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Frontal and lateral chest radiographs demonstrate and elevated right hemidiaphragm and normal cardiomediastinal silhouette. There is no definitive focal consolidation, pleural effusion, or pneumothorax. Atelectasis is noted at the right base. The visualized upper abdomen is unremarkable.
evaluate for infection in a patient with leukocytosis.
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Cardiac silhouette is upper limits of normal in size. Aorta is tortuous and calcified. Widening of superior mediastinum is without change compared to prior chest radiographs, and corresponds to thyroid enlargement and tortuous vessels on prior ct of the neck from <unk>. Lungs are clear, and no pleural effusions are evident on this single projection. Healed rib fractures are incidentally noted.
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Semi upright portable ap chest radiograph demonstrates no air under the right hemidiaphragm. Lung volumes are low. No focal consolidation convincing for pneumonia is identified. Linear densities projecting over the right lower lung field is most compatible with linear atelectasis. There is no pleural effusion or pneumothorax. Visualized osseous structures demonstrate no acute abnormality.
<unk>-year-old male with metastatic colon cancer with exam concerning for pneumoperitoneum.
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Lung volumes are low. This accentuates cardiac silhouette and bronchovascular structures. The heart demonstrates left ventricular configuration and the aorta is tortuous. No focal areas of consolidation are present within the lungs, and there are no pleural effusions or acute skeletal findings.
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Frontal and lateral views of the chest were obtained. The patient is status post median sternotomy. Bilateral nipple shadows are incidentally noted. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
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Pa and lateral views of the chest provided. Subtle basilar opacities are most consistent with atelectasis. No convincing signs of pneumonia or chf. No large 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 chest pain // r/o pneumothorax
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In comparison with the earlier study of this date, the monitoring and support devices are unchanged. Diffuse bilateral parenchymal opacifications are again seen. This most likely reflects pulmonary edema with layering effusions. In the appropriate clinical setting, supervening pneumonia would have to be considered.
thoracotomy, to assess for bleeding.
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The lungs are clear focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
<unk>f with cp // ?pna
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In comparison with the study of <unk>, there is little change and no evidence of acute cardiopulmonary disease. No pneumonia, vascular congestion, or pleural effusion.
decreased respiratory function with hypoxia.
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Compared with the prior radiograph, there is a persistent, but smaller, loculated right apical pneumothorax. Initially, a nodular opacity projecting over the left first rib was not seen on the chest ct of <unk>. Chain sutures denote prior right middle lobectomy. Previous small right pleural effusion has resolved. No new focal consolidation. Cardiomediastinal silhouette is normal. Mediastinal surgical clips are unchanged.
<unk> year old woman with nsclc s/p rmlobectomy and mediastinal ln dissection, check interval change. check for interval change.
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As compared to the previous radiograph, the monitoring and support devices, including the endotracheal tube, which was slightly too high positioned, are unchanged. There is increasing evidence of mild-to-moderate bilateral pleural effusions with subsequent retrocardiac atelectasis. The signs of moderate-to-severe pulmonary edema are unchanged. In the interval, stabilization devices in the thoracic spine have been implanted.
intubation, assessment for interval change.
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Frontal and lateral views of the chest. The lungs are clear without focal opacity, pulmonary edema, pleural effusion, or pneumothorax. The aorta is tortuous and ectatic. The heart size is normal.
back pain waking her from sleep.
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Pa and lateral views of the chest demonstrate the lungs are relatively well-expanded with a small amount of subsegmental bibasilar atelectasis. There is no pleural effusion, pulmonary edema, pneumothorax or focal opacification. The cardiomediastinal silhouette is unremarkable.
dyspnea and cough. evaluation for acute process.
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Portable supine chest radiograph was obtained. Prominence of the right heart and mediastinum may reflect an enlarged aorta. Increased interstitial opacity in the lungs may reflect chronic pulmonary disease without focal consolidation, pleural effusion, or pneumothorax. Mild vascular congestion is seen, without overt edema. Mid right clavicular fracture is seen without evidence of additional bony injury, though if specific symptoms, dedicated rib views may be of help. Cardiac silhouette is top normal with a rounded retrocardiac opacity reflecting a moderate hiatal hernia.
<unk>-year-old woman with syncope, assess for pneumonia.
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Right picc line terminates in the low svc. There is no pneumothorax. Small bilateral pleural effusions with bibasilar subsegmental atelectasis have increased. New infection or aspiration at the left base cannot be excluded. Moderate cardiomegaly despite the projection is unchanged. An old healed fracture of the proximal left humeral head is unchanged.
<unk> year old woman with obtundation, concern for worsening pna // acute process
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As compared to the previous radiograph, there is no relevant change. Status post cabg. Borderline size of the cardiac silhouette with slightly enlarged right ventricle. No pneumonia, no pulmonary edema. No pleural effusions. No pneumothorax.
rule out pneumonia.
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There is no radiologic sign of ards. Et tube ends <num> cm above carina. Left lower lobe collapse is unchanged. Right jugular line ends in upper svc and left jugular line ends in proximal innominate vein. Moderate cardiomegaly is stable. There is no pneumothorax.
patient with ards, interval change.
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Pa and lateral views of the chest provided. Multiple surgical clips are noted in the neck. 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 weakness, sarcoid // acute process
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The heart size is top normal. Mediastinal and hilar contours are unchanged, with aortic knob calcifications again demonstrated. The patient is status post right upper lobectomy with fluid noted in the right upper hemithorax, similar to that seen on the prior ct. There is no focal consolidation, new pleural effusion or pneumothorax otherwise demonstrated. Pulmonary vascularity is not engorged. Minimal patchy bibasilar opacities likely reflect atelectasis.
chest pain.
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Compared to prior, the lung volumes have decreased, accentuating the heart size and interstitial markings. Mild perihilar opacities and more conspicuous upper pulmonary vasculature may indicate mild pulmonary edema. Bibasilar atelectasis is likely, right worse than left. Small right pleural effusion is also likely. The heart is enlarged.
<unk> year old woman with esrd now with hypoxia. evidence of effusion/flash edema.
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The lung volumes are low. Bilateral mid and lower lung zone opacities are consistent with multifocal pneumonia. There is mild vascular congestion and a small right pleural effusion as well as small amount of fluid in the major fissure. The cardiomediastinal silhouette and hila are normal. There is no pneumothorax.
<unk>-year-old man with cough and fever. please rule out pneumonia.
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The lungs are symmetrically well expanded and well aerated without focal consolidation, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged and there is no overt pulmonary edema. The cardiomediastinal and hilar contours are within normal limits. There is a prominent aortic contour on the lateral view. Hypertrophic changes at the thoracic spine are noted. No acute osseous abnormality is detected.
fever and diarrhea, here to evaluate for pneumonia.
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The lungs remain hyperinflated with flattening of the diaphragms, suggesting chronic obstructive pulmonary disease. There is minimal bibasilar atelectasis. No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable and unremarkable. No displaced fracture is seen.
right-sided upper chest pain.
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Single portable semi-upright view of the chest demonstrates the patient in a very oblique position, making it difficult to evaluate the heart and lungs. Allowing for this limitation, there is cardiomediastinal widening. The left lung is clear. A chest tube projects over the right hemithorax. There is a moderate-sized pneumothorax at the right apex, which is expected postoperatively.
<unk>-year-old female status post right lower lobectomy.
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Pa and lateral chest radiographs. The lungs are hyperinflated. There is no focal consolidation, effusion, or pneumothorax. Cardiomegaly is mild. There are minimal aortic arch calcifications.
chest pain
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Right ij central venous catheter ends in the mid svc. An endotracheal tube and esophageal temperature probe, are unchanged. A nasoenteric tube is in place with the side port at the ge junction, it can be advanced approximately <num> cm, if the desired position of the side port is in the stomach. Bibasilar opacities persist, likely representing a combination of atelectasis and layering pleural fluid. Cardiomediastinal silhouette is unchanged.
<unk> year old woman with resp distress, evaluate for interval change.
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The lungs are well inflated and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax. Visualized upper abdomen is unremarkable. Osseous structures are grossly intact.
cough, tachycardia, evaluate for acute process.
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Endotracheal tube terminates at the thoracic inlet, approximately <num> cm above the level of the chronic, and should be advanced. A nasogastric tube courses inferior to the diaphragm and terminates within the left upper quadrant. Mediastinal clips are noted. The lung themselves are well expanded and grossly clear without focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is unremarkable in appearance.
history: <unk>f with intubated head bleed // eval for tube placemetn
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Semi-upright bedside ap radiograph of the chest demonstrates diffuse bilateral heterogeneous opacities representing moderate-to-severe pulmonary edema, which has worsened from two days ago. Asymmetric prominence of the right upper lung opacity is also noted when compared to the two prior studies from <unk> and <unk>. There continues to be moderate cardiomegaly and pulmonary and mediastinal vascular engorgement. There are probable persistent bilateral pleural effusions, better appreciated on the ct from <unk>. There is no pneumothorax.
acute hypoxemia in a patient with volume overload, healthcare-associated pneumonia, and critical aortic stenosis.
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Compared to the studies from the prior day there has been marked improvement in the alveolar infiltrate. There is still residual alveolar infiltrate in the upper lobes and there still the chronic pulmonary fibrosis that the patient is known to have. Swan-ganz catheter tip is in the left descending pulmonary artery. Left ij line tip is in the cavoatrial junction. Ng tube is in the stomach. The bowel is gas-filled but is no longer as dilated as on the prior exam. There small bilateral effusions right greater than left.
<unk> year old woman with chf exacerbation vs pneumonia // pneumonia vs chf exacerbation
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In comparison with the study of <unk>, there is some increase in the apical component of the pneumothorax on the right. There also appears to be some increase in the basilar pneumothorax as well. Poor definition of somewhat engorged pulmonary vessels suggests some component of elevated pulmonary venous pressure. The large-bore central catheter extends to about the level of the cavoatrial junction.
chest tube clamped, to assess for pneumothorax.
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Cardiomediastinal contours are stable with mild cardiomegaly. The lungs are clear. There is minimal vascular congestion. There is no pneumothorax or pleural effusion. The osseous structures are unremarkable
<unk> year old woman with asthma, chf // evaluate for heart failure, pneumonia, or acute process
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The right-sided chest tube and endotracheal tube has been removed. Residual pacemaker wire, nasogastric tube, and left-sided chest tube remain. A small right apical pneumothorax is seen. However it is decreased since the prior study. There is a left retrocardiac opacity. There is some increased opacity within the right mid lung field. The left-sided central venous catheter tip is unchanged.
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The left-sided chest tube has been removed. There is no pneumothorax. Tracheostomy is midline. Left subclavian central venous catheter and right-sided chest tube are unchanged. Multifocal opacities are stable. No substantial pleural effusion.
<unk> year old man with left chest tube removed // s/p chest tube removal
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As compared to the previous radiograph, the monitoring and support devices are in constant position. The right central venous catheter is in constant position. Also constant is the nasogastric tube. Unchanged mild cardiomegaly with retrocardiac atelectasis. The presence of a minimal left pleural effusion cannot be excluded. Unchanged evidence of mild fluid overload without signs of interval occurrence of new parenchymal opacities.
evaluation of tube position.
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Ap upright and lateral views of the chest were obtained. Midline sternotomy wires and mediastinal clips are again noted. Mild interstitial edema is noted without overt chf. No large pleural effusions are seen, nor is there pneumothorax. No definite signs of pneumonia. Heart and mediastinal contours appear grossly unremarkable. Degenerative hypertrophic change at the ac joint is noted bilaterally.
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Compared to the most recent ct exam, there has been interval development of a moderate to large right-sided pleural effusion with associated right basilar atelectasis. Rounded opacity within the right lung base likely reflects a metastatic lesion. Other known pulmonary nodules within the lungs are not well seen on the current exam. There is no left-sided pleural effusion or pneumothorax. Pulmonary vasculature is normal. Assessment of the cardiac silhouette size is difficult given the presence of the right pleural effusion. Fullness of the right mediastinal contour is compatible with underlying lymphadenopathy, and appears relatively unchanged compared to the prior ct exam. No acute osseous lesion is demonstrated.
metastatic renal cell carcinoma to the lungs with history of right pleural effusion and new dyspnea on exertion.
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The lung volumes are low but stable. Bronchial wall thickening projecting over the apex of the heart is worsened. Stable eventration of the right hemidiaphragm. No focal consolidations. The cardiomediastinal and hilar contours are stable. The pleural surfaces are normal.
<unk> year old woman with breast cancer // persistent cough, compare to <unk> cxr. any changes?
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The tracheostomy tube is still in placethe position of the monitoring devices is unchanged. The mild cardiomegaly is stable there are no consolidation or pleural fluid.
<unk> year old woman with +nmda receptor antibodies and pna
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Comparison is made to previous study from <unk>. The heart size is enlarged but stable. The enteric tube, right ij central line and median sternotomy wires are unchanged in position. There is a persistent left retrocardiac opacity. There has been worsening of pulmonary interstitial edema since the previous study. No pneumothoraces are identified.
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Bilateral small pleural effusions, left more than right are unchanged. Compared to the prior radiograph from <unk>, left lower lung atelectasis has minimally improved. Patient is status post median sternotomy with intact sternal sutures. There are no lung opacities concerning for pneumonia. There is no pneumothorax.
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There is similar moderate cardiomegaly. The aortic arch is calcified. The mediastinal and hilar contours appear unchanged. There are prominent indistinct central pulmonary vessels as well as a widespread mild interstitial process, which is suggestive of mild pulmonary fibrosis and that was seen previously predominantly in the right hemithorax, but with suspected superimposed vascular congestion. Opacities in the right infrahilar and left retrocardiac regions have improved substantially, but with persistent retrocardiac opacification and small suspected left-sided pleural effusion. Left basilar opacification is probably compatible with chronic atelectasis associated with a substantial hiatal hernia, however, which is hard to directly visualize on this study but which was shown on the prior ct. The bones appeared demineralized. There is exaggerated kyphosis along the mid thoracic spine, as seen previously, and bones are not well delineated. Suboptimally imaged on the lateral view only is the upper part of an abdominal aortic stent.
shortness of breath; question pneumonia.
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Cardiomediastinal contours are stable with moderate cardiomegaly and widening of the mediastinum. Peripheral opacity in the right apex and apical pleural cap are persistent, could be loculated fluid with adjacent atelectasis. Bibasilar atelectasis have improved. There is no evident pneumothorax. .
<unk> year old woman with s/p tracheobronchoplasty w/ leukocytosis // perform at <time>am on <unk>. r/o interval change
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lung volumes are low. There is no pleural effusion or pneumothorax. Diffuse bilateral opacification is most confluent in the lower portions of the lung and particularly in the lower part of the right lobe and at the right lung base. Bony structures are unremarkable.
cough. history of rheumatoid arthritis, on humira.
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In comparison with study of <unk>, there is little change and no evidence of acute cardiopulmonary disease. Somewhat better inspiration with continued enlargement of the cardiac silhouette without appreciable vascular congestion or pleural effusion. Pacer device remains in good position. No evidence of acute focal pneumonia.
preoperative for angiogram.
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Pa and lateral chest radiograph demonstrates low lung volumes. There is a non displaced fractures are identified within the posterior <unk> left rib. Linear lucency within the posterior fifth rib is thought to be artifactual. There is no focal consolidation. Heart size is within upper limits of normal. Mediastinal and hilar contours are unremarkable. There is no pneumothorax or pleural effusion.
<unk>-year-old male with left chest pain. dyspnea status post fall.
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The study is made available for my interpretation at today, <unk>. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Jewelry overlies the left lower hemi thorax.
history: <unk>m with right shoulder pain and cough // ? right shoulder injury ?pneumonia
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No previous images. The heart is normal in size and there is no vascular congestion or pleural effusion. Specifically, no evidence of acute pneumonia. Of incidental note is an apparent spinal fusion procedure in the mid cervical region.
pneumonia.
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The cardiomediastinal contour is within normal limits. The 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>m with a <num>-month history of cough, evaluate for pneumonia.
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Heart size is normal and unchanged. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. There are postoperative changes from previous right middle and lower lobe wedge resections. Lungs are clear, except for bibasilar atelectasis. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. There are multiple unchanged right lateral rib fractures, likely secondary to prior lung surgery.
<unk>f with productive cough // ?pneumonia
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Pa and lateral views of the chest were provided. No overt pulmonary edema is seen. There is mild increased prominence of the pulmonary interstitial markings which could reflect mild interstitial edema. No large effusion or pneumothorax. The heart appears top normal in size. Mediastinal contour is normal. Bony structures are intact.
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The cardiomediastinal and hilar contours are stable with mild tortuosity descending aorta. There is no pleural effusion or pneumothorax. Lungs are well-expanded and clear without focal consolidation concerning for pneumonia. Surgical clips project over the left axilla, new since the prior radiograph. The upper abdomen is unremarkable.
<unk>f with dizziness, sob found to be in afib with rvr.
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There has been interval removal of the right-sided central line. No pneumothorax is detected. Prominent central pulmonary vasculature may be exaggerated by slightly low volumes. Heart and mediastinal contours are similar as compared to prior. No focal consolidation or pleural effusion is detected on this single view.
<unk>-year-old male with central line dislodgement.
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Pa and lateral views of the chest were provided demonstrating 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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Pa and lateral views of the chest. The lungs are clear. Cardiomediastinal silhouette is normal. Mid thoracic dextroscoliosis is noted. No acute osseous abnormality detected.
<unk>-year-old female with chest pain and fever for <num> day.
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Frontal and lateral views of the chest. Heterogeneous right juxtahilar opacity and subtle left juxtahilar opacities are new and consistent with infection. No pleural effusion or pneumothorax. The heart size and cardiac contours are normal.
<unk>-year-old female with cough. evaluate for pneumonia.
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The et tube is <num> cm above the carina. Left subclavian line tip is in the svc. Left-sided chest tube. Projects over the mid spine and is still too far medial. Right chest tube has the side port in the subcutaneous tissues of the chest and has likely been pulled back <num> <num>r there is a right upper lobe area of volume loss/alveolar infiltrate. There is a left lower lobe lateral infiltrate as well. It is difficult to assess for pneumothorax on this film but given the lucency in the right lower lung there is likely a small inferior pneumothorax on the right
<unk>f s/p mvc vs wall, gcs <num> at scene, b/l chest tubes in bay, +fast, s/p ex-lap and splenectomy. occipital condyle fx, pelvic fx, multiple spinous process fx, l <unk> rib fx // eval for position of ett
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The left pleural catheter has been removed. There is interval placement of a right pleural catheter projecting over the inferior right hemithorax. Allowing for differences in positioning, large right and moderate left pleural effusions are grossly unchanged. A small right apical pneumothorax is now evident. Cardiomediastinal silhouette and dialysis catheter are stable.
<unk> year old man with r pleural effusion s/p tpc placement. l-sided tpc removal // evaluate for ptx?
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Right lower lobe consolidation is probably similar to the recent study allowing for differences in lung volumes. Small-to-moderate right pleural effusion is also similar. Cardiac silhouette is normal in size. Fullness in the right lower mediastinal and hilar regions is unchanged, and widespread pulmonary nodules are similar to the recent study as well.
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Lung volumes are low. There is no focal consolidation, pleural effusion or pneumothorax. Bibasilar atelectasis. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities are identified.
<unk> year old man with new dka // evidence of pna
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The cardiac, mediastinal and hilar contours appear unchanged. There is no pleural effusion or pneumothorax. The lungs appear clear. Small anterior osteophytes are present along the lower thoracic spine. There has been no significant change.
syncope.
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There is elevation of the right hemidiaphragm. There are no focal consolidations concerning for pneumonia. No pleural effusion. No pneumothorax. Normal heart size. Abdominal surgical clips are noted. Calcification of the abdominal aorta is seen.
<unk>f with ?r facial droop // stroke? pna?
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As compared to the previous radiograph, there is no relevant change. Normal lung volumes. Borderline size of the cardiac silhouette. No pulmonary edema. No evidence of active or non-active tb. No pleural effusions. No lung parenchymal abnormalities.
history of positive ppd, asymptomatic, evaluation.
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The patient is status post median sternotomy and cabg. Left picc tip terminates in the svc. Heart remains moderately enlarged, unchanged. Mediastinal contours are stable. Mild pulmonary edema appears slightly progressed in the interval. Small left pleural effusion persists. Retrocardiac opacity could reflect infection or atelectasis and persistent right basilar patchy opacity is noted. No pneumothorax is demonstrated. No acute osseous abnormality is identified.
fever.
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Pa and lateral views of the chest are provided. The heart remains moderately enlarged. There is blunting of the right cp angle which likely represents a small pleural effusion. Micronodular opacities project over the right mid-to-lower lung which is new from prior exam and could represent atypical infection. The left lung appears largely clear. There is no pneumothorax. Mediastinal contour appear stable. Bony structures are intact.
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There has been interval placement of an endotracheal tube which ends <num> cm above the carina. A right-sided picc is in the mid svc and is unchanged in position. An enteric tube is seen coursing below the level of the diaphragm however its tip is not clearly identified. There is increased opacity throughout both lungs consistent with persistent pulmonary edema and significant bibasilar atelectasis. There is no evidence of pneumothorax.
<unk> year old woman with sbo, intubated // ett placement
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The lungs are clear. Mild basal atelectasis is noted. Heart size and mediastinal contours are normal. There is no pleural effusion or pneumothorax. Osseous structures are intact.
<unk>m with ams// pna?
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Left chest wall aicd is unchanged. Moderate cardiomegaly. Hila are not well evaluated. Moderate right and small left pleural effusions with haziness of the right hemithorax.
history of chf, copd, atrial fibrillation, pacemaker presenting with pneumonia and bilateral effusions seen outside hospital.
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Right internal jugular catheter terminates in the mid superior vena cava, similar in appearance to recent radiograph of <unk>. Cardiomediastinal contours are stable. Improving bibasilar atelectasis with residual platelike atelectasis remaining. No pleural effusion or pneumothorax.
<unk> year old man with glioblastoma, port placed <num> wk ago, has been having episodes of tachycardia to <num>s with ambulation, want to ensure port placement appropriate. // please eval port placement
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Frontal and lateral views of the chest are compared to previous exam from earlier the same day at <time> p.m. When compared to prior, there has been interval placement of a pigtail catheter at the left lung base with interval decrease in size of the left-sided pleural effusion. There is a small left-sided apical pneumothorax identified. Persistent patchy opacity is seen in the lungs bilaterally, similar in distribution and degree when compared to prior. Cardiomediastinal silhouette is stable as are the osseous and soft tissue structures.
<unk>-year-old male with pleural effusion status post thoracentesis. question pneumothorax.
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The previously seen basilar opacities have resolved. Bibasilar scarring noted. No consolidation. The cardio mediastinal silhouette is within normal limits. No acute osseous abnormality.
<unk> year old woman with type dm and anorexia // baseline evaluation in eating disorder protocol
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An endotracheal tube is in satisfactory position <num> cm from the carina. A left internal jugular central venous catheter is present with the tip in the upper svc, likely against the lateral wall. An enteric tube is coiled in the oropharynx. The lungs are clear, without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. Post-operative changes are noted from prior cabg.
septic shock, status post intubation. evaluate positioning of tubes.
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A left picc line terminates in the left brachiocephalic vein. As compared to prior chest ct from <unk>, right upper lobe consolidation is improving. There is still a component of pulmonary vascular congestion. The cardiac silhouette remains enlarged. There are no definite pleural effusions. No pneumothorax. Increased density in the left upper quadrant is consistent with an enlarged spleen.
<unk>-year-old woman with picc for osh. evaluate picc placement.
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The lungs are without focal consolidation to suggest pneumonia. There is slight indistinctness of the mid portion of the right hemidiaphragm, unchanged from prior study and likely due to scarring from prior episode of pneumonia. There is no pleural effusion or pneumothorax. The heart is normal in size. Normal cardiomediastinal silhouette.
abnormal lung sounds in the right lower lung with cough for multiple weeks, assess for pneumonia in the right lower lobe.
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Ap upright and lateral views of the chest provided. Interval removal of picc line and dialysis catheter. Extensive ground-glass opacity within both lungs is concerning for edema, less likely diffuse pneumonia. No large effusion is seen. Heart size remains mildly prominent. Mediastinal contour is unchanged. Hila are congested. Bony structures are intact.
<unk>f with new o<num> requirement and sob
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Frontal and lateral views of the chest are obtained. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac silhouette is top normal to mildly enlarged. The aorta is tortuous. No overt pulmonary edema is seen.
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There are low lung volumes, accentuating the transverse diameter of the heart. There is no definite effusion. The enteric tube is in satisfactory position within a dilated air-filled stomach.
<unk> year old man with spina bifida, paraplegia, massive ventral hernia, admitted with ?sbo, ngt placed.
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The lung volumes are normal. Normal size of the cardiac silhouette. Moderate tortuosity of the thoracic aorta. No pleural effusions. No pulmonary edema. No pneumonia.
stroke, questionable pneumonia.
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The lungs are well inflated and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax.
<unk>m with chest pain right crackles, evaluate for pneumonia
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There is been prior median sternotomy and coronary bypass surgery. Mild cardiomegaly head is stable, and is accompanied by vascular redistribution and worsening diffuse interstitial edema. Previously reported right lower lobe opacity has slightly improved. Bilateral small pleural effusions have slightly worsened.
<unk> yo m pmhx esrd s/p transplant <unk>, cad s/p cabgx<num>, t<num>dm, htn, osa/phtn presents with frequent falls, generalized weakness, and dyspnea. he was found to have new atrial fibrillation, worsening anemia, <unk> on ckd, and leukocytosis and is being treated for possible cons uti and community-acquired pneumonia. // evidence/worsening of pulmonary edema?
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There is mild cardiomegaly. The hilar and mediastinal contours are normal. No focal consolidations concerning for pneumonia are identified. There is no large pleural effusion, or pneumothorax. The visualized osseous structures are unremarkable.
history: <unk>m with l sided cp // ? acute cardiopulm process
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Compared with prior radiographs on <unk>, there has been interval resolution of a right midlung opacity.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 recent pna, f/u xray requested // s/p pna, f/u for resolution of inf
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Pa and lateral views of the chest provided. Lung volumes are low with faint bibasilar atelectasis noted. No convincing signs of pneumonia, edema, 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 chest heaviness and recent cardioversion
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Pa and lateral views of the chest. The lungs are clear. The cardiomediastinal silhouette is similar to prior, top normal in size. No acute osseous abnormality is identified. Surgical clips in the right upper quadrant suggest prior cholecystectomy.
<unk>-year-old female with cough.
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In comparison with the prior study of this date, the right ij catheter extends to the lower portion of the svc. No evidence of pneumothorax. Endotracheal tube and nasogastric tube are in good position. No change in the appearance of the heart and lungs.
ij placement.
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As compared to the previous radiograph, there is no relevant change. Borderline size of the cardiac silhouette. Status post sternotomy, left pectoral pacemaker in situ. No pulmonary edema. No pneumonia. No lung nodules or masses. Normal hilar and mediastinal structures.
left subscapular pain. crackles, evaluation.
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Ap portable upright view of the chest. Interval placement over right ij central venous catheter with its tip in the upper svc. Otherwise no change. No pneumothorax.
<unk>f with central line placement // ? ptx
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Central interstitial opacification suggests mild vascular congestion, but otherwise the lungs appear clear. The heart is normal in size. There is no pleural effusion or pneumothorax. Bony structures are unremarkable.
asymptomatic bradycardia.
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As compared to the previous radiograph, the suspicion of a small left pneumothorax is not confirmed. However, there is an increase in extent of the pre-existing right basal opacity. Unchanged appearance of the pre-existing left basal opacity and the moderate cardiomegaly. The monitoring and support devices are in unchanged position.
epidural hematoma, status post fusion. hypoxia.
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The patient is status post sternotomy. A dual-lead pacemaker/icd device appears unchanged with leads terminating in the right atrium and ventricle, respectively, without change. The heart appears mildly enlarged. The aorta shows unfolding and mural calcification. Hemidiaphragms are flattened. There is probably a small pleural effusion on the right and a slightly larger one on the left, as well as increased thickening along the minor fissure. Although this finding suggests a component of fluid overload, focal opacities projecting over the right lower and left upper lungs are most suggestive of pneumonia with areas of spared lung elsewhere. Biapical pleural thickening is unchanged. Bony structures are unremarkable.
dyspnea on exertion.
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In comparison with study of <unk>, the tip of the endotracheal tube is in a position above the clavicles, approximately <num> cm above the carina. Other monitoring and support devices are unchanged. There is increasing bilateral pulmonary opacification, most likely reflecting worsening pulmonary edema. However, in the appropriate clinical setting, supervening pneumonia would have to be considered.
et tube placement.
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Pa and lateral views of the chest provided. Interval removal of the feeding tube. There is blunting of the right cp angle which is concerning for a small right pleural effusion. There is likely mild right basal atelectasis. No convincing signs of pneumonia or edema. No pneumothorax. Cardiomediastinal silhouette appears normal. Imaged bony structures are intact. No free air below the right hemidiaphragm.
history: <unk>m with recent weight gain and <num> pillow orthopnea and sob. // ?chf, ?pe
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Bilateral patchy airspace opacities are overall increased in comparison to <unk>, particularly in the right perihilar region. Calcified pleural plaques are unchanged. There is no pneumothorax.
history: <unk>m with hypoxia // pna?
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No focal consolidation is seen. Eventration of the right hemidiaphragm is again noted. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal. The aorta remains tortuous.
history: <unk>m with sob/cough // r/o acute process
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The cardiac silhouette is stable and unremarkable. Again noted is a left perihilar opacity, very slightly decreased since the prior examination. There is no pleural effusion or pneumothorax.
<unk> year old woman with severe productive cough, not improving despite abx // eval for progression of pna
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As compared to the previous radiograph, there is a new right pleural effusion, occupying approximately one-third of the right hemithorax and blunting the costophrenic sinus. The effusion extends to the level of the minor fissure. In addition, relatively large areas of atelectasis are seen on the right. No change in appearance of the left lung. The patient has been extubated in the interval. The cardiac silhouette is unchanged.
non-small cell lung cancer, questionable pneumonia.
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Portable ap chest radiograph. Moderate interstitial edema and bilateral pleural effusions, greater on the right, have worsened from <num> hours prior. There is no pneumothorax. The heart remains enlarged, though the borders are difficult to evaluate.
history of diastolic heart failure and aortic stenosis, who underwent corevalve replacement on <unk>. evaluation for worsening pulmonary edema.
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Insertion of left pigtail catheter with persistent moderate left pneumothorax is not significantly changed. The right small pneumothorax is also stable appearance. The remaining support devices are in stable position.
<unk> year old man with worsening l ptx s/p pigtail placement // eval l ptx/ct placement
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Comparison is made to previous study from <unk>. There is an endotracheal tube whose tip is again <num> cm above the carina, could be pulled back <num> to <num> cm for more optimal placement. There are markedly low lung volumes with crowding of the pulmonary vascular markings, particularly at the lung bases. Atelectasis at the right base is visualized. There are no pneumothoraces.
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Frontal radiograph of the chest in patient that has had medial sternotomy for cabg and avr, sternal wires are intact. Swan-ganz catheter and endotracheal tube have been removed. Mediastinal drains are unchanged. Left axillary pacemaker has leads following the expected course and ending in the right atrium and right ventricle respectively. Right jugular catheter ends in upper svc. Lung volume is low but with improvement of vascular congestion, especially to the left. There been interval increase of left pleural effusion. There is no pneumothorax.