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Frontal and lateral views of the chest were obtained. Prominence of the right mediastinal contour is again seen, previously attributed to a tortuous ascending aorta, and again accentuated by rightward patient rotation. The heart size is normal, exaggerated by low lung volumes. No focal consolidation is seen. Rectangular opacity over the anterior right second rib is similar to multiple prior exams. No pleural effusion or pneumothorax is seen. The osseous structures are unremarkable.
<unk>-year-old female with fall and head strike.
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Frontal radiograph of the chest demonstrates stable mild enlargement of the cardiac silhouette. Mild pulmonary vascular congestion slightly increased without overt pulmonary edema. No focal consolidation, pleural effusion or pneumothorax.
stroke, infectious workup and question volume overload.
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As compared to the previous radiograph, the known left-sided spontaneous pneumothorax is unchanged in extent and severity. No other changes are seen in the lung parenchyma. Currently, there is no evidence of traction or other pathological changes. Normal size of the cardiac silhouette.
spontaneous pneumothorax, evaluation.
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The lungs are clear without focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. No acute osseous abnormalities identified. Calcifications in the right upper quadrant suggest cholelithiasis. There is no free intraperitoneal air.
<unk>f with reflux-type pain, mild abnormal lfts, distant hx tb, // ?eval new cardiopulmonary process
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Ap portable upright view of the chest. Overlying ekg leads are present. A fiducial marker is noted within a nodular soft tissue density lesion within the right mid lung at the site of known malignancy. The hila are retracted superiorly. Suture material in the right upper lung compatible with prior resection with adjacent scarring. No focal consolidation concerning for pneumonia. No edema. No pneumothorax. A calcified left breast lesion projects over the left lateral lung base. Cardiomediastinal silhouette appears grossly unchanged with atherosclerotic calcifications along the aortic arch again noted. No acute bony abnormality.
<unk>f with sob // eval for pna collapse
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A portable frontal chest radiograph again demonstrates a right chest wall port with the catheter terminating in the upper right atrium. Lung volumes are low, with exaggeration of the cardiac silhouette. There is increasing patchy opacity in the bilateral lower lobes, some of which could be atelectasis, but are also concerning for multifocal pneumonia. There is no appreciable pleural effusion or pneumothorax. The visualized upper abdomen is unremarkable.
evaluate for developing pneumonia in a patient with tachycardia, increased respiratory rate, and hypoxia.
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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. Bony structures are unremarkable.
chest pain.
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There are low lung volumes. Minimal linear left mid to lower lung atelectasis/scarring is seen. No focal consolidation is seen. There is no pleural effusion or pneumothorax. Cardiac silhouette is top-normal. Mediastinal contours are unremarkable. No pulmonary edema is seen.
history: <unk>f with hypoxia // acute cardiopulm disease
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Right-sided picc line terminates in the svc. There is obscuration of the right heart border and medial right hemidiaphragm compatible with a right lower lobe infiltrate, that is new compared to prior. .
<unk> year old woman with brain lesion plan for biopsy on <unk>. // <unk> year old woman with brain lesion plan for biopsy on <unk>. surg: <unk> (brain biopsy)
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Single portable semi-erect frontal image of the chest. The et tube terminates <num> cm above the carina. The balloon on the ett is noted to be overinflated and is distending the trachea. The lungs are well expanded. No focal opacity is seen. Very mild pulmonary edema is seen. Bilateral pleural effusions have slighltly improved from prior exam. There is no pneumothorax. Cardiomediastinal silhouette is top normal in size.
intubated for arrest, now needing assessment of ett position.
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Since <unk>, bilateral moderate pleural effusions, right greater than left, are improved. Lung volumes remain low. Mild cardiomegaly is stable. No pneumothorax or pulmonary edema.
<unk> year old woman with hcap pneumonia and schf with continued o<num> requirement. // please assess for pulmonary edema/interval change
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The heart is normal in size. The aorta is again tortuous. The mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear. Mild degenerative changes again affect lower thoracic levels, not significantly changed.
upper back and chest pain.
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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>-year-old female with chest pain.
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Chest pa and lateral radiograph demonstrates unremarkable mediastinal, hilar and cardiac contours. Lungs are clear. No pleural effusion or pneumothorax evident. No osseous abnormalities identified.
cough, chest pain, rule out pneumonia.
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Costophrenic angles are excluded from the field of view. Where seen the lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m w gastrparesis, n/v since this morning. please evaluate for any cardiopulmonary change.
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The patient is status post median sternotomy with aortic valve replacement. A left pectoral dual lead cardiac aicd is in place. The tip of a newly placed right ij central venous catheter projects over the svc. There has also been interval placement of an et tube which terminates above the carina. Mediastinal drains are in place. There is a small amount of fluid adjacent to the tip of the newly placed right lung base chest tube, which likely represents a new small hemothorax. There is no pneumothorax. New obscuration of the medial left hemidiaphragm is likely due to subsegmental atelectasis. The cardiomediastinal silhouette is magnified by the projection.
<unk> year old woman s/p sternal washout // cardiac surgery aortic stenosis.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with chest pain // r/o acute process
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Lungs are well-expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation.
history: <unk>m with seizure ? infection. // ? pneumonia
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Comparison is made to previous study from <unk>. There has been placement of the pigtail catheter in the right chest. There has been slight decrease in the right pleural effusion. Some of which is likely loculated along the right lower lateral chest wall. The left lung is clear. Heart size is within normal limits. There are no pneumothoraces identified.
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As compared to the previous radiograph, the amount of pleural fluid on the right has increased. The overall degree of pleural air at the level of the basal right hemithorax is unchanged. Also unchanged are the no new parenchymal opacities, combines to scarring, at the right lung apex. Unchanged appearance of the heart and of the left lung.
<unk> year old man with right basilar pneumothorax // eval for interval change
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A single portable semi-erect chest radiograph is obtained. There is no significant change in the middle and lower lobe pneumonia, better appreciated on recent ct. There is no increased pulmonary edema, new consolidation, or pneumothorax. Layering left pleural effusion has gotten slightly bigger. Cardiac and mediastinal contours are unchanged.
<unk>-year-old woman with pneumonia, severe mitral regurgitation and sepsis.
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The exam is limited due the patient's body habitus as well as language barrier. The limited exams demonstrate cardiomegaly and increased vasculature bilaterally, particularly on the left, worrisome for asymmetric pulmonary edema. Consolidation is difficult to rule out. There is no large pleural effusion. In the very limited views of the film, there is an acute-appearing at least fifth but also likely <unk>-<unk> right posterior rib fractures without visaulized pneumothorax.
fall and mid scapular pain, question fracture.
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Lung volumes are low. There is stable elevation of the right hemi diaphragm. The cardiomediastinal silhouette and hilar contours are stable. Again appreciated is bibasilar linear atelectasis. There are no focal consolidations, effusions or pneumothorax. No acute bony changes identified.
hypoxia.
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Single ap portable upright view the chest provided. There has been placement of a right subclavian central venous catheter with its tip in the mid svc region. The endotracheal tube is again seen with its tip located <num> cm above the carina. The ng tube courses below the left hemidiaphragm, tip excluded from view. Right-sided interstitial opacity again noted which could reflect asymmetric pulmonary edema. The heart is mildly enlarged. No pneumothorax.
history: <unk>f with s/p cvl right subclav
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Faint opacity is visualized overlying the right lower lobe. Otherwise, the remainder of the lungs are clear with no evidence of consolidations or effusions. There is no pneumothorax. The cardiomediastinal silhouette is normal. No acute fractures are identified.
evaluation of patient with aids with cough and fever.
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The patient is status post median sternotomy and cabg. Left-sided aicd device is noted with lead terminating in the right ventricle. The heart is moderately enlarged, increased compared to the prior outside study, but this could be due differences in technique. The aorta remains mildly tortuous. There is mild pulmonary vascular congestion. No focal consolidation, pleural effusion or pneumothorax is seen. There are mild degenerative changes in the thoracic spine.
syncope.
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Ett terminates at the thoracic inlet. Right ij catheter tip is in the right atrium. Withdrawing it <num> cm should place it at the cavoatrial junction or distal svc. Dr. <unk> <unk> this with dr. <unk> at <time> a.m.
check et tube placement.
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The heart size is mildly enlarged. The mediastinal and hilar contours are unremarkable. The pulmonary vascularity is not engorged. No focal consolidation, pleural effusion or pneumothorax is seen. Minimal atelectatic changes are noted in the right lung base. Multilevel degenerative changes are re- demonstrated in the thoracic spine. Clips are noted within the left upper quadrant of the abdomen.
worsening palpitations.
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The course of an enteric tube is unchanged. A left subclavian venous catheter terminates in the mid superior vena cava. There are increasing basilar opacities, including in the right lower lung, probably in the right lower lobe, and also suspected layering pleural effusions, superimposed on a pre-existing retrocardiac opacity.
status post trauma and aspiration.
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The lungs are fully expanded and clear. The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. Subtle opacity in the right mid lung is not as well appreciated on the current study, as compared to prior.
<unk>-year-old male with productive cough .
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As compared to the previous radiograph, there is no relevant change. The left picc line is still malpositioned in the left jugular vein. Repositioning is required. No complications, notably no pneumothorax. Unchanged position of the tracheostomy tube. Normal size of the cardiac silhouette. Normal appearance of the lung parenchyma. At the time of dictation and observation, the <unk> line nurse, <unk>, was paged for notification, at <time> p.m., on <unk>.
picc line placement.
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Partially visualized spinal fusion hardware again noted. The heart appears top-normal in size. Hila are markedly congested and there is at least moderate pulmonary edema. No large effusion is seen. No pneumothorax. No convincing signs of pneumonia.
<unk>m with hx of lung ca, presented with worsening shortness of breath for one week, recent dc lasix. recent admission for pneumonia
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Compared to prior, there is no significant change. The cardiomediastinal silhouette is unchanged. The lungs are clear. No pleural abnormality is seen. Previously seen <num> cm opacity in the right base is not well appreciated on this exam.
<unk> year old man with hypotension // ?pneumonia ? volume overload
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As compared to the previous radiograph, the monitoring and support devices are unchanged. On the left, the pre-existing pleural effusion has slightly increased in extent. On the right, no such increase can be noticed, despite the general decrease in lung volumes. Known retrocardiac atelectasis. No pulmonary edema. No evidence of pneumonia.
evaluation for pleural effusions.
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The lungs are clear of focal consolidation, effusion, or vascular congestion. The cardiac silhouette is top-normal in size. No acute osseous abnormalities identified. Chain sutures identified in the left upper quadrant.
<unk>f with history of gastric, breast, and uterine cancer, copd, and reported pulmonary fibrosis presenting with <num> days of increased shortness of breath // please assess for consolidation
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Well-circumscribed lobular opacification in the peripheral left upper zone laterally is re- demonstrated. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are grossly stable. Prominence of the central hilar vessels is re- demonstrated although to a slightly lesser extent as compared to the prior study. Mild basilar atelectasis without definite focal consolidation. No overt pulmonary edema pe
history: <unk>f with dyspnea, hx of copd // assess for infiltrate
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The heart continues to be severely enlarged and there is a small left pleural effusion with some mild pulmonary vascular redistribution. However, the alveolar edema has dramatically improved compared to the study from two days prior. There continues to be some bilateral lower lobe volume loss/consolidation.
chf exacerbation.
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Extensive left greater than right pulmonary opacities predominantly accounted for by known metastatic disease and fibrotic changes are similar in degree. More confluent opacities in the left lower lobe are similar to the previous study allowing for differences in lung volumes and could reflect aspiration or pneumonia. Small bilateral pleural effusions may be present without pneumothorax. Cardiac silhouette is obscured but appears grossly stable. Right port-a-cath is unchanged in position.
metastatic pancreatic cancer with acute respiratory distress, assess for pneumonia.
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The lungs are well expanded. There is a vague opacity in the right mid lung on the frontal view that was not present on prior exam. The remaining right lung and the left lung are clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
<unk>-year-old male with right-sided chest pain.
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Pa and lateral views of the chest provided. The lungs are clear without focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with wheezing
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The swan-ganz catheter terminates in the right pulmonary artery, unchanged in position. The left pectoral transvenous pacer lead projects over the right ventricle. The heart is severely enlarged, unchanged compared to multiple priors. Mediastinal silhouette is unchanged. There is no pulmonary edema or focal consolidation. There is no pneumothorax or pleural effusion.
<unk> year old man with pa catheter // pa placement
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Pa and lateral views of the chest are provided. Lungs are clear and well inflated. No focal consolidation, effusion, or pneumothorax is seen. Cardiomediastinal silhouette is normal. Imaged osseous structures are intact. Nipple jewelry seen bilaterally.
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Portable chest radiograph demonstrates appearance of a widened mediastinum, likely exaggerated by patient rotation; however, may also be due to increased lymphadenopathy. Extensive increased interstitial prominence extending from the right infrahilar region is suggestive of worsening lymphangitic carcinomatosis given. Increased opacifications in the left retrocardiac space as well as mid lung, likely atelectasis, though cannot exclude infectious process. No overt pulmonary edema evident. Interval placement of right-sided chest tube with near resolution of right pleural effusion and development of subcutaneous emphysema. No pneumothorax evident. Small left pleural effusion may be minimally increased compared to prior study.
hypoxia after pleuroscopy and talc pleurodesis. please evaluate for residual disease.
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Pa and lateral chest views were obtained with patient in upright position. Heart size is normal. No configurational abnormality. Thoracic aorta unremarkable. No mediastinal abnormalities. The pulmonary vasculature is normal. No signs of acute or chronic parenchymal infiltrates are present and the lateral and posterior pleural sinuses are free. Skeletal structures of the thorax grossly within normal limits. Comparison is made with the next preceding chest examination <unk> <unk>. At that time, the chest findings are grossly normal, but a subtle small suspicious parenchymal infiltrate was noted localized to the right base in posterior position. This suspicious infiltrate does not exist anymore.
<unk>-year-old male patient with fatigue and malaise, oxygen saturation mildly low, evaluate for infiltrates.
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Since <unk>:<num> previous right middle and lower lobe collapse have improved revealing a small right pleural effusion which is probably unchanged. If there is any pneumothorax it is very small. Left lung is essentially clear aside from minimal relative pulmonary vascular engorgement. Cardiomediastinal silhouette is normal
<unk> year old woman with follow up film // follow up
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There is a subtle linear right lower lung opacity, which likely corresponds to opacity seen on subsequent ct. This may represent a small focus of atelectasis, aspiration or pneumonia. No pleural effusion or pneumothorax is seen. Heart and mediastinal contours are within normal limits.
<unk>-year-old male with shortness of breath and hypoxia.
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Pa and lateral views of the chest provided demonstrate no focal consolidation, effusion or pneumothorax. The cardiomediastinal silhouette appears stable and normal. The bony structures appear intact. No free air below the right hemidiaphragm.
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The lungs are clear of focal consolidation, effusion, or pneumothorax. On the frontal view, the cardiomediastinal silhouette is within normal limits, however. On the lateral view, there is increased density projecting over the anterior mediastinum in the region of the arch. Some of this may be technical in nature; however, given density is greater than expected, and more dense than the cardiac silhouette, repeat exam is suggested to exclude underlying lesion in the anterior mediastinum. Osseous and soft tissue structures are unremarkable.
<unk>-year-old male with chest pain. correlation is made to prior frontal view from <unk>.
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A moderate left pleural effusion is stable in size since <unk>. Linear opacities in left lower lobe represent partial left lower lobe collapse. There is mild pulmonary vascular congestion which is new since <unk>. The cardiac and mediastinal contours are stable. No pneumothorax identified.
a <unk>-year-old man with dizziness and bilateral rales. evaluate for volume overload and pneumonia.
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A left-sided pacemaker/aicd with multiple leads is again seen. Cardiomediastinal and hilar contours are within normal limits. There is no focal consolidation, pleural effusion, pulmonary edema or pneumothorax. No acute bony abnormality is appreciated. There are incompletely visualized degenerative changes of the right glenohumeral joint.
history: <unk>f s/p pacer/icd s/p <num> falls this week. // eval for ich, cspine fracture, facial fracture, pacer posiition
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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. No free air is seen underneath the diaphragm.
<unk>-year-old female with epigastric pain. please evaluate for free air underneath the diaphragm.
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The heart is normal in size. The mediastinal and hilar contours appear unchanged. There is no pleural effusion or pneumothorax. Streaky opacity projecting over the left lower lung is unchanged and most consistent with minor atelectasis or scarring. Otherwise, the lungs appear clear. Suture anchors project over the right glenoid.
nausea, vomiting and abdominal pain.
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As compared to the previous radiograph, the endotracheal tube is in unchanged position. The tip of the tube projects approximately <num> cm above the carina, the tube could be advanced by <num> to <num> cm. The pre-existing opacities in both lungs, right more than left, are constant in appearance. Constant appearance of the nasogastric tube and of the right picc line.
copd, hypoxia, endotracheal tube placement.
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Frontal and lateral views of the chest. Heart size and cardiomediastinal contours are normal. Lungs are clear without focal consolidation, pleural effusion, or pneumothorax.
cirrhosis with shortness of breath and chest pain.
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The lungs appear clear except for minimal streaky density consistent with subsegmental atelectasis or scarring. There is no pneumothorax. The heart appears large but cardiac size may be exaggerated by portable technique. The aorta is tortuous and calcified. Mediastinal structures are otherwise unremarkable. There are degenerative changes in the spine. Surgical clips are projected beneath the diaphragm.
evaluate for acute cardiopulmonary process
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There is persistent mild pulmonary edema and increased vascular congestion from <unk>. No pleural effusion, focal consolidation or pneumothorax is present. The inspiratory lung volumes are appropriate. The cardiac silhouette is mildly enlarged but stable. The mediastinal and hilar contours are unchanged. A right-sided stent is unchanged in position, presumably extending from the right subclavian vein into the superior vena cava. Degenerative changes are again noted in the thoracic spine with right-sided bridging osteophytes.
<unk>-year-old female with fever and cough, here to evaluate for pneumonia.
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Pa and lateral views of the chest provided. No free air seen below the right hemidiaphragm. Mild left basal atelectasis noted. No signs of pneumonia or edema. No large effusion or pneumothorax. Cardiomediastinal silhouette appears grossly within normal limits. Bony structures are intact. Bilateral ac joint arthropathy noted.
<unk>m with shortness of breath and abdominal pain with guarding on abdominal exam.
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The patient is status post median sternotomy and aortic valve surgery. Previously reported postoperative widening of the cardiomediastinal contours has markedly improved. Cardiomediastinal contours are currently slightly wider than on the preoperative radiograph, but within the expected range for postoperative appearance following cardiovascular surgery. There is no evidence of pulmonary edema. Bibasilar areas of atelectasis are present, with interval improvement on the left. Right-sided chest tube remains in place, with no visible pneumothorax. Remaining indwelling support and monitoring devices are in standard position.
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The lungs are hyperexpanded with flattening of the diaphragm, compatible with copd. There is prominence of interstitial lung markings as well as airspace opacities, compatible with mild pulmonary edema. No focal consolidation is identified. There is no pneumothorax. There is a small left pleural effusion. The cardiomediastinal silhouette and hilar contours are stable since prior exam.
history: <unk>f with history of copd, now with dyspnea // please evaluate for acute abnormality
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Comparison is made to the prior study from <unk>. There is a right-sided picc line whose distal tip is at the cavoatrial junction appropriately sited. There remain bilateral pleural effusions, right greater than left and increased density at the right base suggestive of atelectasis or early infiltrate. No pneumothoraces are identified.
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Ap upright portable chest radiograph provided demonstrates a left chest wall pacer device with <num> leads extending to the expected location of the right atrium and right ventricle. The heart remains mildly enlarged. There is no pleural effusion with interval resolution of previously noted right pleural effusion. No pneumothorax. No focal consolidation or pneumothorax. The mediastinal contour is stable. Bony structures are intact. No free air below the right hemidiaphragm.
<unk> year old man with known chf and hypoxia with exertion.
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Following removal of a right-sided chest tube, there is no visible pneumothorax. Moderate right pleural effusion is similar to the prior study, but adjacent atelectasis in right middle and lower lobes has slightly worsened. On the left, patchy and linear atelectasis at the base has slightly improved. Oral contrast is seen within the patient's neoesophagus and also within the tracheobronchial tree consistent with aspiration, more fully documented on separately dictated barium swallow study of the same date. In addition several punctate foci of barium are present lateral to the neoesophagus overlying the right upper quadrant of the abdomen. It is uncertain whether these foci are intraluminal or extraluminal.
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Streaky opacities in the lingula correspond to scarring seen on the prior examinations. Otherwise, the lungs appear clear. There are no pleural effusions or pneumothorax. A port-a-cath terminates in the same position along the upper superior vena cava. Mild degenerative changes are similar along the thoracic spine.
dry cough. history of metastatic breast cancer.
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The lungs remain relatively hyperinflated. The cardiac and mediastinal silhouettes are stable. Subtle opacity projecting over the anterior right first rib likely relates to the rib; this can be confirmed with apical lordotic views. Scarring with possible calcified granuloma again noted at the lateral left upper lung. No pleural effusion or pneumothorax is seen.
history: <unk>f with chest pain // eval for ptx
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Mild hyperexpansion of the lungs could represent chronic pulmonary disease. Within the right upper lobe there is a <num> mm nodular opacity projecting at the level of the third rib anteriorly. The remainder of the lungs are clear. The cardiomediastinal silhouette is unchanged. No pleural effusions.
<unk> year old woman with weight loss, active smoking history // evaluate for abnormalities
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Frontal and lateral views of the chest were obtained. As better assessed on preceding outside hospital ct performed earlier today, there is a small-to-moderate right pneumothorax. The mediastinum is minimally shifted to the left, and there may be a small amount of tension. Large area of consolidation in the left lung and elevation of the left hemidiaphragm are similar to prior. Cardiac and mediastinal silhouettes are also similar.
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There is predominately linear opacity in the right mid and left lower lung which may represent atelectasis versus scarring. In the absence of prior studies, the possibility of a subtle pneumonia is difficult to exclude. No large effusion or pneumothorax is seen. No convincing signs of edema all for pulmonary vascular congestion. Cardiomediastinal silhouette appears within normal limits. The imaged bony structures are intact.
<unk>f with acute agitation
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Indwelling support and monitoring devices are in standard position except for a right picc, terminating in the right subclavian vein just beyond the right axillary vein. This is unchanged. Cardiomediastinal contours are stable in appearance. Multifocal areas of poorly defined consolidation are again demonstrated, with slight worsening in the left lower lung. Numerous cavitary and cystic lesions are present bilaterally in keeping with history of septic emboli. Bilateral pleural effusions appear unchanged, small on the right and moderate on the left.
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Compared with the prior film, and allowing for technical differences, no definite change is detected. Again seen are multiple nodular opacities, likely reflecting known metastatic disease. Ovoid opacity in the right mid zone is similar to the prior film also again seen is a small left effusion with underlying with increased retrocardiac density, consistent with left lower lobe collapse and/or consolidation. Probable atelectasis at the right base, unchanged. No gross right effusion. The cardiomediastinal silhouette is unchanged. There is upper zone redistribution, without overt chf, similar to the prior film. No pneumothorax is detected. Clips and a single loop of air-filled bowel noted in the upper abdomen.
<unk>m w/ rcc met to lung w/ pleural effusions s/p <unk> w/ ams concerning for cap // evaluate for any evolution of consolidation seen on prior cxr
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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.
<unk> year old woman with hx mitochondrial myopathy, presenting with chest pain of unclear etiology. ischemic w/u negative // evaluate widened mediastinum, heart size
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Frontal and lateral views of the chest demonstrate low lung volumes, which accentuate bronchovascular markings. Hilar and mediastinal silhouettes are unchanged. Heart size is top normal. There is no focal consolidation or pneumothorax. There is minimal blunting of the right costophrenic angle, suggestive of possible trace pleural effusion.
cough and chest pain, assess for pneumonia.
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Pa and lateral views of the chest are compared to previous exam from <unk>. The lungs are essentially clear noting minimal left basilar atelectasis versus scarring. Costophrenic angles are sharp. The cardiomediastinal silhouette is normal. Osseous and soft tissue structures are unremarkable. Surgical clips seen in the right upper quadrant suggesting prior cholecystectomy.
<unk>-year-old female with history of breast cancer over <unk> years ago with pain at the costal margin. question pneumonia.
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Frontal and lateral chest radiograph demonstrates symmetrically well expanded and clear lungs.no pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable. Limited assessment of the upper abdomen is within normal limits.
respiratory distress with stridor. assess for foreign body.
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There are low lung volumes, though the lungs are clear without pleural effusion, pneumothorax. The pulmonary vasculature is mildly engorged. An ng tube is in place with its tip within the stomach. An et tube is in place with its tip located <num> cm from the level of the carina.
<unk>-year-old male with intracranial hemorrhage.
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The left hemidiaphragm is again elevated with stomach/colon beanth. Mild left base atelectasis is seen. No new focal consolidation is seen. There is no pleural effusion or pneumothorax. Cardiac and mediastinal silhouettes are stable. Again partially imaged is a left humeral prosthesis. Multiple old right-sided rib deformities are re- demonstrated with underlying right pleural thickening.
history: <unk>f with cough, dyspnea, and chest pain // ?pneumonia
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Ap single view of the lower chest has been obtained with patient in semi-upright position. The image is under penetrated and it is impossible to identify the tip of the ng tube. Observed through the lower cardiac shadow are the previously described dual intracavitary pacer electrodes, apparently in unchanged position. Overlying ekg electrodes are external. Similar as before, markedly distended large and small bowels are noted, indicating abnormal ileus. P.s. On a followup abdominal view obtained <num> minutes later, one can identify the ng tube in high infradiaphragmatic position, indicating that it is located in the stomach which, however, is markedly compressed by the distended bowel loops. See separate report issued on abdominal examination.
<unk>-year-old male patient with ng tube that had to be replaced, so he can get gastroview. check position.
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As compared to the previous radiograph, the lung volumes remain low. The pre-existing right small pleural effusion has decreased in extent. Also decreased are the signs indicative of pulmonary edema. Bilateral areas of basal atelectasis persist and the cardiac silhouette continues to be enlarged. The possibility of pericardial effusion could be considered. Unchanged course and position of the left picc line. Unchanged alignment of the sternal wires.
tachypnea, shortness of breath, recent volume overload.
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Vague opacities again project over the mid lungs bilaterally which had been present on prior and are suggestive of overlying calcified pleural plaques. Elsewhere, the lungs are clear. Moderate cardiac enlargement as well as left chest wall dual lead pacing device and median sternotomy wires and mediastinal clips are again noted. No acute osseous abnormalities.
<unk>m with substernal chest pain, rad to jaw, similar to prior mi // eval for cardiomegaly
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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 chest examination dated <unk>. The heart size is normal. No configurational abnormality is identified. Thoracic aorta and mediastinal structures are unremarkable. A right-sided lobus venae azygos is identified and unchanged in appearance. The pulmonary vasculature is normal. No signs of acute or chronic parenchymal infiltrates are present and the lateral and posterior pleural sinuses are free. No pneumothorax in apical area. Skeletal structures of the thorax grossly within normal limits. When comparison is made with the previous examination, no significant interval change is identified.
<unk>-year-old male patient with productive cough and localizing findings in right lower lobe. any intrathoracic pathology?
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Heart size is normal. Mediastinal and hilar contours are unremarkable. The lungs are clear and the pulmonary vascularity is normal. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
palpitations.
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Cardiomediastinal silhouette and hilar contours are unremarkable. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax.
chest pain and shortness of breath.
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As compared to the previous radiograph, a small-bore catheter is now visible on the left and projects over the region of the left costophrenic sinus. The sinus is blunted by a small amount of pleural effusion. However, the effusion is not substantial. Areas of basal atelectasis. Clips projecting over the left thoracic inlet. No pneumothorax. No other relevant changes.
esophageal cancer, status post thoracocentesis, evaluation for pleural effusion.
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Ng tube tip terminates in the proximal stomach though side port is at the relative level of the ge junction and the tube should be advanced by at least <num> cm. Otherwise no change compared to exam from <unk> hr prior.
ng tube placement.
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No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. Mild lingular atelectasis is noted. The heart is moderately enlarged, unchanged from prior examination. Mediastinal contours are normal. Redemonstrated are multiple vertebral compression deformities of the thoracic spine, similar as compared to the prior examination. No acute bony abnormality is detected.
cough.
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In comparison with study of <unk>, there again are low lung volumes which accentuate the transverse diameter of the heart. However, no evidence of pulmonary vascular congestion, pleural effusion, or acute focal pneumonia.
transplants, now with dyspnea.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with syncope vs seizure, now with l facial numbness // eval for acute process
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The heart size is normal. The mediastinal contours are unremarkable. The hila are within normal limits, and there is no pulmonary vascular congestion. Patchy opacities are demonstrated within the right perihilar region as well as within the left lung base. No pleural effusion or pneumothorax is seen.
cough and fever.
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There is left lung base atelectasis, similar to prior. No pleural effusion, or pneumothorax is identified. Cardiomediastinal silhouette is normal size and unchanged. Tracheostomy and right picc are on unchanged in position. Pneumoperitoneum is resolved.
<unk> year old woman with s/p trach w/hcap // compare to prior
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The hemidiaphragms are mildly elevated and the lung volumes are low, resulting and artificial magnification of the heart and mediastinum, as well as left lung base subsegmental atelectasis. There is no pneumothorax or pleural effusion. Regional bones and soft tissues are unremarkable.
<unk>-year-old female status post panniculectomy; evaluate for cause of new tachycardia.
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A dual lead pacemaker is in-situ, unchanged in appearance compared to the prior study. A right-sided picc terminates in the mid to distal svc. The patient is somewhat rotated on today's study which limits assessment of the cardiomediastinal contour however this appears grossly unchanged compared to the prior study. No consolidation seen. No pneumothorax or pleural effusion.
<unk> year old woman with fever // fever workup
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Mild pulmonary edema is noted without pleural effusion. No focal consolidation is seen to suggest pneumonia. No pneumothorax. Heart size remains mildly enlarged. Thoracic aortic calcification is present. Bony structures appear demineralized though intact with a chronic deformity of the left humeral neck.
<unk>f with mechanical fall and signs of volume overload.
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Frontal radiograph of the chest demonstrate upper limits of normal heart size. Ett ends <num> cm above the carina. Enteric tube passes below the diaphragm and out of the field of view. Clear lungs, no pleural effusion or pneumothorax.
intubated, evaluate et tube placement.
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Pa and lateral views of the chest provided. Implanted device projects over the anterior chest wall. Vascular stents in the right axilla noted. Extensive calcification in the mediastinum likely corresponds with lymph nodes. There are small bilateral pleural effusions with mild pulmonary edema. The heart is top-normal in size. The mediastinal contour is unremarkable. There is no pneumothorax. The bony structures are intact.
<unk>m with pmh pleural effusion p/w sob // eval effusion
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The lungs are clear without focal consolidation, effusion, or pneumothorax. Mediastinal and hilar contours are normal. Heart size is normal.
<unk> f recently dc'd w witnessed seizure at rehab facility, vomiting, +loc // assess for infectious process
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In comparison with the study of <unk>, the ng tube is no longer seen. Continued low lung volumes may account for some of the prominence of the transverse diameter of the heart. No definite vascular congestion or acute focal pneumonia. Prominent skin folds are seen bilaterally. Mild atelectatic changes are seen in the retrocardiac area and the left subclavian catheter again extends to the junction with the svc.
ng tube pulled.
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Cardiomediastinal silhouette is within normal limits. There is no pleural effusion or pneumothorax. There is no chf or focal lung consolidation. There is no evidence of free air beneath the diaphragm. No pneumomediastinum is identified.
<unk> woman with recent endoscopy now with gerd symptoms, evaluate for free air.
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The lungs are poorly expanded, accounting for some vascular crowding. A triangular opacity in the right costophrenic angle is likely a combination of vascular crwoding and transient atelectasis as a subsequent ct did not show abnormality in this region. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
<unk>-year-old female with substernal epigastric pain. evaluate for evidence of pneumonia or any other cardiopulmonary process.
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A chest tube is seen inserted in the posterior right lung, which takes an approximately horizontal course, and then is seen taking a <unk> degree turn downwards, and terminating at the level of the right hemidiaphragm.
<unk> year old man with polytrauma; r ptx // portable lateral only; assess chest tube location
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Pa and lateral views of the chest demonstrate unchanged degree of cardiomegaly and stable appearance of large and tortuous intrathoracic aorta with large endovascular stent graft. The lungs are hyperinflated and there is relative flattening of the hemidiaphragms, not significantly changed since prior study. There is no pneumothorax. The costophrenic angles are not well seen on the lateral images, possibly reflecting trace bilateral pleural effusions or atelectasis.
<unk>-year-old female with shortness of breath. evaluation for pneumonia.
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Ap single view of the chest has been obtained with patient in semi-upright position. Comparison is made with the next preceding similar study obtained <num> hour and <num> minutes earlier. The patient is intubated, the ett terminating in the trachea some <num> cm above the level of the carina. As before, a tiny right apical pleural separation indicates a residual pneumothorax which does not show tension or increase. Metallic grid structures of cor valve prosthesis is noted in place, unchanged in position. Heart size has not increased and the pulmonary vasculature is not congested. Previously identified right subclavian approach central venous line and right-sided chest tube with pigtail end configuration and mediastinal drainage line advanced from below as before.
<unk>-year-old female patient status post intubation, check ett position.