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Right subclavian central venous catheter tip terminates in the mid svc. No pneumothorax is identified. Cardiac silhouette is within normal limits. Widening of the superior mediastinum, particularly the right paratracheal stripe, corresponds to lymphadenopathy and ill-defined soft tissue density within the mediastinum, better assessed on recent ct. Mild to moderate pulmonary edema is new compared to the prior radiograph with a layering moderate size right pleural effusion and small left pleural effusion, also new from prior. Worsening opacification of the lung bases, particularly on the left with air bronchograms, reflect regions of compressive atelectasis as seen on the prior ct.
history: <unk>f with right subclavian central line placement
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Endotracheal tube tip is in standard position, terminating approximately <num> cm from the carina. Orogastric tube tip courses below the left hemidiaphragm, into the stomach, and off the inferior borders of the film. Right-sided dual lumen internal jugular central venous catheter terminate within the svc. The cardiac, mediastinal and hilar contours are normal. The pulmonary vascularity is normal. Linear atelectasis in the left lung base is seen. No focal consolidation, pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities.
intubated with intracranial hemorrhage.
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In comparison with study of earlier in this date, there has been placement of a right pleurx catheter with withdrawal of substantial amount of pleural fluid. Otherwise, there is little interval change. Specifically, no evidence of pneumothorax.
pleurx catheter.
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There are somewhat low lung volumes, but the lungs are clear. There is no pleural effusion or pneumothorax. A large hiatal hernia is noted, similar to prior exams. The cardiomediastinal silhouette is mildly enlarged, similar to prior exam.
history: <unk>f with coffee ground emesis // eval for change in hernia
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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. The hilar contours are stable.
history: <unk>m c/o of constipation
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The lungs are clear with left pleural effusion noted. No focal consolidation or pneumothorax is seen. There is no right effusion. The heart is top normal in size. Normal cardiomediastinal silhouette. Surgical clips noted in the right breast.
chest pain, assess for acute process.
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Dobbhoff tube with tip in the stomach. Small left pleural effusion with left mid and lower lung consolidation likely atelectasis unchanged from previous studies. Right lung is clear. There is no pneumothorax. Cardiac size is enlarged but unchanged.
<unk> year old woman with maturing pancreatic pseudocysts requiring post-pyloric feeding // post-pyloric dobhoff
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In comparison with the earlier study of this date, the endotracheal tube has been pushed forward so that the tip now lies approximately <num> cm above the carina. Otherwise, little change.
et tube replacement.
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The lung volumes are low, with stable asymmetric elevation of the right hemidiaphragm. The right upper extremity picc terminates at the level of mid svc. The cardiomediastinal contours are normal. There is no pleural effusion or pneumothorax.
lack of blood return on the picc, to assess for picc position.
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In the interval, there is no evidence of relevant change. Substantial right apical pleural thickening with volume loss of the right upper lobe, following right upper lobectomy and posterior segment of the left upper lobe wedge resection. The relatively extensive and inhomogeneous parenchymal opacities at the right apex are unchanged in distribution and severity. Also unchanged is the upward displacement of the right hilar structures. The right lung base is constant in appearance. On the left, the course and position of the staple line is constant. No evidence of left-sided recurrence or abnormality. Unchanged appearance of the cardiac silhouette and the mediastinal structures.
cancer surveillance.
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Supine ap and lateral chest radiograph. Lung volumes are low with bronchovascular crowding in the lower lungs most pronounced in the left retrocardiac region. No large effusion or pneumothorax. The heart remains moderately enlarged. There is marked prominence of the azygos arch with rounded density again noted adjacent to the carina. Bony structures are intact. No displaced rib fracture is seen.
<unk>f with c/o fall from bed with left elbow pain // ? pna or fracture
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Ap and lateral radiographs of the chest demonstrates clear lungs. The cardiac and mediastinal contours are normal. No pleural abnormality is seen.
chest pain. evaluate mediastinum.
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The heart size is normal. The hilar and mediastinal contours are normal. The lungs are clear without evidence of focal consolidations concerning for pneumonia. There is no pleural effusion or pneumothorax. Visualized osseous structures are unremarkable.
history dyspnea on exertion x <num> weeks, please evaluate for intrapulmonary process.
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Heart size is normal. Cardiomediastinal silhouette and hilar contours are normal. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax. Several surgical clips project over the left upper abdomen.
hypoglycemia.
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Low lung volumes are seen with secondary crowding of the bronchovascular markings. There is no confluent consolidation or large effusion. There may be mild pulmonary vascular congestion. Cardiac silhouette is difficult to assess given technique and lung volumes although it is unchanged from prior. Atherosclerotic calcifications are noted at the aortic arch. No acute osseous abnormality identified.
<unk>f with ams. awoke this am and was making nonsensicla statements, difficulty following instructions. incontintent o f urine //
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Frontal and lateral views of the chest. Enteric tube is no longer visualized. The lungs are clear without consolidation or effusion. The cardiomediastinal silhouette is normal. No acute osseous abnormalities detected.
<unk>-year-old female with altered mental status. question pneumonia.
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette appears normal. The pulmonary hilar markings appear minimally prominent though likely within range of normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>m with cough, left sided chest pain, fever
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Single portable view of the chest is compared to previous exam from <unk>. There is left basilar opacity silhouetting the hemidiaphragm compatible with effusion with possible underlying airspace disease. Given lower lung volumes on the current exam, the lungs elsewhere remain grossly clear. Cardiac silhouette is essentially stable as are the osseous and soft tissue structures.
<unk>-year-old female with hypertension. question effusion.
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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.
<unk>-year-old male with fall. evaluate for fracture or pneumothorax.
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The study is somewhat limited due to underpenetration. Cardiac silhouette size remains moderately enlarged, primarily due to the presence of prominent epicardial fat. Widening of the superior mediastinum is also unchanged and attributable to mediastinal lipomatosis. Crowding of the bronchovascular structures is noted, with mild vascular congestion, similar to the prior chest radiograph. Lung volumes are low with mild patchy bibasilar airspace opacities, likely atelectasis. No focal consolidation, pleural effusion or pneumothorax is present. There are mild degenerative changes in the thoracic spine.
leukocytosis, nausea.
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Lung volumes are low. The patient has had prior cervical spine fusion. An endotracheal tube ends at the level of the clavicles. A nasogastric tube coils in the stomach. The left costophrenic angle has been excluded from the field of view. There is no pneumothorax. Aside from minimal bibasilar atelectasis, the visualized lungs are clear.
<unk> year old woman with emergent operation, remains intubated // please eval ett position
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The heart is moderate enlarged, and there is no overt pulmonary edema or focal consolidation. The mediastinal contours are normal.
<unk> year old female with new agitation, confusion evaluate for pneumonia.
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As compared to the previous radiograph, the pre-existing very diffuse changes, associated with pcp, are minimally decreased in extent and severity. Unchanged size of the cardiac silhouette. No new parenchymal opacities. No pleural effusions.
copd, evaluation for interval change.
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Large prominent stomach air bubble. New small right pleural effusion with continued fluid in the superior pleural space with no significant change in right upper lobe opacity. Mild tracheal deviation to the left from a known thyroid goiter as seen on ct. No pneumopericardium, pneumomediastinum or pneumothorax. Improvement in subcutaneous emphysema. No new focal opacity or pulmonary edema. Heart size, mediastinal contour and hila are normal. Tortuous aorta noted.
male with achalasia status post laparoscopic <unk> myotomy. assess for interval change.
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As compared to the previous radiograph, the previously malpositioned feeding tube is now in correct position. The tracheostomy tube is constant. Increased density at the right lung bases might be caused by patient's rotation. No safe evidence of new focal parenchymal opacities. No pulmonary edema. No larger pleural effusions.
evaluation for interval changes, ventilation-associated pneumonia.
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Right-sided port-a-cath is grossly stable in position likely terminating at the proximal right atrium.cardiac and mediastinal silhouettes are similar. There is persistent elevation of the left hemidiaphragm with possible overlying increase in left base atelectasis. Increased right base opacity is also seen, possibly due to atelectasis, but infection or aspiration is not excluded. No pleural effusion is seen. There is no pneumothorax.
history: <unk>f with breast ca p/w dyspnea and hypoxia // eval for pneumonia, chf
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Support and monitoring equipment including an lvad and swan-ganz catheter are unchanged in appearance when compared to the prior study. Severe cardiomegaly and pulmonary vascular congestion is unchanged compared to the prior study. No <unk> pulmonary edema. Left lower lobe atelectasis. No other areas of consolidation seen. No pneumothorax seen.
mr. <unk> is a <unk>m with pmh of non-ischemic, dilated cardiomyopathy w/ ef <unk>% s/p lvad <unk>, persistent af, afl s/p cti, vt s/p ablation <unk>, now with increased sob and <unk>, admitted to ccu for tailored therapy w/ swan catheter. // interval changes, swan placement
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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 history of gastroesophageal reflux disease, epigastric pain, vomiting
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear. Slight rightward convex curvature is again centered along the lower thoracic spine.
pleuritic chest pain.
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The heart size continues to be mildly enlarged. There is increased opacity at both bases and an early infiltrate cannot be excluded, particularly in the right lower lobe.
pneumonia, altered mental status.
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There is no previous image. Massive motion artifacts that do not allow for subtle analyses of the lung parenchyma. No larger pleural effusions, no pulmonary edema. No pneumothorax. No pneumonia. Borderline size of the cardiac silhouette, normal hilar and mediastinal contours.
altered mental status, acute dens fracture.
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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 male with fever and rigors status post kidney transplant on <unk>.
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Left chest wall dual lead pacing device is again noted. Median sternotomy wires are intact. The lungs are clear without focal consolidation or effusion. There is no pulmonary edema. The cardiomediastinal silhouette is within normal limits. Degenerative changes noted at the acromioclavicular joints.
<unk> year old woman with fever // ? pna
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A right chest wall port-a-cath better ends in the low svc. Normal heart size, mediastinal and hilar contours. No focal consolidation, pleural effusion or pneumothorax.
history: <unk>f with fever, on chemo for lymphoma // eval for infection
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The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear.
altered mental status.
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As compared to the previous radiograph, the patient has been intubated. The tip of the endotracheal tube projects <num> cm above the carina. No evidence of complications. Free air in the abdomen is no longer visible. The left picc line is in unchanged position.
intubation, assessment.
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The lungs are well inflated. There is stable scarring in the left lower lung field, but there are no focal opacities in the remaining left lung, the right lung is clear. There is stable mild cardiomegaly and the cardiomediastinal and hilar contours are unremarkable otherwise. There is a tiny pleural effusion in the right, unchanged from prior exam. No pneumothorax. Right posterior rib deformities and chronic posttraumatic changes in the right coracoclavicular region are also stable.
<unk>-year-old male with end-stage renal disease, now presenting with malaise. evaluate for acute cardiopulmonary process.
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Bronchovascular markings are accentuated by low lung volumes. Again noted are bilateral opacities involving both upper and lower lobes, which may be related to aspiration and/or multifocal pneumonia. This is better seen on the recent ct chest dated <unk>. No evidence of pneumothorax or substantial pleural effusion. Cardiomediastinal silhouette is within normal limits. Endotracheal tube terminates approximately <num> cm above the carina. Enteric tube terminates in the proximal body of the stomach. No acute osseous abnormalities are identified.
<unk>-year-old female with recent spine surgery, presented after being found unresponsive at home. status post multiple attempts at placing a central line, evaluate for pneumothorax.
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Frontal and lateral views of the chest were obtained. Patchy left base opacity is seen, possibly due to atelectasis vs artifact; no focal consolidation seen on ct. Dual-lead left-sided pacemaker is again seen with leads extending to the expected positions of the right atrium and right ventricle. The right lung is clear. No large pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are unremarkable. Aortic knob calcification is seen. There is no overt pulmonary edema.
chest pain since this a.m.
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There is mild cardiomegaly. The mediastinal and hilar contours are within normal limits. The lungs are hyperinflated and there are diffuse interstitial opacities which appear unchanged from prior examination and are likely related to chronic lung disease. Note is made of scarring in the right middle lobe. No confluent opacity is identified to suggest pneumonia or aspiration. No definite rib fracture. Incompletely imaged right shoulder demonstrates a portion of surgical hardware.
<unk>-year-old woman status post fall. evaluate for fracture.
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The lungs are clear with no evidence of consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. No acute fracture is identified.
evaluation of patient with chest pain.
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Interval re-positioning of left picc, now terminating in the proximal superior vena cava. Other devices are unchanged in position. Heart size remains normal. Multifocal pulmonary opacities in the mid and lower lungs appear relatively similar to the prior study allowing for patient rotation. Moderate-to-large pleural effusions are again demonstrated, with apparent slight improvement on the right. Diffuse haziness of upper abdomen is suggestive of ascites.
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Cardiac silhouette size is mildly enlarged. A moderate size hiatal hernia is re- demonstrated. Mediastinal and hilar contours are otherwise unchanged. Pulmonary vasculature is normal. Atelectasis is demonstrated both lower lobes. No focal consolidation, pleural effusion or pneumothorax is identified. Levoscoliosis of the thoracic spine with mild multilevel degenerative changes is re- demonstrated.
history: <unk>f with dyspnea, tachycardia
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Left-sided chest tube remains in place, with no definite pneumothorax. Post-operative alterations related to left upper lobe resection appear similar, except for slight increase in small left pleural effusion with adjacent left basilar atelectasis. Right lung is clear except for minor atelectasis at the right base. Within the abdomen, note is made of a moderate gastric distention resulting in increased elevation of the left hemidiaphragm.
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Ap upright and lateral views of the chest provided.right ij access dialysis catheter is seen terminating in the lower svc. The lungs are hyperinflated with slightly coarsened lung markings corresponding to areas of subpleural fibrosis seen on prior exam. No signs of pneumonia, edema, large effusion or pneumothorax. Cardiomediastinal silhouette appears unchanged with aortic knob calcifications again seen. Imaged bony structures appear intact
<unk>f recently diagnosed with goodpasture's presenting with fatigue, rll crackles on exam // r/o infection
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Two portable views of the chest. The lungs are hyperinflated with relative lucency seen superiorly suggesting underlying copd. There are new bibasilar parenchymal opacities. Blunting of the costophrenic angles suggestive of superimposed effusion particularly on the left. Cardiomediastinal silhouette is within normal limits. Atherosclerotic calcifications seen at the aortic arch.
<unk>-year-old male with shortness of breath.
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The heart size is moderate to severely enlarged. Aortic knob is calcified. Mediastinal and hilar contours are relatively unremarkable. Increased interstitial markings bilaterally which appear slightly more pronounced along the periphery may suggest a chronic interstitial lung disease although a superimposed mild interstitial pulmonary edema may be present. No focal consolidation, pleural effusion or pneumothorax is seen. Right apical pleural thickening is noted.
chest pain.
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Frontal and lateral views of the chest. Vague opacities project over the right lower lung laterally, likely scarring or atelectasis as seen on prior ct. Elsewhere, the lungs are clear. There is no effusion, no pneumothorax. Cardiac silhouette is enlarged but stable in configuration. No acute osseous abnormalities identified. Vascular stent projects over the upper abdomen in the midline.
<unk>-year-old female with coronary artery disease status post mi with chest pain.
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The lungs are well inflated. Retrocardiac opacity is present. No pleural effusion or pneumothorax. Left heart border is partially obscured. Visualized cardiomediastinal silhouette is unremarkable. Hila are normal. Visualized osseous structures are unremarkable. No displaced rib fracture.
<unk>f with s/p fall. head strike. l <unk> digit pain. assess for fracture.
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Tunneled left internal jugular central venous catheter tip terminates in the right atrium. The heart is enlarged. There is elevation of the right hemidiaphragm, and in absence of priors, may represent diaphragmatic paralysis, which could be contributing to the patient's shortness of breath. There is no evidence of pulmonary edema or pleural effusions. Obscuration of left heart border is indicative of a lingular opacity.
<unk>m with esrd on hd with shortness of breath. evaluate for edema.
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Pa and lateral views of the chest provided. Moderate cardiomegaly is noted. Central hilar congestion is noted with mild interstitial edema. There is a calcified granuloma projecting over the right lateral mid lung. No large effusions are seen though there is trace fluid tracking along the major fissure. No pneumothorax. Mild atherosclerotic calcification is seen along the aortic knob. The imaged bony structures appear intact.
<unk>f with chest tignthess-r/o pna.
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The patient is status post recent median sternotomy and coronary artery bypass surgery. Cardiomediastinal contours are stable in the post-operative period. Tiny left apical pneumothorax is present. Bibasilar atelectasis is present, slightly improved on the right and worse on the left. Small pleural effusions are also noted.
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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 chest wall pain, post mvc // ? ptx, rib fx
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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>m with weakness, fatigue, chills // eval for pneumonia
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Single frontal radiograph of the chest demonstrate hyperexpansion of the lungs consistent with copd. There is an area of increased opacification at the right lung base, obscuring the right heart border concerning for atelectasis or developing infectious process in the right middle lobe. There is plate-like atelectasis of the left lower lung. The cardio mediastinal air and hilar contours are unchanged. There is tortuosity of the descending aorta. There is no pneumothorax or pleural effusion.
history of coronary artery disease now with shortness of breath. evaluate for volume overload.
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Cardiac, mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vascularity is normal. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities identified.
shortness of breath, chest pressure for <num> week.
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Pa and lateral radiographs of the chest demonstrate interval resolution of pulmonary edema from the mid and upper lung field when compared to the study from three days ago. There are persistent bilateral lower lung opacities representing residual edema and/or atelectasis. Small pleural effusions are also present. The hilar and cardiomediastinal contours are normal. There is no pneumothorax. There is no evidence of residual pneumomediastinum. A right subclavian hemodialysis catheter has been placed and terminates at the expected location of the cavoatrial junction.
evaluate for interval change in pneumomediastinum in patient with renal failure status post traumatic intubation.
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Comparison is made to previous study from <unk>. Within the tracheostomy tube, there is a right-sided central line with distal lead tip at the cavoatrial junction. Heart size is within normal limits. There is atelectasis at the lung bases and low lung volumes. There is improvement in the amount of free air in the abdomen. No pneumothoraces are identified.
<unk>-year-old man with unhelmeted motor crash with possible pneumonia.
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The lungs are mildly hyperinflated, but are otherwise clear. Cardiomediastinal silhouette is unremarkable. There is no pneumothorax or pleural effusion. Visualized osseous structures are unremarkable.
fall and left-sided chest pain.
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Heart size is top normal. The aorta is tortuous and diffusely calcified. Mediastinal and hilar contours are otherwise unremarkable. Pulmonary vasculature is normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Mild to moderate degenerative changes are seen in the thoracic spine.
history: <unk>f with unsteady gait // eval for infiltrate
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Semi-upright portable view of the chest demonstrates low lung volumes. There was minimal blunting of the costophrenic angle suggestive of trace pleural effusions. Hilar and mediastinal silhouettes are unchanged. Heart is mildly enlarged. There is no pneumothorax. There is mild pulmonary edema, minimally progressed since prior. Post-surgical changes related to the sternotomy wires and cabg are again noted. Multiple surgical clips are again seen projecting over right axilla. Partial imaged upper abdomen is unremarkable.
patient with rigors. assess for pneumonia.
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In comparison with the study of <unk>, there is continued patchy opacification at the left base most likely reflecting aspiration or pneumonia. Right lung remains essentially clear. No vascular congestion. The neck fullness seen on the previous study cannot be properly assessed since this area has been excluded from the image. The right port-a-cath again extends to the right atrium.
worsening tachypnea and aspiration.
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Patient's condition required examination in sitting semi-upright position using ap frontal and left lateral views. Comparison is made with the next preceding study of <unk>. The heart contours remain enlarged and similar. There is again evidence of some mediastinal air along the left lateral cardiac contours. There is no evidence of remaining pneumothorax in the apical area. The loculated hydropneumothorax along the anterior chest wall as identified on the lateral view remains unaltered. No new pulmonary parenchymal abnormalities are identified and the accessible pulmonary vasculature is not more congested than before.left-sided basal pulmonary pleural densities suggestive of post-operative atelectasis remain unchanged.
<unk>-year-old male patient status post tissue aortic valve replacement and bypass surgery, followup left apical pneumothorax.
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Ap upright portable chest radiograph is obtained. Overlying ekg leads are noted. There is no focal consolidation, effusion, pneumothorax. Cardiomediastinal silhouette appears normal. Bony structures are intact. No free air below the right hemidiaphragm.
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Patient is status post median sternotomy and tricuspid valve replacement. Moderate enlargement of the cardiac silhouette appears unchanged. The mediastinal and hilar contours are similar, and no pulmonary edema is present. Multifocal peripheral opacities in both lungs, appear improved compared to the previous radiograph, compatible with resolving areas of prior septic emboli. Patchy left basilar opacity may reflect atelectasis. Small bilateral pleural effusions are also demonstrated. No definite pneumothorax is present. There are no acute osseous abnormalities.
history: <unk>f with chest pain
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Pa and lateral chest radiographs were provided. Widespread bilateral pulmonary metastases are again demonstrated. There is no evidence of pneumonia. There is a small left pleural effusion. There is no pneumothorax. A right chest wall port catheter tip terminates at the cavoatrial junction. Cardiomediastinal silhouette is stable. Imaged upper abdomen is unremarkable.
<unk>-year-old woman with metastatic leiomyosarcoma and fever. question pneumonia.
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Again seen are findings suggests of copd with increased lucency in the bilateral apices consistent with bullous change. There is a stellate opacity in the right upper lobe with associated volume loss. While this may reflect scarring, neoplastic lesion cannot be excluded. In addition there are ill-defined airspace opacities of the right lung base suspicious for pneumoniae. No definite pleural effusion seen although the costophrenic angles are not fully visualized.
<unk> year old man with pna, copd exacerbation // interval change?
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
<unk>m with productive cough and subjective fevers // r/o pneumonia
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Right pigtail chest tube clamped showing no the appearance of a pneumothorax. No other interval change. .
<unk> year old man with nsclc and right pleural effusion s/p thoracentesis with chest tube // chest tube now clamped. eval for changes, if none, we will pull chest tube
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There is no significant interval change compared with previous radiograph from <unk>. The lungs are well inflated and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. Old rib fractures are seen in the right.
<unk>-year-old male with transient hypoxia. evaluate for acute process.
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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>m with no significant pmh comes in for syncope x<num>. // ?infiltrates ? small pneumothorax
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Single portable view of the chest. Since prior, there has been interval improvement of the bilateral pulmonary edema. Bibasilar opacities, right greater than left, may represent atelectasis. Blunting of the right costophrenic angle may be due to small right pleural effusion. Superiorly, the lungs are clear and the cardiomediastinal silhouette is within normal limits.
<unk>-year-old male with shortness of breath.
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Pa and lateral views of the chest provided. Lung volumes are low. Hila appear slightly congested. No frank edema or signs of pneumonia. No large effusion or pneumothorax. Cardiomediastinal silhouette within normal limits. Left humeral head prosthesis noted. Mild to moderate degenerative changes in the thoracic spine noted.
<unk>m with dyspnea on exertion over the past week.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lung volumes are low with mild streaky opacities in the lung bases likely reflective of atelectasis. No focal consolidation is seen. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities including no displaced rib fractures.
history: <unk>f with right rib pain
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Pa and lateral views of the chest. Low lung volumes. The cardiac, mediastinal, and hilar contours are normal. The lungs are clear. There is no evidence of pneumonia. The pleural surfaces are normal. No pneumothorax.
fever, evaluate for pneumonia.
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Evaluation is somewhat limited by overlying trauma board. An endotracheal tube terminates <num> cm above the level of the carina. And oral gastric tube is seen terminating within the stomach. A left-sided central venous line terminates near the cavoatrial junction. There is a dual lead left pectoral pacemaker noted. Surgical clips are noted within the right upper abdomen. A vascular stent overlies the right upper lobe. The left lung is nearly completely opacified, obscuring the left cardiac border and left hemidiaphragm. A left pleural effusion cannot be excluded. A vague opacity overlies the left lung apex, potentially concerning for underlying aortic injury. The right lung demonstrates mild basilar atelectasis and is otherwise grossly clear. There is no right pleural effusion. Heavy atherosclerotic calcification is seen within the aortic arch.
history: <unk>m on dialysis, found down, unresponsive. unclear mechanism. fall vs syncope vs collapse. //
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Pa and lateral views of the chest are provided. Lung volumes are low. No consolidation, effusion, or pneumothorax. The heart and mediastinal contour is normal. Bony structures are intact.
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The patient is after bronchoscopy, there is no convincing evidence of pneumothorax. Tenting of the right hemidiaphragm is now present, increased opacity along the medial right superior mediastinum that could suggest right upper lobe collapse. The extent of known multifocal opacities has increased in the upper portion of both lungs, but appears decreased in the right mid-to-lower lung. The findings are better evaluated on the prior ct from <unk>.
status post bronchoscopy, rule out pneumothorax.
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Pa and lateral radiograph demonstrates stable dextroscoliosis with apex at the thoracolumbar junction. The aorta is tortuous. Otherwise, mediastinal, hilar and cardiac contours are unremarkable. Bibasilar increased lung markings likely reflect early pulmonary edema. Deformity of right upper ribs and the right glenohumeral joint is unchanged compared to <unk>. There is a cardiac monitoring device projecting over the left heart, possibly a reveal monitor.
palpitation, fatigue. please evaluate for pneumonia or mediastinal or cardiac disease.
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As compared to the previous radiograph, the hemodialysis catheter on the right has been removed. The appearance of the lung parenchyma is grossly unchanged, except for a newly appeared retrocardiac atelectasis and a minimal left pleural effusion. Unchanged borderline size of the cardiac silhouette. No pneumothorax.
mild hypoxia, possible aspiration, evaluation.
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Pa and lateral images of the chest. The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.
cough, nausea, vomiting, right upper quadrant pain, elevated bowel sounds.
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As compared to the previous radiograph, the position of the nasogastric tube is slightly changed. The tip of the tube now projects over the region of the pylorus. The course of the tube is unremarkable. The patient continues to carry a left-sided picc line. Atelectasis are seen at both lung bases, but no evidence of pneumonia or pulmonary edema is present. No larger pleural effusions.
nasogastric tube placement.
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Study is slightly limited by patient rotation. Cardiac silhouette size is mildly enlarged. While the mediastinal and hilar contours appear grossly unremarkable, the previous chest ct did demonstrate prevascular lymphadenopathy. Pulmonary vasculature is not engorged. Patchy opacity is seen within the right lung base corresponding to the area of infarction seen on the prior ct. Linear atelectasis seen within the left lung base. No pleural effusion or pneumothorax is identified. No acute osseous abnormality is visualized.
history: <unk>f with chest pain, hemoptysis
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On the current image, there is no visualization of the nasogastric tube. Known left pneumothorax with according changes. Unchanged appearance of the right lung, of the multiple displaced rib fractures and of the endotracheal tube as well as the right central venous access line.
known left-sided pneumothorax, evaluation for nasogastric tube placement.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Previously noted left lower lobe pneumonia has essentially resolved. Remainder of the lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>f with history of pneumonia and recurrent dyspnea
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Single frontal view of the chest. Gastric tube terminates in the stomach. The lungs are incompletely imaged but evaluation of the visualized fields demonstrates stability of pulmonary edema with moderate left and small right pleural effusions with adjacent atelectasis. Heart size and mediastinal contours are stable.
new orogastric tube.
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The lungs are hyperinflated but clear without consolidation, effusion, or edema. There is a somewhat rounded retrocardiac opacity in the frontal view likely projecting over the spine on the lateral view. This may be related to a hiatal hernia, although no definitive lucency within the opacity, or potentially a bochdalek's hernia old healed mid left clavicular fracture is noted.
<unk>m with a syncopal episode, no evidence of headstrike // evaluate for acute lung or cardiac process
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There are persistent small bilateral pleural effusions. The lungs are otherwise clear. The cardiomediastinal silhouette is within normal limits. Left chest wall dual lead pacing device is again noted.
<unk>m with fever // eval pnuemonia
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The lung volumes are low. Allowing for that, there is no definite change in cardiac, mediastinal or hilar contours. A right basilar opacity has probably cleared. However, mild new opacification is present at the left lung base partly obscuring the left hemidiaphragm. Small pleural effusions are difficult to exclude.
chest pain and dyspnea.
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The heart is mildly enlarged. The mediastinal and hilar contours appear unchanged. There is similar patchy opacification at the left lung base, probably involving the left lower lobe with left lateral pleural thickening. A smooth defect along the course of the right posterior fifth rib appears unchanged. The right lung remains clear aside from patchy unchanged right infrahilar opacity, again suggesting minor atelectasis or scarring. There is no pleural effusion or pneumothorax. No definite evidence of pneumonia.
chest pressure and shortness of breath. history of congestive heart failure.
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Relatively low lung volumes are noted. The lungs are clear without consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with removal of dialysis catheter // assess for hemothorax
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Pa and lateral views of the chest provided. Previously noted picc line has been removed. There is stable mild cardiomegaly and mild pulmonary edema. Mild hilar engorgement is noted. No large pleural effusion is seen. No focal consolidation concerning for pneumonia. No pneumothorax. Mediastinal contour stable. Bony structures are intact.
<unk>f with shortness of breath, hypoxia
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Streaky bibasilar opacities are likely due to atelectasis and are unchanged. The lungs are otherwise clear without consolidation worrisome for pneumonia, edema, or effusion. Cardiomediastinal silhouette is stable. No acute osseous abnormalities identified.
<unk>f with dizziness // evaluate for pneumonia
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There is no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is unremarkable. The osseous structures are unremarkable except for mild degenerative changes in the thoracic spine.
<unk>-year-old man with lymphoma and fever to <num>, evaluate for infiltrate.
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The lungs are clear without consolidation or edema. Mild aortic tortuosity is again noted. The cardiac silhouette is within normal limits for size. No effusion or pneumothorax is noted. Minimal pleural thickening is noted at the inferior right hemithorax similar to the prior exam. The visualized osseous structures are unremarkable without demonstrable displaced rib fracture evident.
unusual soft tissue swelling on the superior left margin of the sternum.
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Pa and lateral chest radiographs were obtained. The bilateral nipple shadows project over the lung bases, otherwise the lungs are clear. No effusion, consolidation or pneumothorax is present. Aortic tortuosity secondary to severe convex left thoracic scoliosis is unchanged. The remainder of the cardiac and mediastinal contours are normal.
<unk>-year-old woman with cough, syncope, rule out pneumonia.
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In comparison with the study of <unk>, there is little change in the appearance of the esophagectomy and pull up, with continued blunting of the right costophrenic angle, but no evidence of acute pneumonia or pneumothorax.
esophagectomy with hematemesis.
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Frontal and lateral views of the chest were obtained. The heart is of normal size with normal cardiomediastinal contours. Pulmonary vascular markings are normal. The lungs are hyperinflated with flattened diaphragms, suggestive of copd. Small biapical scarring is present. The lungs are otherwise clear without focal or diffuse abnormality. No pleural effusion or pneumothorax. Osseous structures are unremarkable. No radiopaque foreign body.
<unk>-year-old female with epigastric and right upper back pain. rule out pneumonia.
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A left-sided chest wall pacer is noted with leads overlying the right atrium and ventricle, unchanged in their position. The cardiac size is difficult to approximate, but appears persistently enlarged. Interval increase in the degree of now moderate to severe pulmonary edema. Streaky bibasilar opacities likely reflect atelectasis, although superimposed infection is difficult to exclude. Bilateral moderate pleural effusions are noted, increased bilaterally from the prior examination.
history: <unk>f with chf // eval for chf
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There is an opacity of the anterior portion of the right upper lung which likely represents pneumonia in the right clinical setting. There is also another subtle opacity in a more superior portion of the right upper lung. The cardiomediastinal silhouette and hilar contours are within normal limits. The pleural surfaces are clear without effusion or pneumothorax.
history of cll and several weeks of progressive dry cough and dyspnea on exertion, in the setting of fever.