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The lungs are clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax or pneumomediastinum. There is no pleural effusion. Pulmonary vascularity is normal.
<unk>-year-old man with hematemesis after forceful vomiting. please evaluate for any mediastinal free air, evidence of esophageal perforation.
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There has been prior median sternotomy. Heart demonstrates multi chamber enlargement has increased slightly in size since the prior study. Permanent pacemaker remains in place with leads in the right atrium and right ventricle. . The mediastinal and hilar contours are normal. The pulmonary vasculature is increased but stable since the prior study. . Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
<unk> year old woman with ai, tr, cad // pre-op baseline study
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The endotracheal tube tip terminates <num> cm above the carina and should be withdrawn at least <num> cm for optimal placement. An enteric tube courses below the left hemidiaphragm, and coils in the left upper quadrant in the region of the stomach. The cardiomediastinal silhouette is unremarkable. Lungs are clear without focal consolidation, pleural effusion, or pneumothorax. Surgical clips overlying the right hemithorax may be in the breast tissue.
<unk>-year-old woman with subarachnoid hemorrhage, recently intubated. evaluate into his tracheal tube placement.
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The inspiratory lung volumes are appropriate. The lungs are clear without focal consolidation, pleural effusion, or pneumothorax. The pulmonary vasculature is not engorged. The cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits. The trachea is midline. The visualized upper abdomen demonstrates no free air beneath the right hemidiaphragm. No acute osseous abnormality is detected.
epigastric pain, here to evaluate for widening of the mediastinum.
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As compared to the previous radiograph, there is unchanged evidence of relatively substantial bilateral pleural effusions and subsequent areas of atelectasis. Other than on the previous radiograph, however, there is no evidence of interstitial lung edema. Moderate cardiomegaly. In the well ventilated lung parenchyma, there is no pneumonia.
diastolic chronic heart failure, evaluation.
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The heart is mildly enlarged. Each hilum is enlarged suggesting lymphadenopathy. The right paramediastinal stripe is also widened suggesting right paratracheal lymphadenopathy in a pattern fairly typical of sarcoidosis. There also a mild central interstitial prominence which may indicate pulmonary hypertension although perhaps a sequela of sarcoidosis. There is no pleural effusion or pneumothorax. There is no focal opacification.
sarcoidosis with increased dyspnea and cough.
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The heart does not appear enlarged. The aorta is unfolded, contributing to prominence of the mediastinal silhouette. The hila are also slightly prominent, with a tapered appearance. An iabp is present -- the tip overlies the expected location of the descending aorta. However, the radiopaque tip probably lies approximately <num> cm below the inferior edge of the aortic arch itself. There is upper zone redistribution, without overt chf. No focal consolidation. Minimal bibasilar atelectasis. No gross effusion. No pneumothorax detected.
<unk> year old man with stemi and iabp // iabp position
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A portable frontal chest radiograph demonstrates moderately aerated lungs with increased prominence of the cardiac silhouette and bronchovascular crowding. This may be in part due to technique as well as low lung volumes. There is no definite focal consolidation, pleural effusion, or pneumothorax. Density overlying the right upper zone laterally may be accounted for by confluence of the scapula and ribs. Numerous right-sided healed rib fractures are noted.
evaluate for an acute process in a patient with dyspnea.
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Single portable view of the chest. There has been interval placement of a right internal jugular central venous catheter with tip in the upper svc. There is no visualized pneumothorax. Remainder of the examination is unchanged. Bibasilar opacities, more dense in the retrocardiac region are again seen. The cardiomediastinal silhouette is unchanged. Old right lateral rib fractures identified as well as partially visualized orthopedic hardware in the lower cervical spine on the right.
<unk>-year-old female with elevated lactate, central line placement.
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Pa and lateral views of the chest demonstrates persistent mildly enlarged heart size, unchanged since the prior. The lungs are well expanded with no evidence of pneumothorax, pleural effusion or overt pulmonary edema. Minimal streaky opacity in the right lung base is likely representative of a summation of vessels or minor atelectasis. No focal pneumonia is identified. Clips are again seen within the neck.
fever and new oxygen requirement.
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The heart size is normal. The hilar and mediastinal contours are within normal limits. There is no pneumothorax, focal consolidation, or pleural effusion.
<unk> year old woman with hx of latent tb, active ulcerative colitis, will need long-term immunosuppresive agents // obtain baseline cxr
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A right picc is similar in configuration with the tip terminating in the proximal right atrium, which should be retracted <num>-<num> cm to place in the low svc. The course of the line is unremarkable. The inspiratory lung volumes are decreased from the most recent prior study. No large pleural effusion or pneumothorax is detected. There is no overt pulmonary edema. The cardiomediastinal silhouette is exaggerated due to ap technique and low lung volumes, but likely remains within normal limits and stable. There is partial calcification of the aortic knob. A healed right posterior rib fracture is redemonstrated.
possible right picc repositioning, here to evaluate picc placement.
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In comparison with the study of <unk>, the monitoring and support devices remain in place. There is continued opacification at the left base, most likely reflecting volume loss related to mucus plugging associated with pleural fluid. The possibility of supervening pneumonia can certainly not be excluded in the appropriate clinical setting.
mucus plugging, to assess for clearing.
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In comparison with the study of <unk>, the monitoring and support devices remain in place. The diffuse bilateral pulmonary opacifications have decreased. There is still evidence of elevated pulmonary venous pressure with probable bilateral effusions and compressive atelectasis at the bases. The possibility of supervening pneumonia, especially at the left base, must be seriously considered in the appropriate clinical setting.
tracheoplasty with pneumonia.
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Two views of the chest demonstrate a normal cardiomediastinal silhouette and well-aerated lungs. Perihilar bronchial wall thickening could be consistent with a viral/ reactive airways process. Prominence of the hilar structures could potentially represent reactive lymphadenopathy or prominent vessels. No focal consolidation, pleural effusion, or pneumothorax is identified. The visualized upper abdomen is unremarkable.
cough and fever, in a patient with a history of asthma. evaluate for pneumonia.
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In comparison with study of <unk>, there have apparently been several attempts at central line placement. No evidence of pneumothorax. The left ij catheter seen previously has been removed. Tracheostomy tube remains in place. Increased opacification at the left base is consistent with volume loss in the lower lobe and pleural fluid. Little change in the moderate pulmonary edema.
multiple line attempts, to assess for pneumothorax.
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Linear opacities at the lung bases, left greater than right are unchanged from prior and may be due to scarring versus atelectasis, similar compared to prior chest ct. Right midlung linear opacity likely due to scarring. There is no large effusion or overt pulmonary edema. The cardiomediastinal silhouette is stable. Anterior cervical fixation hardware and prior right rib fractures are noted.
<unk>f with lethargy, hypotension // please eval for effusion, pna
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As compared to the previous radiograph, there is minimally improved ventilation at the lung bases, given that the overall extent of the pleural effusions has minimally decreased. Otherwise, there is no relevant change. Unchanged size of the cardiac silhouette. Unchanged monitoring and support devices. No new parenchymal opacities.
urosepsis, intubation, evaluation for interval change.
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Lung volumes are relatively low. There is a status post cabg with sternal wires in situ. Normal size of the cardiac silhouette, tortuosity of the thoracic aorta. Areas of mild atelectasis are seen at both lung bases. No evidence of pneumonia and no pulmonary edema. No pneumothorax.
fever, new onset of cough.
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Omparison is made to prior radiographs from <unk>. There is improved aeration of the left retrocardiac area. However, there is interval development of increased opacity at the right lung base medially projecting over the right medial heart border. This may represent developing pneumonia. There is increased density in this region on the lateral view. Heart size is within normal limits. There is no pulmonary edema. There are no pneumothoraces or pleural effusions. There is calcification at the insertion of longitudinal ligament consistent with dish.
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The heart is of normal size. Hilar and mediastinal contours are within normal limits. Linear opacities at the lung bases consistent with atelectasis. There is no evidence of pneumonia. Mild degenerative changes are seen in the thoracic spine. There is no pleural effusion.
altered mental status question pneumonia.
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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 and mediastinal silhouettes are unremarkable. No overt pulmonary edema is seen.
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As compared to the previous radiograph, there is no relevant change. Minimal atelectatic opacity in the retrocardiac lung region. No new parenchymal opacities. The size of the cardiac silhouette remains enlarged. No pleural effusions. No overt pulmonary edema. Minimal fibrosis with associated pleural thickening at the level of the right upper lobe.
increased shortness of breath, rule out pneumonia.
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Frontal and lateral views of the chest demonstrate clear lungs without pleural effusion or pneumothorax. The cardiac silhouette and mediastinal contours are normal.
<unk>-year-old man syncope, rule out acute intrathoracic process.
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Frontal and lateral views of the chest were obtained. The patient is status post median sternotomy and cabg. No focal consolidation, pleural effusion or evidence of pneumothorax is seen. Stable enlargement of the cardiac silhouette.
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As compared to the previous radiograph, there is no relevant change. Despite intubation and correct tube placement, the lung volumes remain low. Extent of the pre-existing bilateral parenchymal opacities, more expressed at the right lung bases, are constant. Constant moderate cardiomegaly without signs of overt pulmonary edema. Unchanged minimal right pleural effusion. The position and course of the left subclavian access line and the nasogastric tube are constant.
pelvic mass, respiratory failure, 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>f with fever // eval for acute process
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Frontal and lateral chest radiographs demonstrate interval clearing of previously noted areas of peribronchovascular abnormality in the bilateral lower lobes. Within the right upper lobe, there is new faint peribronchovascular airspace opacity. There is no focal consolidation, or abscess. There is no pleural effusion, or pneumothorax. The cardiac silhouette is normal in size, the mediastinal contours are notable for unchanged calcified lymphadenopathy. Lingular and right middle lobe bronchiectasis is unchanged.
<unk>-year-old male with hlh status post chemotherapy with multiple pseudomonal pneumonias and worsening cough. evaluate for new abnormalities.
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with several days cough, wheezing // eval ? infx
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By report, the the patient is status post left upper resection. Compared with the prior film, the port-a-cath type catheter is no longer visualized. Overall appearances are similar, with bilateral effusions; left apical pleural thickening, left hilar retraction, can tenting along the left hemidiaphragm; and pleural thickening and/or fluid at the left base laterally. Also again seen is patchy opacity at the right base, with pleural thickening along the right chest wall. The opacity at the right base may be slightly more pronounced on the current study. Otherwise, no gross change is identified.
<unk> year old woman with nsclc. reports persistent new cough // eval etiology cough
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Lung volumes are low, similar in appearance when compared to the prior study. The tracheostomy and a left picc are unchanged in appearance compared to the prior study. The heart remains enlarged. There is persistent enlargement of the bilateral hila with prominent pulmonary vasculature and bilateral perihilar airspace opacities. The appearances are most consistent with pulmonary edema but infection cannot be excluded. No pneumothorax seen.
<unk> year old woman with stroke, trach, s/p bronch // interval change after bronch
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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 globus sensation.
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As compared to the previous radiograph, there is an unchanged appearance of the approximately <num> mm right apical pneumothorax. The areas of adjacent pleural thickening and pleural thickening at the right lung base, combined to areas of atelectasis is also constant. Constant appearance of the two right chest tubes.
status post thoracoscopy and pleurodesis, evaluation for interval change of a known right pneumothorax.
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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette. There is increased opacity in the right lower lung, likely the right middle lobe as well as in left lower lung concerning for lingular process. No pleural effusion or pneumothorax is seen. The visualized upper abdomen is unremarkable.
cough and fever in a patient with sjogren syndrome. evaluate for pneumonia.
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Increased patchy left mid and lower lung opacification likely represents progression of changes due to aspiration. Right lung is well aerated. There is no pleural effusion or pneumothorax. The heart is normal in size. Normal cardiomediastinal silhouette. Median sternotomy wires are unchanged.
hypoxia after choking on cookie.
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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> year old woman with fevers // eval for focal consolidation
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An et tube is in place with the tip <num> cm above the carina. An enteric feeding tube is seen coursing below the diaphragm with the tip in the stomach. A dual-lumen central catheter in the right ij is unchanged with the tip terminating in the mid-to-low svc. A left-sided chest tube is unchanged. Lucency projecting over the left lung base likely corresponds to the small left apical pneumothorax seen on the prior study which was performed in the semi-erect position. The right lung demonstrates no pneumothorax. No significant pleural effusion is seen. There is no new consolidation concerning for pneumonia. The cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits.
status post bronchoscopy and subsequent intubation, here to evaluate et tube position.
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Pa and lateral views of the chest were provided. Post-surgical changes are noted in the left upper lung with evidence of prior left upper lobectomy with upward retraction of the left pulmonary hilum and scarring and pleural thickening at the left lung apex. There is a stable pattern of reticular and peripheral nodular opacities in the bilateral mid and upper lungs which when compared with the prior ct appears to represent areas of pleuroparenchymal scarring. There is no sign of pneumonia or chf. No pleural effusion or pneumothorax is seen. Cardiomediastinal silhouette appears overall stable. Bony structures appear unchanged with left sixth rib resection.
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A portable ap radiograph of the chest once again demonstrates a stable small right pleural effusion and a chest tube in place. Although no pleural line is seen, the pulmonary vascular markings at the right apex are not as clearly visible on this study, raising concern for a small right apical pneumothorax. There is no effusion or pneumothorax on the left. There is right basilar atelectasis, but the lungs are otherwise clear. The hilar and cardiomediastinal contours are normal. There is no pulmonary edema.
evaluate for interval change in pleural effusion and pneumothorax.
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The right breast mimics an opacification of the right hemithorax. On the lateral views, there are no suspicious pulmonary consolidations. The cardiomediastinal silhouette and hila are normal. There is no pleural effusion and no pneumothorax.
<unk>-year-old with possible stroke, please assess for pneumonia.
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A portable frontal chest radiograph demonstrates a normal cardiomediastinal silhouette and moderately well-aerated lungs, without focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable.
evaluate for pneumonia in a patient with hypoxia.
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Comparison is made to previous study from <unk>. There has been improvement of the pleural effusion on the right side. There is some atelectasis at the left base, which has also improved. There are no pneumothoraces. Heart size is within normal limits.
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Pa and lateral views of the chest were obtained. The heart is top normal in size, and cardiomediastinal silhouette is stable. Lungs are clear. There is no pleural effusion or pneumothorax.
<unk>-year-old man with chest pain.
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There is no focal consolidation, pleural effusion or pneumothorax. There is mild pulmonary vascular congestion. The heart remains enlarged, similar to the prior exam. The imaged upper abdomen is unremarkable. The bones are intact.
history: <unk>m with shortness of breath // eval for pna or ptx
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Pa and lateral views of the chest were obtained. The heart size is normal. The mediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. Slight blunting of the left costophrenic angle is again noted, stable compared to the prior study. There is no focal consolidation concerning for pneumonia. Mild degenerative changes of the thoracic spine and bilateral hips are noted.
intermittent epigastric pain.
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As compared to the previous radiograph, there is a minimal improvement in transparency, likely reflecting improved ventilation. In the interval, the patient has been extubated. However, signs of minimal pulmonary edema persist. The nasogastric tube is in unchanged position. The two central venous access lines are constant. Moderate cardiomegaly. No evidence of larger pleural effusions.
status post parastomal hernia repair, evaluation for interval change.
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The lungs are well expanded and clear. Mild atelectasis or scarring is seen in the left lung base, unchanged from prior exam. Cardiomediastinal silhouette is unremarkable. There is no pneumothorax or pleural effusion.
history of and standing and status post des in left circumflex who presents with chest pain.
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The lungs are mildly hyperinflated, as evidenced by flattening of the diaphragms in the lateral view. There is no pleural effusion, pneumothorax or focal airspace consolidation. The heart is normal size. The mediastinal and hilar contours are unremarkable.
shortness of breath and copd. evaluate for edema or pneumonia.
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Frontal and lateral radiographs of the chest demonstrate a stable appearing right upper lobe opacity and right axillary calcifications. Heart size normal. Tortuous aorta. There is no pneumothorax, pleural effusion, or consolidation.
history: <unk>f with dyspnea // r/o pna
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The known right lower lobe pneumonia is resolving, although still persistent. The left lung remains clear. Cardiac size is normal. Coronary artery stent is noted.picc has been removed.
<unk> year old woman with kidney transplant, on treatment for pulm crytptococcus. // evaluation of known pulm cryptococcus
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Lordotic positioning. Inspiratory volumes are slightly low. The heart is not enlarged. There is minimal upper zone redistribution, without other evidence of chf. No focal infiltrate or effusion is identified. Minimal atelectasis both lung bases is noted. No pneumothorax is detected. No free air seen beneath the diaphragm.
<unk> year old man with s/p ir drainage of complicated appendicitis. now tachycardic, mild tachypnea // eval for acute process
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New ng tube has its tip in the stomach but side-port near the ge junction. The lungs show atelectasis at both bases as seen on recent ct, but are otherwise clear. The heart is not enlarged. The mediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. Mild right pleural thickening is nonspecific. <num> x <num> cm rounded density at the left base likely corresponds to callus from rib fracture as seen on ct. There are multiple bilateral healed rib fractures. The upper abdomen shows multiple dilated loops of small bowel with air-fluid levels.
new ng tube for small bowel obstruction. evaluate ng tube placement.
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Frontal and lateral radiographs of the chest demonstrate normal heart size, mediastinal and hilar contours. The lungs are clear. No pleural effusion or pneumothorax.
chest pain question pneumonia
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Central venous catheter remains in standard position, and cardiomediastinal contours are stable allowing for lower lung volumes on the current study. Mild pulmonary vascular congestion persists. New patchy bibasilar opacities, most confluent in the left retrocardiac region, which may be due to patchy atelectasis or acute aspiration event. Small pleural effusions are present, left greater than right.
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There has been interval placement of a right internal jugular catheter which terminates in the mid svc. There is no evidence of pneumothorax. No other significant change from <time> today.
history: <unk>f with trauma line in r ij // line placement
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Ap upright portable chest radiograph is obtained. There is persistent airspace opacity involving the mid and lower lungs bilaterally concerning for pneumonia. A component of pulmonary edema is difficult to exclude. Upper lungs are somewhat lucent which reflects known severe emphysema as seen on a prior ct from <unk>. No large pleural effusions are seen. Cardiomediastinal silhouette appears stable. There are prominent atherosclerotic calcifications along the course of the thoracic aorta. No pneumothorax. Bones appear intact. Ivc filter is noted in the upper abdomen.
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Mild enlargement of cardiac silhouette is unchanged. The aortic knob is calcified. The mediastinal and hilar contours are similar. Pulmonary vasculature is normal. Streaky bibasilar airspace opacities likely reflect atelectasis. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormalities identified.
history: <unk>m with chest pain
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Again seen are extensive bilateral bronchiectatic changes. There is no focal lung consolidation; however, atypical superimposed infection cannot be excluded on chest radiographs. Ct might be considered if clinically indicated. Cardiomediastinal silhouette and hila are normal. There is no pleural effusion or pneumothorax.
<unk>-year-old with recent pneumonia.
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Pa and lateral views of the chest. No prior. The lungs are clear of consolidation, effusion or pneumothorax. Cardiomediastinal silhouette is normal. Osseous and soft tissue structures are unremarkable.
<unk>-year-old male with chest pain.
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As compared to the previous radiograph, the monitoring and support devices are unchanged. The parenchymal opacities in the left lung increase in severity, likely reflecting decreased ventilation. The right lung volume has also minimally decreased. Overall, changes could be the effect of decreased ventilatory pressure. No new parenchymal opacities. Unchanged appearance of the cardiac silhouette.
status post replacement of thoracoabdominal aneurysm repair.
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There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
history: <unk>m with cough and chest pain // ?pneumonia
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Cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. There is no overt pulmonary edema. There is no focal consolidation. There is s-shaped scoliosis of the thoracic spine.
<unk>-year-old man with chest pain, evaluate for pulmonary edema.
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Pa and lateral views of the chest were provided demonstrating no focal consolidation, effusion or pneumothorax. The cardiomediastinal silhouette is normal. Bony structures are intact. No free air is seen below the right hemidiaphragm.
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There is no pleural effusion, pneumothorax or focal airspace consolidation. The cardiac, mediastinal and hilar structures are normal and unchanged. The pulmonary vascularity is normal.
palpitations and chest pain. evaluate for an acute process.
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Lung volumes are low. Heart size is mildly enlarged. The mediastinal contours are unremarkable. There is crowding of the bronchovascular structures but no overt pulmonary edema is seen. Streaky opacities in the lung bases likely reflect atelectasis. No focal consolidation, pleural effusion or pneumothorax is present. There are multilevel degenerative changes noted in the thoracic spine.
hypoxia.
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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 unremarkable.
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The cardiac, mediastinal and hilar contours appear stable. The heart appears again borderline in size. There is no pleural effusion or pneumothorax. The lungs appear clear.
chest pain.
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Frontal and lateral views of the chest were obtained. No focal consolidation, pleural effusion or evidence of pneumothorax is seen. Cardiac and mediastinal silhouettes are unremarkable. No displaced fracture is seen.
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Right-sided dual chamber pacemaker device is noted with leads terminating in unchanged positions in the right atrium and right ventricle. Moderate cardiomegaly is re- demonstrated. The mediastinal and hilar contours are unchanged. There is no pulmonary edema. Linear opacities within the left lung base likely reflects subsegmental atelectasis. Remainder the lungs are clear. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities seen.
history: <unk>f with weakness
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Median sternotomy wires and mechanical aortic valve are unchanged in location. The small right-sided pleural effusion is stable compared to <unk>. Pleural thickening at the right apex. The left lung is clear, without evidence of consolidations, pleural effusion or pneumothorax. The hila, mediastinum and heart are within normal limits. No acute osseous abnormalities.
<unk> year old man with pleural effusion // eval
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Compared to prior, there has been no change. Lung volumes remain clear. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with hypoxia // r/o infiltrate
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An enteric catheter courses below the level of the diaphragm and out of the field of view inferiorly. The degree of right hemidiaphragm eventration is unchanged. The lungs are clear. There is a left ventricular configuration of the heart. Aortic calcifications are noted. There are no pleural abnormalities.
<unk> year old woman with chf and <unk> stenosis s/p sigmoid mass resection please assess for pulm edema // please asses for edema
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Single portable view of the chest. Nasogastric tube is seen with tip in the gastric body with side port past the ge junction. Low lung volumes are noted. The lungs are clear of focal consolidation. Left chest wall port is again seen with catheter tip less clearly delineated on the current exam.
<unk>-year-old male with ng tube placement.
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The lungs are clear. The heart size is normal. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen. The bony thorax is grossly unremarkable.
syncope with exercise. evaluate heart size. also with lower rib pain.
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Postoperative cardiomediastinal silhouette and hilar contours are stable. Lungs are clear. There is no pleural effusion or pneumothorax.
bronchitis; question of consolidation on prior exams.
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The heart size is top normal. Right-sided aortic arch is noted. There is diffuse calcification of the thoracic aorta. The mediastinal and hilar contours otherwise are unremarkable, with interval improvement in the previous pattern of pulmonary vascular congestion. No focal consolidation, pleural effusion or pneumothorax is identified. No acute osseous abnormalities seen.
shortness of breath.
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The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. The lungs are hypoinflated but clear without focal consolidation. Known left humerus fracture is redemonstrated. The upper abdomen is unremarkable. No nondisplaced rib fracture is seen.
left humerus fracture. preoperative study.
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On the current exam, the lungs are clear. Opacity projecting over lung bases on lateral view was not clearly delineated on today's exam. Cardiomediastinal silhouette is stable. There is no pleural effusion or pneumothorax.
<unk>f with worsening cough after pna dx on <unk> <unk>/ evaluate for infiltrate
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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 chest pain and shortness of breath
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The lungs are poorly expanded accounting for vascular crowding. There is increased interstitial thickening bilateral, with upper vascular redistribution but no focal opacities. Moderate-to-severe cardiomegaly is not significantly changed compared with prior exam. There is no evidence of pleural effusion or pneumothorax. Multiple thoracic surgical clips are noted. Sternotomy wires are intact. Leads from a pacemaker in the right hemithorax end in the right atrium and right ventricle in unchanged position compared with prior exam.
<unk>-year-old female with cough. evaluate for pneumonia.
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There has been no significant interval change. No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable. Degenerative changes are again seen along the spine including multiple level osteophytosis.
cerebral speech, no nonsense, questionable.
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The lungs are well expanded and clear. The cardiomediastinal silhouette, hilar contours, pleural surfaces are normal. There is no pleural effusion or pneumothorax.
mid back pain. evaluate for pneumothorax or pneumonia.
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Lungs are hyperinflated, compatible with chronic lung disease. There are small bilateral pleural effusions, unchanged from <unk>. Heart is moderately enlarged, also unchanged. There is no strong evidence for pulmonary edema. No pneumothorax or focal airspace consolidation. A right paratracheal opacity with leftward deviation of the trachea is known to be secondary to a tortuous brachiocephalic artery and subclavian vein. A left pectoral pacemaker is constant, with leads in standard position.
crackles. evaluate for edema or effusion.
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Pa and lateral views of the chest provided. There is a moderate right pneumothorax with minimal leftward shift of the mediastinum suggesting a component of tension. Left lung is clear. Heart size is normal. Bony structures are intact.
<unk>m with report of ptx at pcp <unk> // ? ptx?
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Lung volumes are low. Heart size is top normal. Mild tortuosity of thoracic aorta is again noted. Mediastinal and hilar contours are otherwise unremarkable. Pulmonary vasculature is not engorged. Patchy opacities in the left lung base likely reflect areas of atelectasis, without focal consolidation. No pleural effusion or pneumothorax is present. Screw projects over the right humeral head. Mild degenerative changes are noted in the thoracic spine.
history: <unk>m with new onset atrial fibrillation
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The lungs are well inflated and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
<unk>-year-old male with cough. evaluate for acute cardiopulmonary process.
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There is chronic left-sided volume loss from prior left upper lobe resection with associated leftward shift of mediastinal structures and elevation of the left hemidiaphragm, unchanged from prior examination. Heart size is difficult to evaluate due to shift of mediastinal structures; however, appears within normal limits. Hilar contours are unremarkable. The lungs are clear. There is no pleural effusion or pneumothorax. A moderate-sized hiatal hernia is again noted, best identified on the lateral view.
syncope.
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A nasogastric tube with radio-opaque tip projects over the left upper quadrant as before. Lung volumes are slightly lower than on the prior comparison examination. The cardiomediastinal and hilar contours are probably similar given differences in technique. The heart is normal in size. Bibasilar opacities and opacity in the right upper lobe are demonstrated. This could represent early asymmetric chf. An early pneumonic infiltrate cannot be entirely excluded. No frank consolidation is seen. There is no pneumothorax or gross pleural effusion.
<unk>m with ams, hypoxia // evaluate for acute process
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Bilateral chest tubes have been removed. There is no pneumothorax. Since the prior radiograph, there has been improvement in left basilar atelectasis and the left pleural effusion is slightly smaller. There is no focal consolidation. Cardiomediastinal silhouette is unchanged. Median sternotomy wires are intact.
<unk>-year-old man with sternotomy, thymectomy. rule out pneumothorax post chest tube removal.
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Lung volumes are low. Heart size is accentuated as a result of low lung volumes and appears mildly to moderately enlarged, unchanged. Crowding of the bronchovascular structures is noted without overt pulmonary edema. Mediastinal and hilar contours are similar. Patchy opacities in the lung bases likely reflect areas of atelectasis. No focal consolidation, pleural effusion or pneumothorax is present. Oral contrast material is seen within the stomach.
history: <unk>f with ileus
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A nasogastric tube courses into the stomach. The cardiac, mediastinal, and hilar contours appear stable. There is mild relative elevation of the right hemidiaphragm. No pleural effusion or pneumothorax is identified. Streaky left basilar opacity suggests minor atelectasis. However, an entirely new focal opacity projecting over the right mid lung raises suspicion for pneumonia. There is no free air.
hypotension and abdominal pain.
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Pa and lateral views of the chest. Moderate to severe cardiomegaly is again seen and stable. There is no evidence of focal consolidation, pleural effusion or pneumothorax. Multiple calcified pleural plaques are again seen.
weakness, evaluate for pneumonia.
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The heart size is normal. The hilar and mediastinal contours are normal. There is a subtle consolidation at the right lower lobe. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.
history: <unk>f with cough.
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Ap portable upright view of the chest. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact.
<unk>f with sob // pna?
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In comparison with the study of <unk>, there is little change in the appearance of the chest tube at the left base. No evidence of post-procedure pneumothorax. Opacification at the left base is consistent with atelectasis and effusion. The right hemidiaphragm is less sharply seen, and there is blunting of the costophrenic angle, consistent with small pleural effusion and atelectatic changes in this region as well.
empyema followup.
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Pa and lateral views of the chest are obtained. The lung volumes are low. The heart is top normal in size. There is no evidence of focal consolidation, pleural effusion or pulmonary edema.
<unk>-year-old female with positive ppd. assess for active lung disease.
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Assessment is limited due to the patient's body habitus and low lung volumes resulting in bronchovascular crowding. Allowing for this limitation, there is no focal opacity to suggest pneumonia. Mild cardiomegaly may be present but assessment is limited by lung hypoinflation and ap projection. Otherwise, cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
<unk>-year-old female with chest pain and shortness of breath. evaluate for pneumonia.
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Lung volumes are persistently low. Heart size is mildly enlarged. There are diffuse atherosclerotic calcifications. Mediastinal and hilar contours are unchanged. Focal opacity is seen within the right upper lobe concerning for pneumonia, and worse compared to the previous radiograph from <unk>. Patchy and interstitial opacities within the lung bases bilaterally also appear similar compared to the prior study. No pleural effusion or pneumothorax is present. The pulmonary vasculature is not engorged. There are mild multilevel degenerative changes in the thoracic spine.
history: <unk>m with hypotension, hypoxia
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Lung volumes are low, accentuating the cardiomediastinal contours and result in bronchovascular crowding. Within this context, prominence of the right mediastinal contour is likely technical in nature. Lungs are clear and there is no pleural effusion or pneumothorax.
<unk>f with chest pain // evaluate for pneumothorax, acs
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This examination was just presented for interpretation. Dobbhoff tube extends to the mid body of the stomach, before coiling so that the tip faces upward. Diffuse bilateral pulmonary opacifications persist.
ng tube placement.