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Lung volumes are similar to slightly improved when compared to the prior study. A dual lead pacemaker is unchanged in appearance. There is persistent cardiomegaly. There has been interval improvement in the bibasilar pleural effusions and atelectasis. There is a rounded opacity in the right lower lung, new from the prior study, this may reflect loculated pleural fluid or residual a atelectasis. Infection cannot be excluded.
<unk>f w/afib with rvr, please eval for occult pna, pulmonary edema // <unk>f w/afib with rvr, please eval for occult pna, pulmonary edema
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An et tube is present, tip lies approximately <num> cm above the carina. An ng tube is present, the tip extends beneath the diaphragm, off the film.a swan-ganz catheter is present, tip overlies the main pulmonary outflow tract. No pneumothorax is detected. The cardiomediastinal silhouette is unchanged. Patchy increased retrocardiac opacity is similar, but probably slightly worse. There is blunting the left costophrenic angle which could reflect presence of a small left effusion. There is hazy opacity at the right lung base, most likely representing atelectasis. The right costophrenic angle is excluded from the film, limiting the assessment for small pleural effusion. Doubt chf.
<unk> year old woman with intubated // ett placement
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Et tube is present approximately <num> cm above the carina. An enteric tube is present with tip and side hole is in the stomach. The cardiomediastinal and hilar contours are normal aside from aortic valve calcifications. There is no pneumothorax or pleural effusion. The lungs are well expanded with interstitial changes, likely chronic. There is no finding concerning for pneumonia or pulmonary edema.
history: <unk>f with intubation // eval ett
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Right dual lumen central venous catheter is unchanged in position with the tip projecting over the right atrium. Stable cardiomegaly. Decreased pulmonary edema and opacification of the right lung base with persistent bibasilar opacities, left greater than right. No pneumothorax. No large pleural effusion. Metallic clips are seen overlying the left neck. Vascular calcifications are noted.
<unk>f with xfer, on bipap, pulm edema // eval for acute process, resolution of pulm edema
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Compared with <unk>, the et and ng tube is been removed.tracheostomy tube is in place. A g-tube appears to be present. Again seen is moderate to moderately severe cardiomegaly. There has been partial clearing of the retrocardiac opacity. There does appear to be some leftward shift of the mediastinum, which is unchanged. There is upper zone redistribution and diffuse vascular blurring, consistent with chf, very slightly improved. At the right lung base, there are some hazy, more nodular densities which were not visible on the prior film. Question residua from resolving pulmonary edema. The differential diagnosis could include callus about anterior rib fractures.
<unk> year old woman with new tracheostomy now with fevers and copious sputum // ?pna
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Multiple new nodular opacities are seen throughout the right lung, as well as a consolidation within the right middle lobe. The heart size is normal. The hilar mediastinal contours are normal. The visualized osseous structures are unremarkable.
<unk>f with cough // eval for pneumonia
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Heart size is top-normal. Cardiomediastinal silhouette and hilar contours are unremarkable. Lungs are hyperinflated but clear. There is no large pleural effusion or pneumothorax. Clips are noted in the right anterior chest wall and right axilla. Degenerative changes seen at the shoulders bilaterally. Old healed right lateral rib fractures are noted.
fever.
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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. Mild apical pleural thickening is again seen on the right.
asthma flareup with coughing, to assess for pneumonia.
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Portable semi-erect chest radiograph <unk> at <time> is submitted. The right lateral chest wall and costophrenic angle are not included.
<unk> year old man with htn, prior pmh r thalamic infarct, now w/ l thalamic infarct, unable to swallow, s/p ng placement // verify ngt placement verify ngt placement
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. Previously demonstrated nodular opacity within the left lung base is no longer present. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>f with shortness of breath
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Single portable view of the chest. The lungs are clear of consolidation, right effusion or pulmonary edema. Cardiomediastinal silhouette is stable as are the osseous structures.
<unk>-year-old male with chest pain.
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Chest, pa and lateral, radiographs demonstrate post-cabg changes with sternotomy sutures which are midline and intact and multiple surgical clips overlying the mediastinum. Cardiomediastinal and hilar contours are unremarkable. Lungs are clear. No pleural effusion or pneumothorax evident. No osseous abnormality identified.
cough for one month, please evaluate for infectious process.
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Again seen is a hazy right midlung opacity. Slightly increased opacities at the lung bases may be due to atelectasis. Elsewhere, lungs are clear and the cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with chest pain // evaluate for acs, pulmonary edema
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Pa and lateral views of the chest. The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified.
<unk>-year-old with palpitations and dyspnea.
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Pa and lateral views of the chest demonstrate well-expanded and clear lungs. The heart is normal in size and cardiomediastinal contours are unremarkable. There is no pleural effusion or pneumothorax.
<unk>-year-old man with sudden-onset left shoulder pain and chest pain, evaluate for pneumothorax or cardiomegaly.
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Frontal and lateral chest radiographs. Severe cardiomegaly includes marked dilatation of the left atrium. There is no pulmonary edema, pleural effusion, or pneumothorax. Lungs are clear.
hypertension. evaluation for cardiomegaly.
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No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable and unremarkable. No pulmonary edema is seen.
history: <unk>m with cough, fever, tachycardia // penumothorax? infiltrate?
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Compared with <num> day earlier, the cardiomediastinal silhouette is unchanged. Elevation of the right hemidiaphragm is again noted, similar to prior. Prominence of the right hilum and surrounding perihilar region appears slightly more pronounced. This is not fully characterized, but the differential diagnosis includes a pneumonic infiltrate. There is new subtle hazy opacity at the right lung base, question due to the increased atelectasis. There is upper zone redistribution and mild vascular plethora equivocally increased. No gross effusion. Small effusions seen posteriorly on the lateral view from the prior study would likely not be well demonstrated on this ap examination. No pneumothorax detected.
<unk>m w/ etoh and hcc s/p olt <unk> w/ post-op course complicated by ha thrombosis s/p failed revision thrombectomy. multiple admissions post-op, w/ recurrent leg and scrotal edema at home // evaluate for interval change of pleural effusions. please perform at <time> on <unk>. thanks.
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Single portable supine view of the chest demonstrates relatively low lung volumes. Theendotracheal tube terminates approximately <num> cm above the level of the carina, and could be retracted aproximately <num> cm. A nasogastric tube is also seen coursing below the level of diaphragm and out of view. No focal consolidations, pleural effusion or pneumothorax is identified. The cardiomediastinal silhouette is not significantly changed since the prior study.
intubation. evaluation for endotracheal tube position.
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Frontal and lateral chest radiographs were obtained. The previous right lower lobe opacity has essentially cleared. There is no new focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette and hilar contours are normal.
patient with right lower lobe pneumonia, check for resolution of pneumonia.
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The patient is status post median sternotomy and cabg. The heart size is normal. The mediastinal and hilar contours are unremarkable. The pulmonary vasculature is normal in the lungs are clear. No focal consolidation, pleural effusion or pneumothorax is visualized. There are no acute osseous abnormalities. Partially imaged is cervical spinal fusion hardware.
chest pressure, shortness of breath while walking uphill.
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As compared to the previous radiograph, pre-existing opacity at the right lung base has completely cleared. The left picc line has been removed. No new infectious changes. No evidence of pleural effusion. Normal hilar and mediastinal structures. Normal size of the cardiac silhouette. Minimal bilateral apical thickening, healed right-sided rib fractures.
pre-bone marrow transplantation.
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The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear.
atrial fibrillation and history of stroke. recent diagnosis of gastroesophageal junction adenocarcinoma and admission for infected port and bacteremia. status post port removal.
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Support devices remain in similar position. Moderate right-sided effusion has increased. Small left-sided pleural effusion has also increased. Increasing bibasal opacities, with mild pulmonary vascular congestion. Mild to moderate cardiomegaly is unchanged.
<unk> year old man s/p heartware // eval for infiltrates, pleural effusions, atx s/p bronch
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The heart size is normal. The hilar and mediastinal contours are within normal limits. There is no pneumothorax, focal consolidation, or pleural effusion. The central pulmonary vessels are engorged, however, there is no edema.
chest pain.
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Mediastinal and hilar lymphadenopathy appears improved compared with <unk>, especially in the region of the azygos arch, though the trachea remains leftward deviated. The lungs are clear. The pleural surfaces are normal. The cardiac silhouette is normal in size.
<unk>-year-old female with sarcoid and hilar and mediastinal adenopathy, also status post radiation for breast cancer, evaluate for change.
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The right-sided chest tube is again visualized. Again seen is a small right apical pneumothorax. There is decreased subcutaneous emphysema. The remainder of the appearance of the lungs is unchanged.
vats open right lower lobectomy, chest tube in place.
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The tip of the right picc line projects over the distal svc. No left-sided picc is identified. No focal consolidation, pleural effusion or pneumothorax identified. The size of the cardiac silhouette is enlarged but unchanged.
<unk> year old woman with l sided picc // picc placement
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Subtle streaky left base retrocardiac opacity and is most likely due to atelectasis. No definite focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac silhouette is top-normal. Mediastinal contours are unremarkable.
history: <unk>f with seizure disorder here w/ status epilepticus // pneumonia?
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Low bilateral lung volumes. No significant interval change in the appearance of the lung parenchyma. Small left pleural effusion. The size and appearance of the cardiomediastinal silhouette is unchanged.
<unk> year old woman with increased wob s/p ivf // ?volume overload
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Single frontal view of the chest was obtained. The heart size and cardiomediastinal contours are normal. The lungs are clear without focal consolidation, pleural effusion, or pneumothorax.
<unk>-year-old female with wheezing and shortness of breath.
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As compared to the previous radiograph, there is no relevant change. The bilateral parenchymal opacities are seen in unchanged manner. The left pleural drain is also unchanged. Unchanged left rib fracture and mild cardiomegaly without pulmonary edema. Known left lateral pleural thickening.
shortness of breath, evaluation for interval change.
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A femoral line is seen to cross midline and no into the left upper chest, presumably in to the left pulmonary artery. It would have to be pulled back <num> cm to be in the pulmonary outflow tract. Otherwise the appearance of the lungs and tubes are unchanged
<unk> year old man with respiratory failure, intubated // interval changes
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Ap semi-upright portable chest radiograph obtained. A right upper extremity picc line is seen with its tip intervally retracted and now positioned in the right subclavian vein region. The lung volumes are low, though no obvious signs of pneumonia or chf. No large effusion or pneumothorax. Cardiomediastinal silhouette appears stable. Since the prior exam, lung aeration has improved.
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Et tube, ng tube and right internal jugular remain in unchanged satisfactory position. Compared with most recent prior radiograph, there is worsening with increasing confluence of bilateral diffuse multifocal consolidations as well as a new rounded lucency in the right mid lung, which could represent a developing cavitation.
intubation for pneumonia, refractory hypoxemia, question interval change.
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In comparison with the study of <unk>, there is little change in the appearance of the biventricular and right atrial leads in this patient with substantial enlargement of the cardiac silhouette and normal pulmonary vessels, an appearance consistent with the clinical diagnosis of cardiomyopathy.
cardiomyopathy with biventricular icd.
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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 tachycardia // eval ptx
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Pa and lateral views the chest were provided. The lungs are clear without focal consolidation effusion or pneumothorax. The cardiomediastinal silhouette is normal. The imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>-year-old man with recent fall, question intra thoracic injury.
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The lung volumes are slightly low. The lungs are clear. The cardiomediastinal silhouette and hilar contours are normal. There is no pleural effusion or pneumothorax.
history of mgus presents with chest pain and abdominal pain. outpatient ct with massive lymphadenopathy. assess for infiltrate, lymphadenopathy.
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In comparison with study of <unk>, there is little change. Small streak of atelectasis is seen at the left base, but there is no pneumonia, vascular congestion, or pleural effusion. The cervical hardware appears unchanged.
shoulder pain, to assess for pulmonary process.
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The heart size is normal. The hilar and mediastinal contours are normal. The lungs are clear without evidence of focal consolidations concerning for pneumonia. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.
history of syncope. please evaluate.
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The heart is severely enlarged, larger than on the prior study. There is dense consolidation and volume loss in the right lower lobe near with a small associated right effusion. There is pulmonary vascular redistribution and patchy alveolar infiltrate seen in the right upper lobe and left lower low
<unk> year old man with hypotension, concern for infection // please evaluate for pneumonia
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Tracheostomy tube is midline. Enteric tube has been removed in the interim. Left lower lobe collapse has resolved. Right basilar atelectasis is slightly more pronounced compared to the prior study. No focal pulmonary consolidation. Pulmonary vascular congestion is mild. Pleural surfaces are smooth, without sizable effusion or pneumothorax. Heart is top-normal in size.
<unk> year old woman with trach and chronic aspiration, being treated for aspiration pneumonia // ?worsening pneumonia
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In comparison with study of <unk>, the monitoring and support devices are essentially unchanged. The diffuse bilateral pulmonary opacifications have somewhat decreased, consistent with resolving pulmonary edema. In the appropriate clinical setting, superimposed pneumonia would have to be considered. Neither hemidiaphragm is well seen, raising the possibility of some layering pleural effusions with bibasilar atelectatic changes.
septic shock and hypoxia.
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In comparison with the study of <unk>, there is little overall change in the appearance of the heart and lungs. Specifically, no evidence of pneumothorax following the procedure.
mediastinoscopy, to assess for pneumothorax.
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No previous images. Cardiac silhouette is at the upper limits of normal in size and has somewhat globular configuration. No vascular congestion or pleural effusion or acute pneumonia. Specifically, no evidence of lymphadenopathy to suggest sarcoidosis radiographically.
possible sarcoidosis, to assess for hilar lymphadenopathy.
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Following right thoracocentesis, moderate-sized pleural effusion has decreased. Right apical opacity corresponding to known mass lesion better evaluated on a chest ct dated <unk> is unchanged. Small nodular density in the right lower lung suggesting a calcified granuloma is redemonstrated. The left lung is clear. Heart is normal size. The hilar and mediastinal contours are unremarkable.
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The heart size is within normal limits. The mediastinal and hilar contours are unremarkable. The lungs demonstrate diffuse prominence of the interstitial markings, compatible with chronic interstitial fibrotic lung disease. There is no evidence of pulmonary consolidation. There is no pleural effusion or pneumothorax.
<unk>-year-old male with fever.
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Tracheostomy tube is again visualized. There again seen is moderate cardiomegaly and pulmonary vascular re-distribution with small bilateral pleural effusions. There is volume loss bilaterally in both lower lobes and early infiltrate cannot be excluded. Compared to the study from the prior day, no significant interval change.
tracheoplasty, failed extubation.
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Right internal jugular central venous catheter tip terminates in the region of the low svc. No large pneumothorax is identified on this supine exam. Remainder of the exam is unchanged with stable positioning of the endotracheal and enteric tubes.
history: <unk>f with new right internal jugular central venous line
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Cardiomediastinal contours are stable in appearance. Subcutaneous emphysema has decreased in extent, and a residual tiny left apical pneumothorax is demonstrated. Slight worsening of pulmonary vascular congestion. Small left pleural effusion has slightly worsened. Bilateral rib fractures are again noted.
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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 chest pain
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Low lung volumes accentuate the cardiomediastinal contours and result in crowding of bronchovascular structures. There are no focal areas of consolidation to suggest the presence of pneumonia. . Cardiomediastinal silhouette is stable. No pleural effusion or pneumothorax is seen.
history: <unk>f with cough // pna
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An opacity in the cardiac space is seen. No pleural effusion or pulmonary edema is seen, and the cardiac and mediastinal contours are normal.
<unk>-year-old male with hypoxia, evaluate for acute process.
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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. Bony structures are unremarkable. There has been no significant change.
near syncope and hypotension.
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Comparison is made to previous study from <unk> and from <unk>. There are no pneumothoraces. The opacity at the right medial lung base is less apparent on today's study and may represent a sequela of contusion or trauma. Heart size is normal.
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Minor bibasilar atelectasis is noted but the lungs are without a focal consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. Post-surgical changes are noted in the right upper lung.
shortness of breath.
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Large bilateral layering pleural effusions with associated lower lobe collapse and moderate cardiomegaly are unchanged. Moderate pulmonary edema has improved, now mild. There is no pneumothorax or focal consolidation. The left-sided picc line ends in the upper svc.
<unk> year old man s/p ulcer repair // eval pneumo
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Pa and lateral views of the chest were provided. The lungs are clear bilaterally without focal consolidation, effusion, or pneumothorax. Faint linear basilar opacities most compatible with scarring or atelectasis. The cardiomediastinal silhouette is stable with unfolded thoracic aorta again noted. The imaged bony structures are intact. Degenerative changes are noted in the mid t-spine with small osteophytes and mild disk space narrowing. No free air is seen below the right hemidiaphragm.
<unk>f with r lower back pain.
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Ap portable upright view of the chest. There is a small left pleural effusion with associated left basal opacity likely representing atelectasis, difficult to exclude a developing pneumonia. There is mild hilar congestion without frank edema. The cardiomediastinal silhouette is unchanged. Bony structures are intact. Anchors are noted in the left humeral head.
<unk>m with chf, liver failure s/p tips p/w increased confusion x<num> days and increased <unk> edema and cough
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The patient is status post median sternotomy and aortic and mitral valve replacement procedures. Cardiomegaly is accompanied by pulmonary vascular congestion and moderate pulmonary edema, the latter improved from the prior study. Additionally, there is improvement in the extent of atelectasis at the lung bases, and slight decrease in size of small pleural effusions.
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Pa and lateral views of the chest are compared to previous exam from <unk>. The lungs remain clear. There is no pleural effusion. Cardiomediastinal silhouette is stable as are the osseous and soft tissue structures.
<unk>-year-old female with chest pain. question chf.
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Portable ap chest radiograph. The lung volumes are low and the stomach is distended. However, there is no focal consolidation, pleural effusion, or pneumothorax. The cardiac, hilar, and mediastinal contours are normal.
fever. evaluation 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. No free air below the right hemidiaphragm is seen.
<unk>m with doe, dyspnea
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Dobbhoff tube coils within the stomach. Monitoring and support devices are otherwise unchanged. Additionally, there is stable appearance of the heart, lungs, and a small right hydropneumothorax.
<unk> year old man s/p mvc, assess positioning of dobbhoff.
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A right port-a-cath ends in the proximal right atrium. The lungs are clear without focal opacity, pulmonary edema, pleural effusion or pneumothorax. The cardiac and mediastinal contours are normal.
<unk>f with history of cns lymphoma p/w fever.
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The lungs are clear. There is no effusion, consolidation, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
<unk>m with tachycardia and dyspnea // eval for infiltrate
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Pa and lateral radiographs of the chest were acquired. A tiny calcified granuloma is seen at the left lung apex, unchanged. The lungs are otherwise clear. The cardiac and mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen.
cough for the past three weeks. evaluate for acute process.
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Heart size is top normal. Aorta remains tortuous. Mediastinal and hilar contours are otherwise unremarkable. Lungs are clear. No pleural effusion or pneumothorax is visualized. No acute osseous abnormalities demonstrated. There are mild degenerative changes in the thoracic spine. Cholecystectomy clips is seen in the right upper quadrant.
motor vehicle collision, upper extremity pain.
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Pa and lateral views of the chest. A dual-chamber pacer is noted. There is probably mild background hyperinflation. The diaphragms are flattened with mild eventration on the right. Mild cardiomegaly, with calcified aortic knob, is stable. No chf, focal consolidation, or gross effusion is identified. Minimal atelectasis at the left base is unchanged. There is slight blunting of one or both costophrenic angles posteriorly. Prominence of the right hilum is noted on the ap view, but not confirmed on the lateral view. Subtle findings visible on the <unk> chest ct are not apparent radiographically. The previously described hiatal hernia is also not well visualized on this exam. Note is made of compression deformities in the mid and lower thoracic spine, which appear unchanged since <unk>.
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The lungs are well expanded and clear. There is mild cardiomegaly. Upper mediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
<unk>-year-old female, with atypical chest pain.
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Again visualized is a moderate-sized right-sided pleural effusion with likely underlying atelectasis. On this left lateral decubitus view, the effusion does not spread. Left lung is clear. There is no pneumothorax. Stable cardiomediastinal silhouette. A right-sided picc terminates low in the svc. Mild degenerative changes of the thoracic spine noted.
<unk> year old woman with recent pleural effusion s/p drainage now with evidence of infected effusion // please get multiple orientations to image if loculate effusion. please get upright and lateral
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The lungs are clear. Cardiomediastinal silhouette and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
<unk>-year-old woman with cough, recent multifocal pneumonia.
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Comparison is made to previous study from <unk>. There is an unchanged cardiomegaly. There is tortuosity of the thoracic aorta. Several healed fracture deformities in the right lower chest are again seen. Lungs are grossly clear without definite consolidations or pleural effusions. There are no pneumothoraces. Lungs are somewhat hyperaerated, which may represent copd.
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Median sternotomy wires and cabg clips are noted. The cardiomediastinal and hilar contours are stable. There is no pleural effusion or pneumothorax. The lungs are well expanded. Fibrosis at the medial left upper lung is again noted. A small area of subtle consolidation in the right mid lung is new since the prior study. Pulmonary vasculature is within normal limits.
productive cough for two weeks with history of pneumonia.
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Heart size is normal with mild tortuosity of the thoracic aorta given slight rightward rotation of the patient. Hilar contours are unremarkable. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax.
altered mental status
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Lung volumes are low. A right picc line terminates in the low svc. There is no pneumothorax. Vascular crowding contributes to increased lung markings. Bibasilar subsegmental atelectasis is minimally improved on the left. Extensive bilateral shoulder degenerative changes are stable.
<unk> year old man with sepsis and prolonged hospitalization and concern for aspiration. // evaluate for aspiration pneumonia/pneumonia/pulmonary edema
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Given differences in positioning and technique, there has been no significant interval change. The lungs are essentially clear aside from linear left basilar opacity which is likely atelectasis. Cardiomediastinal silhouette is stable. Linear calcification again projects over the lateral aspect of cardiac silhouette.
<unk>m with dyspnea, cp // evidence of fluid overload
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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.
chest pain.
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The lungs are clear without focal consolidation, effusion, or edema. The cardiomediastinal silhouette is stable noting moderate cardiomegaly and atherosclerotic calcifications at the aortic arch. No acute osseous abnormalities identified. Surgical clips seen in the right upper quadrant and within the neck.
<unk>f with w/ pmh a fib, htn, thyroidectomy p/w chest "heat", back pain, high blood pressure. // concern for acs/mi vs. dissection.
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The lungs are well expanded. There is a vague opacity in the right lung base at the cardiophrenic angle which is slightly more conspicuous as compared to previous exams but may be secondary to summation of shadows. In the lateral view, there may be very minimal increase in opacity of the anterior cardiophrenic angle, stable to minimally increased compare to prior, likely artifactual. No other focal opacities identified. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
patient with fever and dizziness. evaluate for acute cardiopulmonary process.
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Right port-a-cath terminates in lower svc. The lung volume is small. Bilateral lower lobe atelectasis has increased slightly. Otherwise the lungs are clear. No pleural effusions or pneumothorax. The cardiomediastinal silhouette is unchanged.
<unk> year old woman with sepsis now with cyanosis and increased o<num> requirement // eval for edema, pna
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A nasogastric tube is seen coursing below the diaphragm and out of view on this image. The lungs are underinflated, with resultant bronchovascular crowding. Streaky opacities in the left lung base greater than the right are compatible with atelectasis in this setting. The lungs are otherwise clear without focal consolidation concerning for pneumonia, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged. The cardiac silhouette is normal in size. Mediastinal and hilar contours are within normal limits.
postop day #<num>, status post laparoscopic robotic cystoprostatectomy with open ileal loop diversion, now with tachycardia, here to evaluate for acute cardiopulmonary process.
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Right-sided port-a-cath tip terminates in the mid svc. Heart size remains mildly enlarged. Mediastinal and hilar contours are normal. The pulmonary vasculature is normal. The lungs are clear. No pleural effusion or pneumothorax is present. No acute osseous abnormality is detected. Clips are noted in the upper abdomen.
history: <unk>f with ovarian cancer
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Mild pulmonary edema is new. No substantial pleural effusions. Mild cardiomegaly unchanged. Pulmonary artery enlargement again demonstrated. Prior median sternotomy and cabg.
<unk> year old man with wt loss and left base rales // r/o ca, chf
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The lungs are hyperinflated. The cardiomediastinal silhouette and pulmonary vasculature are unremarkable and unchanged since the prior examination. In comparison to the most recent examination, there is increased right infrahilar opacity, which in the appropriate clinical context, may represent pneumonia. There is no pleural effusion or pneumothorax.
<unk>m w/chest pain, please eval for pna, ptx, mediastinal widening // <unk>m w/chest pain, please eval for pna, ptx, mediastinal widening
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There is no substantial change in the large right mid and lower lung consolidation with air bronchograms. The left lung is clear. Cardiomediastinal silhouette including a calcified right hilar node is stable. A small left and moderate right pleural effusions are unchanged. No pneumothorax.
<unk> year old man with history of tuberculosis (in childhood) and constrictive pericarditis with chf who had recent pneumonia and bilateral pleural effusions. (hospitalized <unk> - <unk>). // any worsening of opacities in right lung? any worsening of pleural effusions?
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Pa and lateral views of the chest provided. No residual pneumothorax is seen. The lungs are clear. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk> year old man with left pneumothorax - check interval change.
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Cardiomediastinal contours are stable allowing for marked rightward patient rotation, accentuating a tortuous thoracic aorta. Patchy and linear bibasilar atelectasis are present, slightly improved on the right but worse on the left. Remainder of lungs are clear, and there is no evidence of pneumothorax.
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Compared to the previous radiograph from <unk>, the bilateral right chest tubes are in unchanged position. The right lung base is better ventilated than on the previous exams. Moreover, pre-existing retrocardiac atelectasis has also completely resolved. There is a millimetric post-procedural right pneumothorax seen at the very lung apices. No evidence of tension. Unchanged borderline size of the cardiac silhouette.
right pleural effusion, status post thoracoscopy. evaluation.
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Pa and lateral views of the chest were obtained. Heart is normal in size and cardiomediastinal contour is unremarkable. Lungs are clear. There is no pleural effusion or pneumothorax.
<unk>-year-old woman with chest pain.
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In comparison to <unk> portable chest radiograph, there has been interval improvement in pulmonary edema particularly in the bilateral lung regions. There is stable moderate cardiomegaly, pulmonary vascular congestion, cephalization of pulmonary vessels, and persistent pulmonary edema at the bilateral mid to lower lungs. Bilateral layering pleural effusions persist. Tracheostomy tube and right picc line are in stable position.
<unk> year old man with pneumonia on vent // interval change
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The patient is status post prior median sternotomy and cabg. Re- demonstrated is a right upper lobe opacity, and decreased in conspicuity since the prior radiograph. No new opacities are identified. There is an unchanged area of atelectasis/ scarring in the left midlung zone. No evidence of pulmonary edema. No pleural effusion or pneumothorax identified. The size of the cardiac silhouette is enlarged but unchanged.
<unk> year old man with hypotension, hf, r.o pulm edema
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Pa and lateral views of the chest. Lung volumes are slightly lower than prior study, which may exaggerate the bronchovascular markings. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are normal.
chest discomfort, evaluate for infectious process.
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Large opacity projecting over the right mid-to-lower hemithorax, maybe due to combination of pleural effusion and atelectasis, although underlying consolidation is not excluded and is also of concern. Minimal left base retrocardiac opacity may relate to atelectasis, although an additional site of infection or aspiration is not excluded. No left pleural effusion is seen. There is no evidence of pneumothorax. The cardiac silhouette is not accurately assessed on the right due to the large right-sided opacity. Mediastinal contours are grossly unremarkable.
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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. No pulmonary edema is seen.
history: history of chest pain. please evaluate for pneumonia.
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Lung volumes are normal. There is no focal consolidation, effusion, or pneumothorax. Mild tortuosity of the descending thoracic aorta is unchanged. Otherwise, mediastinal and hilar contours are stable. Heart size is normal.
<unk>m with chest pain // assessment heart and lung
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Ap upright and lateral views the chest provided. Lungs are clear and well inflated. No focal consolidation, large effusion or pneumothorax. Cardiomediastinal silhouette is normal. No acute osseous abnormality. A tiny metallic density projecting over the left upper abdomen which is of unclear etiology. No free air below the right hemidiaphragm.
<unk>f with with a fall, vomiting, head strike, head pain, evaluate for intracranial hemorrhage, fractures.
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Heart size is normal. Mediastinal and hilar contours are unremarkable. The pulmonary vasculature is normal. Multiple chain sutures are demonstrated within the left lower lobe. Increased nodular opacification is seen about the suture site as well as within the posterior aspect of the left lower lobe. The right lung appears clear. There is no pleural effusion or pneumothorax.
gastroparesis, nausea, vomiting. history of rheumatoid nodules.
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Pa and lateral views of the chest were obtained. The heart is top normal in size. There is mild interstitial edema. No pleural effusion or pneumothorax. Old right rib cage deformity is again noted.