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There has been interval significant improvement in pulmonary edema with minimal to none remaining. Loculated right pleural effusion is again seen, similar in appearance. The left lung is clear. There is no left pleural effusion. The cardiac silhouette remains enlarged. The aorta calcified and tortuous.
<unk> year old man with loculated pleural effusion s/p right vats decortication // assess for interval change
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The heart size is at the upper limits of normal. The mediastinal and hilar contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax.
<unk>-year-old female with one day of constant chest pain.
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The lungs are expanded and clear. The cardiomediastinal silhouette and hilar contours are normal. The pleural surfaces are normal without effusion or pneumothorax.
chest pain
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There is a new dual lead pacemaker with tips projecting slgihtly higher than expected given the appearance of the heart. There continues to be moderate cardiomegaly.
new dual lead pacemaker.
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Mild cardiomegaly is unchanged. Prominent interstitial markings involving the left lung is nonspecific, however, could represent chronic scarring. There is mild pulmonary vascular engorgement and interstitial edema. No definite focal consolidations concerning for pneumonia are identified. There is no pleural effusion or pneumothorax. Sternotomy wires and multiple mediastinal clips are unchanged. Severe left shoulder degenerative changes are similar to the prior exam.
history of abdominal pain, vomiting and hypotension. please evaluate.
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Comparison is made to previous study from <unk>. There has been worsening of the airspace opacities most consistent with pulmonary edema; however, superimposed infection cannot be excluded. Endotracheal tube, right- sided central venous line and feeding tube are unchanged in position. There is some atelectasis at the left lung base. There are no pneumothoraces.
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Pa and lateral radiographs of the chest. There is unchanged enlargement of the cardiac silhouette. There is pulmonary vascular congestion and pulmonary edema. There are bilateral moderate pleural effusions. Bibasilar opacities are likely compressive atelectasis; however, underlying pneumonia is not excluded. No pneumothorax. No displaced rib fracture identified, although dedicated rib series or ct are more sensitive.
history of falls, left forearm bruise and incoherent speech for <num> months. question fracture.
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The patient has developed a right apical pneumothorax. The diameter of the pneumothorax is approximately <num> cm. There is no evidence of tension. Fiducial seeds are seen in the right upper abdomen. Previously present pleural effusions are no longer visible. Normal size of the heart. Normal hilar and mediastinal contours.
fiducial marker placement. evaluation for pneumothorax.
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The ett and ng tube are unchanged. There is new dense retrocardiac opacification consistent with volume loss/infiltrate/effusion. Normal is mild pulmonary vascular redistribution with.
bacterial meningitis.
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Ap semi upright and lateral views of the chest provided. Lung volumes are somewhat low though allowing for this the lungs appear clear. No focal consolidation, effusion or pneumothorax is seen. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. Bridging osteophytes in the t-spine noted anteriorly. No free air below the right hemidiaphragm is seen.
<unk>m with fft, leukocytosis, // eval for infx
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Frontal and lateral views of the chest were obtained. The patient is status post median sternotomy and cabg. There is stable enlargement of the cardiac silhouette. Cardiac and mediastinal silhouettes are stable. Hilar contours are stable. Overall, there has been no significant interval change.
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There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. The imaged upper abdomen is unremarkable. The bones are intact.
history: <unk>f with cough and feverpls eval pna // history: <unk>f with cough and feverpls eval pna
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Ap and lateral views of the chest show no focal airspace consolidation. The lung volumes are low in comparison to the prior exam. There is increased interstitial prominence, which is likely due to low lung volumes. There is no definite pulmonary edema, pleural effusion or pneumothorax. The cardiac size is mildly enlarged, unchanged from the prior exam. The mediastinal contours are stable. There is a sclerotic lesion in the right humerus. The remainder of the bones are markedly dense and irregular, which is consistent with the patient's history of known metastatic prostate cancer. Degenerative changes are noted in the right glenohumeral joint. No fracture is identified.
fever. history of metastatic prostate cancer.
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Compared to chest radiographs from <unk>, pulmonary edema has significantly improved, now mild. Opacities in the right lower lung have improved and may reflect atelectasis, though infection cannot be excluded. Moderate cardiomegaly is stable. No appreciable pleural effusions. No pneumothorax. Calcification of the pleural surfaces, predominantly the right lung base, reflect prior asbestos exposure. Mediastinal and hilar contours are stable. Left-sided aicd with dual leads following their expected courses to the right atrium and ventricle.
<unk> year old man with w hfref w cough c/f uri vs pna? // pna?
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There are moderate-sized left and small right pleural effusions, both of which have increased in size over the interval, and are associated with mild adjacent bibasilar opacities. The heart remains enlarged. A pacemaker device is present, with leads terminating in the region of the right atrium and right ventricle. There is no pneumothorax or focal consolidation.
<unk> year old man with pleural effusion // eval
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The lungs are hyperinflated with flattening of the diaphragms and increased retrosternal clear space compatible with copd. Blunting of the costophrenic angles posteriorly appears to be chronic, and likely relates to pleural thickening. Cardiac, mediastinal and hilar contours are unremarkable. There are is no focal consolidation. No pneumothorax is identified. The pulmonary vascularity is normal. No acute osseous abnormality is identified. Old right-sided rib fractures are again noted.
copd, acute exacerbation.
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As compared to the previous radiograph, the opacity at the left lung base is slightly bigger and more dense than on the previous image. In addition, there is a new opacity at the right lung base. The location and distribution of the findings confirm the diagnosis of aspiration pneumonia, discussed and communicated on occasion of the last radiographic image, on <unk>, <time> a.m. No other parenchymal changes. Normal size of the cardiac silhouette. No pleural effusions. Right picc line in unchanged position.
hypoxemia, concern for aspiration pneumonia, evaluation.
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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>f with sore throat, fevers, malaise
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Lung volumes remain low. There is slight interval improvement in pulmonary edema, now mild. There is unchanged atelectasis at the right lung base. The cardiomediastinal silhouette remains enlarged. There is a small left pleural effusion. No pneumothorax is seen. Lines and support devices are in unchanged positions. The course of the nasogastric to cannot be fully assessed due to extensive scatter radiation.
<unk> year old man s/p <unk>, evaluate for pleural effusion.
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In comparison with study of <unk>, there is again substantial enlargement of the cardiac silhouette. Relatively mild elevation of pulmonary venous pressure, raising the possibility of cardiomyopathy or pericardial effusion. Hazy opacification at the right base is consistent with pleural effusion. On the left, there is more extensive opacification with poor definition of the hemidiaphragm, consistent with substantial volume loss in the left lower lobe and accompanying effusion.
stroke with basilar crackles on the right, to assess for pneumonia or chf.
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As compared to prior chest radiograph from <unk>, there is redemonstration of a left-sided pacemaker device with leads terminating in the right ventricle and right atrium, expected locations. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are stable. There is tortuosity of the descending aorta. Note is made of a left healed sixth rib fracture and lower bilateral old fractures.
right ventricular lead malfunction. evaluate presence of pacer leads fracture.
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The pulmonary artery catheter appears appropriately placed with its tip within the mediastinal borders. The left-sided dual-lead cardiac device appears intact and unchanged in position. Stable lung volumes, mild pulmonary edema, and cardiomegaly. No pleural effusion or pneumothorax.
<unk> year old man with chf; with pa line placed // please remove surface ekg lines from chest; pa line placement.
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The feeding tube tip is off the film, at least in the stomach. Right-sided chest tube is again seen. Left subclavian line tip is in the superior vena cava. There continues to be a retrocardiac opacity consistent volume loss/infiltrate/effusion. Right lower lobe volume loss is again seen. There is no pneumothorax.
right chest tube to water seal.
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Moderate cardiomegaly is chronic, but has been larger in the past. Mildly increased opacity in the lower lungs bilaterally could reflect an element of pulmonary edema. There is no pleural effusion or pneumothorax. The visualized upper abdomen is unremarkable.
evaluate for pneumonia in a patient with recent pneumonia and chest pain.
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Mildly hyperinflated lungs with flattening of the diaphragms. Lungs are clear. No pleural effusion, pneumomediastinum, or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable. Limited assessment of the upper abdomen is unremarkable.
<unk>f with palpitations, cp, new murmur. assess for pneumonia.
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Frontal and lateral views of the chest were obtained. The cardiac and mediastinal silhouettes are stable. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen.
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There is left apical opacity which correlates with previously seen presumably post radiation fibrosis. Given differences in technique, the appearance has not significantly changed. The lungs are otherwise clear despite relatively low lung volumes. The cardiomediastinal silhouette is within normal limits. Median sternotomy wires are intact. No acute osseous abnormalities.
<unk>m with third degree heart block // acute process
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Portable ap chest radiograph. The swan-ganz catheter has been removed and a cordis sheath remains in place. Median sternotomy wires are intact. A gas collection below the left hemidiaphragm is due to new gastric distension. Lung volumes remain low with bibasilar atelectasis. However, aeration of the right lung has improved and the right pleural effusion has decreased. Although the pulmonary vasculature is engorged, there is no edema. There is no pneumothorax.
cabg on <unk>. evaluation for interval change.
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In comparison to same day chest radiograph, a right-sided picc now terminates at the expected location of the superior cavoatrial junction. There is no pneumothorax or other complications. Lungs are fully expanded and clear. Heart size is normal. Cardiomediastinal and hilar silhouettes and pleural surfaces are normal.
<unk> year old man with r picc malpositioned // r picc repo attempted, <unk> <unk> <unk>
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As compared to the previous radiograph, there is no relevant change in appearance of the collapsed lung portions on the right. Unchanged appearance of the cardiac silhouette. Unchanged sternal wires. Unremarkable left lung.
evaluation of lung collapse.
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As compared to the previous radiograph, the monitoring and support devices are in unchanged position. Increasing left pleural effusion with left retrocardiac atelectasis. The right lung base is unchanged and shows an atelectasis. No new parenchymal opacities. Unchanged appearance of the cardiac silhouette.
dermatomyositis, respiratory distress, evaluation for hypoxemia.
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The lungs are clear. No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiac silhouette is top-normal in size, which may in part be from pericardial fat. Mediastinal contours are within normal limits. The hila and pleura are unremarkable. No acute osseous abnormality.
<unk>-year-old woman presenting with shortness of breath; evaluate for consolidation.
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Lung volumes are low, accentuating cardiac silhouette and bronchovascular structures. Small-to-moderate, partially layering right pleural effusion is present with adjacent right retrocardiac opacity which probably reflects atelectasis, less likely infectious consolidation. Small left pleural effusion is also present, as well as linear left lower lobe atelectasis.
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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.
history: <unk>m with sc crisis // eval for consolidation
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In comparison with the earlier study of this date, there has been placement of an endotracheal tube with its tip approximately <num> cm above the carina. Nasogastric tube extends well into the stomach where it crosses the lower margin of the image. Continued diffuse bilateral pulmonary opacifications, worse on the right. This again could reflect some combination of progressive edema and infection. No definite pleural effusion.
pneumonia with intubation.
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Port-a-cath in place. Increased heart size. No consolidations. Mild bronchial wall thickening right lung base, more prominent, likely inflammatory. Old left rib fractures.
<unk> hx refractory mm s/p autologous sct, last dose <unk> ninlaro, revlimid on hold <unk> cytopenia p/w weakness, cough, dyspnea. likely <unk> viral bronchitis // interval changes
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Pa and lateral views of the chest. No prior. The lungs are clear. There is no effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. No displaced rib fractures identified. There is, however, mild right lateral vertebral body height loss identified at t<num>, age indeterminate especially without priors.
<unk>-year-old female with chest pain status post fall from bicycle.
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Mild-to-moderate cardiomegaly is a stable. The lungs are clear. There is no pneumothorax or pleural effusion.
<unk> year old man with chf with ef <unk>% who presents with fall, weakness, elevated lactate // ?edema, pna
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The lungs are hyperinflated bilaterally, but are otherwise clear without evidence of focal consolidation. Cardiomediastinal and hilar silhouettes and pleural surfaces are normal.
<unk> year old woman with history of left-sided numbness and dizziness. please eval for infection // please evaluate for cardiopulmonary process
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The newly placed ett tip is in standard position. There has been interval placement of endobronchial valves which project over the right upper lobe and lower lobe bronchi. <num> pigtail catheters project over the right mid thorax, unchanged. A small right apical pneumothorax overall unchanged. The lungs are hyperexpanded with background hyperlucency and flattening the hemidiaphragms, consistent with emphysema. Opacities in the right upper lobe are overall unchanged. Left upper lobe increased interstitial markings in reflect chronic scarring. Heart size is normal. The mediastinum is not widened. No pleural effusion.
<unk> year old man with copd and ptx s/p endobronchial valves. // eval ptx and valve placement
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are unremarkable. No evidence of free air is seen beneath the diaphragms. There is no displaced fracture.
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Cardiomediastinal silhouette is within normal limits. There is no focal consolidation, pleural effusion, or pneumothorax. The stomach contains an air-fluid level, but there is no free air under the diaphragm.
history: <unk>m with abdominal pain, syncope, hx ruptured gastric ulcer // free air under diaphragm
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The lungs are moderately well inflated. Again identified is a dense left retrocardiac opacity silhouetting the left hemidiaphragm compatible with left lower lobe atelectasis versus consolidation. Et tube terminates approximately <num> cm above the carina at the level of the clavicles an could be advanced by approximately <num> cm. The weighted feeding tube terminates in the distal stomach. Another enteric tube terminates in the proximal stomach. The right renal cases are opacified by contrast, likely related to a prior intravenous exam.
et tube placement and advancement.
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In comparison with the study of <unk>, the nasogastric tube has been removed. Endotracheal tube also is no longer present. Contrast fragments in the midline and axillary region are unchanged. Left upper zone opacification has slightly decreased. This suggests clearing pulmonary hemorrhage or contusion. A definite pneumothorax in the left apical region is not appreciated. Left chest tube remains in place.
gunshot to left chest and shoulder complicated by pneumothorax.
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As compared to the previous radiograph, the monitoring and support devices are unchanged. This includes the unchanged position of the chest tubes. The endotracheal tube should be advanced by approximately <num>-<num> cm as it is located very high up in the trachea. There is no evidence of pneumothorax and pleural effusions. Mild atelectasis, notably in the right medial lung base persists. Normal size of the cardiac silhouette.
intubation, ards.
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The lungs are well inflated. A retrocardiac opacity corresponds with a left lower lobe opacity on the lateral view, compatible with pneumonia. The right lung is clear. Cardiomediastinal silhouettes are normal. No pneumothorax or pleural effusion.
<unk>-year-old woman with fever and tachycardia. evaluate for pneumonia.
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The previously seen opacity in the right middle lobe is not present on today's study. The lungs remain otherwise clear. There are no pleural effusions. Heart size, mediastinal and hilar contours are normal. Again noted is a pectus deformity and degenerative changes in the spine.
<unk>-year-old with prior pneumonia, questioning resolution of pneumonia.
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In comparison with the study of <unk>, the chest tube remains in the left apex and there is little change in the small-to-moderate pneumothorax. There is now opacification in the left costophrenic angle, consistent with pleural fluid. Bibasilar atelectatic changes are again noted.
left lower lobe cancer, to assess for chest tube.
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Lung volumes are low. No focal opacity to suggest pneumonia is seen. A calcified granuloma projecting over the posterior right fifth rib is unchanged. A likely pleural calcification on the left is unchanged. No pneumothorax or pleural effusion is seen. Rib deformity on the right and pleural thickening along the left lateral thorax are unchanged. The heart size is normal. There is tortuosity of the aorta. No displaced fracture is identified.
rib pain. evaluation for evidence of fracture or pneumothorax.
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As compared to the previous radiograph, the pleural effusion on the right and on the left has minimally increased. Otherwise, there is unchanged appearance of the lung with known atelectasis at both lung bases and known right hilar and right apical changes. In the interval, the previously placed picc line on the right has been removed. Unchanged appearance of the cardiac silhouette.
lung adenocarcinoma, lobar resection, fever.
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The heart is again mild to moderately enlarged. Perihilar opacities in addition to a mild generalized interstitial abnormality are most consistent with mild pulmonary edema. Confirmatory is the presence <unk> <unk> b type lines at both lung bases, better seen in the right costophrenic angle than left. There is no definite pleural effusion or pneumothorax.
shortness of breath.
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The lung volumes are low. The heart size is normal. The mediastinal and hilar contours are normal. Lungs are clear. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities identified.
elevated white count and shortness of breath.
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Comparison is made to previous study from <unk>. There is a right-sided picc line with distal lead tip at the cavoatrial junction. There is worsening of the right-sided pleural effusion. There is some atelectasis versus early consolidation at the left base. No pneumothoraces. Heart size is enlarged but stable.
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As compared to the previous radiograph, the pre-existing parenchymal opacities, notably the opacified area at the lung bases, increased in severity and extent. The patient continues to show signs of moderate fluid overload. Borderline size of the cardiac silhouette. No pneumothorax, no pleural effusion.
intracranial bleed, evaluation for interval change.
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The cardiomediastinal shadow is top normal. Mild prominence/congestion of the pulmonary vasculature. Mild interstitial thickening. No airspace consolidation. Pleural effusion if present, is not large. No pneumothorax. No sinister bony lesions.
<unk> year old man with cirrhosis, prolonged hospital stay, fevers // r/o acute infectious process
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No previous images. Right subclavian catheter extends to the lower portion of the svc. Left subclavian catheter is in the upper-to-mid portion of the svc. There is enlargement of the cardiac silhouette with substantial prominence of the ascending aorta, raising the possibility of hypertension or aortic stenosis. There is elevated pulmonary venous pressure as well as layering effusions, more prominent on the left, with compressive atelectasis at the bases. Suggestion of some lucency projected over the lower portion of the cardiac silhouette raises the possibility of a hiatal hernia.
subclavian line placement.
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Pa and lateral views of the chest. The lungs are clear without effusion, consolidation or pneumothorax. The cardiomediastinal silhouette is normal. No acute osseous abnormality is identified.
<unk>-year-old female with chest pain.
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The cardiomediastinal and hilar contours are within normal limits. The lungs are clear without focal consolidation, pleural effusion or pneumothorax.
<unk>f with pleuritic chest pain // infiltrate, effusion, edema
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A port-a-cath terminates in the upper right atrium, as before. The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. Moderate relative elevation of the right hemidiaphragm appears similar. There is blunting of the right costophrenic sulcus which appears unchanged. Correlating with the recent prior ct, there has been no definite change and this appearance seems to be due to scarring in the costophrenic sulcus rather than a pleural effusion. The lungs appear clear. Surgical clips project about the epigastrium. The bony structures are unremarkable.
fever, on chemotherapy.
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There are prominent interstitial markings. No focal consolidation is identified. The cardiomediastinal silhouette and hilar contours are within normal limits. There is no pneumothorax or large pleural effusion.
history: <unk>m with fever, tachycardia // ? infectious process, effusion
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The heart is borderline in size. The aorta is mildly tortuous. There is a patchy retrocardiac opacity obscuring the left hemidiaphragm, visible posteriorly on the lateral view. Aside from vague asymmetric hazy opacity that may refer to the lingula, otherwise, the lungs appear clear. There is no definite pleural effusion or pneumothorax. Bony structures are unremarkable.
lightheadedness and hypotension.
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The cardiac, mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear.
dyspnea on exertion and weight gain. history of congestive and heart failure and kidney disease.
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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.
<unk>f w/ chest pain. history of pericarditis. // <unk>f w/ chest pain. history of pericarditis.
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Ap portable upright view of the chest. Streaky lucencies are noted in the base of neck and mediastinum consistent with pneumomediastinum. No radiopaque foreign body is seen. The lungs are clear and well expanded. Heart size is normal. Bony structures are intact.
<unk>m with food impaction // eval for foreign body
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In comparison with the study of <unk>, there is no interval change or evidence of acute cardiopulmonary disease. No pneumonia, vascular congestion, or pleural effusion.
persistent cough and fever with wheezing, to assess for pneumonia.
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Pa and lateral views of the chest provided. There is a vague asymmetric opacity projecting over the left lung base best appreciated on the frontal view which in the correct clinical setting could represent a very early pneumonia versus atelectasis. No large effusion or pneumothorax. No signs of edema or congestion. Cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm.
<unk>f with increased seizure frequency // eval for evidence of pna
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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 tachycardia, shortness of breath and cough
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No focal consolidation, pleural effusion, no evidence of pneumothorax is seen. The cardiac silhouette is top-normal. The aorta is slightly tortuous. There is no overt pulmonary edema. There is no significant change since the prior study.
cough.
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Lung volumes have decreased with crowding of the bronchovascular markings. Central vascular congestion likely reflects volume overload. Bibasilar opacities, slightly asymmetric in left lower lobe can be asymmetric atelectasis or left lower lobe early consolidation. No substantial effusions. No pneumothorax.
<unk> male w subacute l parietal stroke in setting of carotid stenosis now s/p l cea // eval source of poor oxygenation
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The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. A lung nodule again projects over the right lower lobe, probably unchanged to the extent this can be judged from radiography. On the lateral view, the superior contours of the hemidiaphragms are obscured by a vague opacity that is not well seen on the frontal view, but otherwise lung fields appear clear.
coughs and subjective fever with chills. history of hiv.
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The heart size is mildly enlarged but unchanged. Mediastinal and hilar contours are stable, with diffuse atherosclerotic calcification of the thoracic aorta again noted. There is mild tortuosity of the thoracic aorta. Lungs are clear and the pulmonary vascularity is normal. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities are detected. Several clips are noted within the upper abdomen.
productive cough, on antibiotics without relief.
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Left lower lobe is completely collapsed. Remainder of the lungs are clear. Cardiomediastinal contours are within normal limits allowing for shift related to lobar collapse. Endotracheal tube is in place, terminating <num> cm above the carina. No pneumothorax or definite pleural effusion.
<unk> year old man with gun shot to abdmomen, temp spike <num>, intubated // ?pneumonia
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There is chronic elevation of left hemidiaphragm. Aside from linear atelectasis at the lung bases bilaterally, the lungs are clear. Bronchiectasis and scarring at the lung bases is chronic, likely from prior infection. No pleural effusion or pneumothorax. Heart size and mediastinal contours are normal.
<unk> year old man with uri sx's // evidence of pneumonia
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In comparison with the study of <unk>, the endotracheal tube has been removed. The right ij catheter again extends to the lower portion of the svc. There are low lung volumes. The right hemidiaphragm is now sharply seen. The left hemidiaphragm is obscured, consistent with atelectasis and small effusion. It is difficult to exclude supervening basilar consolidation in the appropriate clinical setting.
gi bleed with intubation and increasing infiltrates on chest x-ray, question infection.
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The heart is moderately enlarged, especially the left atrium. A moderate interstitial abnormality suggest congestive heart failure. There is a pleural effusion on the left, probably small to moderate in size, and a small right-sided pleural effusion. Fissures appear thickened. There is no pneumothorax. Interstitial type opacification is most confluent in the posterior right lower lobe, although suspicion is that this is also edema.
shortness of breath.
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Frontal and lateral views of the chest are obtained. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
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Dual lumen right central venous catheter terminates at the cavoatrial junction and proximal right atrium. Mild to moderate pulmonary vascular congestion is seen with prominence of the central pulmonary vasculature. No discrete focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are grossly stable.
history: <unk>f with hx of temp at home, now feeling n/v, weak // r/o pna
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Heart size is normal. The aorta is markedly tortuous but unchanged. Hilar contours are similar. There is mild pulmonary vascular congestion without overt pulmonary edema. More focal ill-defined hazy opacity overlying the right mid lung field could reflect an area of infection as well. No pleural effusion or pneumothorax is present. No acute osseous abnormality is detected.
history: <unk>m with cough, shortness of breath
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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 status post fall <unk>, with left side pain
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The heart is normal in size. The aorta is markedly tortuous. There is a large hiatal hernia, which projects over the left heart on the frontal view and contains a small pocket of gas. There is no focal consolidation, pleural effusion or pneumothorax. There is marked degenerative change throughout the thoracic spine as well as degenerative change seen at the glenohumeral joints bilaterally.
<unk>f with hallucinations // eval for pneumonia
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Pa and lateral views of the chest. The lungs are clear. There is no consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits. Hypertrophic changes are noted in the spine. No acute osseous abnormality is are noted.
<unk>-year-old female with chest pain.
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Ap and lateral views of the chest. Right ij line is no longer visualized. The lungs are clear of focal consolidation or large effusion. Cardiomediastinal silhouette is slightly enlarged, similar to prior. Median sternotomy wires and mediastinal clips are again noted. No acute osseous abnormality is identified.
<unk>-year-old male with altered mental status.
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As compared to the previous radiograph, there is no relevant change. Borderline size of the cardiac silhouette without signs of overt pulmonary edema. No pleural effusions. Normal hilar and mediastinal structures. Left pectoral pacemaker in situ.
systolic chronic heart failure, questionable pulmonary edema.
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As compared to the previous radiograph, the endotracheal tube has been slightly advanced. The tip of the tube now projects <num> cm above the carina. The tube could be advanced by another <num>-<num> cm. The other monitoring and support devices are in unchanged position. Unchanged appearance of the relatively extensive right and the smaller left parenchymal opacities. Unchanged extent of the known right pleural effusion. Moderate cardiomegaly and mild retrocardiac atelectasis persist. No new focal parenchymal opacities.
paroxysmal atrial fibrillation, endotracheal tube placement.
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The cardiac, mediastinal and hilar contours are normal. Lungs are clear. The pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormality is visualized.
chest burning.
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The lungs remain hyperinflated. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with general malaise, nausea, low temperature, no hypoxia, exam with decreased breath sounds in rll. // evidence of infiltrate, likely rll
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As compared to the previous radiograph, there is no relevant change. Left basal opacity with marked elevation of the left hemidiaphragm and overinflation of the left apical lung portions. Apical medial thickening on the left. The right lung appears normal. Normal size of the cardiac silhouette. Unchanged projection of surgical materials over the left upper quadrant.
history of ground-glass opacities seen on lung ct, evaluation.
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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.
right-sided pleuritic chest pain.
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Frontal and lateral views of the chest were obtained. There is a large area of consolidation in the right upper lobe, mostly posteriorly, highly worrisome for pneumonia. There are additional areas of opacity in the bilateral lung bases, which are similar in comparison to the prior study and may relate to patient's chronic interstitial lung disease. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable and unremarkable. Multiple old right-sided rib fractures are again seen. Linear opacity projecting over the left lateral upper-to-mid thorax is stable and chronic.
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The ett is approximately <num> cm above the carina. The right ij central venous catheter terminates in the cavoatrial junction. The enteric tube extends into the stomach and out of view. Complete opacification of the left lung with pleural effusion and atelectasis is unchanged. Right lung is clear. No pleural effusion on the right. No pneumothorax. The visualized cardiomediastinal silhouette is unchanged.
<unk> year old woman with legionella pneumonia // legionella pneumonia resp failure
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Lungs are hypoinflated with crowding of vasculature. Again seen are bilateral calcified pleural plaques which somewhat obscure evaluation of the underlying parenchyma and are grossly unchanged. No focal opacity. Aortic valve device is again noted. Heart size, mediastinal contour, and hila are otherwise unremarkable.
<unk>m with resolved chest pain. evidence of acute cardiopulmonary process
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As compared to the previous radiograph, there is no relevant change. No overt pulmonary edema but signs of mild fluid overload are still present. Trace right pleural effusion is unchanged. Moderate cardiomegaly. As compared to the previous radiograph, the lung volumes have increased, potentially reflecting improved ventilation.
type ii diabetes mellitus, known diastolic chronic heart failure, assessment for interval change.
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There is minimal left base atelectasis. No focal consolidation is seen. There is persistent blunting of the right costophrenic angle. No large left pleural effusion is seen. There is no evidence of pneumothorax. The cardiac and mediastinal silhouettes are stable and unremarkable.
chest pain.
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Frontal and lateral views of the chest were obtained. The cardiac silhouette is mildly enlarged. The aorta is calcified and tortuous. There are slightly low lung volumes. No new focal consolidation is seen. There is no pleural effusion or pneumothorax. No overt pulmonary edema is seen.
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Pa and lateral views of the chest provided. The heart remains at the upper limits of normal. No focal consolidation concerning for pneumonia. No pleural effusion or pneumothorax. No convincing signs of edema. There is noted aortic calcification. Bony structures are intact. No free air below the right hemidiaphragm. Elevated right hemidiaphragm is unchanged.
<unk>m w/ wbc <unk>. immunosuppressed. ?pna
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Right-sided picc terminates at the origin of the svc. Unchanged cardiomediastinal and hilar contours. Stable, low lung volumes bilaterally. Stable, moderate bibasilar atelectasis. Interval decrease in size of moderate, left pleural effusion. Slight interval improvement in mild pulmonary edema. No pneumothorax.
<unk>-year-old man with a left hip infection and concern for persistent pulmonary edema.
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Pa and lateral views of the chest are provided. A left arm picc line is again seen with its tip residing at the level of the distal left brachiocephalic vein. Multiple clips are noted in the upper abdomen. There is no free air below the right hemidiaphragm. The lungs are clear. Cardiomediastinal silhouette is normal. No pleural effusion or pneumothorax. Bony structures are intact.
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Following removal of left-sided chest tube, a small left apicolateral pneumothorax is similar in size to the previous study. A basilar component of the pneumothorax is minimally increased, however. Subcutaneous emphysema in the left supraclavicular region and left chest wall are again demonstrated, and there is also a suggestion of pneumomediastinum. Cardiomediastinal contours are stable in appearance. Improving atelectasis in the left lung base. Rounded opacity is seen posteriorly overlying the mid thoracic spine on the lateral radiograph, without a clear correlate on recent ct of <unk>. This may represent a loculated area of pleural fluid, and short-term followup radiograph may be helpful for resolution. Surgical clips are present in the left juxtahilar region, consistent with recent surgery.
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As compared to the previous radiograph, the patient has received a left pectoral pacemaker. One of the leads project over the right atrium, the second one over the right ventricle. No evidence of pneumothorax. Lung volumes have slightly decreased and there is atelectasis at both the left and the right lung bases. No pulmonary edema. No pleural effusions.
status post dual-chamber aicd, evaluation of lead position.
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As compared to the previous radiograph, the signs indicative of interstitial edema are present in almost unchanged manner. Also unchanged are bilateral pleural effusions and subsequent areas of atelectasis. Moderate cardiomegaly. No pneumothorax. No new parenchymal opacity suggesting pneumonia.
dyspnea, chronic heart failure, evaluation.