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Ap upright and lateral chest radiographs demonstrates no focal opacity convincing for pneumonia. Chronic appearing scarring at the right lung base and mid lung are unchanged. Cardiomediastinal and hilar contours are within normal limits. A left chest wall port is identified its tip terminating in the low svc in unchanged position. There is no pleural effusion or pneumothorax. Visualized osseous structures demonstrates no acute abnormality. Note is made of several clips in the right axilla. No free air is identified injured the right hemidiaphragm. .
<unk>-year-old female with metastatic breast cancer and nausea. found to have crackles on right lower lung.
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In comparison with the study of <unk>, the patient has taken a slightly better inspiration. Continued opacification is seen at the bases, consistent with atelectasis and effusion. Scattered streaks of atelectasis are seen in the more superior portions of the lungs. There is a small area of increased opacification just above the minor fissure on the right, which could reflect a developing focus of consolidation. Left picc line remains in place.
postoperative mvr.
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There is a mild left retrocardiac atelectasis. No focal consolidation, pleural effusion or pneumothorax is seen. No overt pulmonary edema is seen. The heart size is normal. The mediastinal and hilar contours are within normal limits. No acute osseous abnormality is seen.
<unk>-year-old female with hypotension and hyponatremia. evaluate for pneumonia.
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Pa and lateral views of the chest are provided. A dialysis catheter projects over the chest with left ij access and tip residing in the low svc. The heart is normal in size. Mediastinal contour is stable with atherosclerotic calcifications in the aortic knob. The lungs are clear bilaterally. No pleural effusion or pneumothorax. No free air below the right hemidiaphragm.
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Interval removal of the right pigtail catheter. Otherwise, no overall change since the previous exam. The loculated right pleural effusion, which demonstrates some tracking in the minor fissure is grossly stable. Mild right lateral pleural thickening. Small left pleural effusion. No pneumothorax or pulmonary edema. Stable cardiomegaly and cardiomediastinal contours. No changes in the position of the <num> lead cardiac device.
<unk>-year-old woman with recurrent r pleural effusion s/p talc pleurodesis <unk>; assess for interval change in r pleural effusion.
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Right-sided dual-chamber pacer terminates in the right atrium and ventricle. There are small bilateral pleural effusions, greater on the left. The lungs are clear, though there is evidence of volume loss on the left. The heart size is normal. Prominent atherosclerotic calcifications are noted throughout the thoracic aorta.
mechanical fall and fever. evaluation for pneumonia.
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Ap upright and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>m with acute urinary retention since fall onto back yesterday. t/l spine tenderness
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Ap upright and lateral views of the chest provided. No radiopaque foreign bodies seen within the imaged field. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. Pectus excavatum deformity of the sternum is noted. No free air below the right hemidiaphragm is seen.
<unk>m s/p seizure with chipped upper tooth
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Pa and lateral views of the chest. The lungs are clear of confluent consolidation or effusion. There is a well defined density in the at the posterior aspect of the mediastinum on the right. This was present on prior however appears slightly larger on the current exam. This is not clearly identified on the lateral and there is no visualized air-fluid level to confirm hiatal hernia. No acute osseous abnormalities detected. Cardiomediastinal silhouette is otherwise unremarkable.
<unk>-year-old male with chest pain.
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In comparison with the earlier study of this date, following bronchoscopy, there is little overall change. Specifically, no evidence of pneumothorax.
bronchoscopy, to assess for change.
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The cardiomediastinal silhouette and pulmonary vasculature are unremarkable. The lungs are clear. There is no pneumothorax or pleural effusion.
<unk>m hx cholecystectomy, pe with ruq pain and sob
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Pa and lateral views of the chest were provided. The lungs are clear bilaterally. There is no evidence of pneumonia, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. The imaged osseous structures appear intact. No free air below the right hemidiaphragm is seen.
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The lungs are clear besides linear atelectasis in the left midlung laterally. Cardiac silhouette is mildly enlarged as on prior. No acute osseous abnormalities.
<unk>f with history of diabetes, asthma, obesity p/w <num> hours of <unk> chest pain // chest pain, ?pe, infection, pulm edema
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Pa and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding similar study of <unk>. The heart size is unchanged and within normal limits. No pulmonary congestion is present. As before, there exist bilateral pleural effusion blunting the lateral and posterior pleural sinuses. The amount of pleural effusions has increased slightly, but is still not of large quantity. The area of the left hilar infiltrate has increased mildly and shows sharp delineation in comparison with the previous study. No other new abnormalities are present. As before, marked kyphotic curvature increase in the thoracic spine is noted with diffusely demineralized vertebral bodies, several of which have an anterior wedge compressed appearance. These findings are, however, unchanged.
<unk>-year-old female patient with oxygen requirement and known pulmonary carcinoma with effusions. evaluate for progression of disease.
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Pa and lateral views of the chest were obtained. The overall appearance of the chest is unchanged with reticular nodular diffuse opacity, better characterized on the prior ct keeping with patient's langerhans cell histiocytosis. General hilar prominence is stable compatible with known lymphadenopathy. No definite acute superimposed process. No pleural effusion or pneumothorax. Heart size is stable. Bony structures intact.
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Cardiac, mediastinal and hilar contours are normal. Lungs are hyperinflated suggestive of copd. Ill-defined patchy opacity within the retrocardiac region is concerning for pneumonia in the correct clinical setting. Previously noted right infrahilar patchy opacity appears improved. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
history: <unk>m with shortness of breath, recurrent pneumonia
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As compared to the previous radiograph, there is no relevant change in appearance of the right lung. On the left, a pre-existing pleural effusion might have slightly increased in extent. There is unchanged massive left paramediastinal and left basal atelectasis. Monitoring and support devices are constant.
multifocal pneumonia, evaluation for interval change.
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As compared to the previous radiograph, the nasogastric tube has been minimally advanced, the tip projects over the most proximal parts of the stomach. The tube, however, needs to be advanced further by approximately <num>-<num> cm. The other monitoring and support devices are constant. Unchanged appearance of the known parenchymal opacities, unchanged size of the cardiac silhouette. No pneumothorax.
hypoxic respiratory failure, orogastric tube placement.
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The lungs are clear without focal opacity, pleural effusion or pneumothorax. The cardiomediastinal silhouette is stable. A calcified density in the right upper quadrant represents a calcified liver cyst which is better characterized on the prior ct abdomen and pelvis.
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<num> views of the chest demonstrate clear lungs. The cardiac, hilar, and mediastinal contours are normal. No pleural abnormality is seen.
<unk> months of cough.
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The nasogastric tube has been retracted with its tip now located in the gastric fundus. There is a persistent increased left retrocardiac opacity. The lung volumes are low. No pneumothorax. Remainder the exam is unchanged.
<unk> year old man with dilated stomach, ? gastric outlet <unk>, ngt dislodged back as egd was pulled. // portable erect ap. pls eval placement of ng tube.
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Lungs are clear despite low lung volumes. The cardiomediastinal silhouette is within normal limits. The cardiomediastinal silhouette is within normal limits. Mid left clavicular fracture is as seen on dedicated clavicle films.
<unk>m with shoulder pain. s/p mvc // acute process
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As compared to the previous radiograph, there is increased diameter of the pulmonary vessels, and mild peribronchial cuffing, suggesting mild pulmonary edema. In addition, a moderate pleural effusion has newly appeared on the left. Minimal atelectasis at the right lung base. Unchanged moderate cardiomegaly. No pneumothorax. Normal position of the right pectoral pacemaker.
altered mental status, rule out pneumonia.
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No focal consolidation is present. The left picc line is in unchanged position in the low svc. No pleural effusion or pneumothorax is present. There is no evidence of pulmonary vascular congestion.
history of acute leukemia with history of fungal pneumonia now with increased left-sided chest pain and decreased breath sounds on the left. evaluate for infiltrate.
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Heart size is normal. Mediastinal and hilar contours are within normal limits. The pulmonary vasculature is normal. Minimal patchy opacities are seen within the left lower lobe, findings which may reflect early infection. Right lung is clear. No pleural effusion or pneumothorax is identified. No acute osseous abnormalities seen.
history: <unk>f with cough
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Cardiac pacemaker. Bilateral pleural effusions, probably worsened. Worsened pulmonary edema. Stable volume loss left mid, lower lung. Decreased atelectasis right lower lung. Postoperative change proximal left humerus.
<unk> year old woman with hypercarbic resp failure // interval change
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In comparison with study of <unk>, there is little overall change. Monitoring and support devices remain in place. No definite pneumothorax or pneumomediastinum. Bilateral pleural effusions with compressive atelectasis persist. Right chest tube remains in place and there is no definite pneumothorax.
esophagogastrectomy and anastomotic leak repair.
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Ng tube tip overlies the gastric antrum. Shunt catheter appear in unchanged position. Lung volumes remain low and severe bibasilar atelectasis are unchanged. Pulmonary vascular congestion is noted. There is probable small left pleural effusion. Cardiomediastinal silhouette is unchanged.
<unk> year old woman s/p ventral hernia repair s/p ngt placement // please assess ngt location
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Lung volumes are low-normal. There is no focal consolidation, effusion, or pneumothorax. There is no central vascular congestion or overt pulmonary edema. Mediastinal and hilar contours are normal. Mild cardiomegaly is unchanged.
history: <unk>f with worsening of her baseline tremors // ? infectious process
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No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with new onset doe // eval for pna, pleural effusion, pneumothorax
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Pa and lateral views of the chest provided. A moderately sized loculated right pleural effusion appears unchanged. A small left pleural effusion appears larger and may have a subpulmonic component. Mediastinal and hilar lymphadenopathy appears unchanged. Geographic marginated opacities in the right upper lobe, likely represent post radiation changes. Multilevel mid thoracic vertebral body compression fractures appears unchanged. No free air below the right hemidiaphragm is seen.
<unk> year old woman with pleural effusion // eval
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The cardiac, mediastinal and hilar contours are normal. The lungs are clear. No pleural effusion or pneumothorax is present. No acute osseous abnormality is visualized.
chest pain.
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No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. Heart and mediastinal contours are within normal limits. Left anterior descending artery calcifications are seen.
<unk>-year-old male with chest pain.
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Frontal and lateral views of the chest. New when compared to prior are small bilateral pleural effusions. Bibasilar opacities are also identified. Specifically, there is opacity projecting over the right heart border. The cardiomediastinal silhouette is unchanged. Old right lateral rib fractures are identified. No acute osseous abnormality is detected.
<unk>-year-old female with weakness.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal. Mediastinal contours are not widened. No pulmonary edema is seen.
history: <unk>f with c/o cp and palpitations // ? pna
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The et tube is <num> cm above the carina. The lung volumes are low. There is increased alveolar opacity in the left mid lung, but it is unclear if this is due to low lung volumes or an early infiltrate. There is mild pulmonary vascular congestion, similar to prior. Ng tube tip is in the stomach.
stroke, intubated, check line.
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There is no change in the size or appearance of the large right upper lobe mass. There are no focal consolidations. The pulmonary vasculature is normal. The heart is not enlarged. There is no pleural effusion. There is no pneumothorax.
<unk> year old man with mass // r/o pneumothorax s/p bronchoschopy
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New endotracheal tube ends <num> cm from the carina. The left-sided picc line now ends within the right subclavian vein. A left-sided midline drain is in place. Persistent opacification of the left hemithorax is essentially unchanged, with scattered air bronchograms in the left upper lobe. Cross-sectional imaging could further delineate the relative contributions of consolidation, collapse, and pleural effusion, though collapse is likely the dominant process causing the leftward mediastinal shift. Right-sided mild pulmonary vascular congestion has increased slightly. Enteric tube passes below the diaphragm and outside of the field of view within a decompressed stomach.
<unk> year old man with hypercarbic respiratory distress, now s/p intubation // ett placement
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Again seen is a left chest port-a-cath with distal tip projecting over the mid/low svc. Lung volumes are slightly low. Allowing for changes due to this, the cardiomediastinal silhouettes are stable and within normal limits. The bilateral hila are unremarkable. The lungs are clear without focal consolidation. There is no evidence of pulmonary vascular congestion. There is no pneumothorax or pleural effusion.
<unk>f with bradycardia and shortness of breath, evaluate for chf or pneumonia.
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An endotracheal tube terminates <num> cm above the carina. Right central venous catheter line terminates in the right brachiocephalic vein. A left central venous catheter line terminates in the upper svc. An enteric tube projects over the expected location of the stomach, however the tip is not included in this examination. Left pleural drain terminates in the mid-upper lung, slightly changed in position from prior examination. As compared to prior chest radiograph from <unk>, there has been interval worsening of uniform opacification of the right lower lung with associated air bronchograms. This is consistent with increasing pleural effusion secondary to atelectasis. Left peribronchial heterogeneous opacification remains, which may represent either an infectious process or aspiration. There is no pneumothorax. Cardiomediastinal contours are stable in appearance.
<unk>-year-old male patient intubated, sedated. study requested for evaluation of interval change.
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As compared to the previous radiograph, the nasogastric tube is unchanged. The right central venous access line has been removed. There is unchanged evidence of low lung volumes with areas of atelectasis and minimal fluid overload. Borderline size of the cardiac silhouette. No pleural effusion. No pneumothorax.
cirrhosis, rule out pneumonia, evaluation for fluid overload.
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Frontal and lateral views of the chest. The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities detected. Surgical clips seen in the region of the gastroesophageal junction.
<unk>-year-old male with chemotherapy and fever and cough.
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There is no consolidation, pleural effusion, or pneumothorax. Cardiomediastinal and hilar silhouettes are normal size. Tortuous ascending aorta contour is unchanged.
history: <unk>f with fall, woke up on floor // r/o c spine fracture, chest trauma, intracranial hemorrhage
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Cardiomediastinal contours are normal. New patchy and linear opacities have developed in both lung bases, and may be due to atelectasis, aspiration or developing pneumonia. Small left pleural effusion is present, increased from prior study, and there is no evidence of pneumothorax.
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The lungs are again hyperinflated, but clear. The cardiomediastinal silhouette is unremarkable. There is no pleural effusion, pulmonary edema, pneumothorax, or focal consolidation concerning for pneumonia.
history: <unk>m with cough // cough
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The heart is normal in size. The mediastinal and hilar contours appear unchanged. There is no evidence for pleural effusion or pneumothorax. The band-like opacity in the lingula suggesting minor atelectasis is unchanged.
shortness of breath.
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Frontal and lateral radiographs of the chest were acquired. The lungs are clear. The heart size is normal. Tortuosity of the descending thoracic aorta is not significantly changed. There are no pleural effusions. No pneumothorax is seen. Lumbar fusion hardware is incompletely assessed. There is re-demonstration of a lap band projecting over the epigastric region, not significantly changed in position. Right upper quadrant surgical clips are noted.
cough and neutropenia. evaluate for pneumonia.
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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.
history: <unk>f with chest pain // ?pna
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There are relatively low lung volumes and likely bibasilar atelectasis. No definite focal consolidation is seen. There is no large pleural effusion or evidence of pneumothorax. The cardiac silhouette is top-normal. The aorta is slightly tortuous. There is gaseous distention of the partially imaged bowel, presumed related to recent colonoscopy.
abdominal pain status post colonoscopy, question free air.
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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. There is mild loss of height of a vertebral body at the thoracolumbar junction, grossly stable.
chest pain x.
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Et tube, dobbhoff tube, right jugular catheter, left subclavian picc are all unchanged and in standard position. Mild pulmonary edema is redemonstrated, stable since prior chest x-ray. Persist bilateral moderate to large pleural effusion and bibasilar atelectasis. Cardio mediastinal silhouette is unchanged. There is no pneumothorax.
improvement of pulmonary edema?
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Pa and lateral views of the chest provided. A port-a-cath resides over the right chest wall with catheter tip extending to the level of the high svc. Lungs are clear without signs of pneumonia or chf. The cardiomediastinal silhouette is normal. No effusion or pneumothorax. Bony structures are intact. No free air below the right hemidiaphragm.
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In comparison with the earlier study of this date, the picc line and nasogastric tube are essentially unchanged. Continued pulmonary vascular congestion.
shortness of breath.
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New right pleurx catheter is noted in place. There is no evidence of a pneumothorax. Previously noted small pleural effusion has decreased in size. Known right lower lobe mass is again noted along with known bilateral pulmonary nodules. The cardiac and medastinal contours appear stable. No acute fractures are noted.
known right lung mass with pleurx catheter placement.
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In comparison with the study of <unk>, there is continued enlargement of the cardiac silhouette. The opacification at the left base noted previously is either stable or possibly slightly increasing. Although this could merely reflect volume loss in the left lower lobe and associated effusion, in the appropriate clinical setting supervening pneumonia would have to be seriously considered.
coronary artery disease and renal failure.
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Pa and lateral views of the chest. Lung volumes are low and there is elevation of right hemidiaphragm with overlying atelectasis, right base consolidation due to pneumonia is not excluded. A nodular opacity in the left lower lung likely represents one or more of multiple lung nodules seen on abdominal ct with others not as well seen on chest radiograph. There is no pneumothorax. No pleural effusion. Cardiomediastinal and hilar contours are normal. There is pulmonary vascular congestion.
hypoxia and fever, evaluate for infiltrate.
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Pa and lateral views of the chest provided. Fusion device partially imaged in the lower c-spine. The lungs appear clear bilaterally without focal consolidation, effusion, or pneumothorax. The heart and mediastinal contours are stable. Bony structures are intact. There is widening of the left ac joint which appears stable from prior exam dating back to <unk>.
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Pa and lateral views of the chest were obtained. Lung volumes are low on the frontal view, which somewhat limits evaluation, though allowing for this, there is no focal consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is stable. Bony structures are intact. No free air below the right hemidiaphragm is seen.
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>m with coffee ground emesis
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In comparison with study of <unk>, there are lower lung volumes. Atelectatic streaks are seen bilaterally, slightly worse on the left, with blunting of the costophrenic angle that could reflect pleural fluid. No evidence of pulmonary vascular congestion. Long intestinal tube extends at least to the second portion of the duodenum.
pancreatitis with new fever.
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Two frontal images of the chest demonstrate significant interval improvement in the right basilar pneumothorax. The left pleural effusion has increased in size since prior imaging. There is no change in the right basilar opacities. Cardiomegaly is mild and stable. A stent is seen which is likely in the svc. There is a large femoral central line with the tip in the right atrium. A pigtail catheter is again seen in the right lung base.
<unk>-year-old female with right pleural effusion and pneumothorax requiring interval assessment of change in the pneumothorax.
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The heart size is normal. The hilar and mediastinal contours are unremarkable. Previously described left lower lung <num>-mm lung nodule is not well visualized on the prior exam. No focal consolidations concerning for infection, right pleural effusion, or pneumothoraces are identified. Minimal blunting of the left costophrenic angle may suggest a trace pleural effusion. There is mild stable biapical scarring, overall unchanged compared to the prior exam. There is also a cylindrical radiodense structure projecting over the right upper abdomen, likely external to the patient.
history of chest pain and new-onset afib. please evaluate for cardiomegaly.
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with abdominal tenderness // xcr eval for pnaruq ultrasound eval for acute cholcytisti
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As compared to the previous radiograph, there is an increase in extent of the bilateral pre-existing pleural effusions. As a consequence, the areas of basal atelectasis has also increased. Unchanged moderate cardiomegaly with moderate pulmonary edema. No pneumothorax. The left hemodialysis catheter is in constant position.
pulmonary edema, mucus plugging.
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The cardiomediastinal silhouettes are stable, demonstrating a tortuous thoracic aorta. The cardiac silhouette is within normal limits. The bilateral hila are unremarkable. Left brachiocephalic stent is again noted. There are low lung volumes. There is no focal consolidation. There is no evidence pulmonary vascular congestion. There is no pneumothorax or pleural effusion.
<unk>f with shortness of breath, evaluate for acute process.
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Pa and lateral views of the chest provided demonstrate no focal consolidation, effusion, or pneumothorax. The heart and mediastinal contours are normal. Bony structures are intact. No free air below the right hemidiaphragm.
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Interval placement of a nasogastric tube, terminating within the stomach, which appears markedly distended, although less severely distended than on the prior abdominal radiograph of earlier the same date. Please see separately dictated ct abdomen and pelvis regarding findings concerning for obstruction. Within the chest, cardiomediastinal contours are stable, and there has been worsening of bibasilar atelectasis and persistent small left pleural effusion. Small right pleural effusion is seen to better detail on recent ct abdomen.
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Pa and lateral chest radiographs are obtained with the patient in the upright position. The heart is normal in size and cardiomediastinal contours are unremarkable. Lungs are clear. No focal consolidation, pleural effusions, or pneumothorax.
<unk>-year-old woman with severe persistent asthma.
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The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear. There is again mild relative elevation of the right hemidiaphragm.
recent upper respiratory infection with chest pain.
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There is a large right pleural effusion with associated compressive atelectasis at the right lung base; the effusion has substantially increased. A small left pleural effusion is also present. There is minimal left basilar atelectasis. Heart size is top normal. The mediastinal contours are normal. The patient is status post midline sternotomy and cabg. There is no pneumothorax. A catheter overlies the right upper quadrant of the abdomen.
dyspnea, chronic, but now worsening. decreased breath sounds on the right. evaluate for infiltrate or effusion.
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Again seen is an et tube, tip at the level of the mid clavicular heads, <num> cm from the carina. The ng tube tip extends beneath the diaphragm off the film. Also again seen is a right ij line, tip overlying the mid svc. Clips are again noted over the upper mediastinum. Cardiomediastinal silhouette is unchanged. There is vascular plethora, diffuse vascular blurring, and minimal fluid in the minor fissure, consistent with chf. Hazy opacity over both lung bases likely represents layering bilateral layering pleural effusions, with underlying collapse and/or consolidation. Compared with <num> day earlier, the right hemidiaphragm is obscured, likely reflecting an increase in the right pleural effusion and underlying collapse and/or consolidation. Otherwise, doubt significant interval change.
<unk> year old woman with pnemonia // acute process
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As compared to the previous radiograph, the patient has received a nasogastric tube. The course of the tube is unremarkable, the tip of the tube projects over the gastroesophageal junction. The tube should be advanced by approximately <num> to <num> cm. No evidence of complications, notably no pneumothorax.
nasogastric tube placement.
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Comparison is made to prior study from <unk>. There is a more focal area of consolidation within the lung bases, particularly on the left side. This may represent developing pneumonia. There is a left retrocardiac opacity as well. There is an endotracheal tube whose distal tip is <num> cm above the carina. There is a right-sided central line with distal lead tip at the cavoatrial junction. An old healed right humeral head fracture is seen.
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The cardiomediastinal and hilar contours are within normal limits. There is mild calcification of the aortic knob. Linear opacity seen in the left upper lung field, right lung base and lingula likely represents atelectasis or scarring. Otherwise, no focal consolidation, pleural effusion or pneumothorax is identified.
chest pain. rule out acute process.
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Ng tube tip is off the film, at least in the stomach. No significant change in the appearance of the chest.
ng tube placement.
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In comparison with the study of <unk>, the opacification obscuring the right heart border is cleared, consistent with removal of mucus plug and reexpansion of the right middle lobe. At this time, there is no evidence of pneumonia or vascular congestion. The monitoring and support devices remain in place.
collapse.
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Ap upright and lateral chest radiographs demonstrate a large hiatal hernia and a probable small left pleural effusion. The thoracic spine demonstrates s-shaped scoliosis. The lungs are clear and there is no pneumothorax. The cardiac, hilar, and mediastinal contours are within normal limits.
fatigue and left-sided flank pain.
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The cardiac size is at the upper limits of normal. Otherwise, the cardiomediastinal silhouette is normal. The lungs are clear without consolidation or pulmonary edema. There is no pleural effusion or pneumothorax.
history of renal transplant, on immune supression with three weeks of cough.
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Chest, pa and lateral. The lungs are clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal. The pulmonary edema as seen on the prior radiograph has resolved.
<unk>-year-old man with chest pain and history of right third rib fracture. evaluate for acute process.
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Pa and lateral views of the chest were provided. Midline sternotomy wires and prosthetic valve are unchanged. Cardiomegaly is again noted with mild pulmonary interstitial edema. No large effusion or pneumothorax is seen. Mediastinal contour is stable. Bony structures are intact.
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Pa and lateral chest radiographs were obtained. The lungs are fully expanded and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax.
left-sided chest pain, evaluate for widened mediastinum or pneumothorax.
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As compared to the previous radiograph, there is no relevant change. The monitoring and support devices, including the very highly positioned endotracheal tube, are constant. Consideration of advancing the tube by <num>-<num> cm should be made. Overall, low lung volumes. Moderate cardiomegaly with mild fluid overload and retrocardiac atelectasis. No larger pleural effusions.
pulmonary edema, evaluation for interval change.
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The patient is status post median sternotomy and cabg. Moderate enlargement of cardiac silhouette is re- demonstrated. The mediastinal contours are also unchanged with tortuosity of the thoracic aorta again noted which is also diffusely calcified. The hilar contours are stable, and there is no pulmonary edema. Lungs are clear. No focal consolidation, pleural effusion or pneumothorax is demonstrated. Partially imaged is an abdominal aortic stent graft. There are no acute osseous abnormalities seen.
weakness.
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Frontal and lateral views of the chest were obtained. No focal consolidation, pleural effusion or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable appearance.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Multiple nodules project over the right mid to lower lung, <num> of which is likely calcified is unchanged from <unk>. The lower nodule projecting over the anterior right sixth rib could potentially represent a nipple shadow. The cardiac and mediastinal silhouettes are unremarkable. Multiple surgical clips are again seen projecting over the right upper quadrant.
<unk>m with hx of afib // eval chest discomfort
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There is a moderate left pleural effusion obscuring the left heart border significantly increased in size compared to the exam post-thoracentesis from <unk>. There is adjacent consolidation likely secondary to compressive atelectasis. The hilar and mediastinal contours are otherwise stable. The lungs are clear without evidence of focal consolidations concerning for pneumonia. There is no evidence of pneumothorax.
history of pleural effusion. please evaluate.
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Left chest wall dual lead pacing device is again seen. The lungs are clear of consolidation. Bilateral prominent extrapleural fat vs pleural thickening is seen bilaterally, unchanged. There is no consolidation, effusion or pulmonary edema. The cardiac silhouette is enlarged, similar compared to prior. Median sternotomy wires are again noted. No acute osseous abnormalities.
<unk>m with cp // evidence of pneumonia or effusion
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Frontal and lateral views of <unk> chest. <unk> lungs are clear where not obscured by overlying cardiac leads. <unk> cardiomediastinal silhouette is within normal limits. No acute osseous abnormality detected. Lucency in <unk> right upper quadrant is compatible with patient's known pneumobilia.
<unk>-year-old male with weakness, presyncope.
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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 and cough. evaluate for evidence of pneumonia.
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In comparison with the earlier study of this date, there is little change in the opacification at the right base consistent with residual pleural fluid. Little change in the small right apical pneumothorax. Remainder of the study is unchanged.
pleurx catheter.
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Right chest tube is in unchanged position. Extensive subcutaneous emphysema is stable. Visualized small right basilar pneumothorax is minimally larger, likely from change in distribution. There is no mediastinal shift. Increased interstitial markings in bilateral lung bases likely reflect emphysema and superimposed edema. There is no large pleural effusion. Cardiomediastinal silhouette is normal size.
<unk> year old man with sub q emphysema s/p blebectomy w/ mechanical/chemical pleurodesis // interval change
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There is moderately severe pulmonary edema predominantly in a perihilar distribution. Superimposed pneumonia would be difficult to exclude, particularly at the lung bases. Blunting of the left costophrenic angle suggests at least a small pleural effusion. No sizable pleural effusion on the right. No pneumothorax. Heart size is enlarged. No acute osseous abnormalities identified.
<unk>-year-old female with shortness of breath
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Pa and lateral views of the chest demonstrate a hiatal hernia with an air-fluid level visualized in the mediastinum, unchanged. There is no focal consolidation, pleural effusion, or pneumothorax. There is a hazy opacity adjacent to the hiatal hernia which may represent adjacent atelectasis. There are mild vascular calcifications of the aortic arch.
hypertension, presenting with syncope. evaluate for acute process.
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The cardiac, mediastinal and hilar contours are normal. The lungs are clear and the pulmonary vascularity is normal. There is no focal consolidation, pleural effusion or pneumothorax identified. No acute osseous abnormalities are seen.
left lower extremity fracture, preoperative evaluation.
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Ap upright and lateral views of the chest provided. Lungs are clear. No large effusion or pneumothorax. A retrocardiac opacity is again noted which likely reflects known hiatal hernia. Cardiomediastinal silhouette is stable. Bony structures appear intact. Chronic left clavicle deformity noted.
<unk>m on coumadin s/p fall down <num> stairs with known acute on chronic sdh.
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As compared to the previous radiograph, the monitoring and support devices are constant. Constant moderate cardiomegaly. Constant extensive bilateral parenchymal opacities, mainly caused by extensive pulmonary edema. There is no evidence of pleural effusion. No new parenchymal opacities. Unchanged monitoring and support devices.
known cirrhosis, worsening encephalopathy, septic shock. evaluation for interval change.
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Lung volumes are within normal limits. The trachea is central, the cardiomediastinal contour is normal. The heart is not enlarged. No consolidation, pneumothorax or pleural effusion seen. No convincing evidence of pulmonary vascular congestion.
<unk> year old woman with chronic resp disease reqiring bipap now acutely worse // please assess for interval change / pulm edema vs infection
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Portable semi-upright radiograph of the chest demonstrates low lung volumes which results in bronchovascular crowding. Moderate right and small left pleural effusions are unchanged. Diffuse pulmonary opacification is stable, consistent with edema, cardiogenic or otherwise. The cardiomediastinal and hilar contours are unchanged. Tracheostomy tube is in standard position. Left-sided picc line ends in the distal svc. No pneumothorax.
<unk> year old man with stemi, ards requiring prolonged intubation, now with tracheostomy // pulm edema/effusion?
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Support and monitoring devices are unchanged in position. Interval decreased width of cardiomediastinal contours likely reflects improving volume status of the patient, and is accompanied by improvement in the extent of pulmonary edema and slight reduction in size of bilateral pleural effusions.
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Ap and lateral views of the chest were provided. Bilateral lung masses are re-demonstrated in a similar pattern as on prior ct compatible with known metastatic disease. It is difficult to assess for subtle progression. No definite signs of superimposed pneumonia. Cardiomediastinal silhouette appears stable. Bony structures appear intact.