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A frontal and lateral upright chest radiograph is now provided. There is tortuosity of the thoracic aorta but no indication for mediastinal widening. Normal size of the cardiac silhouette. Normal appearance of the lung parenchyma. No pleural effusions. No pneumothorax.
widened mediastinum, evaluation.
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Single supine portable radiograph demonstrates et tube at the level of the clavicles, approximately <num> cm from the carina. Ng tube courses below the diaphragm, into the stomach. There is no definite focal consolidation, pleural effusion, or pneumothorax, although evaluation of the right lung is slightly limited due to rotation and trauma board. There are no displaced fractures.
difficult et tube placement. confirm et tube placement.
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Ap single view of the chest was obtained with patient in semi-upright position. Comparison is made with the next preceding similar study of <unk>. The on previous examination described hazy parenchymal densities in the lateral aspect of the right upper lobe persist and may even have increased slightly. There are no other new abnormalities present. The previously described multiple old right-sided rib fractures and pleural scar formations on the left base remain unchanged. Observed multiple semi-linear lines traversing the upper thorax bilaterally. They should not be confused with a pneumothorax but most likely represent skin folds in this patient examined in semi-erect recumbent position.
<unk>-year-old male patient with history of aspiration pneumonia, now with fever, has right upper lobe opacity on latest chest examination, unclear if pneumonia versus pneumonitis pneumonia.
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An endotracheal tube is in place with the tip terminating below the thoracic inlet, approximately <num> cm above the carina. An enteric tube is seen coursing below the diaphragm with the tip and sideport in the proximal stomach. The patient is status post median sternotomy. A coronary stent projects over the left border of the heart. The cardiac silhouette is normal in size. Prominence at the right paramedian stripe appearing relatively lucent on radiography likely represents prominent mediastinal vessels. A small right pleural effusion may be present. No significant hemothorax is seen on this single supine view. Hazy airspace opacities in the right middle and lower lung zones with smaller airspace opacities in the left mid lung zone may reflect atelectasis. The pulmonary vasculature is essentially within normal limits. Healed right lateral rib fractures are noted.
respiratory distress requiring intubation, here to evaluate for pulmonary edema and et tube position.
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The left upper lobe consolidation that was seen on the prior radiograph has completely resolved. Today, the lungs are free of consolidations, pleural effusions or pneumothorax. The mediastinum, hila and heart are within normal limits. No acute osseous abnormalities.
<unk> year old man with prior lul legionella pneumonia in mid <unk> and now cough and purulent sputum x <num> wks // assess for total clearing of lul prior process and assess for any new infiltrates
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The lungs are clear. There is no pleural effusion or pneumothorax. The cardiac silhouette is normal in size, the mediastinal contours are normal. No displaced rib fracture is seen. If there is further concern for rib injury, recommend repeat dedicated views with bb marker marks the site of pain.
<unk>-year-old female with left flank pain and swelling, question rib fracture, pneumothorax.
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There is interval removal of tracheostomy tube and placement of an et tube. Et tube terminates <num> cm above the carina. Right picc terminates in lower svc. Pneumomediastinum is increased than before, and there is new extensive subcutaneous emphysema. Bibasilar opacities are increased than before. Enlarged cardiac silhouette is similar to before. There is no pneumothorax.
<unk> year old man with l pontine hemorrhage and pna // interval change, intubated, d/c trach
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Lung volumes are increased. There is interval improvement in pulmonary vascular congestion. Interstitial markings remain mildly prominent. The right hemidiaphragm is elevated, as before. The heart remains enlarged. The aorta is calcified.
improvement in patchy opacities s/p lasix?
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In comparison to the chest radiograph obtained approximately <num> month prior, no significant changes are appreciated. Heart size within the range of normal without pulmonary vascular congestion or pulmonary edema. No pleural effusions. Mediastinal and hilar silhouettes are normal. The lungs are fully expanded and clear without focal consolidation or suspicious pulmonary nodules.
<unk> year old man with with new onset of af and edema; ? chf // ?chf
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As compared to the previous radiograph, the patient's endotracheal tube has been advanced. It is now malpositioned in the right main bronchus. The tube needs to be replaced. At the time of observation and dictation, <time> a.m., on <unk>, the referring physician <unk>. <unk> was paged for notification. Normal lung volumes. Unchanged cardiomegaly, unchanged signs of moderate pulmonary edema.
re-intubation, confirm endotracheal tube placement.
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Bibasilar bronchovascular crowding with exaggeration of the heart contour is due to low lung volumes. Under those circumstances, the lungs are otherwise clear. Mediastinal contours are normal. There is no pleural effusion or pneumothorax.
patient with dry cough, evaluate lungs.
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No significant interval change. Lung volumes remain slightly low, but are slightly improved. Small right pleural effusion with adjacent atelectasis and silhouetting of the right hemidiaphragm is overall unchanged. No pneumothorax. Mild cardiomegaly is unchanged. No edema or focal consolidation.
<unk> year old woman with copd, hypoxemia. evaluate for pna, edema, effusion.
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Cardiomediastinal silhouette is within normal limits. The lungs are clear without focal consolidation, large effusion or pneumothorax. No congestion or edema. There is no fracture or dislocation. No free air below the right hemidiaphragm.
<unk>m with intermittent palpitations/chest discmofort
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Tip of endotracheal tube terminates <num> cm above the carina, and a nasogastric tube terminates within the stomach. Bilateral pleural effusions have changed in distribution on the supine radiograph, but the size is probably similar, large on the left and moderate to large on the right.
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Ap and lateral chest radiographs. Right-sided pectoral pacemaker leads are in stable position. Diffuse interstitial opacities, dilation of the mediastinal veins, and small bilateral pleural effusions are consistent with pulmonary edema. Moderate cardiomegaly is stable. There is no pneumothorax.
dyspnea.
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In comparison with study of <unk>, there is again substantial enlargement of the cardiac silhouette with engorgement of ill-defined pulmonary vessels consistent with elevated pulmonary venous pressure, possibly accentuated by the lower lung volumes. Bibasilar opacification is consistent with volume loss in the lower lung and pleural fluid. Little change in the degree of pneumopericardium on the left.
post-operative fever.
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Single portable view of the chest. Extremely low lung volumes are noted. Endotracheal tube is within <num> cm of the carina and should be withdrawn. Enteric tube passes below the inferior field of view. Median sternotomy wires and mediastinal clips are identified. There is focal opacity at the left costophrenic angle, potentially atelectasis given low lung volumes, although infection would also be possible or potentially effusion.
<unk>-year-old male status post intubation.
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There has been an interval increase in right-sided moderate-to-large pleural effusion with adjacent compressive atelectasis. Redemonstrated is complete collapse of the right middle and right lower lobes. Widespread metastatic nodules are better assessed on the recent ct performed on the same day. There has been an interval increase in bilateral perihilar lymphadenopathy. Small left pleural effusion is unchanged.
history of shortness of breath. history of rcc. please evaluate.
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Lung volumes are markedly low. There is mild bibasilar atelectasis and mild pulmonary vascular congestion. No large pleural effusions. No pneumothorax.
history: <unk>m with sob // eval for chf
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The lung volumes are somewhat low. The lungs are clear. There is no pneumothorax. No definite pleural effusion is seen. The cardiomediastinal silhouette is unremarkable besides calcified mediastinal and hilar nodes.
<unk>f with hypoxia // pna?
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The lungs are mildly hypoinflated with crowding of vasculature. Mild cardiomegaly is stable. Mediastinal contour and hila are normal. No focal opacity. No pleural effusion or pneumothorax.
<unk>m with chest pain. assess for acute cardiopulmonary process?
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Lungs are well-expanded and clear. The cardiomediastinal silhouette is unremarkable. A tiny amount of atelectasis is present in the left lower lung. There is no pleural effusion, pulmonary edema, pneumothorax, or focal airspace opacity.
history: <unk>f s/p mechanical fall, left arm pain // s/p fall, any cardiopulm process
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In comparison with the earlier study of this date, there is a moderate right pneumothorax. An area of increased opacification at the right base posteriorly could represent pulmonary contusion or even superimposed consolidation. This information was conveyed to dr. <unk>.
rib fractures and pulmonary laceration, to assess for pneumothorax.
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Pa and lateral chest radiographs demonstrate median sternotomy wires which appear intact. Surgical <unk> project over the left cardiac border. Lungs are clear with linear opacity at the left lung base laterally which corresponds to subsegmental atelectasis as better appreciated on ct torso performed <unk>. There is no pleural effusion, pneumothorax, or evidence of pulmonary edema. No air under the right hemidiaphragm is present.
history: <unk>m with hx of renal transplant presenting with febrile neutropenia. // r/o pna
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Single portable view of the chest. The lungs are clear without consolidation, effusion or pulmonary vascular congestion. Cardiomediastinal silhouette is within normal limits. No free air seen below the diaphragm.
<unk>-year-old male with severe abdominal pain and vomiting.
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The heart is mildly enlarged and there are prominent mitral annular calcifications. Prominent soft tissue density abuts the upper right mediastinum. Small hazy opacity is present in the left lung base. Coarse interstitial lung markings appear chronic. No pleural effusion or pneumothorax. Distal right clavicle fracture appears chronic.
<unk>f with stemi, fever // ? pna
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There is no evidence of focal consolidation, pleural effusion, pneumothorax, or frank pulmonary edema. The cardiomediastinal silhouette is within normal limits.
history: <unk>m with ruq pain x <num> days // eval pna, pleural effusion
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As compared to the previous radiograph, there is a minimal increase in extent of the pre-existing left pleural effusion, despite the pigtail catheter that is in unchanged position. There is no evidence of pneumothorax or other complication. Unchanged appearance of the right hemithorax, the extent of the right pleural effusion could be slightly increasing. Unchanged appearance of the cardiac silhouette. Unchanged perihilar atelectasis on the left.
pleural effusion, status post pigtail catheter insertion.
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Pa and lateral chest radiographs were obtained. Left lower lobe opacity with air bronchograms has slightly increased in conspicuity but has been present on prior studies dating back to <unk>. Cardiomegaly is accompanied by cephalization of the pulmonary vasculature and mild interstitial edema. There is no effusion or pneumothorax. Biventricular pacing leads are in unchanged positions.
shortness of breath.
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An enteric tube likely course below the level of the diaphragm. Lung fields are clear heart size is within normal limits. . The right lateral hemithorax is not imaged.
history: <unk>m with newly placed ng tube // eval for ng tube placement
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Compared to prior, the lung volumes a minimally increased on the left. Again seen is near complete collapse of left upper lobe. Left lower lobe lymphovenous congestion is minimally improved. Medial segment of left lower lobe is likely still collapsed. Left lower lobe consolidation is unchanged. Left pleural effusion is small if any. The right lung is grossly clear. The heart size is normal and unchanged. The right hilum is grossly normal. Left port catheter terminates in the right atrium, unchanged from prior. Bronchial stent projects over the left hilum.
<unk> year old woman with lung cancer s/p stent placement for lll collapse.
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No previous images. The heart is normal in size and the lungs are clear without vascular congestion or pleural effusion.
pre-operative.
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As compared to the previous radiograph, the lung volumes have decreased, the mediastinum has slightly increased in diameter, likely related to the recent intervention. Left and right air inclusions in the cervical soft tissues. Unchanged known hernia on the left, with substantial elevation of the left hemidiaphragm and compression atelectasis at the left lung bases. No pneumonia or pulmonary edema. No visible pneumothorax.
hiatal hernia repair, evaluation.
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Left-sided port-a-cath is noted with tip terminating in the svc. The cardiac, mediastinal and hilar contours are within normal limits. Innumerable rounded lesions are demonstrated diffusely within both lungs compatible with metastatic disease. Overall, the metastatic disease within the lungs appears grossly progressed in the interval. No focal consolidation, pleural effusion or pneumothorax is identified. No definite osseous metastatic lesions are seen.
stage iv colon cancer with chest pain and shortness of breath.
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No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. Heart and mediastinal contours are within normal limits. Lung volumes are low.
<unk>-year-old female with shortness of breath.
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Right-sided picc is seen, low in position, appears to terminate in the deep right atrium, possibly extending into the ivc. The cardiac and mediastinal silhouettes are stable. There is moderate pulmonary edema. Scattered areas of atelectasis are noted including in the left mid lung and right lung base. No large pleural effusion is seen. No evidence of pneumothorax.
history: <unk>m with <unk> edema and elevated jvp. // volume overload?
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Cardiac silhouette size is normal. The mediastinal and hilar contours are unremarkable. Atherosclerotic calcifications are noted at the aortic knob. Pulmonary vasculature is normal. Calcified granulomas in the left lung base appear unchanged. Subsegmental atelectasis or scarring is noted within the left lung base. No focal consolidation, pleural effusion or pneumothorax is present. Mild to moderate multilevel degenerative changes are seen in the thoracic spine.
history: <unk>m with productive cough, wheezing and subjective fever for the past <num> days. // ? pneumonia
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The lungs are essentially clear besides mild bibasilar atelectasis. There is no effusion or edema. Cardiomediastinal silhouette is within normal limits. There is tortuosity of the descending thoracic aorta and atherosclerotic calcifications at the arch. Compression deformities in the visualized upper lumbar spine are unchanged.
<unk>f with recurrent utis, p/w presyncope. // eval for infection.
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The lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. Cardiac and mediastinal silhouettes are normal. No acute fractures are identified.
status post assault with possible new leukemia.
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Pa and lateral views of the chest were reviewed and compared to the prior studies. A right-sided port-a-cath ends in the lower superior vena cava. The lungs are clear without focal consolidation, pulmonary edema, pleural effusion or pneumothorax. Cardiac, hilar, and mediastinal contours are normal.
evaluation for evidence of sarcoma recurrence.
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Et tube is ends <num> cm above the carina. Right-sided swan-ganz is in right pulmonary artery. Ng tube ends in the stomach. There is no pneumothorax and no pulmonary edema. Increase in obscuration of the left hemidiaphragm is due to worsening of atelectasis and small pleural effusion.
patient with valve-sparing root repair, increased chest tube output. rule out effusion.
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Frontal and lateral views of the chest were obtained. The lungs are hyperinflated with flattening of the diaphragms, again as on the prior study, suggesting chronic obstructive pulmonary disease. Right upper lobe and right suprahilar scarring are grossly stable. Again seen is right greater than left biapical pleural thickening. The cardiac and mediastinal silhouettes are stable. No new focal consolidation is seen. There is no pleural effusion or pneumothorax. Degenerative changes are seen along the spine.
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Heart size is top normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. There are no focal consolidations. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. Surgical clips are seen in the left axilla. Patient is status post left mastectomy. There is a small hiatal hernia.
history: <unk>f with fall, atrial fibrillation // evaluate for fractures, cardiomegaly
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Frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. The cardiomediastinal and hilar contours are unremarkable. The heart is top normal in size. There is no pneumothorax, pleural effusion, or consolidation.
history: <unk>f with chest pain // ? chf
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Comparison is made to prior study from <unk>. There is a left-sided picc line with distal tip in the mid svc. No pneumothoraces are seen. The right perihilar opacities have improved. Heart size is within normal limits. There are no pleural effusions or overt pulmonary edema.
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New dobbhoff tube is curled in the upper mediastinum and in the neck and has to be repositioned. The lung volumes are low. Considering the different technique, bilateral lung opacities are unchanged. There are also stable small bilateral pleural effusions and significant cardiomegaly. There is no pneumothorax.
new dobbhoff placement.
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Heart size is normal. The mediastinal and hilar contours are unchanged. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. Multiple clips are noted within the upper abdomen.
history: <unk>f with chest pain
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The heart is mild to moderately enlarged. There is mild interstitial abnormality including mild cephalization of pulmonary vascularity suggesting slight vascular congestion. More focal patchy opacity obscures the cardiac borders and left hemidiaphragm in the left lower lung. It is difficult to exclude small pleural effusions. There is no pneumothorax.
tachycardia.
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Cardiac and hilar contours are unremarkable, with the heart size appearing top normal. Mild widening of the superior mediastinum may be due to mediastinal lipomatosis. Lung volumes are low with linear opacity demonstrated in the left lung base likely subsegmental atelectasis. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormality is visualized.
history: <unk>f with new hip dislocation
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Heart size is normal with mild tortuosity of the thoracic aorta, unchanged. Hilar contours are unremarkable. There is a trace right base atelectasis. Lungs are otherwise clear. Pleural surfaces are clear without effusion or pneumothorax. There is no evidence of pneumoperitoneum. Probable posttraumatic chronic changes of the left scapula.
chest pain, vomiting.
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Single ap portable upright chest radiograph provided. Lung volumes are low with bronchovascular crowding at the lung bases. No effusion or pneumothorax is seen. No free air below the right hemidiaphragm. Cardiomediastinal silhouette appears stable. Bony structures are intact.
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Interstitial pulmonary edema has improved and is now mild. Bilateral moderate pleural effusion is unchanged with compressive atelectasis. Mediastinal and cardiac contours are stable. Right pectoral atrioventricular pacemaker is in adequate position. The patient has extensive left axillary artery calcification. Right-sided picc line is in adequate position.
patient with shortness of breath, worsening of pleural effusion, pericardial effusion.
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There is patchy opacity at both bases, similar to prior films. This most likely represents bibasilar subsegmental atelectasis and/or scarring. Early infiltrates are considered less likely, though remain in the differential. Mild elevation of the right hemidiaphgram is noted, similar or slightly improved compared with <unk>. Lungs are otherwise grossly clear, without chf. Focal consolidaiton, effusion or ptx. Cardiomediastinal and hilar contours are within normal limits, allowing for changes in the right cardiophrenic region.
hiv positive patient with cough and dehydration.
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Cardiac silhouette is enlarged and has increased in size from the previous study. This may represent cardiomegaly with or without a component of pericardial effusion. Upper zone vascular redistribution is accompanied by asymmetrical mild-to-moderate pulmonary edema affecting the right lung to a greater degree than the left. Small-to-moderate left pleural effusion is new. Exclusion of the right lung base laterally from the radiograph. Subsequent radiograph performed one day later includes this region and is dictated separately (clip, <unk>).
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There has been interval removal of a right chest tube. There has been reaccumulation of right pleural effusion, moderate to large in size. No shift of midline structures. No pneumothorax. Left lung is clear.
<unk>f with dyspnea // pleural effusion
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Endotracheal tube and right ij central venous catheter appear in unchanged position. Nasogastric tube tip and side hole off the lower border of the image. There is increased opacity at the right lung base in a pattern suggesting possible layering pleural effusion. Dense opacification at the left lung base completely obscuring the hemidiaphragm persists. No pneumothorax is seen on this supine view
<unk> year old man with <unk>m found in his home, cold with a stab wound to the left posterior iliac crest found to be in dka with glucose > <num>, initial ph <num>.<unk> and lipase <unk> in shock <unk> pancreatitis, on vent // evaluate for interval change
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There is persistent elevation of left hemidiaphragm with overlying atelectasis. Cardiac silhouette remains slightly shifted to the right. No right focal consolidation is seen. No large pleural effusion or pneumothorax. Cardiac silhouette size is top-normal. Mediastinal contours are unremarkable. No pulmonary edema is seen.
history: <unk>m recent post mi with htn to <num>s, headache, ischemic changes on ekg // eval ? edema, effusion
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Ap upright and lateral views the chest were provided. Lungs are hyperinflated which could reflect underlying emphysema. There is biapical pleural parenchymal scarring. There is a severe levoscoliosis of the lumbar spine again noted. Nipple shadows project over the lower lungs. There is a calcified granuloma again seen projecting over the right upper lung. New from prior, is a band like opacity in the left perihilar region with a central lucent ovoid focus. Findings are indeterminate, possibly representing scarring though given that this is a new finding, a nonemergent ct is recommended to further assess. The heart size is normal. Tiny coronary stents project over the left heart border. The aorta is moderately calcified. No pleural effusion or pneumothorax. Bony structures appear grossly intact.
<unk>-year-old woman with chest pain, evaluate for structural process.
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In comparison with the study of <unk>, allowing for the ap portable technique, there is probably little overall change. Cardiac silhouette is within normal limits and there is no vascular congestion, pleural effusion, or acute focal pneumonia.
to assess for hilar adenopathy.
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Increased interstitial markings seen throughout the lungs, not significantly changed since multiple priors and may be accentuated by overlying soft tissues. There is no effusion or confluent consolidation. The cardiac silhouette is enlarged but unchanged. No acute osseous abnormality is identified. Surgical clips identified in the upper abdomen.
<unk>f with aids, history of pcp with intermittent <unk> back/chest pain // pcp? other acute process?
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Single frontal view of the chest was obtained. The cardiac silhouette is mild to moderately enlarged. The mediastinal and hilar contours are stable. There is a subtle patchy opacity at the right lung base, which could be due to aspiration or infection. No pleural effusion or pneumothorax.
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As compared to the previous radiograph, the right internal jugular vein hemodialysis catheter has now been advanced. The tip of the catheter projects over the inflow tract of the right atrium. There is no evidence of complications, notably no pneumothorax. The other monitoring and support devices are in constant position. Constant and unchanged appearance of the cardiac silhouette and the lung parenchyma.
right internal jugular vein catheter, now replaced over wire.
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There has been interval removal of the tracheostomy tube. Slight right-sided impression on trachea at the level of prior tracheostomy is likely related to tracheostomy. No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. Heart and mediastinal contours are within normal limits. Cervical spine hardware is partially imaged.
<unk>-year-old male with tracheostomy, status post traumatic tracheostomy removal and swallowing blood.
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A port-a-cath terminates at the cavoatrial junction. A nasogastric tube passes into the stomach. Part of a biliary drain projects over the epigastric region. The cardiac, mediastinal, and hilar contours appear unchanged. The lung volumes are low. There is no pleural effusion or pneumothorax. Streaky retrocardiac opacity is most suggestive of atelectasis.
difficulty breathing.
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The heart size is top normal. The neoesophagus is distended with fluid. There is no focal consolidation. There is a stable small right-sided pleural effusion. There is no pneumothorax. The right-sided port-a-cath terminates in the mid svc. The visualized osseous structures are unremarkable.
<unk>-year-old man with a history of esophageal cancer/aspiration, who presents for evaluation of interval change.
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Cardiac, mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Minimal atelectasis is seen in the lung bases without focal consolidation. No pleural effusion or pneumothorax is identified. No acute osseous abnormality is detected.
history: <unk>f with chest pain
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Endotracheal tube tip terminates approximately <num> cm from the carina, in standard position. An electronic device is seen projecting over the aortic arch and main pulmonary artery. The heart is top normal in size with left ventricular predominance. There is no pulmonary vascular congestion. Streaky opacity in the left lung base with mild tenting of the diaphragm suggests atelectasis with volume loss. Blunting of the costophrenic angles bilaterally likely reflects the presence of small bilateral pleural effusions. No pneumothorax is identified. There are no acute osseous abnormalities.
intubated.
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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.
history: <unk>f with cough x <num> week, non productive // rule out pneumonia
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In comparison with the earlier study of this date, there is a residual small left pleural effusion with associated basilar atelectasis. No right pleural effusion or pulmonary edema. Stable post-operative appearance of the mediastinal silhouette.
cabg.
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The patient is status post median sternotomy and cabg. The cardiac silhouette size is normal. Mediastinal and hilar contours are unchanged. There is mild interstitial pulmonary edema. Small to moderate pleural effusions appear similar compared to the prior exams. Bibasilar airspace opacities likely reflect compressive atelectasis. Scarring within the lung apices is re- demonstrated. No pneumothorax is present. No acute osseous abnormalities are demonstrated.
dyspnea.
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Left picc terminates in the left brachiocephalic/svc junction/proximal svc without evidence of pneumothorax. Enteric tube courses below the diaphragm, out of the field of view. Low lung volumes persist. Right lung opacity persists which could in part be due to asymmetric pulmonary edema and/ or layering pleural effusion although underlying consolidation is not excluded. Small to moderate right pleural effusion. Cardiac and mediastinal silhouettes are stable.
<unk> year old man with bacteremia // assess for picc line placement and lung opacity
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Assessment is mildly limited by rotation. Right internal jugular central venous catheter tip terminates in the region of the confluence of the brachiocephalic veins. Heart size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is not engorged. Patchy right basilar opacity may reflect atelectasis. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormality is detected. Multiple clips are again noted within the right neck. Cervical spinal fusion hardware is incompletely imaged.
history: <unk>f with cvl placement
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As compared to the previous radiograph, the endotracheal tube has been removed. In the interval, the patient has received a nasogastric tube. The tube is coiled in the distal esophagus and must be re-positioned. There is no evidence of complications, notably no pneumothorax. At the time of dictation and observation, <time> p.m., on <unk>, the referring physician <unk>. <unk> was paged for notification. Findings were discussed a few minutes later over the phone.
brain tumor, nasogastric tube placement.
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Heart size, mediastinal and hilar contours are within normal limits. Lungs are clear except for minimal linear atelectasis at the bases. Small pleural effusions are present bilaterally. Anterior elevation of right hemidiaphragm is also noted.
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The patient is status post median sternotomy with aortic valve replacement. Lungs lungs are low. Small bilateral layering pleural effusions are unchanged with new presence of fluid layering within the minor fissure. The upper lung fields demonstrate persistent mild pulmonary edema. Left midlung linear atelectasis has resolved. There is no pneumothorax. The heart appears enlarged despite the projection. Chronic compression deformities of two lower thoracic vertebral bodies are unchanged.
<unk>-year-old female status post cabg and avr.
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Low bilateral lung volumes. Small bilateral layering pleural effusions with overlying atelectasis. There is new central vascular congestion. The size the cardiac silhouette is mildly enlarged but unchanged. The left internal jugular sheath is unchanged.
s/p open aaa with dropping sats // eval for pulm edema
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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>f with cough // evidence of infection
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Increase in pulmonary edema is seen bilaterally when compared to previous chest radiograph. New opacity in the left mid-lung is seen, and no pleural effusion is seen. Right central venous line is in appropriate position in lower svc.
<unk>-year-old man with urosepsis, increased work of breathing. evaluate for increased work of breathing, secondary to fluid overload.
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Moderate cardiomegaly is re- demonstrated. Bilateral hilar enlargement compatible with pulmonary arterial hypertension is unchanged. Mediastinal contour is similar. Pulmonary vasculature is not engorged. Patchy opacity within the left lower lobe may reflect atelectasis. No pleural effusion or pneumothorax is present. No acute osseous abnormality is detected.
history: <unk>f with altered mental status, missed hemodialysis for past <num> sessions
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Large right pleural effusion has apparently increased in size. , it is accompanied by adjacent atelectasis and or consolidation in the right mid and lower lung. Small to moderate left pleural effusion is similar to the prior study with persistent adjacent retrocardiac opacification. Heart is upper limits of normal in size and accompanied by mild pulmonary vascular congestion.
<unk> year old man with hypoxia and pleural effusions // eval for interval change in pleural effusions, new infiltrates
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with chest pain
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Ap upright 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 fall today here with facial laceration and pain of the right humerus, right hip, knee and leg.
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The left-sided picc line is in adequate position ending in the mid superior vena cava. There is a band of atelectasis at the base of the right lung. There are no pneumothorax and no pleural effusion. The mediastinal and cardiac contours are normal.
man with cirrhosis, picc line evaluation.
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As compared to the previous radiograph, there is no relevant change. Unchanged position of the inferior vena cava line and the tracheostomy tube. Unchanged bilateral pleural effusions with subsequent areas of atelectasis and moderate cardiomegaly as well as minimal pulmonary edema. No new parenchymal opacities. No pneumothorax.
septic shock.
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In comparison with the study of <unk>, there is again enlargement of the cardiac silhouette with vascular congestion and bilateral pleural effusions with compressive atelectasis at the bases. The pacer leads remain in good position.
postoperative.
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There are low lung volumes. Streaky opacities at the lung bases likely reflect atelectasis. The cardiac silhouette size is normal. Mediastinal and hilar contours are unchanged, with crowding of the bronchovascular structures likely related to low inspiratory effort. There is no pleural effusion or pneumothorax. No acute osseous abnormalities are detected.
dizziness.
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Frontal and lateral views of the chest were obtained. The lungs are hyperinflated, with flattening of the diaphragms, consistent with chronic obstructive pulmonary disease and pulmonary emphysema. There is a a spiculated opacity projecting over the medial right upper hemithorax, which was not clearly seen on the prior study. Minimal bilateral upper lobe pulmonary parenchymal scarring is again seen. No pleural effusion or pneumothorax is seen. The aorta is calcified and tortuous. The cardiac silhouette is not enlarged.
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Portable ap upright chest radiograph is obtained. Hazy opacities are new in the mid and lower lungs, which is concerning for pneumonia. No large effusion or pneumothorax is seen. Cardiomediastinal silhouette appears grossly stable.
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As compared to the previous radiograph, there is a substantial increase in severity and extent of the pre-existing, already severe bilateral parenchymal opacities. The lung volumes appear to have decreased. A number of visible air bronchograms is clearly increased. Larger pleural effusions are not present. The exact size of the cardiac silhouette can no longer be determined. The course of the nasogastric tube and of the left picc line constant.
multifocal pneumonia, evaluation for interval change.
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As compared to the previous radiograph, there is no relevant change. Normal chest radiograph without evidence of lung nodules or masses. No metastatic disease.
history of melanoma, evaluation for disease status.
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The endotracheal tube tip resides <num> cm above the carina. The ng tube courses inferiorly along the midline into the upper abdomen though the tip is not imaged. Bilateral pleural effusions are present with lower lobe opacities most compatible with atelectasis. Mild pulmonary edema is likely present as well. Further evaluation is limited due to patient positioning.
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The lungs are clear without focal consolidation. No large pleural effusion is seen. There is no evidence of pneumothorax. The cardiac and mediastinal silhouettes are unremarkable. No pulmonary edema is seen.
cough, confusion.
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Loculated air-fluid levels in the right pneumonectomy space have decreased. Large amount of fluid in the right pleural space has increased. Air in the pneumonectomy space is minimally decreased. Cardiomediastinal structures are midline. Left lower lobe opacities are stable. Right chest wall subcutaneous emphysema has improved
<unk> year old man s/p r pneumonectomy w/ worsening air fluid levels and loculations and elevated wbc // perform at <num>am on <unk>. r/o interval change
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Lung volumes are low which limits assessment. A left-sided tunneled dialysis catheter is in-situ, unchanged in appearance when compared to the prior study. A tracheostomy in-situ. A right-sided picc terminates in the ls. Pain in cell drain is in-situ small is unchanged in appearance when compared to the prior study there may be a small adjacent pneumothorax. This area is difficult to evaluate. There is persistent prominence of the pulmonary vasculature consistent with pulmonary vascular congestion. Increased opacity is right noted in the right lower lung likely reflect a combination of both pleural effusion and atelectasis.
<unk> year old man w/ chronic hypoxic respiratory failure, hcap, s/p left pigtail for pleural effusion, now on hd // interval change
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Pa and lateral views of the chest provided. Lungs are hyperinflated and clear. There is no focal consolidation, effusion, or pneumothorax. Mild biapical pleural parenchymal scarring is noted. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>m with chest pain // eval for pna
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Heart size is normal. Mediastinal and hilar contours are within normal limits. Pulmonary vasculature is normal. Lungs are clear. No focal consolidation, pleural effusion or pneumothorax is present. Moderate degenerative changes are seen in the thoracic spine. Chronic appearing bilateral rib fractures are re- demonstrated.
<unk>m with weakness, please evaluate for occult pneumonia
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Mild interstitial edema. Slight asymmetry at the level of the first costochondral junction on the left. No focal consolidation to suggest pneumonia. No pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. The hila and pleura are unremarkable. There is no acute osseous abnormality.
<unk> year old man with cirrhosis, decompensated; rule out infection in the lungs.
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Vascular congestion has increased slowly since <unk> but there is no pulmonary edema. Cardiac contour is enlarged in this patient with heavily calcified mitral annulus. There is no pleural effusion. The lungs are unremarkable except for tiny benign calcified granuloma in left upper lobe.
patient with severe kyphosis, no shortness of breath, saturation <unk>% on room air specific kyphosis.
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The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is remarkable for a tortuous thoracic aorta and left ventricular configuration of the heart. Focal eventration of right hemidiaphragm is noted
history: <unk>f with doe // ? process
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Heart size is top normal. Mediastinal and hilar contours are unchanged. The pulmonary vascularity is normal. New small right pleural effusion is present with minimal streaky right lower lobe opacity possibly reflecting atelectasis but infection is not excluded. Small left pleural effusion is also noted. Left lung is otherwise clear. There is no pneumothorax. Scarring within the lung apices is re- demonstrated. There are multilevel degenerative changes in the thoracic spine, similar compared to the prior exam.
weakness and cough after recent hospitalization.