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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Subtle opacities involving the right upper lung and at the left base are similar to the prior examination the may represent indolent infection or possibly aspiration. No pleural effusion or pneumothorax is seen.
history: <unk>m with elevated wbc, syncope, ? infectious source // ? pneumonia
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Heart size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Rounded density measuring <num> mm within the right upper lobe likely reflects a calcified granuloma. Streaky opacities in the lung bases are compatible with areas of atelectasis. No pleural effusion or pneumothorax is identified. No displaced fractures are seen. Multilevel degenerative changes are noted in the thoracic spine. Anterior wedge compression deformity at the thoracolumbar junction is of indeterminate age. Degenerative changes are also noted involving the right glenohumeral joint.
history: <unk>f with chest pain status post compressions
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No consolidation, pleural effusion or pulmonary edema is seen, and the heart size is mildly enlarged. Left pacemaker is seen with leads ending appropriately at the right atrium and right ventricle. No pneumothorax is seen following placement.
<unk>-year-old woman status post pacemaker placement.
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There is a right chest wall pacemaker with leads demonstrated within the right ventricle and in the lower portion of the right atrium, similar since <unk>. There is no evidence of pneumothorax. There are no acutely occurring parenchymal opacities concerning for pneumonia with chronic interstitial changes. There are no pleural effusions. The cardiomediastinal and hilar contours are stable demonstrating moderate cardiomegaly and tortuosity of the thoracic aorta. Pulmonary vascularity is not increased. There are multilevel degenerative changes of thoracolumbar spine as manifested by marginal osteophytic formation and endplate sclerosis.
<unk>-year-old female with meningioma and pacemaker. evaluate for position.
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Left port-a-cath terminates in the right atrium. Normal heart size. Normal hilar contours and pleural surfaces. Fully expanded, clear lungs. No acute pneumonia, pleural effusion, or pneumothorax.
<unk>-year-old woman with intermittent seizures, now with fever and cough. evaluate for pneumonia.
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The cardiomediastinal silhouettes are normal. The bilateral hila are normal. There are no focal lung consolidations. There is no evidence of pulmonary vascular congestion. There is no pneumothorax or effusion.
a <unk>-year-old woman with altered mental status, evaluate for infiltrate.
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The support and monitoring devices are unchanged. The first side port of the nasogastric tube remains at the ge junction. The overall appearance of the lung are unchanged with hyperinflation and linear calcific opacity in the periphery of the right lung. No acute focal consolidation or interstitial edema. The cardiomediastinal and hilar contours are within normal limits. Localized lucency in the right costophrenic angle likely represents localized bullous disease.
<unk> year old man with chf and ckd on hd presenting with resp failure // interval change
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As compared to the previous radiograph, the right internal jugular vein catheter has been removed. On the current image, there is no evidence of pneumothorax. Both the pneumothorax and the known right lower lung mass were better seen on a ct examination performed on <unk>. No evidence of tension. Borderline size of the cardiac silhouette without pulmonary edema. No larger pleural effusions.
recent right pneumothorax.
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The lungs are well inflated and clear. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable.
<unk>m with sob, pleuritic chest pain. assess for pneumonia.
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A right subclavian-approach port-a-cath is accessed and unchanged in position with the tip terminating in the upper right atrium. To place the catheter tip in the low svc, the catheter should be retracted by <num> cm. Small bilateral pleural effusions are new from the most recent prior study with associated basilar atelectasis on the left greater than the right. No focal consolidation or pneumothorax is detected. The heart is normal in size with normal mediastinal contours. Lumbar fusion hardware is again noted.
port dysfunction, here to evaluate port placement.
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Frontal and lateral views of the chest were obtained. There is minimal left base atelectasis. No focal consolidation, pleural effusion, evidence of pneumothorax is seen. Cardiac and mediastinal silhouettes are unremarkable. Degenerative changes are seen along the spine.
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The cardiac silhouette size is normal. Moderate size hiatal hernia is re- demonstrated. The mediastinal and hilar contours are otherwise unchanged. Pulmonary vasculature is not engorged. Linear opacities in the lung bases are compatible with atelectasis. Calcified granuloma in the right middle lobe is unchanged. There is no pleural effusion or pneumothorax. No acute osseous abnormalities detected.
supraventricular tachycardia, hypertension.
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Pa and lateral views of the chest. The lungs are clear of focal consolidation. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities detected.
<unk>-year-old male with back and chest pain.
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As compared to the previous radiograph, the left pigtail catheter has been removed. There is a <num>-<num> mm persistent left apical pneumothorax. The pleural effusion after talc pleurodesis as well as the areas of pleural thickening at the lung bases have minimally increased in extent. Unchanged appearance of the cardiac silhouette. Unchanged normal right lung.
status post pneumothorax, status post pleurodesis, chest tube removal, comparison.
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No definite focal consolidation is seen. The lungs remain relatively hyperinflated, suggesting chronic obstructive pulmonary disease. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.
history: <unk>m with chest tightness and cough // eval pneumonia
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Ap portable upright view of the chest. Right ij central venous catheter is seen with its tip projecting over the mid svc. Scattered opacities are noted in the lungs right greater than left concerning for pneumonia. No large effusion or pneumothorax. Cardiomediastinal silhouette appears normal. Bony structures appear intact.
<unk>m with rij cvl
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Lung volumes are low. The cardiomediastinal silhouette and pulmonary vasculature are unremarkable. The lungs are clear. There is no pleural effusion or pneumothorax.
history: <unk>f with brain mass, ? met // eval for any lesions/mass
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The lungs are clear of focal consolidation, pleural effusion or pneumothorax. There is no pulmonary edema. The heart is normal in size. A small hiatal hernia is noted. There is s shaped scoliosis of the thoracolumbar spine.
<unk>-year-old female with <num> weeks of productive cough, shortness of breath and chest pain, which is worse with inspiration. evaluate for pneumonia.
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Pediatric sternal wires are present. A prosthetic cardiac valve is unchanged in configuration. The heart size is top-normal. The aortic arch is moderately calcified. There is no pneumothorax or pleural effusion. The central pulmonary vessels are prominent, without edema or congestion. There persistent left retrocardiac opacity is again seen, slightly more exaggerated on the current examination due to lower lung volumes, likely reflecting atelectasis, although underlying consolidation cannot be entirely excluded.
fever.
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Single portable view of the chest. Endotracheal tube is seen with tip <num> cm from the carina. Nasogastric tube seen passing off the inferior field of view, side port likely in the region of the ge junction. Left chest tube is in place. There there is a small pneumothorax identified at the left lung base. Not significantly displaced left lateral <num>nd rib fracture is identified. Cardiomediastinal silhouette is within normal limits.
<unk>-year-old male status post mvc.
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Pa and lateral views of the chest were provided demonstrating no focal consolidation, effusion or pneumothorax. The cardiomediastinal silhouette is normal. A mild dextroscoliosis of the t-spine noted. Bony structures appear intact.
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Heart size, mediastinal and hilar contours are normal. Lungs and pleural surfaces are clear. Mild curvature of the thoracic spine is again demonstrated. No acute spine abnormalities are detected on this chest radiograph examination.
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There is no focal consolidation, effusion, or pneumothorax. Biapical scarring is similar to prior. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen. Right chest port catheter tip is at the svc/ra junction.
history: <unk>f with fever, chemotherapy // eval infiltrate
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The right ij catheter has been removed in the interim. Lung volumes are normal. The lungs are clear. No focal consolidation, effusion, edema, or pneumothorax. The heart size is normal. The mediastinum is not widened. Probable minimal calcification in the aortic knob. No acute osseous abnormality.
history: <unk>f with slight lower cp, s/p kidney transplant // r/o pna
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Cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. There is no focal lung consolidation.
<unk>-year-old man with cough
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Recent right upper lobe wedge and left lower lobe lobectomy was done for metastatic melanoma. Bilateral small pneumothorax and subcutaneous air has completely resolved. Platelike opacity overlying superior thoracic spine on lateral view has improved and could related to the surgery or loculated pleural effusion or thickening. Mediastinal and cardiac contours are normal.
right upper lobe wedge and left lower lobe lobectomy.
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Two frontal images of the chest demonstrate no interval change since prior exam earlier the same day. The right moderate pneumothorax and right basilar opacity in the partially collapsed lung is unchanged. Pigtail catheter is again seen on the right side. Cardiomediastinal silhouette is unchanged. No pneumothorax is unchanged.
<unk>-year-old female with end-stage renal disease, now requiring interval change in pneumothorax after placing to suction.
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The lungs are hyperinflated and clear. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation. No acute displaced rib fractures are identified.
history: <unk>m with chest pain // eval for structural process
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As compared to the previous radiograph, the patient has been intubated. The tip of the endotracheal tube projects approximately <num> cm above the carina. The tube should be pulled back by approximately <num> cm. The left internal jugular vein catheter is in unchanged position. Lung volumes remain low. The size of the cardiac silhouette is slightly increased. There is no evidence of pleural effusions, pneumonia, or pulmonary edema.
cirrhosis, cardiomyopathy, evaluation.
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There are relatively low lung volumes. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Evidence of dish is seen along the thoracic spine.
history: <unk>m with right sided cp // ?pna, ptx
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Please note, low lung volumes limit evaluation. There is subtle opacity at the left lung base which could represent atelectasis or bronchovascular crowding. Please note however in the correct clinical setting and early pneumonia cannot be excluded. No large effusion or pneumothorax. Bony structures are intact. No free air below the right hemidiaphragm.
<unk>-year-old female with chest pain.
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The lungs are clear. Slight hyperinflation as evidenced by flattened diaphragms. Cardiac silhouette is normal in size. There is no pleural effusion, pneumothorax, or pneumonia.
chest pain.
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The heart size is within normal limits. The mediastinal contours are normal. A right-sided internal jugular venous catheter tip sits within mid svc. The lung volumes are low, accentuating the bronchovascular structures and causing mild bibasilar atelectasis. No large pleural effusion or pneumothorax is seen.
<unk>-year-old male with worsening hypoxia.
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As compared to the previous radiograph, the patient has received a left-sided chest tube. The tube appears to be in correct position. At the apex of the left hemithorax, a <num>-<num> cm apical pneumothorax is seen. The pre-existing basal fluid collection has decreased in extent and the left basal lung is better expanded than before. No change in appearance of the right lung. Unchanged size of the cardiac silhouette. The referring physician, <unk>. <unk>, was paged for notification at the time of dictation, <time> p.m., on <unk>.
hemothorax, evaluation for chest tube position.
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There has been interval placement of a left-sided pigtail catheter in the chest with reduction in the left-sided pneumothorax, now with in size and mostly seen in the left apical region. There is no evidence of tension. The cardiac silhouette remains mildly enlarged. The aorta is calcified. No large pleural effusion is seen. Left hilar prominence and perihilar scarring/retraction again seen, likely related to patient's history of lung malignancy and chronic. Mild bibasilar atelectasis is seen. The right costophrenic angle is not fully included on the image. No definite focal consolidation is seen.
pneumothorax.
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Pa and lateral views of the chest were provided. The heart is mildly enlarged and the central hilar vasculature is congested. There is mild pulmonary alveolar edema with minimal fluid tracking along the fissural surfaces. Slight prominence of the mediastinum could reflect vascular engorgement. Bony structures are intact.
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Left-sided port-a-cath tip again remains within the azygos vein, as seen on the prior chest radiograph. Of note, on the intervening chest cta, the port-a-cath tip was in the svc. The cardiac, mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. There is minimal bibasilar atelectasis with trace bilateral pleural effusions. No focal consolidation or pneumothorax is present. Several clips are demonstrated within the right upper quadrant of the abdomen as well as an additional clip within the left hemiabdomen.
left port-a-cath tip in the azygos vein.
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The lungs are well-expanded and clear. Cardiomediastinal and hilar contours are unchanged. The aorta is tortuous. There is no pneumothorax, pleural effusion or consolidation. No acute displaced rib fractures identified. Known fracture through the distal clavicle demonstrates minimal superior displacement of the distal fracture fragment.
history: <unk>m with mechanical fall, distal clavicle fx and small sah // ?traumatic injuries
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Comparison is made to the prior study from <unk>. There is a left-sided pacemaker with dual leads, which is stable. There is a right ij central venous line with the distal lead tip at the cavoatrial junction, stable. There has been poor inspiration since the previous study, with crowding of the pulmonary vascular markings. There is prominence of the vasculature consistent with moderate pulmonary edema. There is a developing left retrocardiac opacity which may represent areas of confluent edema versus developing consolidation. Closer attention to this area is recommended on subsequent exams.
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Two frontal images of the chest demonstrate well-expanded lungs. Bilateral pleural effusions are seen. Previously described scattered densities are again noted bilaterally in the lungs. There is no evidence of pneumothorax or other biopsy complication. The cardiomediastinal silhouette is unchanged. Visualized osseous structures are unremarkable. Comparison is also made to cta from <unk>.
<unk>-year-old male with bilateral cavitating lung nodules, now status post biopsy.
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Pa and lateral views of the chest provided. Lung volumes are low. There is elevation of the right hemidiaphragm. Mild hilar congestion without frank pulmonary edema noted. There is splaying of the carina which likely reflects left atrial enlargement. No large effusion or pneumothorax. No convincing evidence for pneumonia. Left humeral head replacement noted. No acute bony abnormalities.
<unk>f with crackles, chf
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Since <unk> mild interstitial edema and azygos distention suggesting volume overload with cardiac decompensation has substantially improved. Heart size is normal. There are no new lung opacities concerning for pneumonia. There is no pleural abnormality. Mediastinal and hilar contours are stable.
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Diffusely increased interstitial markings are seen throughout the lungs although slightly less extensive when compared to prior. There is no focal consolidation or effusion. The cardiomediastinal silhouette is stable. No acute osseous abnormalities. Surgical clips in the right upper quadrant suggest prior cholecystectomy.
<unk>f with sob, weight gait // r/o chf
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The heart is top-normal in size. The mediastinal and hilar contours are within normal limits. There is atelectasis at the right lung base. There is no pleural effusion, focal consolidation or pneumothorax.
shortness of breath and chest ache with exertion. please evaluate for pneumonia versus effusion.
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Pa and lateral views of the chest are obtained demonstrating clear well expanded lungs without focal consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. Bony structures are intact. There is no free air below the right hemidiaphragm.
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No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. The heart size is normal. Mediastinal contours are normal. No bony abnormality is detected.
shortness breath, headache, aids.
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Pa and lateral views of the chest provided. Lungs are grossly clear. No pleural effusion or pneumothorax. Hilar and cardiomediastinal contours are normal.
<unk> year old woman with recent pneumonia // assess for interval resolution
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Frontal and lateral views of the chest were obtained. There is a small to moderate right pleural effusion with overlying atelectasis. There may be a very trace left pleural effusion. The cardiac silhouette remains quite enlarged, similar to prior. The patient is status post median sternotomy and cabg. No overt pulmonary edema is seen. The mediastinal and hilar contours are stable.
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Portable ap view of the chest was obtained. Extensive interstitial lung disease is unchanged compared to be prior study performed in <unk>. There has been interval development of a relatively confluent opacity in the right middle to lower lung. No pulmonary edema, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. There is no free air below the right hemidiaphragm. No bony abnormalities.
decreased o<num> saturation.
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Pa and lateral chest radiograph demonstrate low lung volumes. Hazy parahilar densities are seen. There is obscuration of the left hemidiaphragm, which may reflect a component of atelectasis though infection cannot be excluded. The heart is enlarged, unchanged since prior examination. Aortic arch calcifications are noted. Trace bilateral pleural effusions are seen.
<unk>-year-old female with shortness of breath.
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A portable view of the chest shows a tiny left apical pneumothorax. A pleural tube ends in the medial left chest. There is mild bibasilar atelectasis and minimal, if any pleural effusion. Slight cardiomediastinal enlargement reflects low lung volumes.
<unk> year old woman s/p left vats wedge resection.
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Chronic right pleural thickening or pleural effusion is unchanged. Mild pulmonary edema is also unchanged. There is no new consolidation. Left cervical and left hilar surgical clips are incidentally noted. There is no pneumothorax. The patient has had prior right upper lobe wedge resection. Left upper chest wall postsurgical changes are stable.
<unk> year old man with hx lung cancer, hx lymphoma, and recent lung biopsy last week. scant hemoptysis started yesterday. // ?new pneumonia
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The intragastric distal part of the dobbhoff catheter is kinked. Given the limitations of one projection only, this could be the cause for the clinical dysfunction of the catheter. No other change. Unchanged left picc line. Unchanged vertebral stabilization devices. Unchanged evidence of mild interstitial lung edema.
evaluation for dobbhoff course.
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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 studies of <unk> as well as <unk>. The heart size remains unchanged and is within normal limits. Unremarkable appearance of thoracic aorta. The previously described elevation of the left-sided hilar structures which are surrounded with calcified lymph nodes and scarring structures in the left upper lobe remain unchanged. Mild degree of volume loss in the left hemithorax as before. No new pulmonary abnormalities are seen, and the lateral and posterior pleural sinuses are free. No evidence of pneumothorax in the apical area. Previously identified surgical clips in upper abdomen and left upper abdominal quadrant probably related to splenectomy, appear unchanged. No new pulmonary or mediastinal abnormalities are identified.
history of hodgkin's disease and chest radiation. evaluate for possible mass. compare with previous examination of <unk>.
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Heart size, mediastinal and hilar contours are normal. Lungs and pleural surfaces are clear. Known left anterior rib fractures and sternal fracture are seen to better detail on prior chest ct <unk> <unk>. There is no visible pneumothorax.
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Since the most recent prior radiograph, the left pigtail catheter has been removed. There is no significant change. Again seen are changes s/p vats and decortication with slight elevation of the left hemidiaphragm. Aeration is improved at the left base. Opacities in the left upper lung zone persist. There are bilateral pleural effusions, greater on the left which is unchanged. Loculated left effusion with internal air-fluid level is unchanged. Cardiomediastinal silhouette is stable.
<unk>-year-old man status post vats decortication and removal of chest tubes x<num>, still with o<num> requirement, status post pigtail placement in the left chest. evaluate for interval change in effusion.
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A single ap chest view has been obtained with patient in semi-erect position. Analysis is performed in direct comparison with the next preceding similar study of <unk>. As there is report of recently performed left-sided pneumonectomy, increased mediastinal shift towards the left is not surprising. There exists now an empty proportion of the left hemithorax in which a wide caliber chest tube advanced from the left lower lateral chest wall curves around and reaches the area of the posterior inferior pleural sinus. The contour of the left diaphragm is now obscured, but assuming that the left-sided pneumonectomy was total, the diaphragm appears to be elevated and one can identify partially gas-filled structures of the stomach. Pulmonary structures in the right hemithorax remain normal, without signs of congestion, new infiltrates or pleural effusions in the lateral sinus.
<unk>-year-old female patient status post pneumonectomy, evaluate postoperative film.
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The lungs are symmetrically well expanded and well aerated without focal consolidation concerning for pneumonia, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged and there is no overt pulmonary edema. Mild biapical scarring appears symmetrical. The cardiomediastinal and hilar contours are within normal limits. The trachea is midline. There is no free air beneath the right hemidiaphragm. No acute osseous abnormality is detected.
left upper quadrant abdominal pain with productive cough over the past week, here to evaluate for pneumonia.
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Mediastinal and hilar contours are within normal limits allowing for portable supine technique and rotation related scoliosis. Cardiac silhouette appears slightly enlarged, and could reflect cardiomegaly or pericardial effusion. Lungs are clear except for minimal patchy and linear opacities at the bases, suggestive of atelectasis. The left retrocardiac patchy opacity could potentially also be due to aspiration or early pneumonia. Curvilinear interface in the right apex is most likely due to a skin fold, particularly as there is no evidence of a pneumothorax in this region on the cta of the neck from a few hours earlier. If there is clinical suspicion for pneumothorax, fully upright or lateral decubitus chest radiograph would be recommended to exclude this possibility.
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Similar to scout image from <unk>, there is large area of opacity in the right upper hemi thorax in right perihilar region concerning for postobstructive pneumonia secondary to known large juxta hilar mass. The left lung remains hyperinflated. No large pleural effusion is seen. There is no evidence of pneumothorax. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with chest pain and palpitations // eval for pneumonia, chf
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The lungs are clear. The heart size is normal. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen. Surgical clips project over the right upper abdominal quadrant.
chest pain.
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Compared with <unk> and allowing for differences in technique, the cardiomediastinal silhouette is unchanged. Within the limits of plain film radiography, no hilar or mediastinal enlargement and no pulmonary nodules are detected. No chf, focal infiltrate, or effusion is identified. The minor fissure of the right lung is visible.
<unk> year old man with fever, hypotension, thought drug reaction // r/o pna
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As compared to the previous radiograph, there is no relevant change. Moderate cardiomegaly without pulmonary edema. Minimal bilateral areas of atelectasis. Moderate tortuosity of the thoracic aorta. No pleural effusions. No pneumonia. No pulmonary edema.
evaluation for pneumonia, cough.
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The lungs are clear, cardiomediastinal silhouette and hila are normal. There is no pleural effusion and no pneumothorax.
<unk>-year-old with fever and chills.
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There are relatively low lung volumes. Bibasilar atelectasis/ scarring is seen. No definite focal consolidation is seen. There is no pleural effusion or pneumothorax. The aorta is tortuous. The cardiac silhouette is not enlarged. Multiple surgical clips are seen overlying the right axilla.
history: <unk>f with cough fever // pna?
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Compared to chest radiograph from <num> hr prior, there is no significant change in the appearance of the lines and tubes. Lung volumes are low with increased perihilar and hazy opacities, compatible with pulmonary edema. Small bilateral pleural effusions again seen. There is no evidence of pneumothorax. No displaced rib fractures identified. Severe levoconvex scoliosis of the lumbar spine.
<unk>f s/p chest compressions, intubated, evaluate for rib fractures..
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Frontal and lateral views of the chest were obtained. Left hemidiaphragmatic elevation and left basilar scarring or atelectasis is similar to prior studies. There is no focal consolidation, pleural effusion or pneumothorax. Cardiac and mediastinal silhouettes and hilar contours are normal.
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Pa and lateral chest radiographs demonstrate no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal.
presyncope.
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Pa and lateral chest radiographs demonstrate no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal.
dyspnea.
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There is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. Mild blunting of the left aortopulmonary window is consistent with thymic tissue better assessed on recent ct.
<unk>f with chest pain, l arm pain, evaluate for acute cardiopulmonary process.
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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 aorta remains tortuous. The cardiac silhouette is top normal.
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The lungs are clear without focal consolidation. The cardiomediastinal silhouette and hilar contours are stable. There is no pleural effusion or pneumothorax. Bilateral mastectomy changes and breast prostheses are noted. A left chest port-a-cath terminates at the superior cavoatrial junction, as before.
<unk>-year-old woman with cough and fevers, rule out infection.
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Pa and lateral views of the chest. The lungs are clear. There is no evidence of effusion, consolidation, or pneumothorax. There is no evidence of pneumomediastinum. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified.
<unk>-year-old female with eating disorder, rule out pneumonia or pneumothorax.
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Frontal and lateral chest radiographs demonstrate unremarkable cardiomediastinal and hilar contours. Lungs are clear. No pleural effusion or pneumothorax evident. No osseous abnormality identified.
palpitation, acute chest pain.
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As compared to the previous radiograph, previous right picc line has been removed and replaced by a left picc line. The tip of the line projects over the mid svc. There is an endotracheal tube. As on the previous radiograph, there is massive cardiomegaly as well as moderate to severe pulmonary edema, associated with areas of bilateral, right predominant pleural thickening as well as extensive areas of atelectasis at the right and the left lung bases. That could be a calcified pleural plaque at the level of the right lung bases. As documented on the previous radiographs, dating back to <unk>, these changes are longstanding. To rule out an acute component, however, a short-term repeat radiograph after dehydration is recommended.
complicated medical history, ventilatory dependence, evaluation.
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In comparison with study of <unk>, there is little overall change and no evidence of appreciable reaccumulation of pleural fluid. Pacemaker device and intestinal tube remain in place. Substantial enlargement of the cardiac silhouette persists with relatively normal pulmonary vessels, raising the possibility of cardiomyopathy or pericardial effusion.
left effusions status post thoracentesis.
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Heart size is normal. The mediastinal and hilar contours are unchanged with slight tortuosity of the thoracic aorta again noted. Pulmonary vasculature is not engorged, and hilar contours are stable. Ill-defined opacities within the left upper and lower lobes are new in the interval and concerning for pneumonia. The right lung is clear. No pleural effusion or pneumothorax is demonstrated. Multiple compression deformities within the thoracic spine are relatively unchanged.
history: <unk>m with cough, fever
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In comparison with the study of <unk>, there is again enlargement of the cardiac silhouette. Mild indistinctness of pulmonary vessels could reflect some mild elevation in pulmonary venous pressure. No evidence of acute pneumonia or pleural effusion.
predialysis, to assess for acute process.
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Moderate left pleural effusion has reaccumulated with accompanying atelectasis resulting in retrocardiac opacity. Smaller right pleural effusion is also seen with right-sided presumed pleural drainage catheter not well assessed. The remainder of the lung is well expanded without pneumothorax. Continued widening of the right and left paratracheal stripes, fullness in the ap window, and density in the subcarinal region is compatible with adenopathy which in total is not particularly improved since the prior studies. Unchanged compression fractures are seen in the mid and lower thoracic spine.
<unk>-year-old male with lymphoma and pleural effusion, for interval assessment.
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Single portable ap radiograph was provided. Lung volumes are low. There is prominence of the pulmonary vasculature with cephalization consistent with mild pulmonary edema. Additional patchy opacities in the right mid lung may represent and infectious process. Heart size is mildly prominent. There may be a small right pleural effusion. Osseous structures are unremarkable.
<unk>-year-old woman with hep b cirrhosis presents with vomiting and abdominal pain, left-sided pain, question intrathoracic process.
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An enteric catheter terminates in the left upper quadrant, likely within the stomach. No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is evident on this single view. Heart and mediastinal contours are within normal limits. Dilated loops of bowel are partially imaged.
<unk>-year-old male with small bowel obstruction status post nasogastric tube placement.
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Lungs are well-expanded and clear. There is mild cardiomegaly. The aorta is tortuous. A right subclavian vein stent projects over the right apex. No pneumothorax, pleural effusion, or consolidation.
<unk>m w/ esrd presenting w weakness // <unk>m w/ esrd presenting w weakness
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Besides a linear opacity at the left lung base which is likely atelectasis, the lungs are clear. There is no effusion, consolidation or pneumothorax. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
<unk>m with chest pain/dyspnea/cough // acute pulm process
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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 silhouette is top normal. The aorta is calcified. The lungs remain relatively hyperinflated. There is stable moderate compression of a mid-to-lower thoracic vertebral body.
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In comparison with study of <unk>, the endotracheal and nasogastric tubes have been removed. The cardiac silhouette is less prominent and the pulmonary vascularity has returned to an essentially normal state. Mild atelectatic changes at the left base, but no acute focal pneumonia.
hypoxia and crackles on examination.
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A right-sided picc line terminates in the upper svc. The cardiomediastinal and hilar contours are within normal limits. Lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax.
history: <unk>m with malaise // ? pneumonia ? pneumonia
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Frontal and lateral views of the chest. The lungs are clear without focal consolidation, effusion, or pulmonary vascular congestion. The cardiomediastinal silhouette is normal. No acute osseous abnormality is identified.
<unk>-year-old male with six weeks of cough and general malaise.
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The lungs are clear of focal consolidation, pleural effusion or pulmonary edema. The heart size is normal. The patient is status post median sternotomy, and there are aortic calcifications.
<unk>-year-old female with cough since <unk>. evaluate for acute process.
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No picc or central venous catheter is identified. There has been no significant interval change in the appearance of the chest compared to the prior study performed earlier the same day. Cardiac, mediastinal and hilar contours are unchanged. Streaky bibasilar opacities likely reflect atelectasis. Small bilateral pleural effusions are noted. There is diffuse calcification of the thoracic aorta. No pneumothorax is noted, but assessment of the lung apices is obscured due to the patient's chin projecting over this area.
problem with picc.
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Ap upright and lateral views of the chest were obtained. The lungs are clear without focal consolidation, effusion, or pneumothorax. Widened ap diameter of the chest could be indicative of underlying copd. Heart and mediastinal contour appears normal. Atherosclerotic calcification along the aortic knob noted. The ap view is somewhat limited due to lordotic positioning. Bony structures appear intact.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No displaced fracture is seen.
chest pain.
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A fiducial marker is noted in the inferior periphery of the left apical lung mass. There has been interval removal of the left base chest tube with no evidence of remnant pneumothorax. The lungs are otherwise clear. There is no pleural effusion.
pneumothorax status post left apical mass fiducial feed placement.
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Post-operative changes are seen at the right lung base, including pleural thickening and surgical clips. There is minimal left lower lung atelectasis. Streaky opacities in the lateral right mid lung could be areas of scarring. The heart size is normal. The mediastinal contours are normal. There is no pneumothorax. Multilevel degenerative changes of the thoracolumbar spine are seen.
chest pain and shortness of breath.
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Compared with prior radiographs on <unk>, there has been interval placement of a right-sided port-a-cath, which terminates at cavoatrial junction.the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are normal.
<unk> year old woman with met breast cancer. c/o new pleural pain x <num> days with cough or deep inspiration // please eval etiology of pain c inspiration
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Single semi-erect portable view of the chest was obtained. There has been interval placement of a left sided pigtail chest tube extending to the left upper hemithorax with interval decrease in left pneumothorax and reexpansion of the left lung. No focal consolidation or pleural effusion is seen. The cardiac and mediastinal silhouettes are stable.
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The heart size is normal. The hilar and mediastinal contours are normal. The lungs are clear without evidence of focal consolidations concerning for pneumonia. There is no pneumothorax or pleural effusion.
history of longstanding ms and four months progressive shortness of breath. please evaluate.
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The patient has been extubated. Ng tube and right jugular line has been removed. Moderate interstitial pulmonary edema has improved, but residual right perihilar heterogeneous opacity and left lower lung consolidation are worrisome for pneumonia. Mediastinal and cardiac contours are unremarkable. The lungs are hyperinflated in this patient with known centrilobular emphysema. There is no pneumothorax. Pleural effusions are small if any.
patient with sepsis fluid overload?
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Heart size, mediastinal, and hilar contours are normal. Lungs are clear without focal consolidation, pneumothorax, or pleural effusions. Intact median sternotomy wires and mediastinal clips denote prior cabg. Left clavicular hardware is identified.
<unk>m with chest pain. eval for pna.
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Two left chest tubes are in unchanged position. A tiny <num> to <num> mm left apical pneumothorax is unchanged. There is no evidence of tension. The lung volumes are lower. A small left pleural effusion with pleural thickening is mostly stable and is slightly exaggerated by the low lung volumes. A small right pleural effusion is unchanged. There is no new consolidation or pulmonary edema. The cardiomediastinal silhouette is unchanged. Left chest wall subcutaneous emphysema is stable.
status post left vats and resection of pleural renal cell carcinoma metastasis.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>f with shortness of breath for <num> week