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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. Cardiac and mediastinal silhouettes are stable. Mild degenerative changes are seen along the spine. There is questionable cortical stepoff at the lateral right fifth rib, concerning for fracture. Difficult to exclude nondisplaced fractures of the right lateral fourth and third ribs.
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Left-sided pacer device is again noted with leads terminating in the right atrium and right ventricle. Heart size is normal. Leftward deviation of the trachea due to enlargement of the right thyroid lobe is unchanged. Re- demonstrated is pleural thickening, chronic opacification and volume loss in the left upper lobe, unchanged, compatible with post radiation changes for prior hodgkin's disease with similar superior retraction of the left hilum. Enlargement of the main pulmonary artery is similar to the previous exam. Streaky opacity is demonstrated in the right lung base. Pulmonary vasculature is not engorged. Small left pleural effusion is new. No pneumothorax is present. There are no acute osseous abnormalities. Clips project over the left upper quadrant of the abdomen and epigastric region.
history: <unk>f with cough
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Low lung volumes make it difficult to determine if there is an infiltrative abnormality at the bases; upper lungs are clear. The pleurae, heart, mediastinal and hilar contours are normal.
<unk>-year-old male with cough and bibasilar crackles. assess for pneumonia.
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Cardiomediastinal contours are normal. New patchy and linear bibasilar opacities are present as well as small bilateral pleural effusions. Right hemidiaphragm is mildly elevated.
<unk> year old woman with new o<num> requirement // ?pna
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Pa and lateral views of the chest provided. Lungs remain clear. Cardiomediastinal silhouette is unchanged. No pleural effusion or pneumothorax. Anchors are noted within the humeral heads. No free air below the right hemidiaphragm. No acute osseous abnormalities.
<unk>f with shortness of breath s/p mechanical fall, no hx cardiopulm disease
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There is no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Osseous structures are intact.
evaluate for pneumonia. patient with cough, fever and chills.
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The lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. No acute fractures are identified.
evaluation of patient with chest pain.
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When compared to the prior, there is no significant interval change. Increased interstitial markings which is more extensive on the left when compared to the right is again seen compatible with patient's known chronic lung disease. There is no superimposed acute consolidation. The cardiomediastinal silhouette is stable given differences in positioning. Median sternotomy wires and mediastinal clips are noted. Severe degenerative changes are seen at the left shoulder. Surgical clips in the right upper quadrant and at the thoracic inlet are again noted.
<unk>f with h/o ild now with new hypoxia // eval for consolidation, effusion, edema. concern for pneumonia
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There is a focal nodular opacity projecting over the left lower lung. While this may represent superimposed shadows, as no definite correlate is seen on the lateral view, underlying pulmonary nodule is not excluded. The lungs are otherwise clear. The cardiac silhouette is top-normal. No acute osseous abnormalities.
<unk>f with possible seizure // eval for pneumonia
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Pa and lateral views the chest provided demonstrate midline sternotomy wires and mediastinal clips. Lungs are clear without focal consolidation, effusion or pneumothorax. No signs of congestion or edema. The cardiomediastinal silhouette is stable. Bony structures are intact.
<unk>m with hx esrd, fatigue, hiv, now w/ <num> wk anorexia, dyspnea
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No previous images. Relatively low lung volumes, but no evidence of pulmonary edema, pleural effusion, or acute focal pneumonia.
postoperative, to assess for pulmonary edema.
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Pa and lateral views of the chest provided. A severe dextroscoliosis of the thoracic spine is again seen. There is a stable appearance of blunting at the left costophrenic angle which could represent a pleural effusion versus pleural thickening. The lungs appear otherwise clear though hyperinflated. Overall cardiomediastinal silhouette is stable. No pneumothorax. Bony structures appear grossly intact.
<unk>f with sob // r/o worsening chf
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The lungs are well inflated and clear. There is unchanged moderate cardiomegaly without evidence of pulmonary edema. The hilar contours are stable. There is no pleural effusion or pneumothorax. Degenerative changes of the thoracic spine with mild compression deformities are unchanged. A left chest wall pacer and leads are in unchanged positions.
<unk>f with shortness of breath, evaluate for chf or pneumonia.
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The cardiomediastinal and hilar contours are stable with tortuous aorta, stable compare <unk>. There is no pleural effusion or pneumothorax. The lungs are hyperexpanded and clear without focal consolidation concerning for pneumonia. The upper abdomen is unremarkable. Multilevel degenerative changes thoracic spine are noted.
<unk>f with cough and fever // eval for pneumonia
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Right picc line tip is difficult to see, is probably in the right atrium, probably <num> cm below cavoatrial junction. Left pleural effusion is new or increased. Heart size, pulmonary vascularity are increased, worsened since prior. Pulmonary edema has mildly worsened. Bibasilar opacity is worsened, likely atelectasis. Surgical instrumentation thoracic spine. No pneumothorax.
<unk> year old man with picc line // rotate patient to the right as a way of obtaining partial lateral
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Pa and lateral views of the chest provided. Nodules seen on recent ct projecting over the upper lungs are again visualized. Please refer to recent ct report for further details regarding followup recommendations. Otherwise the lungs are clear. No evidence of pneumonia or edema. No large effusion or pneumothorax. The cardiomediastinal silhouette is normal. Imaged bony structures are intact.
<unk> year old woman with chest pain. // any sign of cardiovascular etiology of pain or pe?
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The lungs are well expanded and clear. There is no pneumothorax, pleural effusion, pulmonary edema, or focal airspace consolidation. Minimal linear atelectasis is present in the left lung base. The cardiomediastinal silhouette is unremarkable. No displaced rib fractures are identified.
<unk>-year-old man with chest pain after falling. evaluation for rib fracture.
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Following removal of a right-sided chest tube, there is no visible pneumothorax. Cardiomediastinal contours are stable. Residual patchy and linear atelectasis at the lung bases, overall improved on the left. Persistent gastric distention.
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Pa and lateral views of the chest provided. Lungs are clear. No focal consolidation, large effusion or pneumothorax. Cardiomediastinal silhouette is normal. Bony structures are intact.
<unk>m with sob and fevers // r/o pna
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There is no focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities are identified.
<unk>-year-old male presenting for evaluation of substernal chest pain
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Frontal and lateral views of the chest demonstrate no acute cardiopulmonary process. The cardiomediastinal, pleural and pulmonary structures are unremarkable. There is no pleural effusion or pneumothorax. There is no consolidation to suggest pneumonia. Although no localizing history was provided, no rib fracture is identified.
fall yesterday, now with slurred speech. rule out rib fracture.
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Compared with the prior radiograph, the cardiomediastinal silhouette is normal in size and unchanged. Lungs are clear without focal consolidation, effusion, or pneumothorax.
<unk>-year-old man with chest pain. evaluate for pneumonia.
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Comparison is made to previous study from <unk>. There are again seen areas of consolidation in the right perihilar region, the left mid lung zone and the left base. These opacities are stable since the previous study. No new opacities are seen. There are no signs for overt pulmonary edema and no pleural effusions. Heart size is upper limits of normal and there is tortuosity of the thoracic aorta.
<unk>-year-old woman with wegener's granulomatosis and prior pulmonary infiltrates. evaluate for interval change.
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The cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. There is no focal lung consolidation. Views of the upper abdomen are unremarkable.
<unk>f with fever, evaluate for pneumonia.
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In comparison to the most recent radiograph performed <num> hours earlier, there has been interval enlargement of the right-sided pneumothorax. It currently measures up to <num> cm from the thoracic cage, previously <num> cm. No evidence of tension. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
<unk>-year-old female presenting with shortness of breath, found to have right-sided pneumothorax
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A dual-lead pacemaker/icd device appears unchanged. The cardiac, mediastinal and hilar contours are stable. There is a moderate, somewhat increased interstitial abnormality suggesting mild congestive heart failure. The lungs show no definite focal opacity, however. There is no definite pleural effusion, although posterior costophrenic sulci are difficult to assess and are partly excluded. Mild degenerative changes are present throughout the thoracic spine. The bones are probably demineralized to some extent. The patient is status post partly visualized left shoulder replacement.
shortness of breath.
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Pa and lateral views of the chest provided demonstrate no focal consolidation, effusion or pneumothorax. Cardiomediastinal silhouette is normal. No free air below the right hemidiaphragm. Degenerative changes of the right acromioclavicular joint noted.
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The et tube and right ij line are unchanged. There continues to be moderate cardiomegaly and volume loss at both bases. There is mild pulmonary vascular redistribution. And a tiny right pleural effusion
<unk> year old man with alcoholic cirrhosis, intubated for airway protection, self-extubated and re-intubated overnight // please evaluate interval change
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Interval apparent cardiac enlargement raising concern for pericardial effusion. Mild interstitial prominence is noted but no overt pulmonary edema is seen. There is pulmonary vascular cephalization suggestive of pulmonary venous hypertension. There is no lobar consolidation, pleural effusion, pneumothorax, or pulmonary edema.
history: <unk>m with sickle cell disease presenting with b/l leg swelling for past <num> weeks now with cough, sob and cp // pna or cardiomegaly
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As compared to prior chest radiograph from <unk>, lung volumes have increased. The cardiomediastinal and hilar contours are stable. There is, however, a new ill-defined opacity in the right upper lung which is concerning for an early infectious process. Lungs are otherwise clear. There is no definite pneumothorax or pleural effusion. A right subclavian central venous catheter terminates in the distal svc, unchanged in position. Tracheostomy tube is in place.
<unk>-year-old man with tongue scc, status post resection and reconstruction with trach in place. evaluate interval change.
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The lungs are clear, the cardiomediastinal silhouette and hila are normal. There is no pleural effusion and no pneumothorax. There is no pneumoperitoneum.
<unk>-year-old with epigastric pain.
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The lungs are clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax. There is no pleural effusion. Pulmonary vascularity is normal.
<unk>-year-old woman with chest pain.
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with cough // ? pna.
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There is new large amount of intraperitoneal air, causing elevation of the right worse than left hemidiaphragm and decreased right lung volume. Mild left basal atelectasis is also seen. The lungs are otherwise clear. The heart size is normal. The mediastinal and hilar contours are unremarkable.
<unk> year old woman with post-egd/colonoscopy right shoulder pain. // evaluate for free air.
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Pa and lateral views of the chest were reviewed. Cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. Extensive bilateral pleural plaques are again seen. The lungs are well expanded with no large consolidation. There is no pulmonary edema.
recent esophageal dilation.
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Streaky right infrahilar and left perihilar opacities are noted which could represent an atypical pneumonia versus scarring. No large effusion or pneumothorax. Heart size is normal. Mediastinal contours unremarkable. Bony structures are intact.
<unk>m with ?dengue, found to have diffuse crackles on lung exam.
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Diffusely increased interstitial markings unchanged from prior ct. There is no airspace consolidation. The hilar and cardiomediastinal contours are normal. There is no pneumothorax. There is no pleural effusion. Pulmonary vascularity is normal.
<unk>-year-old woman with cough and fever.
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In comparison with the study of <unk>, there is increasing pulmonary vascular congestion. The right hemidiaphragm is not well seen, suggestive of a developing pleural effusion with atelectasis at the right base. In the appropriate clinical setting, supervening pneumonia would have to be considered.
sepsis.
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The lungs are moderately well inflated and clear. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable. Limited assessment of the osseous structures are unremarkable. No displaced rib fracture.
<unk>f with chest pain. assess for pulmonary edema or fracture.
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Portable supine ap chest radiograph. There has been retraction of the endotracheal tube, now positioned <num> cm from the carina. Endogastric tube descends into the upper abdomen. Severe pulmonary edema noted. No large effusion or pneumothorax on this supine radiograph. No displaced rib fractures are identified.
<unk>m with post-arrest // eval ett placement
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Cardiomediastinal silhouette is stable. Right chest tube is no longer seen. Previously seen moderate right pleural effusion has substantially decreased in size, a loculated component persists. There is increased airspace opacification in the mid to lower right lung as compared to prior examination. The left lung remains clear with minimal basilar atelectasis. There is no left effusion. A small right apical pneumothorax was not clearly present on the prior study.
<unk> year old man with rll squamous cell lung ca s/p robotic converted to open right lower lobectomy //? ptx, ct placement
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Pa and lateral views of the chest provided. There is a new focal confluent opacity in the right lower lobe and an approximately <num> cm poorly defined nodular opacity in the left mid lung the fourth anterior rib level. Linear opacities in the right lower lobe likely represent scarring. There is a small right pleural effusion versus pleural thickening. There is no pneumothorax. Cardiomegaly is unchanged compared to scout images from cta chest <unk>. Enlarged pulmonary arteries are suggestive of pulmonary arterial hypertension. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
history: <unk>m with cp // eval for ptx/pna
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Bilateral airspace opacities are similar in extent when compared to the prior study. Left lower lobe atelectasis. A right internal jugular catheter terminates in the mid to low svc. Median sternotomy wires are unchanged in appearance. Probable bilateral pleural effusions.
<unk> year old woman with worsening tachypnea and work of breathing // ? interval worsening of pulm
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The lung volume is small. Diffuse airspace opacities, right more severe than left, are unchanged. Superimposed pneumonia cannot be ruled out. Right basilar atelectasis is stable. No large pleural effusion. No pneumothorax. Severe cardiomegaly is unchanged. The mediastinal silhouette is unchanged.
<unk> year old man with hiv and hfpef. // want to evaluate for pna or worsening pulmonary edema.
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Pa and lateral views of the chest provided. The lungs are clear without focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Bony structures are intact.
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There is blunt right posterior costophrenic angle raising concern for a small pleural effusion. No definite focal consolidation is seen. There is no pneumothorax. The right hemidiaphragm is mildly elevated. No overt pulmonary edema is seen. The cardiac and mediastinal silhouettes are unremarkable. Degenerative changes are seen along the spine.
history: <unk>f with tachycardia, malaise // eval for pna
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Interval placement of an et tube with the tip <num> cm proximal to the carina and retraction by approximately <num> cm is advised. The cuff appears mildly overinflated. Right lower lobe airspace opacification shows mild progression compared to prior image. Small associated pleural effusion. The left lung is clear. No pulmonary edema. No pneumothorax. The cardiomediastinal shadow is unchanged.
<unk> year old woman with acute resp failure, now intubated // placement of et tube
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No focal consolidation, pleural effusion or pneumothorax is detected. There is no evidence for pulmonary edema. Heart and mediastinal contours are within normal limits with aortic calcifications. Increased density in the region of the right hilum likely corresponds to lymphadenopathy, as seen on prior ct, and appears similar compared to multiple recent prior exams. Widening of the acromioclavicular joints, right greater than left, with soft tissue mineralization, appears similar compared to multiple prior exams.
<unk>-year-old male with chest pressure.
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Left picc line tip in the upper svc. Increased heart size, pulmonary vascularity, stable. Stable right upper lung opacity. Minimal improvement of interstitial markings. No pneumothorax.
<unk> year old woman with picc line, sveral runs nsvt // eval picc placement
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Endotracheal tube approximately terminates <num> cm above the carina. Ng tube is in the stomach. Left subclavian central venous catheter tip is in the lower svc. Cardiomediastinal silhouette is unremarkable. Lung volumes are low. There is pulmonary vascular engorgement. Basilar opacities may represent atelectasis however superimposed consolidation cannot be excluded especially at the right base. No large pleural effusion or pneumothorax.
history: <unk>f with intubated cvl // palcement
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The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. Lung volumes are low. Lungs appear clear.
cough and fever.
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Lung volumes related low. Bibasilar opacities are likely due to atelectasis, but superimposed infection cannot be excluded. Heart size appears normal, and there is no pulmonary vascular congestion. Chronic left rib deformities, as seen on the prior ct and radiograph, are unchanged.
<unk>m with chf and renal failure. dyspnea, r/o chf.
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The lungs are without focal consolidation, effusion, or pneumothorax. Bibasilar tubular opacities are again noted and appear similar dating back to <unk>. Cardiomediastinal and hilar contours are normal. No acute fractures are identified.
right upper quadrant pain.
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The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.
<unk>f with chest pain // ptx?
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As compared to the previous radiograph, a pre-existing small left pleural effusion has completely resolved. There is unchanged mild fluid overload, associated with low lung volumes and subsequent increases in bilateral lung radiodensity. Moderate cardiomegaly persists, but the left lower lobe is better ventilated than on previous images. The monitoring and support devices are constant.
crohn's disease, hypertension, evaluation for acute change.
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Since <num> days prior, there is been interval placement of a right-sided chest tube. No pneumothorax. Bilateral, small pleural effusions are probably unchanged. Bibasilar atelectasis has substantially improved, though some areas of linear at persist. Heart size is unchanged and cardiomediastinal hilar silhouettes are normal. No pulmonary vascular congestion. A right-sided picc terminates in the mid svc.
<unk> year old man with new chest tube placement // evaluate for pneumothorax
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The lungs are clear. There is no pleural effusion, pneumothorax focal airspace consolidation. The cardiac and mediastinal contours are normal. The hilar structures and pleural surfaces are unremarkable. There has been no change from the prior chest radiograph.
cough for <num> month in a nonsmoker. evaluate for pneumonia.
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. Specifically no displaced rib fracture is seen. No free air below the right hemidiaphragm is seen.
<unk>f with s/p mvc, fall
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Frontal and lateral views of the chest. Relatively low lung volumes are noted. There is a moderate right pleural effusion, slightly smaller compared to prior. Lungs are clear of consolidation. Cardiomediastinal silhouette is within normal limits. Moderately distended air-filled loops of bowel seen in the upper abdomen. Surgical clips seen in the right upper quadrant.
<unk>-year-old female liver disease and weakness.
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Ap upright and lateral views of the chest provided. Lungs are clear. No signs of pleural effusion or pneumothorax. The heart is top normal in size. The mediastinal contour is normal. Bony structures are intact. No free air below the right hemidiaphragm.
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The cardiomediastinal and hilar contours are within normal limits. Lungs are well expanded and clear. A <num> mm nodule is seen projecting over the posterior third right rib and an additional <num> mm lymph node is seen projecting over the posterior right fifth rib. There is otherwise no focal consolidation, pleural effusion or pneumothorax.
chest pain.
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Endotracheal tube remains in the mid trachea. Enteric tube traverses the stomach. There is new increased right lower lobe atelectasis. Otherwise, there is little change in comparison to prior study with stable cardiomediastinal silhouette and no evidence of pneumothorax.
evaluation of patient with intracranial hemorrhage with hypoxia.
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The lungs are well expanded and clear. No focal consolidation, effusion, or pneumothorax is present. Cardiac and mediastinal contours are normal.
<unk>-year-old woman with severe asthma and persistent shortness of breath, not improving on prednisone.
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Comparison is made to prior study from <unk>. There is a moderate pleural effusion which is slightly decreased when compared to the previous study on the left side. Heart size is enlarged. There is also a small left pleural effusion. There are no signs of overt pulmonary edema or focal consolidation in the upper lung fields.
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Lung volumes are slightly diminished with basilar atelectasis seen on the lateral view. No focal opacity to suggest pneumonia is seen. No pleural effusion, pulmonary edema, or pneumothorax is present. The heart size is normal.
chest pain.
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Cardiac silhouette size remains within normal limits. The aorta is tortuous. Previously seen right lower lobe mass has substantially decreased in size from the previous exam with residual right infrahilar opacity likely reflective of post-treatment change and/or residual disease. There is no pulmonary edema. The lungs are hyperinflated with emphysematous changes again demonstrated. Small right pleural effusion is noted with interval decrease in extent of lateral pleural thickening as seen on the prior study. Patchy opacities in the lung bases may reflect atelectasis. No pneumothorax is identified. Multilevel degenerative changes are seen in the thoracic spine. Bilateral shoulder arthroplasties are partially imaged.
history: <unk>f with nausea, altered mental status // eval for infiltrate
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Post-pneumonectomy changes are seen in the right hemithorax with mediastinal shift to the right side and subcutaneous emphysema along the right lateral chest, extending to the right supraclavicular region. Right-sided chest tube is present terminating at right lung base near the cardiophrenic angle. Left lung is clear. There is no effusion or pneumothorax on the left side. Heart size is top normal, unchanged since prior studies.
post-right-sided pneumonectomy.
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The et tube ends <num> cm from the carina. Right ij ends in the mid svc. Sternotomy wires and mediastinal clips are stable. Enteric tube ends in the stomach. No significant change in bilateral parenchymal opacities.
shock and respiratory failure, status post cardiac arrest. evaluate endotracheal tube placement.
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There is persistent moderate-sized right pleural effusion with compressive atelectasis. No left pleural effusion is seen. Right lower lung underlying consolidation cannot be excluded. No pneumothorax is seen. Heart size is likely enlarged but difficult to evaluate in the setting of overlying right pleural effusion. Right upper quadrant pigtail catheter seen. Diffuse osteopenia is noted. Lower thoracic vertebral body compression deformity is unchanged compared to multiple recent prior exams.
<unk>-year-old female with shortness of breath.
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Ap and lateral views of the chest. Heart size is normal. There is no focal consolidation, pleural effusion or pneumothorax. No rib fracture is identified. Again seen is kyphosis of the thoracic spine. There is diffuse decrease in bone mineralization.
left rib pain after fall, evaluate for rib fracture or pneumothorax.
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Since <unk>, there is no interval change with loculated fluid in the right minor and major fissures. Adjacent atelectasis is similar. The left lung is clear. Post-surgical changes project over the mediastinum. No pneumothorax. The left picc is unchanged in position with the tip at least at the mid svc. Oral contrast from prior barium swallow is seen in the upper abdomen.
status post esophagectomy with controlled leak.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>m with cp, hx of pericarditis // r/o pna
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There is interval placement of enteric tube with tip residing in the stomach. The et tube remains in standard position. Cardiomediastinal and hilar contours are stable. There is no pleural effusion or pneumothorax. There has been perhaps slight interval improvement in the bilateral parenchymal opacities, particularly in the upper lung zones. However, extensive parenchymal opacities still remain.
anca vasculitis and likely alveolar hemorrhage, please assess position of enteric tube.
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The cardiac, mediastinal and hilar contours appear unchanged. The lungs appear clear. There are no pleural effusions or pneumothorax.
shortness of breath. history of copd.
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Pa and lateral views of the chest were provided demonstrating no focal consolidation, effusion, or pneumothorax. The heart and mediastinal contours are normal. Bony structures are intact.
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Improving right lower lobe opacity is likely due to atelectasis. Stable enlarged cardiac silhouette with normal pulmonary vascularity.
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Compared to prior study there has been interval development of central pulmonary vascular engorgement as well as development of mild interstitial edema, as reflected by peribronchial cuffing. There is likely a tiny right-sided effusion. No focal consolidation worrisome for pneumonia. No pneumothorax. A left-sided icd in unchanged position.
babesiosis; heart failure on gentle fluid now with shortness of breath.
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Compared to prior, cardiomegaly has improved, now mild. Increased interstitial markings have also improved. There is bibasilar, left greater than right atelectasis. There is a small hiatal hernia. There is no pneumothorax. Pleural effusion is small, if any. Sclerosis of the t<num> vertebral body and moderate compression fracture of t<num>, essentially unchanged compared to prior chest ct. Multiple healed right rib fractures are again noted. Median sternotomy wires are intact.
<unk> year old man with chf and shortness of breath, evaluate for edema.
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In comparison with the study of <unk>, there is little overall change. Again there are low lung volumes that may be responsible for the prominence of the pulmonary vasculature. Some element of increased pulmonary venous pressure would be difficult to exclude. No evidence of acute pneumonia. The central catheter remains in place. Spinal stabilization devices are again seen.
tachypnea and rales, to assess for pneumonia.
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Cardiac silhouette size appears mildly enlarged. The mediastinal and hilar contours are unremarkable. No pulmonary edema is noted. Focal opacity in the right lung bases concerning for aspiration or pneumonia. No pneumothorax or large pleural effusion is present. Degenerative changes are seen in the thoracic spine.
history: <unk>m with hypoxia // eval for acute process
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Hilar contours are stable and unremarkable.
history: <unk>f with pain // mass? evidence sarcoidosis?
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. A bb marks the site of maximal pain along the left lower chest wall. No definite fracture is seen. No free air below the right hemidiaphragm.
<unk>f with intermittent left cp
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An orogastric tube is seen coiled within the hypopharynx, and an endotracheal tube is noted terminating approximately <num> cm above the level of the carina. There are airspace opacities involving the perihilar regions bilaterally, moreso on the left, with vascular indistinctness. No evidence of overt volume loss, pleural effusion, or pneumothorax. The heart size is normal. No acute osseous abnormality is detected. The stomach is noted to be distended with air.
history: <unk>f with drowning, intubated // eval ett, aspiration
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The cardiomediastinal and hilar contours are within normal limits. Note is made of increased opacities at the lung bases bilaterally. There is no large pleural effusion or pneumothorax. No definite evidence of free air.
vomiting and chest pain. rule out free air.
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There is subtle increased opacity projecting over the left lung apex overlying the clavicle and posterior left sixth rib, as on prior. There is blunting of the left lateral costophrenic angle raising possibility of small underlying effusion. Retrocardiac opacity may also be due to atelectasis or infection. There is moderate cardiomegaly, unchanged. Median sternotomy wires and left chest wall single lead pacing device is again noted.
<unk>f with tachy cardia // ?edema
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No focal consolidation, pleural effusion, or pneumothorax is seen. Heart and mediastinal contours are within normal limits. There is evidence for underlying copd. Aortic calcification is again noted. Right port-a-cath appears in similar position. Right staghorn renal calculus is again noted.
<unk>-year-old female with dizziness.
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As compared to the previous radiograph, the right pleural effusion is constant, whereas the left pleural effusion has decreased in extent. The effusions, however, are still clearly seen on the lateral image. The lung parenchyma is more radiolucent than on the previous radiograph, likely reflecting improved ventilation. Scars at the level of the right hilus and moderate cardiomegaly with tortuosity of the thoracic aorta persist. No pulmonary edema.
tracheobronchoplasty, readmission, evaluation for pneumonia.
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The lungs are relatively underinflated and demonstrate parenchymal scarring at the apices bilaterally. Surgical clips are noted in the right hilar region, as seen on prior ct from <unk>. There is no focal consolidation concerning for pneumonia. The cardiomediastinal contours within normal limits. A slightly tortuous descending thoracic aorta is noted. No pleural effusion or pneumothorax. On the lateral view, there is wedge compression deformity of the mid thoracic spine, approximately at t<num> or <num>, and when compared to a prior ct from <unk> and mri from <unk>, there was a lytic lesion of the t<num> vertebral body.
<unk>f with metastatic bladder cancer and pathologic fracture of right humerus s/p fixation, now with confusion. evaluate for pneumonia.
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Pa and lateral views of the chest demonstrate relatively low lung volumes with unchanged tortuosity of the aorta. There is no pneumothorax, pulmonary edema, pleural effusion or focal opacification within the lungs. The cardiac silhouette is unchanged since the prior study.
<unk>-year-old male with shortness of breath and chest pain. evaluate for chf or pneumonia.
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The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. Lungs are well-expanded and clear without focal consolidation concerning for pneumonia. Pulmonary vasculature is within normal limits. There is no pneumoperitoneum.
history: <unk>m in mvc with loc, airbag deployment, ruq pain, right flank pain*** warning *** multiple patients with same last name! // any bleeding
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The heart is of normal size with normal cardiomediastinal contours. The lungs are clear without focal or diffuse abnormality. No pleural effusion or pneumothorax. Osseous structures are unremarkable. No radiopaque foreign body.
cough and shortness of breath.
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The lungs are normally expanded and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax.
<unk>f with right sided chest pain. evaluate for acute process.
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Cardiac size is top normal. The lungs are grossly clear. There is no pneumothorax or pleural effusion.
<unk> year old man with cll with fever // rule out infection
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Pa and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding similar study of <unk>. The patient is status post sternotomy and previous bypass surgery. The heart is moderately enlarged. The configuration is the same with some relative prominence of the left ventricular contour to the left and posteriorly. Left atrial enlargement is also present but of more moderate degree. Previously described coronary calcifications and multiple surgical clips related to bypass surgery appear unchanged. Again noted is an upper zone re-distribution pattern with distended vessel in the upper pulmonary area and some interstitial edema on the bases with perivascular haze and a few peripheral lymph lines. Also noted is accentuated visibility of both minor and major fissure related to some wetness in the pleural spaces. There is evidence of some mild degree of chronic pulmonary congestion, may have increased slightly, but there is no significant advancement into interstitial edema and no central alveolar edema can be identified. No new discrete pulmonary parenchymal infiltrates are present. No pneumothorax is seen in the apical area. In comparison with the next previous examination of <unk>, there may be a mild degree of progression of chf. Same can be stated when comparison is extended to the chest examination of <unk>.
<unk>-year-old male patient with heart failure symptoms, evaluate for possible pulmonary edema.
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Heart size, mediastinal and hilar contours are normal. Previously questioned nodular opacity in the left juxtahilar region and peripheral opacity in left upper lobe are no longer evident. Within the right lower lobe, there has been rapid improvement of opacity medially at the right base, but there has been no substantial change in the presence of a small to moderate right pleural effusion. Small left pleural effusion is also evident.
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As compared to the previous radiograph, the signs indicative of fluid overload have resolved. Currently, there is no evidence of fluid overload or pulmonary edema. The size of the cardiac silhouette remains enlarged, there is mild tortuosity of the thoracic aorta. No pneumonia. Unchanged position of a right pectoral port-a-cath.
chronic heart failure, rectal cancer.
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The heart is at the upper limits of normal size. The mediastinal and hilar contours appear unchanged in comparing with the prior frontal scout view. There is no pleural effusion or pneumothorax. There are newly apparent opacities at the medial lung apex, probably bony in etiology, but it is difficult to exclude a lung nodule. Otherwise the lung fields appear clear. There is no pleural effusion or pneumothorax.
chest and bilateral arm pain.
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Multiple small round artifacts are seen predominantly in the left hemithorax which are consistent with a previous gunshot wound. No consolidation, pleural effusion or pulmonary edema is seen. The cardiac silhouette is upper limits of normal in size.
<unk>-year-old man with new intracerebral hemorrhage. decreased breath sounds at left base, evaluate for infection or chest abnormality.
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with c/o right upper back/scapular pain
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Interval worsening of the perihilar central opacities and interstitial opacities, representing worsening pulmonary vascular congestion and pulmonary edema. Left pleural effusion has also increased. The heart remains moderately enlarged.
<unk> year old man with new o<num> requirement and volume overload // evaluate for improvement with lasix