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Right lower lobe consolidation is worrisome for pneumonia. The left lung is clear. No definite pleural effusion is seen. There is no evidence of pneumothorax. The cardiac and mediastinal silhouettes are normal.
cough and fever.
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The left pigtail catheter is unchanged in position. The right ij and et tubes terminate in the standard position. The ng tube terminates outside the field of view. Compared to <unk>, there are increasing bilateral pleural effusions, pulmonary vascular congestion, and parenchymal opacities suggesting developing pulmonary edema. Cardiomegaly is unchanged. There is no pneumothorax. Findings were discussed by dr. <unk> with dr. <unk> by phone at <time> a.m. On <unk>.
recent left empyema and septic shock.
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Left chest tube remains in place, with moderate left apical pneumothorax, slightly increased from prior study. Visceral pleural line is just above the left fifth posterior rib. There may also be a smaller basilar component of the pneumothorax, which appears slightly less prominent than on the prior study. Overall appearance of the chest is otherwise similar to prior study except for worsening opacities at the left lung base involving the left lower lobe and lingula.
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Lung volumes are low. A replaced tracheostomy is noted in the expected position. No pneumothorax is seen. Mild bibasilar atelectasis is noted. Heart size is unchanged. There is no pulmonary edema.
<unk> year old man with t tube change // r/o ptx
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Ap portable upright view of the chest. A right picc terminates at the mid svc. The heart is mildly enlarged. The hilar mediastinal contours remain within normal limits. Mild central pulmonary vascular congestion appears new since the <unk> examination, with small bilateral pleural effusions. There is no pneumothorax or focal consolidation. An endotracheal tube terminates <num> cm above the carina.
<unk> year old man with intubation // interval change?
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Ap upright and lateral views of the chest are provided. Multiple segmentally displaced left rib fractures are unchanged from prior. No focal consolidation, effusion or pneumothorax is seen. The cardiomediastinal silhouette is unchanged with an unfolded thoracic aorta again noted. No acute bony abnormalities are seen.
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Pa and lateral views of the chest. There are low lung volumes, which crowd the pulmonary vasculature. There is elevation of the right hemidiaphragm. There is moderate cardiomegaly. Given the significant overlying soft tissue, low lung volumes are difficult to assess for subtle consolidation; however, no definite consolidation is identified. No pleural effusion or pneumothorax.
lower extremity infection, plan the or, evaluate for cardiopulmonary process.
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The lungs are well expanded and clear without focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits. The upper trachea appear symmetric and within normal limits on the ap view, although visualization of the trachea on the lateral view is obscured secondary to the patient's arm placement.
<unk>m with difficulty swallowing since last night. // ?partial obstruction
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The lungs are well expanded and clear. There is no nodule, consolidation, effusion, or pneumothorax. Mediastinal and cardiac contours are normal.
<unk>-year-old with productive cough and shortness of breath.
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Frontal and lateral views of the chest are compared to previous portable film from <unk> and ct abdomen and pelvis from <unk>. There is blunting of the right lateral costophrenic angle which is unchanged and likely in part due to extrapleural fat and possible pleural thickening which is partially visualized on prior ct abdomen. The lungs are otherwise clear. There is no definite pleural effusion. Cardiomediastinal silhouette is within normal limits. Previously seen left-sided tunneled ij line is no longer visualized. Osseous and soft tissue structures are unremarkable.
<unk>-year-old female with chest pain.
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There is opacification of the inferior left hemithorax, which is due to left lower lobe collapse and a small effusion; these findings are better demonstrated on ct chest dated <unk>. There is also chronic left hemidiaphragm elevation. No new areas of consolidation. No pneumothorax. Stable cardiomediastinal silhouette. The left picc line is unchanged in position and terminates in the distal svc.
<unk> year old man with pe, transient desat // eval for interval change
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Frontal and lateral views of the chest are compared to previous exam from <unk>. There are multiple right lateral rib fractures identified. There is a moderate sized underlying pneumothorax. There is no evidence of mediastinal shift to the left. There is significant overlying right chest wall and neck subcutaneous emphysema. No definite underlying consolidation is identified. Cardiomediastinal silhouette is within normal limits.
<unk>-year-old male with rib fracture. question pneumothorax.
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The lungs are hyperinflated consistent with the provided history of chronic obstructive pulmonary disease. There is no focal opacity, pleural effusion or pneumothorax. Heart size is top normal and there are aortic arch calcifications.
<unk> year old man with asthma, copd, abnormal pulmonary function tests and history of a positive ppd. she presents for preoperative total hip replacement and evaluation for parenchymal evidence of old tb.
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Frontal and lateral views of the chest were obtained. A right port-a-cath ends in the mid to lower svc, in satisfactory position. There is no apparent discontinuity or kinks along its course. Lungs are clear without focal consolidation, pleural effusion or pneumothorax. Heart size is upper limits of normal, unchanged. Mediastinal silhouette and hilar contours are stable. Dr. <unk> <unk> the findings with <unk> (iv team) by phone at <time> p.m. On <unk>.
patient with port-a-cath flushing but not drawing back. evaluate line placement.
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Heart size remains mildly enlarged. Mediastinal and hilar contours are similar with atherosclerotic calcifications noted within the descending aorta. Multiple clips are again noted about the right hilum compatible with prior lobectomy. Calcified pleural plaques are again seen bilaterally. Lungs remain hyperinflated with emphysematous changes again seen. Small bilateral pleural effusions, left greater than right are re- demonstrated. Moderate pulmonary edema appears worse in the interval. No pneumothorax is detected. Patchy opacity in the left lung base may reflect an area of atelectasis. Rib deformities on the right likely reflect postoperative changes.
history: <unk>m with hypoxia, dyspnea
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The et tube and ng tube are unchanged. There continues to be dense retrocardiac opacity, pulmonary vascular redistribution and left effusion. There is some linear atelectasis in the region of the right major fissure which has increased compared to prior.
respiratory failure.
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Compared to the earlier chest radiograph, no significant change. There is a persistent right-sided effusion and right basilar consolidation, with silhouette of the right heart. The left lung is grossly clear. The patient's head overlies and obscures the right upper zone.
<unk>f w/ hypoxia, pleural effusion. evaluate for interval change.
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As compared to the previous radiograph, there is a slight increase in extent of the pleural effusion on the left. This increase is more obvious on the lateral than on the frontal radiograph. However, there is additional atelectasis at the left lung base. The size of the cardiac silhouette and the right lung are of unchanged appearance.
pleural effusion, evaluation.
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Relatively low lung volumes are seen. There is no focal consolidation. Mild blunting of the costophrenic angles could be due to small effusions or atelectasis. Right chest wall dual lead pacing device is seen as well as a prosthetic aortic valve. Median sternotomy wires are intact.
<unk>m with altered mental status. // eval for acute process
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<num> portable views of the chest. Moderate right-sided pleural effusion is unchanged. There may also be a small left -sided pleural effusion. There is underlying mild pulmonary edema, more conspicuous on the right. Cardiac silhouette appears enlarged but difficult to assess accurately given right-sided effusion.
<unk>-year-old male with end-stage renal disease and chf with worsening shortness of breath.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
<unk> year old woman with hyponatremia
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The cardiomediastinal and hilar contours are stable. Moderate to large bilateral pleural effusions are increased from <unk>. There is mild to moderate pulmonary edema, which may be minimally increased from the prior study. No pneumothorax.
<unk> s/p sigmoidectomy and end colostomy (<unk>) c/b brief pea arrest, now presenting with fevers and leukocytosis // evaluate for interval change: effusions, bibasilar opacities
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The heart size is normal. The hilar and mediastinal contours are normal. No focal consolidations concerning for pneumonia are identified. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.
history: <unk>m with chest pain shortness of breath
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In comparison to earlier study of this date, there are lower lung volumes with little change in the degree of small-to-moderate left pneumothorax. Opacification in the retrocardiac region is consistent with atelectasis. Right lung is clear and there is no evidence of vascular congestion.
pneumothorax in the setting of rib fracture.
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There is no significant interval change in the extent of the known right pneumothorax. Bilateral pigtail catheters are present and unchanged. A right chest wall port-a-cath is present, the tip projecting over the superior cavoatrial junction. Stable appearance of the diffuse bilateral interstitial opacities. The size of the cardiomediastinal silhouette is within normal limits.
<unk> year old man with pleural effusion s/p chest tube placement; tubes are now clamped // ? pneumothorax
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The cardiac borders are obscured, noting low lung volumes, but the heart appears probably enlarged with a left ventricular configuration. The aortic arch is calcified. The right hilum is enlarged which is suspected to reflect primarily enlargement of central pulmonary arteries. Diffuse opacification has increased. The right lung base is better aerated but there is a persistent opacity at the left lung base, probably due to atelectasis. A background of moderate pulmonary edema appears somewhat worse.
coronary disease and aortic stenosis presenting with tachypnea and hypoxia.
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The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
<unk>-year-old female with tachycardia. evaluate for acute cardiopulmonary process.
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Chest. For right-sided port catheter ends in the lower svc. Mainly lower lobe reticular interstitial changes are again seen and likely more prominent to prior studies. This may represent a pneumonia in the and/or left lung base. No pleural effusion or pneumothorax. The cardiomediastinal hilar contours are stable.
includes lymphoma and possible pneumonitis, crackles at the left base and remains reduced diffusing capacity. evaluate for infiltrate or edema.
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The lungs are well-expanded and clear of consolidation but notable for pulmonary vascular congestion. The cardiac silhouette remains enlarged. The patient is status post median sternotomy and cabg, with intact sternotomy wires. Coronary artery stents are noted. Dense mitral annular calcifications are seen. Blunting of the bilateral costophrenic angles may represent pleural effusion versus thickening. No pneumothorax or consolidation.
<unk>f with chf/a fib rvr // acute process
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No focal consolidation, pleural effusion or pneumothorax identified. Minimal left basilar atelectasis. The size of the cardiomediastinal silhouette is within normal limits.
<unk> year old man with fever, leukocytosis. // evaluate for consolidation
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Lungs are clear without focal consolidation, effusion, or pneumothorax. Mediastinum, hila and pleural surfaces are unremarkable. Heart size is normal.
<unk> year old man with history of sarcoidosis, having right-sided chest pain. // any intra-thoracic lymphadenopathy or other pathology to explain right-sided chest pain.
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Right pleural effusion has decreased in size with associated improvement in adjacent right basilar atelectasis. Multifocal areas of heterogeneous consolidation involving the left lung to a greater degree than the right, have slightly improved. A small hyperlucency is present in the periphery of the left upper lobe at the level of the second and third anterior ribs, but no discrete visceral pleural line is identified. This may represent an area of spared lung parenchyma from the presumed multifocal pneumonia, but attention to this area on short-term followup radiograph may be helpful to exclude an atypical presentation of pneumothorax, given clinical suspicion for this entity.
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No significant interval change since chest radiograph performed earlier on the same day. No pneumothorax is seen. Again vertebra fixation hardware is noted. Cardio mediastinal silhouette is unchanged. Left picc in mid svc.
<unk> year old woman s/p tracheobronchoplasty // check interval change
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Heart is upper limits of normal in size and stable compared to previous study. Enlargement of the main pulmonary artery contour is unchanged since previous studies, and corresponds to a markedly enlarged pulmonary artery on prior cta of <unk>. Lungs are well expanded and clear except for unchanged nonspecific linear scarring in the left upper lobe. There are no pleural effusions or acute skeletal abnormalities.
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Two frontal and <num> lateral chest radiographs were obtained. The lungs are hyperinflated. The right costophrenic angle is blunted by a small pleural effusion. There is no consolidation or pneumothorax. Cardiac and mediastinal contours are normal. Convex right thoracic scoliosis is mild.
fall.
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Cardiac, mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormalities seen. A subcutaneous port is noted projecting over the right upper quadrant of the abdomen.
history: <unk>f with shortness of breath, history of ovarian cancer
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There are moderate bilateral pleural effusions, left greater than right that have increased in the interval. The right ij line has been removed.
status post replacement of ascending aorta, post-op day <num>, check infiltrate.
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There are low lung volumes. The pulmonary vasculature is engorged without overt edema. The cardiomediastinal silhouette is enlarged, similar prior exam.
history: <unk>f with dyspnea and tachypnea. gave <num> l of fluids. // did we give her fluid in her lungs?
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In comparison with the study of <unk>, intact midline sternal wires are now seen. No evidence of pneumothorax. Possible mild atelectatic changes at the bases.
thymectomy, now on pacu.
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No radiographs available for comparison. Lung volumes are low and there are multiple adjacent anterolateral right ribs with abnormal contours concerning for fractures. Lungs are otherwise clear with no focal consolidation. Heart size is top normal without pulmonary vascular congestion and pulmonary edema. No pleural effusions or pneumothorax.
<unk> year old woman s/p fall <num> weeks ago with t<num> compression fracture c/o r chest pain, worsened after transfer. assess for fracture. // assess for rib fx
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Heart size is normal. Mediastinal and hilar contours are unremarkable. The pulmonary vasculature is normal. Elevation of the right hemidiaphragm is demonstrated. <num> cm rounded opacity projecting over the lateral aspect of the right lung base may reflect a nipple shadow. Atelectasis in the right lung base is present. The left lung is clear. No focal consolidation, pleural effusion or pneumothorax is clearly identified. No displaced fractures are present.
history: <unk>m status post fall with open foot fracture. preoperative assessment.
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Single ap upright radiograph of the chest demonstrates low lung volumes. The cardiomediastinal silhouette is within normal limits. There is a linear opacity in the right lung base that likely represents atelectasis. There is no definite consolidation or pleural effusion. Surgical clips are noted in the bilateral axilla.
altered mental status, 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 severe vomiting, cough, shortness of breath
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The lungs are well-expanded and clear. The cardiomediastinal silhouette is unremarkable. There is no pleural effusion, pulmonary edema, pneumothorax, or focal consolidation.
history: <unk>f with shortness of breath // eval for acute process
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As compared to the previous radiograph, the lung volumes have decreased. There is evidence of mild-to-moderate pulmonary edema that is unchanged. Moderate cardiomegaly with enlargement of the left atrium. In addition, the radiodensity of the lung parenchyma in the right upper lobe has increased. This could reflect hypoventilation or developing pneumonia. Continuous radiographic monitoring is required.
neutropenic fever, questionable pneumonia.
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Ap upright and lateral views of the chest were provided. There is pulmonary vascular congestion which is increased from prior exam. Lung volumes are low. No effusion is seen. The heart size is stable. Mediastinal contour is unremarkable. There is no pneumothorax. Bony structures are intact.
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Ap upright portable chest radiograph provided. The heart remains mildly enlarged. There is hilar congestion and mild interstitial pulmonary edema. No large effusion or pneumothorax. Aicd unchanged. Clips the right axilla noted. Bony structures are intact.
<unk>f with productive cough low grade fever
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The endotracheal tube tip sits <num> cm above the carina. The heart and mediastinal contours are within normal limits. The lung volumes are low with bibasilar atelectasis. Additionally, blunting of both costophrenic angles suggests small pleural effusions. There is no pneumothorax.
<unk>-year-old female with retropharyngeal abscess and intubated for airway protection.
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Compared with the prior study, the right ij central catheter tip has been withdrawn, now terminating at the mid svc. Lung volumes remain slightly low, but there is no new focal consolidation or pneumothorax. There may be trace, if any, right pleural effusion. Cardiomediastinal silhouette is unchanged.
<unk> year old man with new fever. evaluate for pneumonia.
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There is no focal consolidation, pleural effusion, evidence of pneumothorax is seen. There is no overt pulmonary edema. The aorta is slightly tortuous and is calcified. The cardiac silhouette is not enlarged. There is likely right middle lobe atelectasis.
cough and congestion.
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The quality of the image is limited due to patient's body habitus. Allowing for these limitations, lung volumes are low, without focal opacities. Assessment of the left lung base is limited due to obscuration by severe cardiomegaly which is not significantly changed compared with prior exam. Mediastinal widening is secondary to mediastinal fat better assessed in prior ct. There is no evidence of pleural effusion or pneumothorax. A linear lucency crossing across the soft tissues in the left as well as the left lower lung field represents air trapped in a skinfold underneath the breast tissue. Sternotomy wires are intact.
<unk>-year-old male with shortness of breath. evaluate for evidence of pulmonary edema.
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In comparison with study of <unk>, the degree of pneumothorax is mildly larger. Left basilar opacification is consistent with atelectasis and effusion, though in the appropriate clinical setting, supervening pneumonia would have to be considered. There is persistent subcutaneous emphysema along the right lateral chest wall. This information was conveyed to dr. <unk>.
chest tube removal.
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An et tube and ng tube and central venous catheter are unchanged in position. Since the prior radiograph, lung volumes are lower. There are increased opacities at the bases and around the aoritc knob, most likely atelectasis. Cardiomediastinal sillhoute is stable. There is no pneumothorax.
<unk>-year-old woman with ttp, intubated, assess for interval change.
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As compared to the previous radiograph, there are slightly increasing bilateral basal areas of atelectasis but no changes in the upper and mid lung parenchyma. Due to the slightly lower lung volumes than on the previous image, the left hilar area looks fuller but shows no evidence of a distinct change in contour. Unchanged size of the cardiac silhouette.
hypoxia, diffuse tree-in-<unk> opacity, evaluation for interval change.
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Again seen is diffuse reticular markings in this patient with known bronchiectasis, similar in distribution as compared to prior studies. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. No definite new focal consolidation is seen although infectious process would be difficult to exclude. .
history: <unk>f with dyspnea // eval for pna, ptx, effusion
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Ap upright and lateral views of the chest were provided. Lungs are clear bilaterally without focal consolidation, effusion, or pneumothorax. Heart size is mildly enlarged. The mediastinal contour is somewhat prominent, likely reflecting ectatic vasculature. Bony structures are intact. No definite signs of congestive heart failure.
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There has not been significant interval change from <unk>. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. There is no pulmonary edema. The heart is normal in size.
<unk>-year-old male with altered mental status, cirrhosis, and concern for hepatic encephalopathy. evaluate for possible edema.
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The lungs are clear without focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits.
<unk>m with ili // r/o pna
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Left pigtail catheter is again visualized. Small left apical pneumothorax is again seen and is slightly smaller than on the prior study. The endotracheal tube and ng tube are unchanged. There is increased hazy opacity projecting over the right lung, most of which is felt to be alveolar infiltrate. This is worse than on the prior study. There is a small amount of left-sided subcutaneous emphysema.
followup left pneumothorax.
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Lung volumes are decreased. Diffuse fibrotic changes are again seen bilaterally, most pronounced at the lung bases. No pneumothorax or pleural effusion is clearly visualized. No convincing evidence for pulmonary edema. The heart is moderately enlarged.
history: <unk>f with right upper quadrant pain status post vats lung biopsy.
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Cardiac size is top-normal. The aorta is tortuous. Multifocal airspace opacities in the left lung are grossly unchanged consistent with aspiration pneumonia. Right lower lobe atelectasis has increased. There is no pneumothorax or pleural effusion. There are degenerative changes in the thoracic spine
<unk> year old man s/p vomiting after colonoscopy and aspiration // evaluate for aspiration pneumonia vs pneumonitis
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Lines and tubes: there has been interval removal of <num> of the left-sided chest tubes. The remaining chest tube is in stable position. Lungs: there is mild improved aeration in the left lung with clear right lung. Pleura: loculated left pleural effusion persists, unchanged. Mediastinum: no change in cardiomediastinal silhouette. Bony thorax: no interval change.
<unk>m s/p l vats hematoma evacuation lul hematoma and mediastinoscopy ln sampling <unk> // routine monitoring. please perform <unk> am
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Endotracheal tube is seen terminating approximately a <num> cm above the level the carina. Enteric tube is seen coursing below the level the diaphragm, terminating in the expected location of the stomach. Left-sided chest tube is seen, terminating at the left lung apex. No definite pneumothorax is seen. There is no large pleural effusion. The cardiac silhouette appears mildly enlarged. The mediastinum appears mildly widened which may be due to patient position and ap technique although acute mediastinal process is not excluded. Subtle right base opacity may be due to overlap of vascular structures or aspiration.
history: <unk>m with s/p cardiac arrest eval ett*** warning *** multiple patients with same last name! // eval ett
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Cardiac size is normal. There is no pneumothorax, pulmonary edema, pneumonia or pleural effusion. The ribs appear unremarkable on these non-dedicated rib views.
syncope and bystander started cpr. question broken ribs or pneumonia.
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The lungs are clear. There is no effusion or pneumothorax. The cardiomediastinal silhouette is normal. No acute osseous abnormalities identified.
<unk>f with <num> week cough, sob, wheezing // eval for consolidation
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Et and ng tube have been removed. Right-sided picc line overlies proximal/mid svc.no pneumothorax is detected. There are low inspiratory volumes. Cardiomediastinal silhouette is similar to prior. There is patchy opacity at the left lung base and increased retrocardiac density, slightly more pronounced. Some vascular crowding is present at the right lung base. Small effusions would be difficult to exclude.
<unk> year old man with drained pericardial effusion, bilateral pleural effusions // eval for interval changes
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Compared with prior radiographs on <unk> there are new moderate right and small left pleural effusions. Overall lung volumes are low. There is no new focal consolidation. No pneumothorax. There is mild cardiomegaly, unchanged.
<unk> year old man with ckd <num> and dyspnea. // assess pleural effusion and chf
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Pa and lateral views of the chest. The lungs, heart, mediastinum, hila, and pleural surfaces are normal. No evidence of pneumonia.
facial numbness, evaluate for pneumonia.
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The lungs are clear. No evidence of latent or active tuberculosis. Moderate cardiomegaly. No pleural effusions or pneumothorax.
<unk> year old woman with stage <num> esrd, htn and chf, and recently diagnosed breast cancer, now on hemodialysis. // r/o possible tb
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Single portable view of chest compared with exam from <unk>. Low lung volumes seen on prior exam. Bibasilar opacities most suggestive of atelectasis. There is no large effusion and the lungs remain clear. Cardiomediastinal silhouette is stable and notable for mediastinal clips and median sternotomy wires. Osseous and soft tissue structures are unremarkable.
<unk>-year-old male with bradycardia.
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There is no pneumothorax. There is bibasilar volume loss/consolidation which is increased compared to prior studies. The thoracic bony fracture at t<num> is better visualized on the ct scan. The upper lungs are clear. There is no pneumothorax.
splenic laceration and rib fractures, question pneumothorax.
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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs which are clear. There is no pleural effusion or pneumothorax.
evaluation for a new kidney transplant.
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The lungs are well expanded and clear. Hila and cardiomediastinal contours are normal. There is no pleural effusion or pneumothorax. A well-circumscribed <num> mm oval density overlying the left posterior <num>th rib is unchanged from radiograph in <unk>. Surgical clips overlie the right upper quadrant consistent with prior cholecystectomy.
<unk> year old woman s/p ercp, spiked fever in house, has mild dyspnea // eval for e/o pna
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The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. The lungs are well-expanded and clear without focal consolidation. Linear atelectasis is noted at the left lung base.
<unk>f s/p tah on <unk> who presents w/<num> day of fever, abdominal pain vomiting // evaluate for acute process, infection
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The lungs are clear without focal consolidation, effusion, or edema. Chain sutures project over the left lung base. Retrocardiac opacity with undulating contour is compatible with patulous esophagus and fat bochdalek's hernia seen on prior ct scan. The cardiomediastinal silhouette is stable. No acute osseous abnormalities.
<unk>f with aspiration // pna?
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In comparison with the earlier study of this date, there has been placement of a nasogastric tube that extends at least to the lower stomach. The dilatation of the gas-filled stomach has resolved. Otherwise, little change.
ng tube placement.
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As compared to the previous radiograph, there is no relevant change. No evidence of pneumonia. The left pleural effusion with subsequent atelectasis is unchanged. Unchanged appearance of the left and right heart border. Unchanged appearance of the mediastinum on the lateral radiograph.
fever and cough, rule out acute process.
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The lungs are hyperinflated, consistent with copd. No pleural effusion, pneumothorax, pulmonary edema or focal opacity is identified. The cardiomediastinal silhouette is unremarkable.
bilateral lower extremity edema and shortness of breath with hypoxia. evaluation for pneumonia.
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Frontal and lateral views of the chest were obtained. The patient is status post median sternotomy. Trace right pleural effusion may be present. There is vascular congestion, increased since the prior. There is also increase in opacity in the right mid-to-lower lung anteriorly, seen on both the frontal and lateral views. Fluid is seen tracking along the major fissure on the lateral view. The cardiac silhouette is mildly enlarged. Aortic knob is calcified.
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There is no focal consolidation, pleural effusion, or pneumothorax. Cardiomediastinal silhouette is normal. Osseous structures are intact. There is no free air under the right hemidiaphragm. A prominent air-filled loop of small bowel is seen in the left upper quadrant, but is incompletely imaged.
<unk>-year-old female with past medical history of multiple abdominal surgeries and hypertension presents with one day of abdominal pain, nausea, vomiting, question sbo or infectious pathology in the lungs.
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There are small bilateral pleural effusions with overlying atelectasis. The cardiac and mediastinal silhouettes are stable. Mild to moderate pulmonary vascular congestion is seen. Biapical pleural thickening/calcification is stable. Hilar contours are grossly stable.
history: <unk>f with dyspnea // eval for cardiopulmonary process
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Pa and lateral views of the chest. The heart size is much smaller compared to <unk> when patient was found to have large pericardial effusion however compared to <unk>, the heart size is still slightly enlarged, indicating likely residual small pericardial effusion. Compared to most recent study, there is new moderate-sized subpulmonic left pleural effusion with mild atelectasis in the lower left lung. The right lung is clear. There is no right pleural effusion. No evidence of pneumonia or pneumothorax. Mediastinal and hilar contours are normal.
fatigue, evaluate for pneumonia.
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As compared to the previous radiograph, the extent of the known right pneumothorax as well as the pneumomediastinum and the massive cervical and thoracic air collection in the soft tissues are constant. Unchanged appearance of the lung parenchyma. Unchanged size of the cardiac silhouette. No evidence of tension.
known pneumomediastinum, evaluation.
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The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.
chest pain and abnormal labs. history of mds.
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The trachea is central. The cardiomediastinal contour is unchanged compared to the prior study with moderate to severe cardiac enlargement. There is prominence of the pulmonary vasculature at the hila and extending into the bilateral upper lobes consistent with pulmonary vascular congestion. No frank pulmonary edema seen. Linear atelectasis in the left mid lung. No consolidation seen. No pneumothorax. No pleural effusion. Mild multilevel degenerative changes in the thoracic spine.
<unk> year old woman with pulmonary hypertension s/p vq scan to evaluate for pulmonary hypertension. // cxr needed for recent vq scan
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As compared to the previous radiograph, the patient has received a left pleural pigtail catheter. The pleural effusion has not substantially decreased. Currently, no convincing evidence of pneumothorax is visible. Unchanged borderline size of the cardiac silhouette with mild retrocardiac atelectasis. The right lung is unremarkable.
pleural effusion, status post left-sided thoracocentesis, questionable pneumothorax.
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Again seen is the left upper lobe density consistent with the mass seen on prior pet-ct. An <num>-mm density slightly inferior and peripheral likely corresponds to the additional nodule identified on prior pet-ct. There is no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits.
hypoxia. evaluation for acute cardiothoracic abnormality.
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Pa and lateral views of the chest. Relatively low lung volumes are noted. The lungs however remain clear without consolidation, effusion, or pulmonary vascular congestion. The cardiomediastinal silhouette is normal. No acute osseous abnormalities detected.
<unk>-year-old female with diabetes and possible seizure.
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The heart is top normal in size, but may be accentuated by ap technique. The hilar contours are within normal limits. Lung volumes are low but no focal consolidation is seen. There is no evidence of pleural effusion or pneumothorax.
<unk>f with back pain, worse with inspiration, associated with sob // acute process in chest?
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Lung volumes are unchanged compared to the prior study. There is eventration of the right hemidiaphragm, similar in appearance when compared to the prior study. Atelectasis versus scarring at the bilateral lung bases. Even allowing for the projection, the heart appears enlarged. A dual lead pacemaker is in-situ. No pleural effusion, consolidation or pneumothorax seen.
<unk> yo m, pre-op for l fem-pop bypass // <unk> yo m, pre-op for l fem-pop bypass surg: <unk> (likely l fem-pop bypass)
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Frontal and lateral views of the chest. Heart size and cardiomediastinal contours are normal. Lungs are clear without focal consolidation, pleural effusion, or pneumothorax.
chest pain.
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An endotracheal tube has been placed with the tip terminating in the lower trachea. A nasogastric tube is also in position with the tip extending below the diaphragm with the tip projecting over the gastric bubble in the left upper abdomen. There is an unrecognized helical metallic device projecting over the descending thoracic aorta. The patient is status post aortic valve replacement. Multiple mediastinal and right lateral hemithorax surgical clips are unchanged in appearance from the prior study. The inspiratory lung volumes are decreased compared to <unk>. There is no significant change in the dilatation at the aorta. The mediastinal and hilar contours appear stable. The heart is top normal in size, which is accentuated by the patient's low lung volumes. Within these limitations, the lungs appear clear with no significant focal consolidation, pleural effusion or pneumothorax. The visualized upper abdomen is unremarkable.
elective intubation, here to evaluate endotracheal tube placement.
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Ap upright and lateral views of the chest provided. Cardiomegaly is mild. Mitral annular calcifications again noted. There is a calcified granuloma projecting over the left lower lung. Calcified left hilar nodes also noted. Additional smaller calcified granulomas are similar to prior. There is mild interstitial pulmonary edema with hilar engorgement. Tiny pleural effusions are present. No pneumothorax. Mediastinal contour is stable with aortic atherosclerosis. Bony structures are intact.
<unk>m with worsening sob over the last couple months. chronic cough.
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Pa and lateral views of the chest provided. Subtle hazy projecting over the right upper lung seen only on the first image of this series, is concerning for an early pneumonia. Coarsened lung markings likely reflect chronic lung disease in this patient with known sarcoidosis. Emphysema difficult to exclude. No large effusion or pneumothorax. No convincing signs of edema or congestion. Cardiomediastinal silhouette appears grossly within normal limits. No acute bony injury. No free air below the right hemidiaphragm.
<unk>m with n/v/d since this am, history of sarcoidosis. pt poor historian.
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Pa and lateral views of the chest were reviewed. The heart size is mildly enlarged. Fullness of the superior mediastinum may be due to a substernal goiter. The hila are unremarkable. There are bilateral pleural effusions, small on the right and moderate on the left, with bibasilar atelectasis. There is no focal consolidation concerning for pneumonia. Surgical clips are noted in the upper abdomen.
shortness of breath.
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Cardiomediastinal silhouette is normal. A subtle roughly <num>-cm nodular density overlies the inferior margin of the right hilus, visible on lateral projection, projecting over the heart is suspicious for lung nodule which was not clearly visible on prior ct due to compression from large malignant effusion. A right pleural drainage catheter remains in place with a small amount of remnant right pleural effusion. Nodular thickening of the right apical pleura is unchanged. There is no pneumothorax. The left lung is clear.
status post right video-assisted thoracoscopic surgery with pleural biopsy and placement of indwelling pleural catheter for malignant pleural effusion from metastatic lung cancer.
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The lungs are normally expanded and clear. Mild cardiomegaly is unchanged. The mediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax.
history: <unk>f with chest pain // acute process?
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The heart size is normal. The hilar and mediastinal contours are normal. Note is made of aortic atherosclerotic vascular calcifications. No focal consolidation concerning for pneumonia is identified. There is mild bibasilar atelectasis. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.
history of orthostasis, please evaluate for pneumonia.
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Patient is rotated. Compared with <unk>, a moderate right-sided pleural effusion is slightly increased in size. There is atelectasis at the right lung base. No pneumothorax is seen. Cardiomegaly is similar to prior. The aorta is tortuous.
<unk>m with malignant effusions // eval malignant effusion status
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Frontal and lateral views of the chest were obtained. There is a large right pneumothorax. Flattening of the right hemidiaphragm raises concern for underlying tension, although there is no shift of mediastinal structures. Left lung is clear. Right base linear atelectasis is seen. Cardiac and mediastinal silhouettes are stable.