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Frontal and lateral views of the chest demonstrate low lung volumes. No pleural effusion, focal consolidation, or pneumothorax. Hilar and mediastinal silhouettes are unchanged. Descending aorta appears tortuous. Heart size is normal. There is no pulmonary edema. Dual-chamber aicd device leads terminate in right atrium and ventricle. Left lung base opacities likely represent atelectasis. Partially imaged upper abdomen is unremarkable.
chest pain.
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with fall, chest pain, eval rib fx
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No previous images. The heart is normal in size and there is no vascular congestion or pleural effusion. No evidence of acute focal pneumonia.
fever and tachycardia.
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Et tube is almost <num> cm from the carina. Lvad appears similar to prior. Right jugular venous line, temperature probe with tip in the stomach, left chest cardiac device and <num> lead tips, <unk> mediastinal drains, right chest tube, left jugular approach pa catheter, and surgical clips appear similar compared to prior. There is no effusion or pneumothorax. There is mild pulmonary vascular congestion. Mild asymmetric edema is worst in the left lower lobe. Edema in the right lung is mildly worse compared to prior. Atelectasis in the left mid lung is moderate. Retrocardiac opacity silhouetting the left hemidiaphragm is similar to prior. The cardiac silhouette is enlarged, as on prior. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen. Oral contrast is again seen loops of bowel, as on prior.
<unk> year old man with lvad, wbc // interval change
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Lung volumes are low. The aorta is tortuous. The lungs are clear, the cardiomediastinal silhouette and hila are normal. There is no pleural effusion and no pneumothorax.
<unk>-year-old man with cough. please evaluate for pneumonia.
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Comparison is made to the previous study from <unk>. There is unchanged cardiomegaly. There is calcification of the thoracic aorta. There is a hazy left retrocardiac opacity that may be due to atelectasis. Atelectasis at the right base is also seen. There are no signs for overt pulmonary edema or pneumothoraces.
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The heart is at the upper limits of normal size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There are no pleural effusions or pneumothorax. Similar mild relative elevation of the right hemidiaphragm compared to the left is mild and unchanged. A partly visualized deformity of the right shoulder is probably chronic and post-traumatic. There has been no significant change.
fever.
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The lungs are hyperinflated but clear without consolidation, large effusion, or edema. Right basilar atelectasis is noted. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. Anterior fixation hardware is noted. Surgical clips noted in the right upper quadrant.
<unk>f with generalized weakness. // ?pneumonia
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As compared to the previous radiograph, the right chest tube was removed. There is minimal reaccumulation of pleural fluid, although limited to the right lung bases. The partly intrafissural portion of pleural effusion on the left is projecting in a slightly different manner, but is unchanged in extent and severity. The appearance of the cardiac silhouette is constant. Unchanged atelectasis at the right lung bases. No other parenchymal opacity.
right pleural effusion, status post chest tube removal, evaluation for interval change.
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>m with cough, fever // r/o infiltrate
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Pa and lateral views of the chest. Dual-lead right chest wall pacing device is again seen. There is persistent, unchanged elevation of the right hemidiaphragm. The lungs are essentially clear noting linear opacity at the base on the lateral view, likely the right, suggestive of atelectasis. There is no effusion or pulmonary vascular congestion. The cardiomediastinal silhouette is unchanged. Multiple broken median sternotomy wires are again seen. No acute osseous abnormalities.
<unk>-year-old male with abdominal pain and nausea and vomiting.
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Bilateral perihilar opacities are noted. There is no large pleural effusion. No pneumothorax. There is mild cardiomegaly. Atherosclerotic calcifications noted at the aortic arch.
<unk>f with sob // eval chf
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The previously seen left apical pneumothorax is no longer visualized. Again seen is a right ij central line - on the current study, the tip lies near the cavoatrial junction. Inspiratory volumes are improved. Prominent cardiomediastinal silhouette is similar to the prior film, with sternotomy wires again noted. There is upper zone zone redistribution, without other evidence of chf. Retrocardiac opacity is again seen. Additional atelectasis at the left base laterally is improved. Minimal subsegmental atelectasis is present at the right lung base. Equivocal minimal blunting of the right costophrenic angle could be new.
<unk> year old man with s/p cabg // eval postop changes
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Inspiratory volumes volumes are again slightly low. The cardiomediastinal silhouette is probably unchanged. No chf or gross effusion. Streaky opacities seen at both lung bases are probably slightly worse compared with <unk>. This could represent bibasilar atelectasis, but early pneumonic infiltrate cannot be entirely excluded. The mid and upper zones remain grossly clear.
<unk> year old woman with heart failure, htn, asthma, worsening cough and not improving o<num> requirement // evaluate for pneumonia
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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.
<unk>f with ?ms flare. pls eval pna // <unk>f with ?ms flare. pls eval pna
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Lung volumes are low, and the patient is rotated to his right, unchanged since <unk>. Previous mild pulmonary edema has nearly resolved. There is no pleural effusion. A vascular line ends in the left upper arm.
<unk>-year-old male with altered mental status, question of pneumonia.
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The lungs are clear of consolidation, effusion, or edema. There is a suspected hiatal hernia. Calcific nodule projects over the right scapula, between the posterior right sixth and seventh ribs, of doubtful clinical significance. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with ams // pna?
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The heart size remains moderate to severely enlarged. Mediastinal contour is unchanged. Mild pulmonary edema is re- demonstrated, perhaps minimally improved in the interval. Small bilateral pleural effusions are relatively unchanged. Bibasilar airspace opacities are also similar, and again may reflect compressive atelectasis. No pneumothorax is identified. The osseous structures are diffusely demineralized.
history: <unk>f with possible consolidation on portable cxr
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There is mild cardiomegaly, similar in degree when compared to prior exam. Subtle opacity in the retrocardiac region in the posterior left costophrenic angle on the lateral view is new since prior. Elsewhere, the lungs are clear. No acute osseous abnormality.
<unk>f with sickle cell, chest pain // infiltrate?
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New ng tube is too proximal in the stomach and has just barely made it past the gastroesophageal junction, suggest advancing <num> cm. The lungs are clear. There is no pneumothorax or pleural effusion. Aortic knob is more prominent than <unk>, this could be related to the ap technique vs real dilation of the aorta.
patient with crohn's disease, small bowel obstruction, ng placement.
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The cardiomediastinal and hilar contours are within normal limits. Lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax. Incidental note is made of an azygos fissure.
right-sided chest pain. rule out pulmonary process.
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Increased heart size, pulmonary vascularity, stable. Bilateral pleural effusions, moderate on the left, probably mild on the right, is stable. Bibasilar opacities are similar, likely atelectasis. Pneumonitis, particularly on the left, cannot be excluded in the appropriate clinical setting. Left picc line with tip in the mid svc. Radiopaque density projected over upper abdomen.
<unk> year old woman with cirrhosis, fever, septic // please eval for infiltrate
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Interval decrease in the right lung consolidations with persisting opacities noted in the right middle lung zone. Mild left basal atelectasis/ consolidation is new. No pleural effusion or pneumothorax identified. The size of the cardiomediastinal silhouette is within normal limits.
<unk> year old woman febrile, known pneumonia // assess for interval change, new consolidation
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Pa and lateral chest radiograph demonstrate clear lungs bilaterally. Cardiomediastinal and hilar contours are within normal limits. There is no evidence of pulmonary edema, pleural effusion, or pneumothorax. Imaged upper abdomen is unremarkable. No air is seen under the right hemidiaphragm.
<unk>f with vomiting, h/o chf // r/o chf, obstruction
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Cardiac silhouette is upper limits of normal in size for technique. Lungs are clear. Hazy opacities at the bases are related to overlying soft tissue of the chest wall in this patient with obese body habitus. If there remains clinical suspicion for infection, standard pa and lateral radiographs may be helpful for more complete evaluation of the lung bases.
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There are low lung volumes. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal, however, likely exaggerated by low lung volumes. Mediastinal hilar contours are also unremarkable given low lung volumes. No displaced fracture is identified.
history: <unk>f with mvc, ttp midline c/t spine // eval for acute fracutre/dislocation
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Allowing for changes due to low lung volumes, the cardiomediastinal silhouettes are within normal limits, reflective of a tortuous thoracic aorta and aortic arch calcifications. The bilateral hila are unremarkable. There are bibasilar opacities, more conspicuous on the right than on the left. There is no evidence of pulmonary vascular congestion or pulmonary edema. There is no pneumothorax or pleural effusion.
<unk>m with fever abdominal pain, evaluate for pneumonia.
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A frontal chest radiograph demonstrates unremarkable cardiomediastinal contours. There is a prominence of the bilateral pulmonary arteries suggesting underlying pulmonary arterial hypertension. No focal opacification concerning for pneumonia identified. No pulmonary edema present. No pleural effusions noted. No osseous abnormality present. Aortic balloon pump terminates in the aorta.
nstemi, shortness of breath. evaluate for pulmonary edema.
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Frontal and lateral radiographs of the chest demonstrate well expanded lungs. Note is made of a subtle opacity in the right mid lung, which is not definitely seen on the lateral view. It is unclear if this finding is within the lung, or due to overlapping structures. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation.
history: <unk>f with continued cough, evaluate for pneumonia // pneumonia
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There has been interval placement of a right picc, which terminates in the low svc/ cavoatrial junction, without evidence of pneumothorax. There are low lung volumes. Left mid to lower lung linear atelectasis/scarring is seen. Blunting of the posterior costophrenic angles persists suggesting small pleural effusions. The cardiac and mediastinal silhouettes are stable.
history: <unk>m with picc placement and decreased uop // edema? picc placement?
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Heart size is normal. Mediastinal and hilar contours are within normal limits. Lungs are clear. Pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are present. No subdiaphragmatic free air is identified.
abdominal pain, concern for perforation.
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As compared to the previous radiograph, there are bilateral areas of newly appeared parenchymal opacities. The opacities are alveolar in nature on the left side. On the right, there is a predominantly middle lobe located consolidation with several air-fluid levels. These changes are accompanied by small pleural effusion. They reflect either necrotizing pneumonia or a group of communicating abscesses. Normal size of the cardiac silhouette. Normal course of the left pectoral port-a-cath. The referring physician <unk>. <unk> was contacted by telephone at the time of dictation, <time> p.m., on <unk>.
colorectal cancer, metastatic, rule out pneumonia.
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There is no displaced rib fracture. There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.
<unk>f with fall hit right side, pelvic pain, concern for rib fractures, evaluate for rib fractures.
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Ap upright and lateral view of the chest were provided. Cardiomegaly is noted with partially layering bilateral pleural effusions. Pulmonary edema is noted. No pneumothorax. Bony structures intact.
<unk>m with altered mental status, abd pain // eval for acute process
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The cardiomediastinal and hilar contours are normal. The lungs are clear, without consolidation or pulmonary edema. No pleural effusion or pneumothorax is seen.
<unk>-year-old male with atypical chest pain.
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Right infrahilar opacities may be related to chronic scarring versus atelectasis. Pneumonia is less likely. Left lower lobe atelectasis is present. No pleural effusion, pneumothorax or focal consolidations concerning for pneumonia. Cardiac size is stable.
<unk>-year-old female with fever. please assess for pneumonia.
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Frontal and lateral views of the chest demonstrate normal cardiomediastinal silhouette. The lungs are clear. There is no pneumothorax, vascular congestion, or pleural effusion. Several cholecystectomy clips are seen in the gallbladder fossa.
<unk>-year-old female status post ccy with nausea, vomiting. question pneumonia.
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Extensive bronchiectasis is again noted in the bilateral lungs, with a similar configuration compared to prior examinations dating back to <unk>, but increased in conspicuity of multiple hazy opacities in the bilateral upper lungs and retrocardiac left lung. Findings are similar compared to exam from earlier the same day. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is stable.
<unk>f with cough, fever, sob // ? pna
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The patient is intubated, an endotracheal tube terminates approximately <num> cm above the level the carina. A left subclavian catheter terminates in the mid svc. The cardiomediastinal contour is unchanged compared to the prior study. Bilateral basal airspace opacities are similar to slightly more extensive when compared to the prior study. Small right pleural effusion. No pneumothorax seen. Mild pulmonary vascular congestion.
<unk>f pmhx htn and prior ischemic stroke without deficits, who was transferred to <unk> <unk> after presenting to an osh with acute onset nausea, confusion, and generalized right sided weakness with nchct revealing a l iph with ivh // s/p reintubation
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Pa and lateral views of the chest were provided. Right ij central venous catheter is in unchanged position with its tip located at the level of the low svc. The lungs remain clear. No effusion or pneumothorax. The cardiomediastinal silhouette is normal. No free air below the right hemidiaphragm.
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The lung volumes are low. The heart is at the upper limits of normal size with a left ventricular configuration. Moderate relative elevation of the right hemidiaphragm is noted compared to the left side. Patchy opacity along the posterior aspect of the right hemidiaphragm can probably be attributed to atelectasis, but pneumonia cannot be excluded by this study; the opacity is new since the prior radiographs but perhaps similar to an interval mr allowing for differences in technique. Bony structures are unremarkable. No pleural effusion or pneumothorax.
nash cirrhosis and cough.
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The right picc tip is in the proximal svc, similar in position to the prior exam. Otherwise, no significant interval change. Right lateral costophrenic angle blunting may reflect pleural thickening or small effusion. . A <num>-mm ovoid opacity projecting over the left fifth posterior rib is not clearly imaged on prior exams and could be superimposed normal structures given the short interval time course of development. Left basilar atelectasis is mild. The heart is normal in size. Mediastinal contours are unchanged. The ascending and descending thoracic aorta is tortuous.
<unk>-year-old woman with picc placement, new ectopy on tele, concern for picc needing to be pulled back // re-eval for picc placement
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Ap and lateral views of the chest were compared to previous exam from <unk>. Given differences in positioning and technique, there has been no significant interval change. The lungs are essentially clear without pulmonary vascular congestion or consolidation. The cardiomediastinal silhouette is stable. Extensive degenerative change is again seen at the glenohumeral joint. Osseous and soft tissue structures are otherwise unremarkable.
<unk>-year-old female with hypotension.
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Frontal and lateral views of the chest were obtained. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are stable and unremarkable.
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In comparison with the study of earlier in this date, there is little interval change following bronchoscopy. No evidence of pneumothorax. The degree of vascular congestion and basilar volume loss is quite similar to the previous study.
post-operative bronchoscopy, to assess for change.
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There is no focal consolidation. An ivc filter is partially imaged. The osseous structures are demineralized. The cardiomediastinal silhouette, including mild cardiomegaly, is stable. There has been interval removal of right approach picc.
<unk>f with abdominal pain, lll crackles on exam, evaluate for evidence of pulmonary edema.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs are clear. There are no pleural effusions or pneumothorax.
chest pain.
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In comparison with study of <unk>, there is little overall change. Cardiomegaly with pulmonary edema and bilateral pleural effusions with compressive atelectasis at the bases. Dialysis tube is unchanged.
pulmonary edema.
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Pa and lateral views of the chest are obtained. The lungs are well expanded and clear. The cardiomediastinal silhouette is unremarkable. There is no focal consolidation, pleural effusion, or pulmonary edema. The previously seen ovoid radiodensity overlying the left pulmonary artery is unchanged in size or position since the prior study in <unk>. Degenerative changes of the mid and lower thoracic spine are again seen.
<unk>-year-old male with productive cough for three weeks and rhonchi. rule out pneumonia.
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Cardiac silhouette size is normal. Mediastinal and hilar contours are unremarkable. No pulmonary edema is identified. Streaky opacities in the lung bases likely reflect areas of atelectasis. No pleural effusion or pneumothorax is demonstrated. There are no acute osseous abnormalities.
history: <unk>f with asthma history, tachypnea/tachycardia
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The heart size is within normal limits and the mediastinal and hilar contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax.
<unk>-year-old male with fatigue, weakness, dyspnea on exertion as well as weight loss and insomnia.
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As compared to the previous radiograph, there is an increase in interstitial markings and an increase in radiodensity at the lung bases. The lateral radiograph shows signs indicative of interstitial lung edema and bilateral pleural effusions. The size of the cardiac silhouette remains enlarged. Known old right humerus fracture.
increase in interstitial markings, evaluation for interval change.
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As compared to the previous radiograph, there is no relevant change. Unchanged minimal blunting of the right cardiophrenic angle, supposedly by a small pericardial cyst or epicardial fat pad. No evidence of lung nodules or masses. Normal appearance of the mediastinal structures. No pneumonia. No pulmonary edema. No pleural effusions. Normal size of the cardiac silhouette.
generalized weakness, questionable consolidation.
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The patient is rotated somewhat to the left. Bilateral perihilar opacities are most likely due to mild to moderate pulmonary edema, underlying infectious process is not excluded in the appropriate clinical setting. There are trace bilateral pleural effusions. No pneumothorax is seen. Cardiac silhouette is mildly enlarged. Mediastinal contours are similar to the prior study.
history: <unk>f with c/o sob with hx chf // ? chf or pna
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The lungs are clear without focal consolidation. There is mild bibasilar atelectasis. A subcentimeter nodular opacity seen over the left lung base on radiograph <unk> is not visualized. No pleural effusion or pneumothorax is seen. Cardiomediastinal silhouette is unchanged..
<unk>f with weakness and fever // pna?
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Moderate cardiomegaly is re- demonstrated. The aorta is tortuous and diffusely calcified. Mediastinal and hilar contours are stable. Linear opacities in the right mid and lower lung fields likely reflect areas of atelectasis or scarring. Partially loculated right pleural effusion is small and unchanged from prior. Right basilar patchy opacity may reflect atelectasis. No pneumothorax is identified. Marked abnormality of both glenohumeral joints with bony remodeling of the femoral heads is re-demonstrated.
<unk> m with shortness of breath, chest pain.
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Comparison is made to prior study from <unk>. There is an intra-aortic balloon pump whose tip is just below the aortic knob, stable since the previous study. There has been removal of a central venous catheter within the left pulmonary artery entering from an inferior approach since the previous study. Endotracheal tube and feeding tube are stable. The heart size is enlarged, but stable. There is prominence of the pulmonary interstitial markings suggestive of mild pulmonary edema. There is a left retrocardiac opacity which is unchanged. There are no pneumothoraces.
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Frontal and lateral views of the chest were obtained. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. Prominence of the left hilum is stable. There are areas of minimal left base linear atelectases. The cardiac and mediastinal silhouettes are stable.
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Pa and lateral images of the chest demonstrate well-expanded lungs which are clear. There is some hyperinflation with flattened hemidiaphragms noted. There is no pneumothorax or pleural effusion. Cardiomediastinal silhouette is unremarkable. Visualized osseous structures are unremarkable.
<unk>-year-old male with history of early lung cancer, status post right upper lobe lobectomy, now with concern for recurrence of lung cancer.
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Heart size is normal. Mediastinal and hilar contours are normal. Lungs are clear. No pleural effusion or pneumothorax is present. No acute osseous abnormalities seen.
shortness of breath. productive cough.
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The lungs are essentially clear besides mild left basilar atelectasis versus scarring. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormality. Significant amount of free intraperitoneal air seen below the right hemidiaphragm, although the degree of intraperitoneal air does appear to have decreased since earlier today.
<unk> year old woman with pneumoperitoneum after egd/<unk> with aspiration of air at bedside // assess degree of intraperitoneal air
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There may be minimal bibasilar atelectasis. Otherwise no focal consolidation, sizeable pleural effusion or pneumothorax. Cardiomediastinal contours are normal. No acute osseous abnormalities identified.
<unk>-year-old female with diabetes, now presents with chest pain and fever
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The et tube is unchanged with tip ending at <num> cm from carina. Right jugular catheter is unchanged with tip ending at mid svc. Ng tube is only partially visible but still in place with tip ending below the diaphragm. The pulmonary edema has increased since <unk> especially in the upper lobes. The atelectasis in the right upper lobe has slightly reduced suggesting better ventilation. The consolidation at the right base has increased without clear volume reduction and is suspicious for pneumonia. The atelectasis at the left base is slightly reduced. There is no pleural effusion. Cardiomediastinal silhouette is unchanged and normal. There is no pneumothorax.
<unk> years old man intubated. evaluation of pulmonary edema.
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There is tracheostomy tube. There is median sternotomy wires. There are bilateral pleural effusions, right greater than left. There is some prominence of pulmonary interstitial markings, suggestive of fluid overload. There is left retrocardiac opacity.
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The right picc line again loops around and terminates in the right subclavian vein. The left ij central venous catheter is unchanged. No pneumothorax. No consolidation. The pulmonary venous congestion is unchanged. No pleural effusion. The cardiac silhouette is slightly enlarged but unchanged. The mediastinum is normal.
<unk> year old woman with cellulitis, post picc placement // in correct location?
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A right internal jugular catheter terminates in the mid svc. A prostatic aortic valve is seen projected over the heart. Lung volumes are low, which may accentuate bronchovascular markings. The lungs are grossly clear. The cardiomediastinal contour is within normal limits. The aorta is unfolded and shows extensive mural calcification. There is no evidence of large pleural effusion or pneumothorax. Note is made of old rib fractures.
<unk>f with right ij placement // assess for placement, ptx
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Heart is mildly enlarged. There is a left ij line with tip in the mid svc. The ng tube tip is in the stomach. The heart is upper limits normal in size. There is minimal pulmonary vascular redistribution. There is no focal infiltrate or effusion. There is some platelike atelectasis in the right mid lung and patchy area of atelectasis in the left lower lobe there is a <num> cm dense left lower lobe nodule, slightly larger than that seen from the chest ct from <unk>
<unk>m with metastatic rectal cancer presenting with sbo // ngt placement
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Pa and lateral views of the chest are provided. There is a mild dextroscoliosis of the t-spine. The lungs appear clear and well inflated. No focal consolidation, effusion, or pneumothorax is seen. The heart and mediastinal contour appears normal. No acute fractures are identified.
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There is stable tortuosity of the thoracic aorta. The cardiac silhouette is stable. The hila are unremarkable. There is no focal lung consolidation. There is no pulmonary vascular congestion or pulmonary edema. There is no pneumothorax or pleural effusion.
<unk> year old man with hiv not on haart, cough, evaluate for pneumonia.
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Single portable ap view of the chest. Calcified nodules in the right upper lung appear unchanged compared to the prior exams. The heart is top-normal in size. Aorta is tortuous and calcified. No consolidations are worrisome for pneumonia. There is no pneumothorax, pulmonary edema or pleural effusion.
hypotension and chest pain
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Endotracheal tube appears in place at the mid trachea. Enteric tube traverses to the stomach. Left-sided chest tube is noted with tip at the upper portion of the left lung. Left apical pneumothorax is likely smaller and not clearly appreciated. Lung aeration appears improved. Bibasilar opacities consistent with atelectasis are again noted. Cardiac and mediastinal silhouettes remain stable. Post-surgical changes are partially visualized in the spine with vertical rods and horizontal screws.
status post l<num>-s<num> fusion, lateral l<num>-l<num> fusion, and intubation; for interval change.
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Pa and lateral views of the chest. The lungs are clear. There is no effusion or pneumothorax. The cardiomediastinal silhouette is normal. No acute osseous abnormalities detected.
<unk>-year-old male with chest pain on the left.
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Pa and lateral views of the chest were provided demonstrating no focal consolidation, effusion or pneumothorax. The heart and mediastinal contours are normal. The imaged bony structures are intact. No free air below the right hemidiaphragm seen.
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A right-sided pigtail catheter is again seen. Little, if any residual right apical pneumothorax is seen at this time. Surgical suture chains are seen along the lateral aspect of the right lung fields. The left lung remains clear. The mediastinum and cardiac silhouettes remain unchanged and within normal limits. Osseous structures are grossly unremarkable.
pneumothorax, chest tube clamped. evaluate for residual or recurrent pneumothorax.
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There has been little interval change compared to the prior exam. Marked rotary scoliosis of the thoracic spine is re- demonstrated. Bilateral pleural effusions, moderate on the left and small on the right are similar when compared to the prior exam. Bibasilar airspace opacities likely reflect atelectasis. Pleural-based opacity within the left lateral hemithorax likely reflects fluid within the fissure. No pneumothorax is present. There is mild pulmonary vascular congestion. Cardiac silhouette size is difficult to assess given the presence of the pleural effusions and scoliosis. Marked aortic knob calcifications are present.
lower extremity edema and shortness of breath.
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In comparison with the study of <unk>, the patient has undergone interval cabg procedure with intact midline sternal wires. There is some hyperexpansion of the lungs with flattening of the hemidiaphragms, but no evidence of acute focal pneumonia. Cardiac silhouette is within normal limits and there is no evidence of pulmonary vascular congestion. Mild blunting of the left costophrenic angle persists.
cabg with chest pain, to assess for failure.
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Frontal and lateral views of the chest were obtained. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette is mildly enlarged. The aorta is tortuous. Kyphoplasty/vertebroplasty of a mid thoracic vertebral body is incidentally noted. No displaced fracture is identified.
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As compared to the previous radiograph, there is no relevant change. Known areas of subtle scarring at the left and right lung bases, including a small pleural scar on the right in the region of the costophrenic sinus. No acute changes, no focal parenchymal opacity suggesting pneumonia. No pulmonary edema. No lung nodules or masses. The lateral image shows no evidence of pleural effusions. Borderline size of the cardiac silhouette. Normal hilar and mediastinal contours.
persistent cough, evaluation for abnormality.
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Heart size is normal. There is mild unfolding of the descending aorta. The hila are unremarkable. There is no pleural effusion or pneumothorax. Lungs are well-expanded and clear without focal consolidation concerning for pneumonia.
<unk>m with chest pain // eval for acute process
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Single frontal view of the chest demonstrates a right subclavian approach central venous catheter with tip in the mid svc and an enteric tube with tip in the stomach. Bilateral chest tubes are in place, with interval change of configuration of the right chest tube as well as increased subcutaneous emphysema, suggestive of interval replacement of the right tube with the tip now tilting cephalad towards the mediastinum. There is now a tiny right apical pneumothorax and a small right lateral basilar pneumothorax, presumably related to interval placement of new chest tube. Triangular lucency overlying the left paraspinal line projecting over the heart is unchanged, consistent with a left medial pneumothorax. There is more pronounced right basilar atelectasis. Retrocardiac atelectasis in the left base is persistent. Prominent cardiac silhouette is unchanged. A mildly displaced right third rib fracture is noted, as are multilevel minimally displaced left posterolateral rib fractures. Overall extent of injury is better delineated on prior ct dated <unk>.
<unk>-year-old male with bilateral chest tubes with ongoing leak on the right. question interval change.
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As compared to the previous radiograph, the patient has received a nasogastric tube. The tube shows a normal course, the tip of the tube projects over the middle parts of the stomach. The severity in distribution of the pre-existing extensive right and minimal left parenchymal opacities is constant. Moderate cardiomegaly persists. The endotracheal tube is in constant position.
orogastric tube placement.
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The patient is rotated on the pa view. Cardiomegaly with evidence of cabg and a right-sided pacemaker are again seen. The aorta is calcified. There is no evidence for pulmonary consolidation, pulmonary edema, pleural effusion, or pneumothorax. Slightly increased density in the retro hilar/ retrocardiac region corresponds to ossification of the anterior longitudinal ligament of the thoracic spine. Surgical clips are seen in the upper abdomen on the lateral view.
history: <unk>m with cough. evaluate for pneumonia.
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Low lung volumes are present. This accentuates the size of the cardiac silhouette which is likely top normal. Mediastinal and hilar contours are within normal limits. There is crowding of the bronchovascular structures but no pulmonary edema is seen. Patchy bibasilar airspace opacities likely reflect atelectasis, but aspiration cannot be excluded. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
altered mental status, concern for aspiration.
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The cardiomediastinal and hilar contours are stable. Increasing bibasilar opacities, left greater than right may reflect atelectasis or infection. There is no pleural effusion or pneumothorax. There appears to be a tracheal y stent, however this is not well visualized.
<unk> year old woman with tbm with desaturation and inability to wean off o<num> // eval for pulmonary edema, stent migration, evidence of pna other cause of her desaturation and new o<num> requierment
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Pa and lateral chest views were obtained with patient in upright position. Available for comparison is the next preceding portable chest examination of <unk>. The heart size remains within normal limits. No configurational abnormality is identified. Thoracic aorta of ordinary <unk>. The descending aorta follows in a slight curvature the moderate degree of right-sided scoliosis observed in the thoracic spine. There are some degenerative changes in the form of osteophytic reactions at the vertebral body edges, but no vertebral body compression fracture is identified. Pulmonary vasculature is not congested and there are no signs of new acute parenchymal infiltrates. Lateral and posterior pleural sinuses are free. No pneumothorax exists in the apical area. In comparison with the next preceding study, the, at that time existing, left-sided port-a-cath system has been removed.
<unk>-year-old female patient status post allogenic stem cell transplant with three days of coughing, chills, and sputum production. evaluate for any new signs of infection or abnormality.
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The lung volumes are low. There is an opacity in the right upper lobe, concerning for pneumonia or aspiration, with a small amount of fluid in the right major fissure. There is likely right basilar atelectasis. The left lung is clear without a focal opacity or a left pleural effusion. There is no pneumothorax. The cardiomediastinal silhouette is unchanged.
low oxygen saturation after surgery.
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Mild emphysema involving the biapical lung is unchanged. Linear bibasilar atelectasis is present. The cardiomediastinal and hilar silhouette is normal. No evidence of pneumothorax, pleural effusion, or focal consolidation.
<unk>m with hx of cad, exertional substernal chest pain similar to prior cad. evaluate for acute cardiopulmonary process.
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Pa and lateral views of the chest are reviewed and compared to the most recent prior study. Opacity in the right upper lung has decreased and likely represents postoperative bleeding or atelectasis which is expected. The right-sided chest tube has been removed and a small <num>-cm right apical pneumothorax is unchanged. The lung volumes have improved and bibasilar atelectasis has decreased. The heart size and hilar contours are normal and there are aortic calcifications.
evaluation for pneumothorax in a patient status post vats right upper lobe wedge resection.
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Cardiac silhouette size remains mildly enlarged. A moderate size hiatal hernia is again noted. The mediastinal and hilar contours are otherwise similar and pulmonary vasculature is normal. Punctate calcified granulomas are again noted in the lungs bilaterally as well as calcified lymph nodes in both hila and mediastinum compatible with prior granulomatous disease. Lungs are otherwise clear. No pleural effusion, focal consolidation or pneumothorax is demonstrated. No subdiaphragmatic free air is seen.
history: <unk>f with history of gastric ulcers referred in for hg <num>-><num> since discharge, concern for ongoing gi bleed
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As compared to the previous radiograph, the patient has taken a deeper inspiration. As a consequence, the lung volumes are larger than on the previous image. Borderline size of the cardiac silhouette with tortuosity of the thoracic aorta, mild overinflation, but no evidence of lung parenchymal opacities. There is no radiographic evidence of thromboembolic disease, although pe was documented on a ct examination from <unk>. No pleural effusions.
dyspnea, hypoxemia, suspected chronic thromboembolic disease.
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Since the prior study, there has been no significant interval change. The lungs remain well-expanded, and relatively clear. There is no large pleural effusion, overt pulmonary edema, or focal consolidation worrisome for pneumonia. No pneumothorax is present. The cardiomediastinal silhouette is stable.
history: <unk>f with hypoxia // ?aspiration, ptx
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There is no pleural effusion or pneumothorax.
hepatic encephalopathy and dry cough.
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In comparison with study of <unk>, the right ij catheter has been removed. Mild bibasilar atelectasis persists. There is a small area of increased opacification just lateral to the left border of the cardiac silhouette. This could possibly represent a focus of consolidation. On the lateral view, there are bilateral pleural effusions.
cabg.
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The heart size is top normal. The hilar and mediastinal contours are normal. The lungs are low with mild bibasilar atelectasis, otherwise clear without evidence of focal consolidations concerning for pneumonia. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.
history of chest pain. please evaluate for acute process.
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Lungs are clear without any focal opacities, pleural effusion or pulmonary edema. There is no pneumothorax. The cardiac and mediastinal contours are normal. An expansile lesion involving the third right posterior rib is of indeterminate etiology. Please correlate for any clinical history of osseous malignancy (i.e. Multiple myeloma) or prior imaging to assess stability.
syncope. evaluate for cardiomegaly, edema or effusion.
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Single portable view of the chest. Relatively low lung volumes are seen. There is secondary crowding of the bronchovascular markings with possible superimposed pulmonary vascular engorgement. Cardiac silhouette appears enlarged, but likely accentuated by technique and low lung volumes. Hypertrophic changes are noted in the spine. Surgical clips in the right upper quadrant suggest prior cholecystectomy.
<unk>-year-old female with headache and shortness of breath. hypotension.
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There is increased opacity in the left lower lobe which may represent infiltrate or atelectasis. No pneumothorax. An enteric tube is unchanged in position. The remainder the exam is stable.
<unk> year old man with fevers s/p craniotomy // eval for infection
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Frontal and lateral views of the chest were obtained. Patchy mid left lower lobe opacity is seen, raising concern for pneumonia. The right lung is clear. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are unremarkable. Note is made of a calcification at the aortic knob.
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Portable frontal radiograph of the chest demonstrates interval improvement in right upper lobe consolidation. Stable cardiomediastinal contours. No pleural effusion or pneumothorax. A left picc is in unchanged position in the low svc.
multiple myeloma and copd presenting with multifocal pneumonia. assess for interval change.
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Single supine ap portable view of the chest was obtained. Endotracheal tube is seen, terminating approximately <num> cm above the level of the carina. A large bore right-sided central venous catheter is seen, terminating at the cavoatrial junction/right atrium. Nasogastric tube is seen, coursing below the level of the diaphragm, inferior aspect not included. There are low lung volumes. There is elevation of the right hemidiaphragm and a right subpulmonic effusion is not excluded. There is prominence of the central pulmonary vasculature which may be due to congestion or accentuated by low lung volumes. The left lung is otherwise clear. The cardiac silhouette is top normal.