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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. Mild degenerative changes are noted in the lower thoracic spine. Oral contrast material from recent ct examination is noted within the left upper quadrant bowel loops.
history: <unk>m with <num> months abdominal pain, <unk> lbs weight loss, wbc <num>k
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There are low lung volumes present with vascular markings. There is bibasilar atelectasis. There may be mild vascular congestion. The cardiac and mediastinal silhouettes are grossly unremarkable.
dementia with altered mental status for <num> days.
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Heart is normal size and mediastinal silhouette is stable. Calcifications are again noted in the aortic arch. Diffuse lucencies in the mid to upper lungs bilaterally, correspond to severe centrilobular emphysema. There is no focal consolidation, pleural effusion, or pneumothorax. Bones and the upper abdomen are grossly unremarkable.
history: <unk>m with chest pain // acute process?
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There is mild hyperexpansion, similar to the prior study suggesting copd. There is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal silhouette is stable with mild cardiomegaly and tortuous aorta.
<unk>m with cspine fx, poorly tolerating secretions, evaluate for cardiopulmonary disease.
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Lung volumes are low, resulting in some bronchovascular crowding. There are diffuse bilateral interstitial opacities, without a discrete focus of consolidation to suggest pneumonia. Minimal if any bilateral pleural effusions are present. Although assessment of cardiac size is limited in this ap view, there may be mild cardiomegaly. No pneumothorax is identified. No rib fracture is seen.
<unk>-year-old male with chest pain and shortness of breath, intermittent for one day and bilateral crackles.
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There is a right middle and lower lobe pneumonia. There is mild cardiomegaly, but no pulmonary edema and no pleural effusion. There is no pneumothorax. The partially visualized bony structure of the thorax appear normal.
<unk>-year-old woman with pneumonia after a course of antibiotics.
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As compared to the previous radiograph, there is no relevant change. Known rounded atelectasis in the retrocardiac lung areas. Known areas of atelectasis at the right lung base. Currently, there is no evidence of pneumonia. Right picc line has been removed and replaced by a right pectoral port-a-cath. There is no evidence of pneumothorax or other complications.
febrile neutropenia, rule out pneumonia or other infection.
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A frontal supine view of the chest was obtained portably. The endotracheal tube ends <num> cm above the carina. A nasogastric tube follows the expected course, although the tip is not visualized. There is no focal consolidation, pleural effusion or pneumothorax. The cardiac silhouette is mildly enlarged with a heavily calcified mitral annulus. Aortic knob calcifications are seen in a tortuous aorta. There is multilevel degenerative change in the lumbar spine with levoconvex scoliosis, incompletely evaluated on this study.
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The lungs are hypoinflated and exaggerate the pulmonary vascular markings. Mild cardiomegaly remains stable. There is mild bibasilar atelectasis with no focal consolidations or pneumothoraces noted. No acute fractures are identified.
evaluation of patient with chest discomfort.
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The lungs are clear of focal consolidation, pleural effusion or pneumothorax. The heart size is normal. The mediastinal contours are normal. Incidental note of right hemidiaphragm calcifications, which may be due to prior infection or asbestos exposure.
<unk>-year-old female with right upper quadrant pain.
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Lungs are well inflated and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax. Osseous structures are grossly intact.
cough, chest congestion, evaluate for acute cardiopulmonary process.
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Frontal and lateral radiographs of the chest were acquired. The lungs are hyperexpanded but clear. The heart size is normal. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen.
asthma flare and productive cough. evaluate for asthma exacerbation versus infectious process.
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The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. A density seen in the anterior lower chest on the lateral view is external to the patient as verified by the technologist.
<unk>-year-old female with chest pain.
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Frontal and lateral radiographs of the chest were acquired. The lungs are clear. The heart size is normal. The mediastinal contours are normal. Mild elevation of the left hemidiaphragm is not significantly changed compared to ct from <unk>. There are no pleural effusions. No pneumothorax is seen. Note is made of pectus excavatum.
chest pain. evaluate for pneumonia.
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Heart size is within normal limits. Opacity within the retrosternal region on the lateral view corresponds to known anterior mediastinal mass, better assessed on the previous pet-ct. Mediastinal and hilar contours are otherwise unchanged. Pulmonary vasculature is not engorged. Patchy opacities are noted within both upper lobes and left lung base, nonspecific, but infection is not excluded. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities demonstrated.
history: <unk>f with fever and lymphoma // pna?
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Lung volumes are low which accentuates the size of the cardiac silhouette which is borderline enlarged. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. No acute osseous abnormalities identified.
history: <unk>m with history of renal transplant, feeling weak
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Frontal and lateral chest radiographs demonstrate unremarkable cardiac and hilar contours. Seen only on the lateral view, a slight convesity of the ascending aorta may reflect senile tortuosity but aneurysm is a consideration. Lungs are clear. No pleural effusion or pneumothorax present. Mild lobulated contour of the right hemidiaphragm may reflect eventration. Mild central compression deformities of the mid thoracic spine are age-indeterminate.
generalized weakness. evaluate for pneumonia.
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Upright portable view of the chest demonstrates normal lung volumes. No pleural effusion, focal consolidation or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. No pulmonary edema. No intraperitoneal free air is seen.
abdominal pain. assess for free intraperitoneal air.
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In comparison with the study of <unk>, there is little interval change. There is hyperexpansion of the lungs with flattening of the hemidiaphragms, consistent with chronic pulmonary disease. There is accentuation of interstitial markings, consistent with chronic process as well. However, no evidence of acute pneumonia or vascular congestion. Blunting of the costophrenic angle on the left is essentially unchanged.
copd and cough.
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In comparison with study of <unk>, there is probably little overall change. Post-surgical changes are again seen in the left hemithorax with extensive retrocardiac opacification obscuring the hemidiaphragm and costophrenic angle.
thoracotomy with extraspinal mass.
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An endotracheal tube terminates <num> cm above the carina. A right-sided internal jugular venous catheter terminates in the lower svc. Cardiomediastinal silhouette demonstrates a normal postoperative appearance. As compared to prior chest examinations, there has been interval improvement of pulmonary edema. There is worsening left retrocardiac opacity, most likely representative of atelectasis. There is no pneumothorax.
<unk>-year-old male patient status post cabg. study requested for evaluation of pulmonary consolidation/pleural effusions.
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Frontal and lateral views of the chest were obtained. Lung volumes are low, exaggerating heart size. The cardiomediastinal contours are otherwise normal. The lungs are clear. No focal consolidation, pleural effusion, or pneumothorax. No radiopaque foreign body.
<unk>-year-old female with chest pain. evaluate for pneumonia.
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Ap and lateral chest radiograph demonstrates a vascular stent in unchanged position projecting superiorly above the right hilum. Cardiomediastinal and hilar contours are stable in appearance. No evidence of pulmonary edema, consolidation, or pneumothorax. There is no pleural effusion. Osseous structures are without and an acute abnormality.
<unk>-year-old female with chest pain.
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Minimal left lower lobe atelectasis is noted. There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema identified. The heart is normal in size. Mediastinal contours are normal. Several healed left rib fractures are noted.
leukocytosis, evaluate for pneumonia.
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Ap upright and lateral views of the chest are provided. There is vague opacity at the right lung base which is concerning for pneumonia. The left lung appears clear. Cardiomediastinal silhouette is normal. No pneumothorax. No effusion. Bony structures are intact.
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Pa and lateral chest radiographs are obtained. Extensive pulmonary fibrosis and bronchiectasis is grossly similar to the prior exams. There is no suggestion of a new consolidation. There is no effusion or pneumothorax. Moderate cardiomegaly is unchanged. Enlargement of the aortic arch continues to deviate the calcified trachea rightward. There is a large hiatal hernia. Severe degenerative changes of the left shoulder are again seen. The chest wall remains deformed.
fever and cough.
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In comparison with the study of <unk>, there is worsening bibasilar opacification. There is also more diffuse opacification throughout both lungs. The appearance suggests increasing pulmonary venous pressure that may well be superimposed on aspiration or pneumonia. Cardiac silhouette is unchanged. Probable bilateral effusions, especially on the left. There is increased prominence of the tracheal air shadow. This raises the possibility of hyperinflation of the endotracheal tube cuff. This information was telephoned to dr. <unk> at <time> on <unk>, immediately after making the observation.
respiratory failure with intubation.
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Pa and lateral views of the chest provided. Partially visualized hardware in the c-spine noted. Lungs are clear. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>m with unsteadiness x <num> day
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Heart size, mediastinal and hilar contours are normal. On the frontal radiograph, lungs are grossly clear. On the lateral view, there is a question of increased opacity overlying the lower thoracic spine, possibly due to crowding of normal structures related to relatively low lung volumes. There are no pleural effusions or pneumothoraces.
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Frontal and lateral radiographs of the chest demonstrate normal heart size. The cardiomediastinal silhouette and hilar contours are normal. The lungs are clear. No pleural effusion or pneumothorax. No displaced rib fracture identified.
shortness of breath. evaluate for pneumonia.
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Right mid-to-lower lung opacity again seen, decreased as compared to the prior study. Again worrisome for infectious process. There also appears to be bilateral pleural effusions, right greater than left. The cardiac silhouette remains quite enlarged. The aorta is tortuous.
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As compared to the previous radiograph, the monitoring and support devices have all been removed, with exception of the right internal jugular vein catheter. There is no evidence of pneumothorax. No pleural effusions. Sternotomy wires are in constant alignment. The lung volumes have slightly decreased. Mild cardiomegaly but no evidence of pulmonary edema. No pneumonia.
status post chest tube removal.
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There has been interval removal of left chest tube without pneumothorax. There is minimal blunting of the left costophrenic angle, unchanged from prior. There is small amount of subcutaneous emphysema in the left chest wall, stable to prior. No focal consolidation. No other significant change. This preliminary report was reviewed with dr. <unk>, <unk> radiologist.
<unk> year old woman with rib fx, s/p ct, now s/p pull of ct // ?ptx, s/p d/c ctplease obtain cxr at <unk> (<num>hr post pull of ct)
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There are low lung volumes. There is persistent elevation of the right hemidiaphragm. Bibasilar opacities may relate to atelectasis although infectious process or aspiration is not excluded. Cardiac and mediastinal silhouettes are stable.
history: <unk>f with ams, hypoxia // eval pna
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Pa and lateral chest radiographs were obtained. Lung volumes are low. There are bibasilar interstitial pulmonary opacities. There is no effusion or pneumothorax. Cardiac and mediastinal contours are normal.
fever, cough common dyspnea.
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The cardiomediastinal and hilar contours are normal. The lung volumes are low but clear. There is no pleural effusion or pneumothorax.
<unk>-year-old female with fever for a month.
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In comparison with study of <unk>, multiple pulmonary metastases are again seen. Substantial bilateral pleural effusions, more prominent on the left. Port-a-cath remains in place.
pleural effusion.
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Frontal and lateral views of the chest. The lungs are clear without focal consolidation, effusion or pneumothorax. Cardiac silhouette is mildly enlarged but stable in configuration. Thoracic aorta is tortuous. No acute osseous abnormalities identified.
<unk>-year-old female with back and chest pain. question pneumothorax.
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As compared to the previous radiograph, the nasogastric tube has been re-positioned. The tube is now located in the esophagus, with its tip projecting over the proximal parts of the stomach. The sidehole is at the gastroesophageal junction. For optimal positioning in the stomach, the tube should be advanced by approximately <num> cm. The appearance of the lung parenchyma is unchanged. No evidence of complications after a previous tube malposition.
accidental intubation of bronchial system with nasogastric tube, placement of a new nasogastric tube.
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Frontal and lateral radiographs of the chest demonstrate well expanded clear lungs. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation. The patient is status post thyroidectomy. Incidental note is made of pectus carinatum.
<unk>-year-old man with cold symptoms and crackles at the bilateral bases. evaluate for pneumonia.
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Single ap upright portable view of the chest was obtained. A drain/chest tube overlies the right hemithorax. There is elevation of the right hemidiaphragm, with possible partial right lower lobe collapse. Bibasilar atelectasis is seen. There is no definite pneumothorax. Possible trace right pleural effusion. The cardiac and mediastinal silhouettes are more prominent as compared to the prior study, although this may relate to ap, portable technique and lower lung volumes.
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In comparison with study of <unk>, there is little overall change. Again there is evidence of chronic obstructive pulmonary disease with bilateral pleural effusions and compressive atelectasis at the bases with unchanged enlargement of the cardiac silhouette. Sternotomy wires are stable. The central venous catheter extends to the right atrium. Relatively mild elevation of pulmonary venous pressure.
shortness of breath and diminished breath sounds.
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Lung volumes are normal. There is no focal consolidation, effusion, or pneumothorax. Mediastinal and hilar contours are normal. Heart size is normal.
<unk>f with concern for seizure, has chest cold // ? infectious process
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The patient is rotated somewhat to the right. The cardiac silhouette is top-normal. There is prominence indistinctness of the hila likely due to mild to moderate central pulmonary vascular congestion. No focal consolidation is seen. There is no pleural effusion or pneumothorax. Mediastinal contours are grossly unremarkable.
history: <unk>f with mixed respiratory failure // eval for pna, chf
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.
history: <unk>f with hemoptysis // evidence of pneumonia
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Patient is status post median sternotomy. A left-sided pacer device is noted with lead terminating in the right ventricle. Mild enlargement of the cardiac silhouette is similar to the previous study. The aorta remains tortuous. Mediastinal and hilar contours are otherwise unremarkable, and the pulmonary vasculature is not engorged. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities.
history: <unk>m with dyspnea, history of chf
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The compared to chest films dated same date <num> hours prior, there is been interval removal of left sided chest tube with mildly increased small left apical pneumothorax. The lungs are unchanged. The cardiomediastinal silhouette. Is unremarkable. There is no overt pulmonary edema or pleural effusion. Largely unchanged subcutaneous air in the left lateral chest wall and left neck.
<unk>-year-old female status post left vats lingula.
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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. Cholecystectomy clips are demonstrated in the right upper quadrant of the abdomen.
history: <unk>f with chest pain
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The aortic knob is calcified. The cardiomediastinal and hilar contours are within normal limits. Lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax. Known pulmonary nodules are not visualized on this radiograph but better characterized on most recent chest ct from <unk>.
history: <unk>m with nausea, sob, chest pain // infiltrate? infiltrate?
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In comparison with the study of <unk>, there is little overall change in the appearance of the combination of volume loss in the right middle and lower lobes, associated with pleural effusion. Left lung remains clear.
stent placement.
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Et tube is <num> cm above the carina. It should not be higher and could be advanced for <num> or <num> cm. Right jugular line and ng tube are in adequate position. Increase in bilateral lower lung opacities, right more than left, is mainly explained by volume loss; however, superimposed aspiration or pneumonia can also be considered. If there is pleural effusion it is small. There is no pneumothorax. Mediastinal and cardiac contours are normal.
patient with airway protection intubation in setting of alcohol withdrawal and gi bleed, now with fever, thick purulent sputum.
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In comparison with study of <unk>, there are continued low lung volumes. The bibasilar opacifications persist, most likely reflecting atelectasis with effusion. In the appropriate clinical setting, supervening pneumonia would have to be considered.
extubation.
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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.
chest pain. cough and low-grade fever as well.
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As compared to the previous radiograph, there is now a moderate right pleural effusion that has increased since the previous film. Moderate subsequent atelectasis. The effusion occupies approximately half of the right hemithorax. The appearance of the left lung and of the cardiac silhouette is unchanged.
decreased breath sounds on the right, evaluation.
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As compared to the previous radiograph, there is no relevant change. Normal structure and transparency of the lung parenchyma. Normal size and shape of the cardiac silhouette. Normal hilar and mediastinal structures. No pleural effusions. No pneumonia.
fever and white blood cell count elevation. questionable of pneumonia.
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In comparison with the earlier study of this date, the right pigtail catheter has been removed and there is no appreciable pneumothorax. Atelectatic streaks persist bilaterally, somewhat increasing on the right.
pigtail catheter removal.
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Frontal and lateral views of the chest demonstrate unchanged linear areas of scarring in the left mid lung with adjacent pleural thickening. The lungs are otherwise well expanded and clear. Mild cardiomegaly is unchanged. Hilar contours are normal. There is no pneumothorax or pleural effusion. There are degenerative changes about the right acromioclavicular joint.
new diagnosis of systolic heart failure with right-sided chest fullness for <num> days, assess for pleural effusion.
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Left-sided aicd device is noted with single lead terminating within the right ventricle. The heart size is mildly enlarged. Mediastinal and hilar contours are unremarkable. There is no pulmonary edema, focal consolidation, pleural effusion or pneumothorax. No acute osseous abnormalities are present. There is mild scarring within the lung apices.
cardiomyopathy with <num> weeks of cough, elevated jvp.
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The lungs are well-expanded and clear. No focal consolidation to suggest a focal pneumonia. No effusion or pneumothorax. The heart is normal in size. The mediastinum is not widened. The trachea appears normal in caliber. No acute osseous abnormality. Nonspecific gaseous distension but not abnormal dilatation of the partially visualized loop of large bowel in the left upper quadrant is noted.
<unk> year old woman with increased seizure frequency. evaluate pulmonary process.
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A right subclavian line terminates in the lower superior vena cava. Orogastric and endotracheal tubes have been removed. Retrocardiac opacity has improved with decreased elevation of the left hemidiaphragm which suggests improving atelectasis. There are again multiple bilateral nodules suggesting metastatic disease. There is no definite pleural effusion or pneumothorax.
limbic encephalitis. patient with tachypnea.
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In comparison with study of <unk>, there are lower lung volumes. Stable post-surgical changes in the right hemithorax. There is some suggestion of increased opacification at the left base. In view of the clinical history, this could represent developing pneumonia. This information was entered into the electronic dashboard, since the doctor was not in the paging list and no telephone number was provided.
cough with possible pneumonia.
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There is mild cardiomegaly. Note is also made of diffuse bilateral interlobular septal thickening, which could be secondary to patient's pulmonary edema, however an atypical infection or potential interstitial lung disease should also be considered. There is a new focal consolidation seen at the right lung base. There is a .<num>-cm nodular opacity at the mid right lung, as well as a .<num>-cm nodular opacity at the left lung base. There is no pleural effusion or pneumothorax. Visualized osseous structures are unremarkable.
history of left arm paralysis. please evaluate.
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Linear opacity at the right base likely represents atelectasis. No consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected on this single view. Heart and mediastinal contours are stable. Patulous esophagus is again noted.
<unk>-year-old male with hypotension.
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Median sternotomy wires appear intact. Overlying ekg leads are present. Elevated right hemidiaphragm again noted. The lungs appear grossly clear bilaterally without convincing signs of pneumonia or edema. No large effusion or pneumothorax. Cardiomediastinal silhouette is unchanged. Bony structures appear grossly intact.
<unk>-year-old woman with altered mental status. evaluate for pneumonia or aspiration.
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Comparison is made to the previous study from <unk>. There has been placement of right-sided picc line with distal lead tip in the distal svc. Heart size is within normal limits. There are small bilateral pleural effusions, right side worse than left. There are no focal consolidation or pneumothoraces.
<unk>-year-old woman with crohn's flare with right upper lobe opacity.
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Frontal and lateral views of the chest were obtained. Patchy right middle lobe opacity is worrisome for pneumonia in the appropriate clinical setting. The lungs are relatively hyperinflated, suggesting chronic obstructive pulmonary disease. The left lung is clear. No pleural effusion or pneumothorax is seen. The aorta is calcified and tortuous. The cardiac silhouette is not enlarged. Degenerative changes are seen along the spine.
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The chest radiograph dated <unk> shows a slight change in the position of the left apical chest tube, which now terminates at the superior border of the left clavicle. The right subclavian central venous line is unchanged, terminating in low svc. The slightly bent appearance of the line where it enters the chest wall is unchanged. Aeration of the left lung has substantially improved with re-expansion of the lung and resultant rightward shift of the heart and mediastinum. The right lung remains clear. There is a small residual left pneumothorax. Metallic foreign bodies are again noted. The followup radiograph dated <unk> shows increased left lung atelectasis, and a persistent moderate left pneumothorax. There is no other significant interval change.
<unk> year old man with pneumothorax and new o<num> requirement // pneumothorax and ?reason for new o<num> requirement
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The cardiomediastinal and hilar contours are stable. A right-sided picc terminates in the mid svc. Widespread infiltrative pulmonary opacities are stable from the prior exam. New from the prior study is extensive subcutaneous gas seen in the bilateral chest walls and involving the neck. There is pneumomediastinum. No large effusion or pneumothorax is identified.
<unk> year old man with worsening hypoxia. // ?pna, worsening edema, pleural effusion
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Interval placement of endotracheal tube, with tip terminating <num> cm above the carina. This could be withdrawn several centimeters for standard positioning. Cardiomegaly is accompanied by mild pulmonary vascular congestion, overall improved compared to the recent radiograph. Band-like area of linear atelectasis is present in the left mid lung region, but there are no focal areas of consolidation to suggest the presence of pneumonia.
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Frontal and lateral views of the chest. The lungs are clear. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormality detected noting hypertrophic changes in the spine and degenerative changes at the acromioclavicular joints.
<unk>-year-old male with near syncope with quadriceps tendon rupture, preop evaluation.
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Pa and lateral views of the chest provided. Previously noted dialysis catheter has been removed. Reticulonodular opacity is again noted in the right mid/lower lung raising concern for pneumonia. Mild blunting of the left cp angle is likely related to scarring as this is unchanged from multiple prior imaging studies. Cardiomediastinal silhouette is stable. Bony structures are intact.
<unk>m with sob. history of asthma // pna?
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Cardiac silhouette remains stably enlarged with minimal increase in right greater than left perihilar/basilar predominant opacities. Distention of the azygos vein suggests volume overload favoring asymmetric edema. No large pleural effusion is evident. There is no pneumothorax.
coronary artery disease and altered mental status. evaluate hypoxia.
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In comparison with study of <unk>, there is no change or evidence of acute cardiopulmonary disease. Specifically, no evidence of interstitial prominence to radiographically suggest amiodarone toxicity.
to assess for amiodarone toxicity.
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A large right hydropneumothorax with a predominantly large fluid component results in mild leftward shift of mediastinal structures. There is associated right lung atelectasis. Heart size is mildly enlarged. The aorta is slightly tortuous. Pulmonary vasculature is not engorged. Patchy atelectasis is noted in the left lung base. No pneumothorax is identified. Moderate degenerative changes are noted in the thoracic spine with ossification of the anterior longitudinal ligament.
history: <unk>m with tachycardia, generalized weakness
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The cardiomediastinal and hilar contours are within normal limits. The lung fields are clear. There is no pneumothorax, fracture or dislocation. Limited assessment of the abdomen is unremarkable.
history: <unk>m with chest pain // acute process?
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Pa and lateral views of the chest were obtained. The lung volumes are low which limits the evaluation. Since the prior exam, the subtle opacity at the left lung base has cleared. There is minimal left basilar linear density which is most compatible with atelectasis. There is no pleural effusion or pneumothorax. Heart size is normal. Mediastinal contour is unremarkable. The imaged osseous structures are intact. No free air is seen below the right hemidiaphragm.
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There is new retrocardiac opacity silhouetting the descending thoracic aorta. Elsewhere, lungs are clear. Cardiac silhouette is moderately enlarged as on prior. Left chest wall dual lead pacing device is well as epicardial leads are again noted. Median sternotomy hardware again noted.
<unk>f with l sided chest pain, fever, s/p epicardial left ventricular lead placement via left thoracotomy <unk>
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
<unk>f with cough, dyspnea x <num> wk // eval ? peribronchial cuffing, infiltrate
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Cardiomediastinal contours are stable. Linear bibasilar atelectasis and or scarring is noted, more prominent at the right base than the left. No definite areas of consolidation are identified to suggest the presence of pneumonia, and there are no pleural effusions. Right internal jugular porta catheter remains in place within the lower superior vena cava, and note is again made of a moderate hiatal hernia.
<unk> year old woman with cough, // r/o pneumonia
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The patient is status post recent left upper lobe resection. Recently described mediastinal widening is unchanged. A chest tube remains in place in the upper left hemithorax, and there is a persistent small to moderate left pneumothorax, with apical visceral pleural line now located just below the level of the third posterior left rib. Multifocal patchy and linear atelectasis persists in the mid and lower lungs bilaterally. There is no substantial pleural effusion. Marked gastric distention is observed in the imaged portion of the upper abdomen. Subcutaneous emphysema is present in the left chest wall.
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Persistent right basilar opacity due to underlying effusion with atelectasis. More faint right basilar opacity likely due to combination of effusion and atelectasis. Superiorly, lungs are clear. Prominence of the upper mediastinum in the region of the thoracic inlet is again noted. Endotracheal tube tip is now <num> cm from the carina. Enteric tube passes below the field of view, side-port potentially in the region of the gastroesophageal junction.
<unk> year old woman with acute resp failure // interval changes
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Vascular congestion is unchanged. The lungs are otherwise clear. The heart is within normal limits. Osseous structures are unremarkable. No pneumothorax.
history: <unk>m with complex medical history p/w general malaise and intermittent shortness of breath with retching // consolidation
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Ap portable supine view of the chest. Feeding tube is again noted extending into the left upper abdomen. Since the prior study, there is increasing opacity in the lower lungs, right greater than left. Findings are concerning for potential aspiration or pneumonia. There is a small right pleural effusion. The cardiomediastinal silhouette is unchanged. Bony structures appear grossly intact.
<unk>f with reported aspiration pneumonia, hypotensive and hypoxic
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Pa and lateral views of the chest provided. There is a subtle nodular opacity at the right lung apex projecting at the overlap between the right clavicle and right first rib, appears more conspicuous than on prior exam, possibly a pulmonary nodule. Please correlate with nonemergent chest ct. Otherwise lungs are clear. There is no pleural effusion, pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with chest pain // assess for infiltrate, effusion, ptx
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Pa and lateral chest radiograph demonstrate clear lungs bilaterally. Cardiomediastinal silhouette is within normal limits. There is no pneumothorax pleural effusion or evidence of pulmonary edema. Imaged osseous structures are without an acute abnormality.
<unk>-year-old female with <num> weeks of shortness of breath.
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In comparison with the study of <unk>, there has been a significant increase in the diffuse bilateral pulmonary opacifications. This certainly could represent widespread pneumonia, though some component of vascular congestion or ards should be considered.
pneumonia with increasing oxygen requirement.
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As compared to the previous radiograph, there is no relevant change. Relatively large right lower lobe opacity and consolidation with subsequent volume loss and right pleural effusion. The changes are constant in appearance and severity. The size of the cardiac silhouette is minimally enlarged. Appearance of the left lung is constant and normal.
shortness of breath, rule out pneumonia, rule out effusion.
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Lung volumes are diminished. No consolidation or edema is evident. The mediastinum is unremarkable. The cardiac silhouette is within normal limits for size. No effusion or pneumothorax is noted. The visualized osseous structures are unremarkable.
left-sided chest pain with st depression.
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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.
<unk> year old woman with dyspnea/ fever // r/o pneumonia
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Persistent linear right upper lung opacity is again seen. Elsewhere, the lungs are hyperinflated but clear. There is no focal consolidation or effusion. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with weakness // eval for pneumonia
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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. No free air below the right hemidiaphragm.
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The lungs are well inflated and clear. No focal consolidation, effusion, or pneumothorax is present. The cardiac silhouette is mildly enlarged. Sternal wires are intact. Mediastinal clips are in expected position.
<unk>-year-old man with recent pneumonia at another institution.
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Again seen is a right subclavian picc line, tip over distal svc. Allowing for technical differences, the cardiomediastinal silhouette is probably unchanged. The previously identified nodular densities are less pronounced than on the prior study, though faint residua are visible. Bibasilar opacities -- ? Atelectasis -- prior again seen, last pronounced. No new nodular density, frank consolidation, or effusion is identified. Probable tiny calcified granuloma adjacent to the lower right trachea, unchanged.
<unk> year old man with endocarditis, bilateral rales on lung exam. // r/o pna, pulmonary edema
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Ap chest radiograph. Lung volumes are low, which accentuate the pulmonary vasculature, particularly in the right hilum. However, there are no signs of pulmonary edema. Left basilar atelectasis is noted. There is no pneumothorax. The heart size is normal.
chest pain and dyspnea. evaluation for pneumonia or heart failure.
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Enlargement of the cardiomediastinal silhouette is stable. No definite focal consolidation is seen. There are low lung volumes. There is no pleural effusion, pneumothorax, or pulmonary edema.
history: <unk>m with altered mental status // ? pna
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Patient is status post right mastectomy and bilateral axillary lymph node dissection. Additionally, there has been apparent wedge resection in the inferior segment of the lingula. Cardiomediastinal contours are stable in appearance. Heterogeneous opacities in the right mid and lower lung are new compared to the prior chest radiograph and apparently new since a more recent thoracic spine radiograph of <unk>. Several healed rib fractures are present in the right hemithorax and it is possible that a component of the opacities are related to the chest wall and pleura. There is no evidence of pleural effusion or pneumothorax. Severe compression deformity at t<num> has been treated by vertebroplasty in the interval. Mild compression deformities at t<num> and t<num> are radiographically unchanged since <unk>.
<unk> year old woman with h/o asthma/copd with dyspnea, crackles, remote history of breast cancer // any infiltrates or edema
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Cardiac silhouette is normal in size and demonstrates left ventricular configuration. Aorta is tortuous. Severe upper lobe predominant emphysema is again demonstrated, as well as multifocal linear scarring in the mid and lower lungs. Hazy opacities at the lung bases probably represent small pleural effusions with adjacent basilar atelectasis. Other lower lobe process such as aspiration or developing pneumonia are also possible in the appropriate clinical setting, and short-term followup radiographs may be helpful in this regard.
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Status post median sternotomy. The tip of the right internal jugular central venous catheter and projects over the upper svc. A left chest tube and <num> mediastinal drains are present. A small left pleural effusion is present as well as left lower lobe atelectasis/consolidation. Unchanged right mid lung zone atelectasis. No pneumothorax identified. The size appearance of the cardiac silhouette is unchanged.
<unk> year old man s/p cabg // eval for pneumothorax with chest tube clamped
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Heart size remains mildly enlarged. Mediastinal and hilar contours are unchanged with similar appearance of right hilar enlargement compatible with underlying lymphadenopathy. Minimal atelectasis is seen in the lung bases without focal consolidation. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
history: <unk>f with chest pain, dyspnea
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The cardiomediastinal silhouette is normal. The hila are normal. The lungs are well expanded and clear. The previously seen wedge-shaped opacity adjacent to the left hemidiaphragm has resolved. The left hemidiaphragm is chronically elevated and unchanged from prior. No pleural abnormalities. No pneumothorax. No fractures. There is increased radiodensity in the spine consistent with the history of chronic kidney disease. The fracture stabilization wires are unchanged.
<unk> year old man with decreased breath sounds // history of left lobe consolidation