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Since <unk>, a moderate right pleural effusion and small left pleural effusion persists. Bibasilar atelectasis is improved since <unk>, appearing mild on the left and moderate on the right. Lungs are better aerated since <unk>. The heart size is unchanged. Median sternotomy wires are intact and aligned. Note is made of a replaced mitral valve. There has been interval removal of a right internal jugular introducer. No pneumothorax.
<unk> year old woman with continued need for oxygen // eval for effusions, atelectasis
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with productive cough, fever // evidence of pneumonia
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There are no pleural effusions or pneumothorax. Bony structures are unremarkable.
chest pain.
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Pa and lateral views of the chest provided. Midline sternotomy wires and prosthetic cardiac valve again noted. The previously noted picc line has been removed. There is interval decrease in the left pleural effusion. Moderate pulmonary edema is noted. Heart remains enlarged. Mediastinal contour is normal. Bony structures are intact.
<unk>f with dyspnea // acute process
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Cardiac, mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Focal consolidative opacity seen within the lingula concerning for pneumonia. The right lung is clear. No pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities.
history: <unk>m with cough, fever
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The lungs are clear without focal consolidation, effusion, or edema. There is a somewhat nodular opacity projecting over the left lung base and the anterior left sixth rib. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with dyspnea // , eval pna, cardiomegaly
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The cardiac silhouette and mediastinum is normal. Lungs are grossly clear. There are no focal infiltrates, pleural effusions, or pulmonary edema. Bony structures are normal.
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Pa and lateral views of the chest are compared to previous exam from <unk>. The lungs are clear of consolidation, effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits denoting atherosclerotic calcifications at the arch. Osseous and soft tissue structures are unremarkable.
<unk>-year-old female with chest pain.
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Frontal and lateral views of the chest. The lungs are hyperinflated but clear of focal consolidation, effusion or pulmonary vascular congestion. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormality detected.
<unk>-year-old female with shortness of breath.
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There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema identified. The heart size is normal. Mediastinal and hilar contours are normal. Incidentally noted are three, rounded, tiny radiodensities noted in the soft tissues of the upper thorax, likely representing foreign bodies.
cirrhosis, smoker, shortness of breath. evaluate for pulmonary process.
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Pa and lateral views of the chest were provided demonstrating no focal consolidation, effusion or pneumothorax. The cardiomediastinal silhouette appears normal. Bony structures are intact. No free air below the right hemidiaphragm. Excreted contrast within the renal collecting systems is compatible with recent contrast injection.
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Pa and lateral views of the chest provided. Linear atelectasis is noted in the right mid lung. Otherwise the lungs are clear. No pleural effusion or pneumothorax is seen. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. Thoracic spine aligns normally without compression fracture or significant degenerative disease. No free air below the right hemidiaphragm is seen.
<unk>m with posterior pain t spine to ls spine // r/o fx rib
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There is a dense left alveolar infiltrate most marked in the lower lobes but extending to the mid lung with some hazy alveolar infiltrate in the left upper lung there is increased lung markings at the right base. Compared to the film from <num> days ago of the extent of the alveolar infiltrates increased on the left patient's history bronchiectasis and these dilated airspaces are seen within the lung parenchyma on the left
<unk> year old man with copd and pna // assess for interval change
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The heart is normal. The hilar and mediastinal contours are normal. In comparison to prior examination, there has been interval decrease of the right sided pneumothorax. There is elevation of the right hemidiaphragm. The left lung is clear. Rib fractures are seen bilaterally, likely related to post surgical changes.
<unk>-year-old female patient with right upper lobectomy. study requested for interval change.
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The cardiac, mediastinal and hilar contours appear stable. A staple line projects over the right lung as before. Lung fields appear otherwise clear. There is no pleural effusion or pneumothorax. There has been no significant change.
worsening edema. history of behcet's disease, pneumonia, and heart failure.
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Cardiac silhouette size is mildly enlarged. Mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is visualized. No acute osseous abnormality is present.
history: <unk>m with left sided rib pain
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Frontal and lateral views of the chest were obtained. The heart is of normal size with normal cardiomediastinal contours. A patchy new right infrahilar opacity suggests pneumonia. This appearance includes a new nodular opacity projecting over the lateral right mid lung and course of the right sicth and seventh ribs. There is no pleural effusion or pneumothorax. Osseous structures are unremarkable. No radiopaque foreign body.
<unk>-year-old female with fever and cough. evaluate for pneumonia.
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Normal cardiomediastinal and hilar contours. Clear lungs. Normal pleural surfaces. No evidence of acute osseous abnormality.
<unk>-year-old woman with left-sided chest pain and tenderness to palpation of the lower sternum.
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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 facial numbness, concerning for stroke
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Ap single view of the chest has been obtained with patient in semi-upright position. Comparison is made with the next preceding similar study of <unk>. The degree of cardiomegaly appears unchanged. Pulmonary congestive pattern with some perivascular haze as before. Comparison of the frontal views demonstrates marked reduction of the right-sided pleural effusion that obliterated the lateral pleural sinus. The left-sided pleural density blunting the pleural sinus and obliterating the diaphragmatic contour appears unchanged. Apical area does not reveal any pneumothorax on the right side.
<unk>-year-old male patient with pleural effusion, underwent right pleural fluid thoracocentesis, checking for reduction of pleural fluid and absence of pneumothorax.
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The lungs are well expanded and clear without evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.
history: <unk>f with cough and fever // r/o pna
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The heart is enlarged. A left mid-upper lung mass is again seen with a clip and associated thoracotomy changes. There is mild pulmonary edema. There are small bilateral pleural effusions. No definite focal consolidation or pneumothorax identified.
shortness of breath. recent antibiotics for possible pneumonia, evaluate for infiltrate.
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Pa and lateral views of the chest provided. Improved lung volumes compared with prior exam with mild residual left basal atelectasis. No pulmonary edema, pneumothorax or large effusion. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
history: <unk>f with recent fall down stairs, left sided rib pain // eval for left sided rib fractures
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Lungs are clear of focal consolidation, effusion, or pulmonary vascular congestion. The cardiomediastinal silhouette is stable. Atherosclerotic calcifications again noted at the aortic arch. Surgical clips seen in the lower neck.
<unk>f hx of ami p/w chest pain since early am +sob, // r/o pna vs pulmonary edema
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Small left pleural effusion and and possible trace right pleural effusion present. There is mild pulmonary edema. Bibasilar opacities may relate to pleural effusions and vascular congestion, however, underlying aspiration or infection are not excluded, as also noted on the prior study. The cardiac and mediastinal silhouettes are stable, with the cardiac silhouette enlarged in the aorta calcified and tortuous.
history: <unk>f with respiratory distress // eval for pna
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Ap portable semi upright view of the chest. Ett is in place with its tip located high in the trachea approximately <num> point <num> cm above the carina. Recommend advancement. Orogastric tube extends into the left upper abdomen with its tip excluded from view. Lung volumes are low limiting assessment with bronchovascular crowding in lower lung atelectasis. Difficult to exclude a component of aspiration the lower lungs. No large effusion or pneumothorax. Cardiomediastinal silhouette is grossly unremarkable. Bony structures appear intact.
<unk>f with intubation for status epilpeticus // assess for ett placement.
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One semi-erect portable view of the chest and upper abdomen. The ng tube is seen in the stomach with its last side port below the ge junction. The heart size and mediastinum are unchanged. Lung volumes remain low. No pleural effusion or pneumothorax. Unchanged minimal bibasilar atelectasis. No consolidation.
encephalopathy, ng tube placement.
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There is moderate cardiomegaly. There is a mild hiatal hernia. The lungs demonstrate streaky opacities as well as a wedge-shaped opacity at the right lateral lung base. There is no evidence of a pneumothorax. There are small bilateral pleural effusions. The hilar and mediastinal contours are otherwise unremarkable. The et tube terminates appropriately above the carina.
history of shortness of breath and hypoxia. please evaluate.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>f with <num> days intermittent chest pain, retrosternal
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Single portable semi erect radiograph demonstrate interval placement of an endotracheal tube its tip which terminates <num> cm above the level of the carina. Heart size is moderately enlarged. No overt pulmonary edema. No focal opacity is identified convincing for pneumonia. Mediastinal and hilar contours are otherwise unremarkable. No pneumothorax is identified. Bilateral pleural effusion is better appreciated on the ct abdomen obtained the gb for, at least moderate. Minimal bibasal atelectasis is noted.
<unk>-year-old male with sepsis, intubated.
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Frontal and lateral views of the chest demonstrate top normal heart size. The mediastinal and hilar contours are unremarkable. The lungs are clear. There is no pneumothorax, vascular congestion, or pleural effusion.
<unk>-year-old female with chest pain and symptoms suggestive of pericarditis. question cardiomegaly.
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Previously reported right lower lobe opacity has markedly progressed, now involving the mid and lower lung regions and most confluent in the juxtahilar area. These findings could reflect an evolving pneumonia given clinical suspicion for this entity. Dense left retrocardiac opacity favors a combination of atelectasis and effusion, but a co-existing pneumonia is also possible in this region. Veil-like opacity in mid and lower right hemithorax likely reflects layering pleural effusion on this semi-upright radiograph.
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As compared to the previous radiograph, the monitoring and support devices are in unchanged position. There is unchanged evidence of moderate-to-severe cardiomegaly with mild fluid overload. Bilateral pleural effusions are unchanged. Unchanged areas of basal atelectasis. Well-ventilated lung parenchyma shows no evidence of interval occurrence of pneumonia.
evaluation for interval change.
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As compared to the previous radiograph, there is no relevant change. Constant monitoring and support devices with endotracheal tube, nasogastric tube, right chest tube, and left pigtail catheter. The devices are constant in appearance. There is currently no evidence for a pneumothorax. Unchanged severity and extent of the pre-existing multifocal parenchymal opacities. Unchanged borderline size of the cardiac silhouette.
status post pigtail placement.
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Endotracheal tube tip is approximately <num> cm from the carina. Enteric tube passes below the field of view. Low lung volumes are again noted. Dense opacity noted in the left lung as on prior with air bronchograms. No definite progression since most recent exam. Right lung is grossly clear. The cardiomediastinal silhouette is unchanged.
<unk>f with worsening hypoxia // eval progression of infiltrate
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A left chest ventricular pacer with tip in the right ventricle is unchanged in position. The swan-ganz catheter has been removed since <unk>. The heart is severely enlarged. No pneumothorax, large pleural effusion or frank pulmonary edema. There is mild pulmonary vascular congestion. Biapical pleural thickening or scarring is unchanged. No definite focal pneumonia.
<unk>-year-old man with nicm from cocaine here with shortness of breath. evaluate for pulmonary edema or pneumonia.
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Enteric tube tip is within the stomach. Lung volumes are lower compared to the prior study. Heart size is accentuated as result of low lung volumes, appearing mildly enlarged. The mediastinal and hilar contours are unremarkable. Crowding of bronchovascular structures is likely due to low lung volumes without overt pulmonary edema. Patchy opacities in lung bases most likely reflect atelectasis. No pleural effusion, focal consolidation or pneumothorax is present.
history: <unk>f with nasogastric tube placement
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Patient's condition required examination in sitting upright position using ap frontal and left lateral views. Comparison is made with the next preceding single chest view examination of <unk> as well as an older pa and lateral chest examination of <unk>. There is moderate cardiac enlargement, the configuration indicative of left ventricular prominence. Thoracic aorta is generally widened and elongated but no local contour abnormalities are identified. Pulmonary vasculature demonstrates an upper zone re-distribution pattern suggestive of some increased left-sided filling pressure, but there is no evidence of overt interstitial or alveolar edema. The lateral and posterior pleural sinus remain free from any fluid accumulation. Similar as noted on two previous examinations, there is a moderate elevation of the right-sided diaphragm which results in some crowded appearance of the pulmonary vasculature on the right lung base. There is, however, no evidence of any acute parenchymal infiltrate. No pneumothorax is seen in the apical area. Skeletal structures of the thorax demonstrate mild degree of s-shaped scoliosis with moderate degenerative changes, but no evidence of any acute vertebral body compression fracture.
<unk>-year-old female patient with bilateral crackles, evaluate for chf or infiltrate.
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The cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are present.
history of acute onset right-sided weakness status post t-pa administration.
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Stable enlargement of the cardiac silhouette, accompanied by upper zone vascular re-distribution. There is no evidence of pulmonary edema, and no focal areas of consolidation are evident to suggest the presence of pneumonia. There are no pleural effusions or pneumothoraces.
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Small area of left lower lobe consolidation is stable since <unk>, but new since <unk> and could be compatible with atelectasis; however, superimposed pneumonia or aspiration could also be considered in appropriate clinical settings. Right lower lung atelectatic band is small. Mediastinal and cardiac contours are normal. Ng tube is in the stomach and et tube ends <num> cm above the carina. Left-sided picc line ends in the lower svc.
patient with fever, on ventilator.
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Pa and lateral views of the chest provided demonstrate no focal consolidation, effusion or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm.
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The heart is mildly enlarged with a left ventricular configuration. The aorta is mildly tortuous and calcified. There is no pleural effusion or pneumothorax. The lungs appear clear. Mild degenerative changes are noted along the thoracic spine.
worsening dyspnea and chest pain on exertion.
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There is faint opacity at the left lower lobe which may be atelectasis however pneumonia is also possible in correct clinical setting. There is no pleural effusion or pneumothorax. Cardiomediastinal and hilar silhouette are normal size.
history: <unk>f with igg defic and cough, pls eval for pna // history: <unk>f with igg defic and cough, pls eval for pna
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Indwelling monitoring and support devices are unchanged and in appropriate position. Lung volumes are low and the upper lungs are clear. Mediastinal contours and cardiomegaly are stable from <unk>. Right basilar opacity and layering right pleural effusion are increased from <unk>. Small if any left pleural effusion. No pneumothorax.
<unk> year old man with perineal sepsis // please assess for ett position
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Pa and lateral views of the chest. Compared to the most recent study, the left pneumothorax has decreased. The left-sided pigtail catheter is in appropriate position. Minimal subcutaneous emphysema. Mediastinal shift has decreased. The left pleural effusion is unchanged. Left clavicular fracture is unchanged. There are no opacities concerning for pneumonia. The cardiac, mediastinal, and hilar contours are normal.
left pneumothorax, status post pigtail placement, evaluate for improvement in pneumothorax.
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The heart size is at the upper limits of normal. A dual lead pacemaker is noted. The previously noted areas of consolidation in the right middle lobe and left mid lung have improved without complete resolution. No new consolidation is seen.
<unk> year old man with w recent bilobar pneumonia and persistent cough after antibiotics. // r/o worsening infiltrates.
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Dual lead left-sided pacemaker stable in position. The lungs remain hyperinflated, consistent with chronic obstructive pulmonary disease.no focal consolidation is seen. Mild biapical pleural thickening is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Anchor screw noted overlying the right humeral head.
history: <unk>f with cough for <num> days // eval for pna
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There is poor lung expansion. Continued bilateral basilar atelectatic changes consistent with prior exam. Et tube is now noted with distal tip approximately <num> cm above the carinal. It is recommended to withdraw et tube approximately <num> cm. There is a question of over-inflation of the et tube balloon/cuff, it is unclear if this is necessary given patient's known tracheobronchial malacia. Otherwise there are no significant interval changes noted.
<unk> year old man with tbm s/p rigid bronch with y stent removal. remains intubated // post-op eval
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Right hilar prominence is unchanged since <unk>, may be slightly increased since <unk> and could reflect lymphadenopathy. The remaining of the lungs is unremarkable except for hyperinflation. Cardiac contour is mildly enlarged. There is no pleural effusion or pneumothorax.
patient with inflammatory arthritis, sicca syndrome, hilar lymphadenopathy.
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Heart size is normal. Cardiomediastinal silhouette and hilar contours are unremarkable. Lungs are clear. There is no pleural effusion or pneumothorax. The osseous structures are grossly unremarkable.
coughing and two days of shortness of breath.
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The lungs are well expanded. There are no focal parenchymal opacities. Cardiac size is top normal. Cardiomediastinal and hilar contours are otherwise unremarkable. There is no pleural effusion or pneumothorax.
patient with multiple near syncopal episodes over the past two weeks, shortness of breath and back pain.
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There is no focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal contours are within normal limits. There is no subdiaphragmatic free air. No acute osseous abnormalities are identified.
history: <unk>m with cp // r/o acute process
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Semi-upright portable ap view of the chest was provided. There are acute minimally displaced fractures involving the lateral arches of the right fifth and sixth ribs. No additional fractures are seen. The lungs are clear and well inflated. No pneumothorax or pleural effusion. Cardiomediastinal silhouette normal.
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Frontal and lateral views of the chest. The lungs are hyperinflated. There is moderate cardiomegaly and an unfolded thoracic aorta. There is minimal bibasilar atelectasis. In addition,there is hazy opacity at the right lung base. On the lateral view, there is patchy opacity posteriorly, in ? Right vs left lower lobe. The lung markings appear prominent, but this is likely technical -- doubt interstitial edema. There is no pneumothorax. Doubt gross effusion. There is no pneumothorax.
<unk>-year-old female with fall and head strike.
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Single frontal image of the chest demonstrates right-sided moderate-to-large pleural effusion and left-sided moderate pleural effusion, which are essentially unchanged from prior imaging. Again seen are left perihilar, right lower lobe, and left lower lobe opacities which are unchanged from prior imaging. The appearance of these opacities on this exam and on prior cts likely represents aspiration. The opacity at the left lung base likely represents atelectasis adjacent to the left pleural effusion. There is no pneumothorax seen. Cardiomediastinal silhouette appears unchanged from prior imaging, but is incompletely assessed due to bilateral pleural effusions. An esophageal stent is seen consistent with patient's history of esophageal cancer. A left-sided chest tube has been repositioned in the interval. A subclavian line is in place with the tip in the upper svc.
<unk>-year-old male with bilateral pleural effusions.
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The cardiomediastinal and hilar contours are stable. There is no pleural effusion or pneumothorax. There is no focal consolidation concerning for pneumonia. The pulmonary vasculature is within normal limits.
fevers and recent hospitalization.
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Two views were obtained of the chest. The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The heart is normal in size with normal cardiomediastinal contours.
<unk>-year-old with fever and cough. assess for pneumonia.
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Ap single view of the chest has been obtained with patient in supine position. Comparison is made with the next previous similar study obtained <num> hours earlier during the same day. The patient has now been extubated and a tracheostomy cannula has been placed. The position is unremarkable and no pneumothorax has developed. Previously identified right internal jugular approach central venous line remains in unchanged position. A dobbhoff tube is identified and seen to reach well below the hiatus with the terminal portion reaching well into the fundus of the stomach. No new pulmonary abnormalities are seen.
<unk>-year-old female patient with new tracheostomy and dobbhoff line placement. evaluate.
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The cardiomediastinal and hilar contours are stable. Coronary artery stents are noted. There is no pneumothorax or large pleural effusion. No large pleural effusion is seen. The lungs are well-expanded without focal consolidation concerning for pneumonia. Mild biapical scarring is present. Minimal left base atelectasis/scarring is seen.
<unk>f with sob.
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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.
<unk>f with weakness. evaluate for cardiopulmonary change.
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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 motor vehicle collision, chest pain
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Single supine view of the chest. Endotracheal tube tip is approximately <num> cm from the carina, in appropriate position. Enteric tube tip is seen within the stomach, although the side port is likely at the ge junction. There are bilateral mid-to-lower lung parenchymal opacities. There is more focal consolidation in the right upper lung, suggesting overlying fibrotic changes, likely chronic. There is also a <num>-mm nodule projecting over the left posterior fifth rib. Cardiac silhouette is within normal limits. Prominence of the mediastinum may be due to position and tortuosity of the vessels. There is suggestion of bilateral effusions given blunting of the costophrenic angles. No acute osseous abnormality is identified.
<unk>-year-old male, unresponsive.
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A tracheostomy tube remains in place. There is no pneumothorax. A bandlike retrocardiac airspace opacity is more prominent, and may reflect increased atelectasis or infection.
<unk> year old man with sepsis // pna?, perform <unk>
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The lungs are clear. No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The heart size is normal. The appearance of the cardiomediastinal silhouette is similar to <unk>. Stable mediastinal contours. The hila are unremarkable. Prominent anterior osteophytes are again seen in the mid thoracic spine.
<unk>-year-old man presenting with a cough; evaluate for pneumonia.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>f with hiv, hcv with traumatic right foot pain and chronic cough productive of green sputum
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Cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. There is no focal lung consolidation.
<unk>m w/worse respiratory exam than baseline
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In comparison with the study from earlier that day, there is mild improvement of the interstitial pulmonary edema. Again there are low lung volumes with enlargement of the cardiac silhouette and. The tip of the endotracheal tube is <num> cm from the carina. No pneumothorax. Monitoring and support devices are unchanged.
<unk> year old woman with acute resp failure requiring intubation // ett position s/p intubation
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Increased airspace opacity of the lung base bilaterally may reflect atelectasis, however infection in the appropriate clinical setting is a reasonable alternative.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen. Foreshortened left distal clavicle, from prior resection.
history: <unk>m with shortness of breath. evaluate for pneumonia.
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The lungs are well expanded and clear. The mediastinum is unremarkable. The cardiac silhouette is within normal limits for size. No effusion or pneumothorax is noted. The osseous structures are unremarkable.
history of chest pain.
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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 ruq pain and worsening since <num> day pta, no n/ // eval for pna/gb pathology
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There are new small bilateral pleural effusions. There is no focal infiltrate. The cardiac and mediastinal silhouettes are unchanged
<unk> year old woman with l femur fx, now with productive cough, leukocytosis // eval for pna, interval change
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Interval extubation. Cardiomediastinal contours are within normal limits. Lungs are clear except for patchy and linear atelectasis at the bases.
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A new left-sided central venous line terminates in the upper portion of the superior vena cava. There is no evidence of pneumothorax although the chin overlies the apex limiting the evaluation. Compared to the prior study, the lung volumes are lower otherwise the lungs are stable with calcified nodules in the right upper lung.
shortness of breath status post central line placement
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Ap upright and lateral chest radiograph demonstrate eventration of the right hemidiaphragm anteriorly, unchanged when compared to radiograph dated <unk>. No focal consolidation convincing for pneumonia is identified. Cardiomediastinal and hilar contours are within normal limits. There is no pleural effusion or pneumothorax. No evidence of overt pulmonary edema. No acute osseous abnormality is identified.
<unk> year old female with hypoxia.
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Median sternotomy wires are intact. Mediastinal clips are unchanged. There is stable mild cardiomegaly. Since prior, left pleural effusion has resolved. Left lung is clear. There is a small right pleural effusion decreased from prior with a persistent but decreased loculated component. Right lung is otherwise clear. There is no overt pulmonary edema.
<unk>-year-old man with lightheadedness evaluate for pneumonia
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Ap upright and lateral chest radiographs were obtained. Lung volumes are low. A retrocardiac opacity projects over the spine on the lateral view. No effusion or pneumothorax is present. The heart and mediastinal contours are normal. The lower edge of cervical pedicular screws is present.
<unk>-year-old male with cough, fever, recent surgery, rule out pneumonia.
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In comparison with the study of <unk>, there is no interval change or evidence of acute cardiopulmonary disease. Specifically, no pneumonia, vascular congestion, or pleural effusion. The central catheter has been removed.
myeloma with fever and cough.
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Lung volumes are low. Heart size is normal. Mediastinal and hilar contours are unremarkable. There is likely streaky atelectasis at the lateral lung bases, but no pole consolidation or pleural effusions. No pneumothorax. Thoracic spine stabilization hardware is in place.
<unk>f with chest pain, dyspnea. eval heart and lungs.
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Patient is rotated slight to the left. The patient status post median sternotomy and cabg. There is persistent mild elevation of the right hemidiaphragm. Subtle right base opacity is seen which may be due to atelectasis, but a mild consolidation due to aspiration or infection is not excluded in the appropriate clinical setting. Dedicated pa and lateral views would be helpful for further evaluation if patient able. No large pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are stable.
history: <unk>f with weakness // eval for pna
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The aorta appears tortuous and calcified with some widening of the mediastinal contour. The morphology is unchanged. The lung volumes are low. There is no definite pleural effusion or pneumothorax. Prominent perihilar vessels suggesting mild fluid overload.
hypotension during transfusion. question trali.
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Compared with the prior film, i doubt significant interval change. Again seen is moderate to moderately severe cardiomegaly, against a background of copd, with a small effusion on the right and underlying collapse and/or consolidation at both bases. Probable background chf. Compared with <unk> at <time> a.m., the small right effusion has progressed slightly.
stroke, evaluate intrathoracic process given crackles at both bases. chest, single ap portable view.
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Cardiomediastinal silhouette and hilar contours are unremarkable. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax. Cervical fixation plate is visualized but not optimally assessed on this study.
nausea and fatigue.
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Cardiac, mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Low lung volumes are present, with mild bibasilar patchy opacities which likely atelectasis. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormalities identified.
history: <unk>f with productive cough and shortness of breath
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As compared to the previous radiograph, the pre-existing pulmonary edema, centralized in appearance, has moderately increased. Associated areas of atelectasis at the lung bases are seen. No pleural effusions. No pneumonia, left pacemaker, right internal jugular vein catheter in situ.
status post massive fluid resuscitation, evaluation.
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A double-lumen right internal jugular central venous line terminates within the right atrium. A nasogastric tube terminates within the stomach. There has been interval removal of the previous left-sided cvl. As compared to the prior examination, lung volumes are decreased and there are increasing bibasilar opacities which likely reflect atelectasis. Small right and moderate left pleural effusions have decreased in size from prior examination. The upper lung fields are grossly clear. The heart remains mildly enlarged and there is persistent, mild-moderate interstitial pulmonary edema.
<unk>m with recent icu admission for fungemia now presenting from gi suite with leukocytosis. endorses some mild abdominal pain ttp // intraabdominal process
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As compared to the previous radiograph, the monitoring and support devices are in constant position. Unchanged lung volumes. Mild progression of the known bilateral severe and diffuse parenchymal opacities with air bronchograms. Moderate cardiomegaly persists. No larger pleural effusions. No pneumothorax.
ards, evaluation.
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There is no lymph node enlargement in this chest x-ray and if compared to <unk>, the enlarged lymph nodes in right paratracheal station have completely resolved. The lungs are clear. Mediastinal and cardiac contours are normal. There is no pleural effusion or pneumothorax.
patient with monoarthritis of right ankle, history of mediastinal lymphadenopathy, sarcoid?
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No previous images. There are low lung volumes with bibasilar opacification consistent with pleural effusions and compressive atelectasis. Especially on the right, the possibility of consolidation would have to be considered in the appropriate clinical setting. No evidence of vascular congestion. Dilated loops of small bowel are seen, as on the recent ct examination.
post-surgery, to assess for pneumonia or pleural effusion.
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Ap portable upright view of the chest. Mediastinal clips are noted. Lungs are clear. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. There is a subtle defect along the medial and inferior aspect of the right humeral head raising potential concern for a reverse hill-<unk> deformity in the setting of chronic posterior shoulder dislocation. Please correlate clinically. Mildly elevated right hemidiaphragm is unchanged.
<unk> year old woman with a history of dm, eczema with excoriated mrsa + skin lesions, dementia, syncope, epilepsy, presenting with <num> seizures today (one witnessed in the ed).
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Pa and lateal views of the chest. The lungs are clear. The cardiac, mediastinal, and hilar contours are normal. There is no pleural effusion or pneumothorax. No evidence of free air.
<unk>-year-old male with small bowel obstruction.
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There is near-complete opacification of the right hemithorax with just a small amount of aeration seen at the medial right apex. The left lung is clear. No left pleural effusion is seen. No pneumothorax is seen. The right aspect of the cardiac and mediastinal silhouettes are difficult to assess due to the large opacification over the right hemi thorax. The left sided borders of the heart and mediastinum are unremarkable.
history: <unk>f with dyspnea, dullness on r lung base // ? acute cardiopulm process
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In comparison with the study of <unk>, there is increased opacification at the left base with silhouetting of the hemidiaphragm and obscuration of the costophrenic angle. This most likely reflects postoperative atelectasis and effusion. However, the descending aorta is not as well seen in the retrocardiac region. This combination of findings could reflect lower lobe pneumonia in the appropriate clinical setting. The remainder of the study is unchanged except for evidence of free intraperitoneal gas beneath the right hemidiaphragm.
postoperative fever, to assess for pneumonia.
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An ng tube is present. Although the infra diaphragmatic portion of the tube is not well seen, it does pass beneath the diaphragm. The cardiomediastinal silhouette and background copd appear unchanged. There is vascular plethora consistent with mild chf and interstitial edema. A small left effusion and minimal blunting of the right costophrenic angle are similar to the prior film. There is patchy opacity at the left base similar to the prior film. The possibility of an early infiltrate cannot be entirely excluded, but the appearance is grossly unchanged and no frank consolidation is seen. Minimal atelectasis at the right base. Prominent right paratracheal soft tissues are similar to the prior film.
<unk> year old woman with copd, admitted for bowel obstruction with new hypoxemia, leukocytosis, and fevers concern for aspiration pneumonia with component of pulmonary edema // please assess for development of infiltrate concerning for pneumonia and presence of pulmonar edema
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Frontal and lateral views of the chest are obtained. Dual-lead left-sided pacemaker is again seen, unchanged in position. The patient is status post median sternotomy and cabg. There are slightly low lung volumes. Slight prominence of the central pulmonary vasculature may be due to mild pulmonary vascular engorgement unchanged. The cardiac silhouette is top normal to mildly enlarged. Aorta is tortuous. No pleural effusion or pneumothorax is seen.
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The lungs are clear without any focal opacities, pleural effusion, pulmonary edema or pneumothorax. Bibasilar opacities are likely secondary to atelectasis and soft tissue density from overlying breast tissue. The heart is at the upper limit of normal in size. The mediastinal contours are normal.
chest pain, evaluate for pneumonia.
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No significant interval change from the most recent exam. Compared to <unk>, bilateral lower lung opacities have decreased. Remaining changes likely reflect background fibrosis better seen on ct and are unchanged since <unk>. No obvious focal consolidation to suggest acute infection. Scattered bilateral small calcified granulomas are unchanged from <unk> and better seen on prior ct. Appearance of the cardiomediastinal silhouette and hila are unchanged from <unk>. The thoracic aorta is tortuous. Air-filled loops of bowel the left upper quadrant are overall unchanged and nonspecific, but contribute to elevation of the left hemidiaphragm. Degenerative changes in the thoracic spine are unchanged.
<unk> year old man with mds, cough, ? pna // <unk> year old man with mds, cough, ? pna
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Pa and lateral chest radiograph demonstrate a left chest cardiac device, its leads which appear intact and terminate in the anticipated location of the right atrium and ventricle. Patient is status post cabg. The most inferior median sternotomy wire appears discontinuous as does the second to most inferior sternotomy wire anteriorly. Surgical clips project over the left heart border and left mid axillary chest superiorly. There is no pneumothorax. There is no pleural effusion. No evidence of pulmonary edema. Cardiomediastinal and hilar contours are within normal limits. Bibasilar atelectasis, left greater than right is mild. Images of the upper abdomen are grossly normal.
history: <unk>m with vomiting, dizziness, hx cabg and pacer // pacer placement, acute cardiopulmonary process
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Comparison is made to previous study from <unk> at <time> a.m. The lines and tubes are all stable in position. There are again seen low lung volumes with crowding of the pulmonary vascular markings. There are bilateral pleural effusions and a left retrocardiac opacity. There is likely an element of fluid overload. These findings are all unchanged.
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Right-sided port-a-cath is in place with its tip at the superior cavoatrial junction. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are normal. The previously seen pulmonary nodules on pet-ct from <unk> are not well seen on these radiographs.
history: <unk>f with sob post chemo // eval pneumonia