanged healing displaced left lateral rib fractures. Unchanged low lung volumes with areas of atelectasis and mild fluid overload as well as moderate cardiomegaly. No larger pleural effusions. No evidence of pneumonia.
picc line placement.
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Pa and lateral views of the chest. Again, low lung volumes are seen. The lungs are clear of focal consolidation or effusion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities detected.
<unk>-year-old female with productive cough.
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No previous images. Hyperexpansion of the lungs without evidence of acute focal pneumonia. No vascular congestion or pleural effusion.
night sweats and axillary adenopathy.
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Lungs are relatively hyperinflated. Left midlung pleural-based scarring is again seen. The lungs are clear of consolidation effusion, or vascular congestion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
<unk>m with fall, orthopnea // r/o chf, fx, ich
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Pa and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding similar study of <unk>. Heart size remains normal. No configurational abnormality is present. Thoracic aorta unchanged. 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 apical area. On previous examination identified minimal linear scar formations on the left lung base remain unchanged.
<unk>-year-old male patient with amiodarone. on amiodarone, evaluate for pulmonary toxicity.
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Slight elevation of the right hemidiaphragm persists. Lung volumes are low. No pleural effusion, pneumothorax or focal airspace consolidation. Heart remains mildly enlarged, unchanged from <unk>. Mediastinal and hilar structures are unremarkable.
history of pneumonia, followup.
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Heart size is mild to moderately enlarged. Mild atherosclerotic calcifications are seen at the aortic knob. Perihilar haziness with vascular indistinctness is compatible moderate pulmonary edema. Small bilateral pleural effusions are noted. <num> mm nodular opacity in the left lower lobe appears calcified, compatible with a granuloma. No pneumothorax is identified. There are no acute osseous abnormalities.
history: <unk>m with chest pain, dyspnea and increased bilateral leg swelling
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The lungs are clear. There is no evidence of pneumonia, pneumothorax, or pleural effusion. Cardiac silhouette is normal in size.
history: <unk>f with dyspnea // eval cardiomegaly, effusion
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Et tube tip is <num> cm from the carina. There is increased opacity with in the right hemithorax suggestive of layering effusion with bilateral pulmonary vascular congestion. More dense retrocardiac opacity is noted, potentially atelectasis in setting of low lung volumes. There is enlargement of the cardiac silhouette likely accentuated by technique. Prominence of the upper mediastinum may also be due to positioning although correlation regarding need for ct suggested.
<unk>m with intubated. // eval for tube placement
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Pa and lateral views of the chest provided. Midline sternotomy wires and prosthetic cardiac valve again noted. The heart remains markedly enlarged, unchanged in configuration. No large effusion or pneumothorax. No pulmonary edema. No acute osseous abnormality.
<unk>m with s/p mv replacement, p/w bacteremia.
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Moderate cardiomegaly is re- demonstrated, perhaps minimally increased from the previous study. Widening of the right paratracheal stripe is attributable to tortuous vessels, better assessed on the previous ct. Enlargement of the pulmonary artery is again noted suggestive of underlying pulmonary arterial hypertension. Lungs remain hyperinflated. There is mild pulmonary edema, new in the interval. Patchy bibasilar airspace opacities likely reflect areas of atelectasis. No large pleural effusion or pneumothorax is appreciated. There are no acute osseous abnormalities.
history: <unk>m with hypoxia
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Left-sided chest tube remains in place, with no detectable pneumothorax. Postoperative alterations are present in the left hemithorax consistent with recent left upper lobe resection. Improving atelectasis is present at the left lung base, and there is a persistent small left pleural effusion. The right lung is clear except for minor linear atelectasis in the right juxtahilar and basilar regions. Air-filled distension of the thoracic esophagus is present, as well as improving now moderate gastric distension in the upper abdomen.
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The patient has undergone a right bronchoscopy with bronchial biopsy. There is no evidence of complications such as pneumothorax. In the middle lobe and the right lower lobe, a relatively substantial parenchymal opacity and consolidation is seen. Unremarkable right lung apex and left lung as well as normal size and shape of the cardiac silhouette.
status post bronchoscopy, rule out pneumothorax.
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Comparison is made to the previous study from <unk>. Heart size is enlarged. There is elevation of the right hemidiaphragm. There is again seen an area of consolidation within the right base and infrahilar region, suspicious for pneumonia. There is also a right-sided pleural effusion. There are also opacities within the left lower lobe which can also be seen with pneumonia or aspiration. Pulmonary vascular markings are relatively preserved without overt signs for pulmonary edema. There are no pneumothoraces.
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Cardiac size is moderately enlarged as before. The lungs are clear. There are low lung volumes. There is no pneumothorax or pleural effusion. Hd catheter tip in the cavoatrial junction
<unk> male with hx of esrd (hd t/t/<unk>), chf, dm, morbid obesity, pre-op for l av graft. // routine preo-op
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As compared to the previous radiograph, there is unchanged evidence of an apical left pneumothorax, although the pneumothorax is now partially filled with fluid and at least two air bubbles are visible within the left apical opacity. The left pleural effusion at the lung bases as well as some mild atelectasis has decreased in extent. There is no evidence of tension. No pathological changes of the heart and of the right lung.
left pneumothorax, evaluation for interval change.
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The cardiomediastinal and hilar contours are within normal limits. There is a new area of increased opacity in the right lower lung, which may be related to recent hemorrhage, however superimposed infection cannot be excluded. The left lung is clear. No pleural effusion or pneumothorax identified. Patient is status post median sternotomy.
hemoptysis. evaluate for pneumonia, pneumothorax, effusion.
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Frontal and lateral radiographs of the chest. Normal heart size. Clear lungs. Normal hilar and mediastinal contours. No pleural effusion or pneumothorax. No displaced rib fracture.
chest pain, rule out infiltrate.
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The lungs are clear. There is no pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with l sided cp // pneumothorax
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Pa and lateral views of the chest provided. Right pic line courses into the neck and terminates out of view. Loculated air-fluid levels and loculations of air within the right pneumonectomy space have decreased. Large amount of fluid in the right pleural space, with several loculations of air, persists. Air within the pneumonectomy space is essentially unchanged. Left lower lobe opacities are unchanged and could reflect aspiration from the pneumonectomy site. Right chest wall subcutaneous emphysema has improved. Cardiomediastinal structures are midline.
<unk> year old man s/p r total lobectomy // @<unk> on <unk> ptx? effusion?
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Surgical clips are present along the mediastinum as before. The patient is apparently status post partial gastrectomy. The cardiac, mediastinal and hilar contours appear unchanged. The esophagus appears dilated with an air-fluid level, similar to prior findings. There is persistent patchy opacity in the right lower lobe which has improved somewhat since <unk>, but with little if any change since the prior day. There is no pleural effusion or pneumothorax. There is similar moderate osteophyte formation along the mid thoracic spine.
chest pain; recent diagnosis of pneumonia.
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The cardiac, mediastinal and hilar contours are normal. Lungs are clear. No pleural effusion or pneumothorax is present. The pulmonary vascularity is normal. No acute osseous abnormality is visualized.
back pain.
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A right upper extremity picc has been removed. There are increased opacities seen throughout the right lung, most prominent along the minor fissure. There is no definite pleural effusion. No pneumothorax is evident. The left lung is grossly clear. The cardiac and mediastinal contours are normal. The upper abdominal drains are noted but incompletely evaluated.
leukocytosis and pneumonia on recent ct scan.
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Pa and lateral views of the chest were obtained. In comparison to the prior study, there is no substantial change. Heart is normal in size, and cardiomediastinal contour is within normal limits for age. No chf, focal consolidation, pleural effusion or pneumothorax detected
<unk>-year-old man with epigastric pain, evaluate for pneumonia.
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As compared to the previous radiograph, the patient has been intubated. The tip of the endotracheal tube projects <num> cm above the carina. The tube could be advanced by <num> cm. The very widespread and severe parenchymal opacities, diffusely distributed in both lungs, has further increase in radiodensity. There is unchanged evidence of moderate cardiomegaly with shape, potentially suggesting the presence of a pericardial effusion. An echocardiographic verification should be performed. No pleural effusions. No pneumothorax.
stage iv lung cancer, respiratory failure, intubation.
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A portable frontal chest radiograph again demonstrates slightly low lung volumes and mild cardiomegaly. Diffuse interstitial opacities are unchanged. Perihilar congestion is decreased compared to <unk>. No new focal consolidation, pleural effusion, or pneumothorax is seen.
history: <unk>f with shortness of breath // eval for pna
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Comparison is made to prior study from <unk>. There is an enteric tube which is deviated to the right side, likely related to the esophagectomy. The side port is at the ge junction. The distal tip is in the fundus of the stomach. There is a chest tube projecting over the right lung base. A second chest tube is seen at the left lung base. Heart size is enlarged and there is prominence of mediastinum. An air filled structure in the right lower mid chest is likely the neoesophagus.
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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. Cervical fusion device is in place. Specifically, there is no evidence of lower thoracic compression fracture. If there is serious clinical concern, coned views of the thoracic spine could be obtained.
osteoporosis with low thoracic vertebral pain after fall, to assess for fracture.
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Ap and two lateral views of the chest were reviewed. The mediastinal and hilar contours are stable. Mild cardiomegaly is slightly worsened since the prior study. Flattened hemidiaphragms with hyperinflation are indicative of copd. New prominent interstitial markings are compatible with mild pulmonary edema. Additional new band-like opacity partly obscuring the right heart border may represent atelectasis or pneumonia in the correct clinical setting. Small bilateral pleural effusions are noted. There is evidence of prior hernia repair in the upper abdomen.
increasing shortness of breath, acutely worsening.
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Right port-a-cath tip, and left ij central line tip near cavoatrial junction. There is no pneumothorax. Right upper quadrant catheter in place. Stable left lower lung consolidation, small left pleural effusion. Right lung is clear.
<unk> year old man with stage iii/iv hodgkin's lymphoma admitted with cholangitis, sepsis, now w/t<num>. // evaluate for infection/pna
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Pa and lateral views of the chest provided. Lungs are clear bilaterally without focal consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. Bony structures are intact.
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As compared to the previous radiograph, there is unchanged evidence of a right pleural pigtail catheter, a right subclavian line, an endotracheal tube and a nasogastric tube. No additional chest tube is visualized. The lung volumes are unchanged, with bilateral pleural effusions, some of which appear intrafissural and loculated. Moderate cardiomegaly with mild fluid overload. No evidence of pneumonia.
cll, chest tube placement.
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As compared to the previous radiograph, there is no relevant change. No parenchymal opacities suggesting pneumonia. No pulmonary edema. No pleural effusions. No pneumothorax.
hypotension and fever, evaluation for interval change.