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A single ap radiograph of the chest was acquired. There are chronic reticular opacities throughout the right lung as well as at the left lung base, not significantly changed compared to radiographs dating back to <unk>, allowing for slight underpenetration on today's study. There is no new focal consolidation. The heart size and mediastinal contours are not significantly changed dating back through <unk>. There are no definite pleural effusions. No pneumothorax is seen.
cough and weakness. assess for pneumonia.
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The heart size is normal. Mediastinal and hilar contours are unremarkable, and the lungs are clear. No pleural effusion or pneumothorax is present. The pulmonary vascularity is normal. No acute osseous abnormalities are present.
dizziness, lightheadedness, fatigue.
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Patient has had median sternotomy and aortic valve replacement. Sternal wires are intact and aligned. Heart is moderately enlarged. Pulmonary edema is mild throughout most of the lungs accompanied by small pleural effusions. There is considerably more consolidation in the right lower lobe than elsewhere which could be asymmetric edema or concurrent pneumonia. Followup advised.
<unk>m with shortness of breath, evaluate for pneumonia.
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Marked cardiomegaly is unchanged. The mediastinal and hilar contours are stable. Previous pattern of pulmonary vascular congestion has improved. No focal consolidation, pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
cough.
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Pa and lateral images of the chest. A pacemaker is seen overlying the left chest with intact leads in appropriate position. The lungs are hyperinflated. There is mild pulmonary edema, which is much less severe than the edema present on prior exam. Bilateral small pleural effusions are seen. There is no pneumothorax. The heart is top normal is size, similar to prior exams.
history of chf and recent admission for pneumonia, now with shortness of breath.
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Cardiac silhouette size is normal. Mediastinal and hilar contours are unchanged with mild tortuosity of the thoracic aorta again noted. There is minimal streaky atelectasis in the left lower lobe. No focal consolidation, pleural effusion or pneumothorax is identified. No acute osseous abnormality is detected. Cholecystectomy clips are again noted in the right upper quadrant of the abdomen.
history: <unk>f with <num> days intermittent left-sided chest pain
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The heart remains enlarged. The hilar and mediastinal contours are normal. Lung volumes are low. Lungs are otherwise clear and there is no focal consolidation concerning for pneumonia. There are no pleural effusions or pneumothorax. There is stable positioning of mitral valve replacement. A left pacemaker is in place with two leads terminating in the right atrium and right ventricle, expected locations.
<unk>-year-old female patient with cough and immunosupressed. study requested to rule out an infiltrate.
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In comparison with the study of <unk>, there are slightly lower lung volumes. There is increased opacification in the mid and lower lung on the right. Although this could represent asymmetric edema or atelectasis, in view of the clinical situation the possibility of aspiration pneumonia should be seriously considered. Less prominent and more reticular changes are seen on the left. Again this could represent merely atelectasis or another focus of consolidation. Nasogastric tube extends at least to the mid body of the stomach where it crosses the lower margin of the image.
stroke with swallowing difficulties and possible aspiration.
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The lungs are well expanded bilaterally with no areas of focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits. The hila are normal in appearance with no evidence of adenopathy. Pleural surfaces are unremarkable.
<unk>-year-old female with history of ssb-positive sjogren's syndrome.
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Frontal and lateral chest radiographs demonstrate a right chest wall port terminating in the low svc. Heart size is normal. Right infrahilar/lower lung opacity is compatible with pneumonia. There is no pleural effusion or pneumothorax. The visualized upper abdomen is unremarkable.
evaluate for pneumonia in a patient with cll, fever, cough.
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Heart size remains mildly enlarged. The aortic knob is calcified. Mediastinal and hilar contours are otherwise unremarkable. The pulmonary vasculature is normal. Previously noted opacities within the right lung have resolved. The lungs are hyperinflated. No focal consolidation, pleural effusion or pneumothorax is present. There are multilevel degenerative changes noted in the imaged thoracic spine.
history: <unk>f with dyspnea // eval pulm edema
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Cardiac and mediastinal silhouettes are stable. Enteric tube terminates in the stomach with side port in the location of the proximal stomach. Right base atelectasis is seen without definite focal consolidation. No large pleural effusion is seen. There is no pneumothorax.
history: <unk>f with ng tube placement // eval ng tube
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Frontal and lateral views of the chest were obtained. The heart size and cardiomediastinal contours are normal. The lungs are clear. No focal consolidation, pleural effusion, or pneumothorax. No displaced rib fracture is visualized.
<unk>-year-old male status post bicycle accident with tenderness to palpation along the right anterior chest wall. evaluate for trauma.
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Pa and lateral views of the chest provided. Compared with the prior exam, there is slightly improved aeration in the left mid to upper lung with persistent masses in the left lung compatible with malignancy. Difficult to exclude a superimposed pneumonia. Again noted projecting over the right upper lung is a partially calcified nodular lesion. No right pleural effusion. No convincing signs of edema. Heart size cannot be assessed. No acute bony injury.
<unk>m with transaminitis, worsening fevers
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Patient is rotated somewhat to the right. No focal consolidation is seen. There is no pleural effusion or pneumothorax. No overt pulmonary edema is seen. Since the prior study, there has been interval decrease in pulmonary vascular congestion, nearly resolved.
<unk> year old man with copd, now with increased o<num> requirement. // ? pulm edema
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A frontal chest radiograph again demonstrates a left chest wall pacer device with leads overlying the right atrium and ventricle. The cardiomediastinal silhouette remains normal. Lung volumes are lower, resulting in bronchovascular crowding. Retrocardiac opacity is unchanged, but right base opacity is increased. No large pneumothorax identified. The visualized upper abdomen is unremarkable.
evaluate for interval change in a patient with shortness of breath, hypoxia, siadh.
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Comparison is made to previous study from <unk>. There is a right-sided port-a-cath with the distal lead tip at the cavoatrial junction. Heart size is within normal limits. Lungs are clear. There are no pneumothoraces. There is some atelectasis at the left lung base, unchanged.
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The lungs are normally expanded. There are opacities in the right mid lung and left retrocardiac region, new since ct of <unk>. There is no large pleural effusion or pneumothorax. The heart is mildly enlarged.
history: <unk>m with ams fever // pna?
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The patient is status post median sternotomy and cabg. Lung volumes remain low. Heart size is normal. Aortic knob calcifications are demonstrated. Chronic interstitial abnormality is most pronounced along the periphery and lung bases, not substantially changed in the interval. No new focal consolidation, pleural effusion or pneumothorax is visualized. No overt pulmonary edema is present. There are no acute osseous abnormalities.
history: <unk>m with cough, hyperglycemia
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There is mild left base atelectasis/scarring, similar to prior. Prominence of the superior mediastinum remains, but is less evident as compared to the prior study. Cardiac silhouette is similar to prior. There is a retrocardiac opacity in the frontal view, which may be due to prominent mediastinal fat and hiatal hernia seen on ct from <unk>. This retrocardiac opacity was seen dating back to at least <unk>.
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Left base atelectasis/scarring is re- demonstrated. No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Enteric tube terminates in the left upper quadrant in the expected location of the stomach. No pulmonary edema is seen.
history: <unk>f with history of eating disorder and chest pain // eval for chf/pneumonia
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Ekg leads overlie the chest wall. The lung volumes remain low with unchanged right pleural effusion and diffuse right lung opacities. Left lung is clear. Small left pleural effusion. Stable cardiomegaly and calcification of the aortic knob. Unchanged bony thorax and upper abdomen.
<unk> year old man with empyema // eval for interval change
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Linear horizontal opacities in the bilateral lung bases are unchanged from ct of <unk> and consistent with atelectasis. The lungs are otherwise clear without focal consolidation, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged. The cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits. Tiny round metallic densities projecting over the midline of the chest likely represent clothing artifact.
<unk>-year-old female with hepatic encephalopathy, here to evaluate for pneumonia.
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In comparison with the study of <unk> from an outside facility, there is some increase in opacification at the right base consistent with combination of atelectasis and effusion. There is again opacification in the right infrahilar region consistent with apparent known mass. The left lung is relatively clear and there is no definite vascular congestion in this patient with enlargement of the cardiac silhouette and pacer device. No evidence of pneumothorax.
lung cancer with hemoptysis, to assess for right hilar mass.
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The lungs are clear without effusion, consolidation, or pneumothorax. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified, no displaced rib fractures seen.
<unk>m with left posterior chest pain following fall // r/o pneumothorax
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In comparison with the study of <unk>, the pigtail catheter has been removed from the right base. There has been reaccumulation of pleural fluid with underlying compressive atelectasis. The remainder of the study is essentially unchanged with the left lung generally clear.
pleural effusion.
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Frontal and lateral views of the chest were obtained. Bulky mediastinal and hilar lymphadenopathy is similar to <unk>. The heart size is normal. New heterogeneous opacity in the superior segment of the right lower lobe is most consistent with pneumonia, though metastatic progression cannot be excluded. Right lower and left mid lung pulmonary nodules appear stable since <unk>. No substantial pleural effusion. No pneumothorax. Catheter of the left chest wall port terminates in the right atrium.
<unk>-year-old female with hypoxia, transferred from outside hospital for pneumonia.
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The lungs are hyperinflated. The cardiomediastinal silhouette is unremarkable. There is no pleural effusion, pulmonary edema, pneumothorax, or focal consolidation concerning for pneumonia.
history: <unk>f with dyspnea // eval infiltrate, edema
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Pa and lateral views of the chest provided demonstrate no focal consolidation, effusion, or pneumothorax. No signs of chf. Cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm.
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Frontal and lateral views of the chest were obtained. There is mild left base atelectasis/scarring similar to priors dating back to <unk>. No new focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable with the cardiac silhouette top normal. The aorta is slightly tortuous. No pulmonary edema is seen.
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An ett is present in standard position. A right internal jugular approach central venous catheter is present with tip in the right atrium. Elevation of the right hemidiaphragm is present. Opacity at the right lung base is likely accounted for by a combination of pleural effusion, atelectasis, although consolidation is also possible. Slight blunting at the left costophrenic angle is noted. There is no pneumothorax. Mild interstitial edema is likely present.
history: <unk>m with recent intubation.
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As compared to the previous radiograph, the pleural effusions have completely resolved. There is unchanged moderate cardiomegaly and the sternal wires are in constant position. No pneumonia, no pulmonary edema. No pneumothorax.
shortness of breath, right pleural effusion, evaluation.
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Comparison is made to prior study from <unk>. The right base opacity seen on the prior study is less well seen. There is a persistent left retrocardiac opacity. There are no pneumothoraces. There is a right-sided central venous line with distal lead tip in the distal svc. There are low lung volumes. There are small bilateral pleural effusions, stable.
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A left-sided biventricular pacemaker remains in unchanged position. The heart is enlarged. There is unchanged right pleural thickening. No focal consolidation concerning for pneumonia. No pneumothorax.
<unk> year old man with biv ppm upgrade. // rule out pneumothorax and change lead position rule out pneumothorax and change lead position
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Ap portable upright view of the chest. Faint linear atelectasis in the right lower lung noted. Otherwise the lungs are clear. No pleural effusion or pneumothorax is seen. The cardiomediastinal silhouette appears normal. Imaged osseous structures are intact.
<unk>f with sob, palpitations
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The patient has received a new left pectoral pacemaker device with two leads coursing through the left transvenous approach and ending into right atrium and right ventricle respectively. Coronary artery stent is seen, and in addition, there are multiple surgical clips in the mediastinal region from the prior surgery. Both lungs are clear, no opacities concerning for pneumonia or pulmonary edema or aspiration. There is no pleural abnormality. Heart size is top normal. No pneumothorax.
to look for lead positions of a dual-chamber pacemaker.
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The lung volumes are low, resulting in crowding of the hilar and mediastinal structures. Note is made of mild bibasilar atelectasis. There may be a small left pleural effusion. There is no evidence of pneumothorax. Note is made of tortuosity of the aorta. An intramedullary metallic rod is visualized within the right proximal humerus, with evidence of sclerosis within the humeral head.
history: <unk>f with wbc><num>k // pna?
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New elevation of the right hemidiaphragm. Small bilateral pleural effusions are suspected with overlying atelectasis. There is mild pulmonary vascular congestion. No pneumothorax identified. The size the cardiac silhouette is enlarged but unchanged. A left chest wall biventricular aicd is present.
<unk> year old man with r tma <unk>, seen in clinic <num> days ago, <num> areas slow healing with more aggressive pt, cipro yest, today levo/doxy at wound center, admitted for iv abx // fluid overload?
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The lungs are well-expanded. There is mild pulmonary edema. No focal consolidations. No pleural effusion or pneumothorax. There is moderate cardiomegaly. Cardiomediastinal hilar silhouettes are otherwise unremarkable, noting dense atherosclerotic calcifications of the aortic knob. Median sternotomy wires and valve replacements are seen.
<unk>m with chf, sob // eval for pulm edema
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Cardiac silhouette is upper limits of normal in size and accompanied by pulmonary vascular congestion and a new interstitial edema. A more confluent area of opacity at the right lung base has partially cleared and probably represents resolving atelectasis. Adjacent small-to-moderate right pleural effusion is again demonstrated.
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In comparison to the prior exam, there remains a left-sided pleural effusion, small to moderate in size. There also remains haziness of the left lower lobe which is probably due to atelectasis as well as a small effusion. Spinal hardware is again noted. The cardiac size remains normal. There is no pneumothorax.
history: <unk>f with renal cancer on chemi with fever // eval pna
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An endotracheal tube has been placed with the tip terminating approximately <num> cm above the carina. An enteric tube is seen coursing to the mid-to-lower esophagus but not below the diaphragm. The overall appearance of the chest is unchanged from the study performed <num> minutes earlier with patchy opacification at the right lung, predominantly in the right lung base and the left lung base as well compatible with multifocal pneumonia. No large pleural effusion or pneumothorax is detected. The pulmonary vasculature is not engorged, and there is no overt pulmonary edema. The cardiomediastinal contours are within normal limits with tortuosity of the thoracic aorta. The patient is status post median sternotomy.
status post intubation, here to evaluate et tube placement.
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As compared to the previous radiograph, there is no relevant change. Intubation, nasogastric tube. Moderate cardiomegaly and tortuosity of the thoracic aorta. No change in appearance of the pulmonary vessels and the pulmonary parenchyma. No new parenchymal opacities. No pleural effusions.
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The patient is status post median sternotomy and tricuspid valve replacement. Cardiac silhouette size is mildly enlarged, but slightly decreased in size compared to the prior exam. The mediastinal and hilar contours are unremarkable. Previous pattern of mild pulmonary vascular congestion has improved. Previously noted small bilateral pleural effusions have essentially resolved with only minimal residual bibasilar airspace opacities likely reflecting atelectasis. No new areas of consolidation are seen. No pneumothorax is identified. The left picc has been removed.
status post open heart surgery for valve replacement.
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Since chest radiographs dated <unk>, there has been interval resolution of pulmonary edema. Severe cardiomegaly is unchanged. Lungs are fully expanded and clear. The pleural surfaces are normal.
<unk> year old man with cough // cough
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A left picc line terminates in the upper svc. An endotracheal tube terminates approximately <num> cm above the carina, unchanged from prior examination. An enteric tube courses below the diaphragm, the tip is not included in this image. There is mild pulmonary edema. Increased left retrocardiac opacity persists likely a combination of atelectasis and pleural effusion. Increased opacities at the right upper lobe, above the minor fissure, at the right lung base and in the left perihilar region are concerning for multifocal pneumonia.
<unk>-year-old man with altered mental status, intubated. evaluate et tube and infiltrate.
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Pa and lateral views of the chest provided. Lungs are well inflated and grossly clear. No pleural effusion or pneumothorax. Hilar contours are normal. There is prominence of the main pulmonary artery.
<unk> year old woman with hx astham, allergies, remote history of "lung scarring", presenting with dyspnea on exertion for several months. echo normal. looking for other causes for doe. // evidence of lung scarring? evidence of mass?
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The patient is known with esophageal cancer and esophageal stent that is unchanged. Left port-a-cath ends in upper atrium. New left pigtail projects at the lung base. Left pleural effusion has improved and is now small. There is no visible pneumothorax. Right moderate-to-severe pleural effusion with passive atelectasis is unchanged if we compare to scout view of ct scan, but worsened since <unk>. Mediastinal and cardiac contours are within normal limits.
patient with large bilateral effusion, chest tube placement; rule out pneumothorax.
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Pa and lateral chest radiographs demonstrate no focal consolidation, pleural effusion, or pneumothorax. No acute rib fracture is identified. The cardiomediastinal silhouette is normal.
pain, history of rib fracture. evaluate for contusion.
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Portable ap chest radiograph shows clear well-expanded lungs and heart and mediastinal contours and bony structures within normal limits. Radiodense vp shunt tubing is seen extending along the right side of the neck, right lateral chest wall and curving towards the right upper quadrant of the abdomen, however, the distal end is obscured or is off the view of the film.
<unk>-year-old woman with shunt placement, needing revision. preliminary report typed into pacs reads "no acute intrathoracic process. vp shunt extends along the right lateral thoracic wall and into the right upper abdomen. shunt tip not visualized." signed <unk>.
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There is persistent elevation of the right hemidiaphragm, unchanged. Otherwise, the lungs are well expanded and clear. No pulmonary edema. Stable appearance of the cardiomediastinal silhouette. No pleural effusion. No pneumothorax.
history: <unk>f with r/o pna, cough fever // r/o pna, cough fever
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Patient is status post transcatheter aortic valve replacement as well as right-sided pacemaker placement with leads in unchanged positions in the right atrium and right ventricle. Left-sided port-a-cath tip terminates in the upper svc. Heart size remains mildly enlarged. Mediastinal and hilar contours are unchanged. Low lung volumes result in crowding of bronchovascular structures without pulmonary edema. There is mild bibasilar atelectasis. No focal consolidation, pleural effusion or pneumothorax is present. Elevation of the right hemidiaphragm is chronic. There are mild degenerative changes in the thoracic spine. Chronic deformity of the proximal right humerus is incompletely imaged.
<unk> f esrd status post tavr diaphoretic this morning
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An endotracheal tube tip terminates <num> cm above the carina. A dobbhoff tube loops in the stomach. A right-sided picc line remains in the upper svc. A right pleural catheter is stable. A moderate left pneumothorax has significantly increased in size since yesterday's exam. A left-sided chest tube remains in expected position at the left chest apex. Right-sided pulmonary vascular congestion and and peripheral hematoma is unchanged. Cardiac and mediastinal contours are similar. Median sternotomy wires and upper mediastinal surgical clips and skin <unk> are stable.
<unk>-year-old man with polytrauma.
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Again seen is very extensive consolidation involving the right lung with relative sparing of the apex. An associated right pleural effusion is likely slightly decreased when compared to the prior study. Opacities in the left lung are unchanged. Monitoring and supportive equipment is unchanged in appearance. No definite left-sided pleural effusion. No pneumothorax seen.
<unk> year old man with heart transplant, disseminated adenovirus, ards, intubated // ?interval change
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Overall, appearances are very similar when compared to the prior study. Even allowing for the projection, the heart is enlarged. There is persistent opacity at the left lung base likely reflecting a combination of pleural effusion and atelectasis, superimposed infection cannot be excluded. The right upper lobe consolidation is not as clearly seen as on the prior study. No pneumothorax seen.
<unk> year old woman with tachypnea to <unk> // interval evaluation of changes post transfusion earlier today now with tachypnea
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Frontal and lateral chest radiographs demonstrate mild cardiomegaly. There is mild interstitial engorgement without focal consolidation. Trace bilateral pleural effusions are present. There is no pneumothorax.
shortness of breath. evaluate for edema or infection.
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The heart size is mildly enlarged. The aorta is tortuous and diffusely calcified. The mediastinal and hilar contours otherwise are within normal limits. Lungs are clear and the pulmonary vascularity is within normal limits. There appears to be a small hiatal hernia. No pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities.
blood in sputum.
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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>. A marked right-sided convex scoliosis in the mid portion of the thoracic spine accounts for asymmetric presentation of the chest on the frontal view. The degree of scoliosis is unchanged since <unk>. The heart size remains normal as well as the thoracic aorta which follows the scoliotic curvature in its descending portion remains within normal limits. The pulmonary vasculature is not congested. No signs of acute or chronic parenchymal infiltrates are found and the lateral and posterior pleural sinuses are free. No evidence of pneumothorax in the apical area. With the exception of the described scoliosis which includes mild degenerative changes mostly in the mid portion of the thoracic spine, no other gross skeletal abnormalities can be identified.
<unk>-year-old female patient with two weeks of cough, travel to <unk> (<unk>) six months ago. evaluate for possible infiltrates.
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Heart size is top normal. Mediastinal and hilar contours are similar. Lungs are hyperinflated. Streaky opacities in the lung bases may reflect atelectasis but aspiration or infection cannot be completely excluded. There is no focal consolidation, pleural effusion or pneumothorax. Pulmonary vasculature is not engorged. A percutaneous catheter balloon is seen in the left upper quadrant of the abdomen.
history: <unk>f with lethargy
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Pa and lateral chest views were obtained with patient in upright position. The heart size is normal. No configurational abnormality is identified. Unremarkable appearance of thoracic aorta and mediastinal structures. The pulmonary vasculature is not congested. No evidence of acute or chronic parenchymal infiltrates are present and the lateral and posterior pleural sinuses are free. No pneumothorax in the apical area. Skeletal structures of the thorax grossly within normal limits. There is no previous chest examination or records available for comparison. The most recent chest ct of <unk> is reviewed and demonstrates moderate degree of bilateral hilar adenopathy and scattered small granular densities in the right middle lobe, to small to be identified on routine pa and lateral chest examination. For detail of findings, see corresponding report on chest ct, <unk>.
<unk>-year-old male patient status post bronchoscopy and endobronchial ultrasound, assess for interval change.
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A port-a-cath terminates in the superior vena cava. The cardiac, mediastinal and hilar contours appear stable. There is vague persistent opacity in the left lower lobe which is apparently a background finding, likely due to atelectasis. Otherwise the lungs appear clear. There are no pleural effusions or pneumothorax. There is no free air.
failure to thrive and abdominal pain.
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As compared to the previous radiograph, the left chest drain has been removed. There is no evidence of left pneumothorax. No relevant left pleural effusions. On the right, the chest tube is in unchanged position. The extent of the left effusion has minimally decreased, but the effusion is still moderate in extent, causing opacification of a substantial part of the right hemithorax. Unchanged appearance of the heart and the mediastinum.
pleural effusion, assessment.
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Lung volumes remain low. There is mild enlargement of the cardiac silhouette. The mediastinal and hilar contours are unchanged. Pulmonary vasculature is not engorged. Increased interstitial markings with patchy opacities at the lung bases persist, most likely reflective of a combination of known chronic interstitial lung disease with atelectasis. No focal consolidation, pleural effusion or pneumothorax is present. There are mild to moderate multilevel degenerative changes demonstrated in the thoracic spine.
history: <unk>m with shortness of breath
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Frontal chest radiograph demonstrates et tube terminating <num> cm above the carina. Og tube courses below the diaphragm and terminates outside the field-of-view. Moderate pulmonary edema has slightly improved from radiograph obtained <num> minutes prior.
ett and ogt placement.
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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 // r/o pneumothorax
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Complex rounded mass in left lower lobe posteriorly is associated with multiple cystic lucencies inferiorly, and a persistent crescenteric lucency surrounding the majority of the lesion. As compared to the prior study, multicystic basilar component of the lesion demonstrates increasing extent of air-fluid levels, and there may be an adjacent new area of consolidation laterally. Lungs are otherwise clear, and cardiomediastinal contours are stable.
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Lines and tubes: bilateral chest tubes project over the lower lateral chest wall. The pigtail of the right-sided chest tube projects outside the chest wall may be in the subcutaneous tissues. Lungs: well inflated with unchanged bilateral diffuse coarse linear and patchy opacities. Pleura: there is no pleural effusion or pneumothorax mediastinum: unchanged cardiomegaly and mediastinal silhouette. Bony thorax: no interval change
<unk> year old man with bilaterla pulm infilitrates, pleural effusions s/p bilateral chest tubes // assess for interval change; please do between <num> and <num> am
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Comparison is made to prior study from <unk>. There is again seen a left-sided port-a-cath with the distal lead tip in the svc. The port-a-cath makes a high loop within the lower left neck soft tissues; however, this is unchanged from prior studies. The heart size is relatively stable and within normal limits. There is a left-sided pleural effusion. There are again seen bilateral basal fibrotic changes, stable from the prior studies. No pneumothoraces or new consolidations are present.
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In comparison with study of <unk>, there is no evidence of appreciable increase in pulmonary venous pressure. Enlargement of the cardiac silhouette persists. Right ij catheter tip is in the region of the lower svc. The area of possible nodular opacification in the left mid zone is obscured on this study by overlying monitor lead.
fluid resuscitation, to assess for pulmonary 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 portable chest examination of <unk>. The heart size remains within normal limits. No configurational abnormalities are identified. The entire thoracic aorta is generally widened and moderately elongated, but there is no evidence of local contour abnormalities. A few wall calcifications are seen at the level of the arch. The pulmonary vasculature is not congested. No signs of acute or chronic pulmonary parenchymal infiltrates are present and the lateral and posterior pleural sinuses are free. No pneumothorax in the apical area. Skeletal structures of the thorax grossly unremarkable. There exists, however, some metallic surgical hardware in the left humerus.
<unk>-year-old female patient with thrombocytosis, evaluate for pneumonia.
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In comparison with study of <unk>, there is no change or evidence of acute cardiopulmonary disease. No pneumonia, vascular congestion, or pleural effusion.
lymphoma with fever and cough, to assess for pneumonia.
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As compared to the previous radiograph, lung volumes have slightly decreased. There is crowding of the vascular structures at the lung bases, but no evidence of recent parenchymal pathology. The lung apices have increased in transparency. Unchanged size of the cardiac silhouette. No pleural effusions. No pulmonary edema.
history of copd, shortness of breath, evaluation.
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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. Surgical clips are seen in the left axilla.
history: <unk>f with pain
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The patient is status post median sternotomy and cabg. Heart size is moderately enlarged and is accentuated due to low lung volumes. The mediastinal and hilar contours are unremarkable. There is crowding of the bronchovascular structures, but no overt pulmonary edema. No focal consolidation, pleural effusion or pneumothorax is seen. Minimal atelectasis is noted in the lung bases. There are no acute osseous abnormalities.
elevated blood sugar.
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Single portable view of the chest. Endotracheal tube is seen approximately <num> cm from the carina at the level of the clavicular heads and could be advanced several cm for optimal positioning. There are bilateral parenchymal opacities potentially due to edema versus ards or multifocal pneumonia. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is detected. Impression findings were discussed by dr. <unk> with dr. <unk> at <time>pm on <unk>.
endotracheal tube placement.
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There are no significant changes compared to the last radiograph performed on <unk>. The support devices/ lines, including the pulmonary artery catheter and transvenous pacemaker, are unchanged in position. There are no new suspicious areas of focal consolidation, large pleural effusions or pneumothorax. The heart is enlarged, unchanged in appearance since <unk>.
<unk> year old man with cardiogenic shock with swan catheter in place // compare to prior
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In comparison to chest radiograph taken earlier on the same day, interval removal of left chest tube with no evidence of pneumothorax. As expected, lung volumes are decreased bilaterally still opacities in the lung parenchyma appeared denser. No other significant change since chest radiograph performed earlier in the same day.
<unk> year old man with s/p lvad // s/p chest tube removal ? ptx
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Portable ap chest radiograph. Streaky opacities in the lung bases may reflect atelectasis, but infection is not excluded. No overt pulmonary edema is present. There is no large pleural effusion or pneumothorax. The cardiomediastinal silhouette is stable.
chest pain.
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Frontal and lateral views of the chest. Low lung volumes, which accentuate bronchovascular markings and cardiomediastinal contours. The mediastinum is slightly widened in the region of the aortic knob and aorticopulmonary window. Heart size is top normal. There is no pulmonary edema. Right hemidiaphragm is slightly elevated. There is no pleural effusion, focal consolidation, or pneumothorax. Partially imaged upper abdomen is unremarkable. On the lateral view, the normally clear retrosternal space is not well visualized.
chest pain.
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There is a moderate left pleural effusion, similar to multiple recent studies. Left basilar opacification is similar to the prior exam, likely atelectasis, but infection cannot be excluded. There is mild pulmonary vascular congestion and cardiomegaly. There is no pneumothorax.
dyspnea, hypoxia, and weakness.
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No focal consolidation, pleural effusion, or pneumothorax is seen. There is no evidence for pulmonary edema. Heart and mediastinal contours are within normal limits. There is mild dextroconvex thoracic scoliosis.
<unk>-year-old female with palpitations.
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Right cardiophrenic angle mass corresponding to enlarged pericardial fat pad on ct of <unk> is again demonstrated, with adjacent right retrocardiac atelectasis and/or consolidation. New streaky peribronchiolar opacities have developed in the left lower and right perihilar regions, and may be due to clinically suspected aspiration. Feeding tube has been removed in the interval. No other relevant changes since recent study.
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Lung volumes are low on the right without convincing evidence of lobar atelectasis. There are multiple right-sided rib deformities consistent with old rib fractures. No pneumothorax. There is mild prominence of the bilateral hila and pulmonary vasculature consistent with a mild degree of congestive heart failure but no frank pulmonary edema. Mild cardiomegaly may be exaggerated by the projection. No consolidation or pleural effusion seen.
<unk> year old man with iph // rule out infectino
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Pa and lateral chest radiographs are taken with the patient in the upright position. Heart is of top normal size. Cardiomediastinal silhouette is unremarkable. Lungs are hyperexpanded and clear with no evidence of focal consolidation to suggest pneumonia. No pleural effusions. No pneumothorax. Normal pulmonary vasculature.
<unk>-year-old man with cough x <num> weeks, right anterior chest pain with cough. clear lungs. rule out lung disease.
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In comparison with the study of <unk>, there has been substantial decrease in the right lower lung opacification medially. Moderate residual persists. The right upper to mid lung nodule has decreased in size. Continued blunting of the right costophrenic angle suggests pleural thickening, since there is no filling of the posterior costophrenic sulcus on the lateral view.
to assess size of lung lesions.
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Single portable ap chest radiograph was provided. Lungs are well expanded. They appear hyperlucent with increased reticulation, likely representing emphysema. No large focal consolidation, pleural effusion, or pneumothorax. Retrocardiac opacities are incompletely evaluated and may be normal but difficult to evaluate on this single projection. There are calcifications of the aorta. The bones are osteopenic.
<unk>-year-old male with fever, tachycardia and altered mental status. evaluate for pneumonia.
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The et tube terminates approximately <num> cm from the carina and can be retracted for better positioning. Patient is status post median sternotomy. There is extensive pneumomediastinum. In addition, there are left lower lobe opacities worrisome for atelectasis versus aspiration. There are likely bilateral small pleural effusions.
<unk>-year-old female with esophageal injury and intubated. evaluate et tube placement.
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Pa and lateral views of the chest were reviewed and compared to the prior studies. Unchanged bibasilar linear opacities are more prominent on the left than on the right and are likely aatelectasis. The cardiac and mediastinal contours are normal. There is no pneumothorax or pleural effusion. Free intraperitoneal air has increased and is expected in a peritoneal dialysis patient. Prominence of air filled small bowel loops in the upper abdomen could represent ileus.
fever and peritonitis in a patient on peritoneal dialysis.
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There is no significant change compared with prior examination. The lungs are hyperinflated with some flattening of both diaphragms. Bilateral interstitial markings, more prominent at the lung bases, are compatible with fibrosis. No new focal parenchymal opacity is seen. Prominent atherosclerotic calcifications of the aortic knob are present. Cardiomediastinal and hilar contours are unremarkable. There is no cardiomegaly. No pleural effusion or pneumothorax. Biapical pleural parenchymal scarring is present and unchanged.
<unk>-year-old female with cough and fever. evaluate for evidence of pulmonary infiltrate.
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The previous chest radiograph demonstrated a moderate-sized multiloculated pleural effusion. On the current exam, a retrosternal component of the fluid has resolved, and a basilar dependent component of the pleural effusion has significantly improved, with associated improved aeration of the left lower lobe. However, a large elliptical opacity persists, measuring <unk>.<num> cm in craniocaudad dimension, best visualized on the lateral radiograph overlying the mid-to-lower thoracic spine. It has obtuse angles with the adjacent lung parenchyma, consistent with a pleural location. Additionally, a discrete air-fluid level is present superiorly and has differing measurements on the pa and lateral views, also placing this within the pleural compartment. Additionally, adjacent to this pleural opacity is an area of apparent consolidation in the superior segment of the left lower lobe, just below the major fissure. Opacities in the remaining of portion of the left lower lobe are predominantly linear, suggesting atelectasis. Mild volume loss is present in the left hemithorax. The right lung is slightly overexpanded, but grossly clear, and cardiomediastinal contours are within normal limits.
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Patient is somewhat rotated. There is persistent elevation of the right hemidiaphragm with blunting of the right costophrenic angle. Slight blunting of the left costophrenic angle is also seen. Underlying pleural effusion may be present. Midline trach is stable in position. Cardiac and mediastinal silhouettes are stable. Patchy opacity at right lung base may be due to overlap of structures, versus atelectasis versus consolidation, but grossly stable compared to the prior study.
ms status <unk> trach/ peg
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Frontal and lateral views of the chest were obtained. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The aorta is tortuous. The cardiac silhouette is not enlarged. The cardiac and mediastinal silhouettes are stable. There is a tubular structure that projects over the upper right hemithorax, unclear whether internal or external to the patient, though most likely represents a right-sided vp shunt.
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There is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal silhouette is within normal limits. There is mild gaseous distension of the large bowel.
<unk>f with chest tightness, evaluate for acute abnormality
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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.
history: <unk>m with shortness of breath, rib pain
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The cardiomediastinal and hilar contours are within normal limits. Lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax.
right upper quadrant pain. evaluate for cholecystitis.
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A tracheostomy tube is in place. A left-sided picc tip projects over the upper-to-mid portion of the svc. The heart size is large but stable. The mediastinal contours are within normal limits. There is bibasilar atelectasis with small bilateral pleural effusions. No lobar consolidation is seen. There is no pulmonary edema.
<unk>-year-old female with intractable seizures and fluid overload.
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with dka // pna?
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As compared to the previous examination, the endotracheal tube has been slightly advanced. The tip of the tube now projects <num> cm above the carina. The course of the newly positioned nasogastric tube is unremarkable, the tip of the tube is not included on the image. The size of the cardiac silhouette is unchanged. The bilateral, predominantly peripheral and apical parenchymal opacities with multiple air bronchograms as well as general increase of radiodensity of the lung parenchyma are constant and would be consistent with clinical ards. A small retrocardiac atelectasis has newly appeared. There is no evidence of pneumothorax.
multifocal pneumonia, worsening hypoxia, questionable ards.
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In comparison with study of <unk>, there is little change and no evidence of acute cardiopulmonary disease. There are low lung volumes, but no evidence of pneumonia, vascular congestion, or pleural effusion.
cough and fever.
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Single portable view of the chest is compared to previous exam from <unk>. The lungs are grossly clear. Costophrenic angles are sharp. As on prior, there is enlargement of the azygos contour which could be accentuated due to patient's positioning and technique. Cardiac silhouette remains stable with moderate enlargement.
generalized weakness, question pneumonia.