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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. The mediastinum is not widened. No displaced fracture is seen.
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Single frontal supine chest radiograph demonstrates low lung volumes. Ill-defined bilateral central opacities are likely secondary to crowding of the vasculature. No definite focal areas of consolidation is seen. Heart is top normal in size and mediastinal contours are unremarkable. There is no large pleural effusion. Osseous remodeling at the distal left clavicle could relate to a remote injury.
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history of alcohol abuse, seizures, found down. evaluate for pneumonia.
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An endotracheal tube is present in standard position approximately <num> cm above the carina. An enteric tube is present with the distal tip overlying the stomach. Cardiomediastinal and hilar contours are stable. There is no pleural effusion or pneumothorax. There is a new small patchy opacity at the right lung base, which may represent atelectasis or aspiration.
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reintubation.
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There is diffuse reticulonodular interstitial thickening with bronchiectasis, most prominent at the right lung base. There is also unimproved patchy opacification at the right base. Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. There is a persistent hiatal hernia.
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<unk> year old woman with dyspnea and new o<num> requirement. // r/o pna
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The lungs are moderately well inflated and clear. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable. The aorta is mildly tortuous.
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<unk>f with hyperglycemia. assess for pneumonia.
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A single supine portable frontal view of the chest was performed. A right upper extremity picc has been removed in the interim. The previously seen multi focal parenchymal opacities within the right lung are improved on this study. The left lung is essentially clear. There has been resolution of the right pleural effusion. There is no pneumothorax. Mild cardiomegaly is unchanged. A tortuous aorta is redemonstrated. The imaged upper abdomen is unremarkable.
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fever and cough, evaluate for infiltrate.
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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 concerning for pneumonia. The upper abdomen is unremarkable. No acute osseous abnormality is detected.
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<unk> year old woman with history of tuberculosis. // any evidence for active disease?
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The heart is at the upper limits of normal. The lungs are hyperinflated and there is a diffuse interstitial abnormality which could be related to background interstitial or obstructive lung disease. There may also be an element of fluid overload. There is a focal extensive left upper lobe opacity suggestive of pneumonia. Additionally, there is some pleural thickening at the apices as well as a possible small right-sided pleural effusion or pleural thickening. There is no pneumothorax.
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shortness of breath.
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The lungs are clear. Mediastinal and cardiac contours are normal. There is no pleural effusion or pneumothorax. Patient has prior kyphoplasty of lower thoracic spine.
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patient with cough, wheezing, cirrhosis, feeling sleepy. rule out pneumonia.
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The patient is status post median sternotomy, cabg, and aortic valve repair. Left-sided dual-chamber pacemaker device with leads terminating in the right atrium and right ventricle are in unchanged positions. The heart size is normal. Pulmonary vasculature is normal. Mediastinal and hilar contours are unremarkable. Small bilateral pleural effusions are unchanged. There is minimal atelectasis in both lung bases. No focal consolidation or pneumothorax is present. There are mild degenerative changes noted in the thoracic spine.
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palpitations.
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The ett terminates <num> cm above the carina with neck flexion. Ng tube with side hole in the region of the ge junction. Left picc in the mid subclavian. Left ij in the mid svc. Bilateral perihilar opacities and bibasilar atelectasis are unchanged in comparison to the prior chest radiograph dated <unk>. The lungs are otherwise clear. Heart size is stable. The mediastinal and hilar contours are stable. The pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen.
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<unk> year-old woman with a history hfref (nyha iii/iv, ef <unk>%), cad s/p lad stent (not done at <unk>, no cath images) with recurrence of poorly differentiated stage iiib nsclc diagnosed in <unk> s/p chemo/rt previously in remission, but now with recurrence, severe oxygen-dependent copd (fev<num> <unk>%, <unk>l o<num>), and multiple admissions for dyspnea now with ?pna // interval change, pulm edema?
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Swan-ganz catheter tip overlies the pulmonary outflow tract near the pulmonic valve. No pneumothorax. Postoperative mediastinal silhouette and substantial cardiomegaly are stable. Pulmonary edema has resolved. The moderate left pleural effusion and left lower lobe adjacent atelectasis are stable. A right internal jugular central venous catheter terminates in the lower svc, unchanged.
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<unk> year old man s/p avr, cabg // location <unk> <unk> tip
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Ap upright and lateral views of the chest provided. Mild cardiomegaly again noted. There is hilar congestion and probable mild interstitial edema. No large effusion. No signs of pneumonia. No pneumothorax. Bony structures are intact. Mediastinal contour is stable.
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<unk>m with chest pain
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Pa and lateral image of the chest demonstrates significantly improved right pleural effusion suggests a repeat successful thoracocentesis. The lungs are well expanded and clear. There is no pneumothorax or other complication seen. Otherwise, there is no change in the chest radiograph from previous imaging. The appearance of the left lung is unchanged.
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<unk>-year-old male with pleural effusions.
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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. Metallic cervical surgical hardware is seen in the cervical spine but not optimally evaluated on this study. No displaced fracture is seen.
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motorcycle accident, pain, pre-surgical clearance.
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As compared to the previous radiograph, the lung volumes have decreased. The patient is now in moderate pulmonary edema, shows moderate cardiomegaly. In addition, areas of pleural thickening are seen on the right, likely reflecting a combination of pulmonary edema and post-operative changes. At the time of dictation and observation, <time> a.m., on <unk>, the referring physician <unk>. <unk> was paged for notification.
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status post right thoracotomy, evaluation for pneumonia.
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Pa and lateral views of the chest were obtained. Port-a-cath projects over the right chest wall with catheter extending to the level of the low svc. There is right lung volume loss again noted. Opacity in the right upper lung is again noted which likely reflects volume-related changes and bronchiectasis, possibly also loculated effusion as seen on prior ct. In addition, there is blunting of the right cp angle, likely indicative of persistent effusion and mild associated compressive atelectasis. There is no significant change from the prior study. Left lung remains clear. Heart and mediastinal contour appears unchanged. Bony structures are intact.
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The cardiomediastinal and hilar contours are within normal limits. The lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax.
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palpitations. rule out pneumonia.
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As compared to the previous radiograph, there is no relevant change. The lung volumes are normal. There is no evidence of pneumonia or other parenchymal abnormality. Unchanged size of the cardiac silhouette. No pulmonary edema. No pleural effusions. Unchanged asymmetry of the hilar structures, with mild increase in size of the left pulmonary artery. No abnormality of the mediastinal contours. No evidence of rib lesions or vertebral abnormalities.
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productive cough, wheezing, rule out pneumonia.
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There is increased perihilar opacity. Extent peripherally. The findings are worrisome for increased mass in the right hilum and possible intra parenchymal bleed. There is a small right effusion.
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<unk> year old man with new diagnosis of lung cancer. new active hemoptysis // eval hemoptysis
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As compared to the previous radiograph, the patient has been extubated. As a consequence, the lung volumes have decreased, and areas of mild atelectasis have developed at the lung bases. Borderline size of the cardiac silhouette without pulmonary edema. No pleural effusions.
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A single-lead left-sided pacemaker is again seen with lead extending to the expected position of the right ventricle. The cardiac silhouette remains moderately enlarged. The aortic knob is calcified. There is bibasilar atelectasis. Subtle prominence of the central vessels of the chest may be a component of mild central vascular engorgement, although this is similar to prior. Degenerative changes are seen along the spine.
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The lungs are well-expanded. Left lower lobe consolidation seen on prior radiograph and outside abdominal ct is unchanged. The right lung is clear. The heart is top-normal in size. There is no pleural effusion or pneumothorax.
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<unk> year old man with bilateral subdurals // eval pneumonia
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Right-sided port-a-cath terminates in the low svc/ cavoatrial junction, without evidence of pneumothorax.the lungs are clear without focal consolidation. No pleural effusion is seen. The cardiac and mediastinal silhouettes are unremarkable. There is no evidence of free air beneath the diaphragm.
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history: <unk>f with epigastric, ruq abd pain s/p embolization procedure to liver // free air
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Pa and lateral views of the chest provided. Lung volumes are low with bibasilar atelectasis again noted. No large effusion or pneumothorax. Heart and mediastinal contours are stable and within normal limits. Bony structures are intact.
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<unk>f with etoh cirrhosis // ?cpd or change from prior
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No focal consolidation to suggest pneumonia is seen. No pleural effusion, pulmonary edema, or pneumothorax is present. The patient is status post median sternotomy and cabg. Fracturing of median sternotomy wires appears unchanged. There are remote right-sided fifth and sixth rib fractures.
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substernal chest pain, now resolved. recent cough.
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Lungs are hyperinflated. Bibasilar atelectasis is similar to before. No new consolidation is identified. Cardiomediastinal silhouette is normal size.
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history: <unk>m with chest pain // ? chf, pna
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Left ij catheter terminates in the lower svc. Cardiac silhouette is enlarged, but further assessment is limited by adjacent pleuropulmonary pathology. Increased, moderate right pleural effusion. Unchanged, moderate, subpulmonic left pleural effusion with poor aeration of the left lower lobe that most likely reflects atelectasis; however, pneumonia is also possible. No appreciable pneumothorax.
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<unk>-year-old woman with a right empyema status post recent vats decortication and chest tube removal on <unk>.
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Semiupright portable chest radiograph was obtained. The lungs are slightly hyperexpanded but clear. There is no pleural effusion or pneumothorax. Linear left mid lung scarring is unchanged. The heart is normal in size with tortuous ascending aortic contour.
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dyspnea, assess for pneumonia.
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Heart size is normal. The aorta is tortuous in the ascending aortic contour appears mildly dilated. Hilar contours are normal. The pulmonary vasculature is not engorged. The lungs are clear. No pleural effusion or pneumothorax is demonstrated. No acute osseous abnormalities detected
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history: <unk>m with new dx aortic stenosis, chf in context of recent exertional angina and tte
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As compared to the previous radiograph, there is no relevant change. No evidence of pneumonia. No pulmonary edema. Normal size of the cardiac silhouette. No pleural effusions. Normal aspect of the hilar and mediastinal structures.
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cough and fever, rule out pneumonia.
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Right-sided picc terminates in the region of the low svc without evidence of pneumothorax. There are low lung volumes. Multifocal bilateral pulmonary opacities have increased in the interval, which may be due to increased pulmonary edema or infectious process, on a background of chronic pulmonary opacities. No large pleural effusion is seen. There is no pneumothorax. The cardiac and mediastinal silhouettes are unremarkable.
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history: <unk>m with likely chf exacerbation // chf exacerbation
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Pa and lateral views of the chest. The lungs are clear. Cardiomediastinal silhouette is normal. No acute osseous abnormalities detected.
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<unk>-year-old male with history of lingular infiltrate with worsening shortness of breath.
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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.
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fevers and chills as well as cough. assess for pneumonia.
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An increased right lower lobe airspace opacity is most likely due to aspiration given its rapid improvement on the subsequent chest ct. Asymmetric pleural thickening, right greater than left, is present. There is no pneumothorax or pleural effusion. The heart and mediastinum are within normal limits.
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<unk> year old man with leukocytosis // eval for pna
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Comparison is made to previous study from <unk>. Median sternotomy wires and a right ij central line are again seen. There are large bilateral pleural effusions which have increased in size since the previous study. There is mild pulmonary edema. There are more confluent opacities in the left lung which have increased since the previous study.
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Frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation. Rounded opacity projecting over the left lower lung likely represents a nipple shadow.
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<unk>m with transient word finding deficit // evaluate for acute process
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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. No displaced fracture is seen.
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chest pain, near syncope.
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As compared to the previous radiograph, the patient has been reintubated. The tip of the endotracheal tube projects <num> cm above the carina. The tube could be advanced by <num> cm. The nasogastric tube and the left picc line are unchanged. The extent of left and right lower lobe atelectasis are unchanged as compared to previous image. The size of the cardiac silhouette is also constant. No new parenchymal opacities.
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copd, worsening of left lung collapse.
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Heart size, mediastinal and hilar contours are normal. Lung volumes are increased, but lungs are grossly clear except for a small linear area of opacity at the left base, which may reflect localized linear atelectasis or scar. There are no pleural effusions. Bones are diffusely demineralized, and note is made of mild scoliosis.
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Pa and lateral views of the chest provided. Aicd again noted with pacer pack along the left chest wall and lead extending to the region of the right ventricle. Cardiomediastinal silhouette is stable with top-normal heart size. Lungs are clear without focal consolidation, effusion or pneumothorax. No pulmonary vascular congestion or edema. Per mediastinal and hilar contours appear normal. Bony structures are intact. No free air below the right hemidiaphragm.
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<unk>m with fever, cough // eval heart and lungs
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No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. Heart and mediastinal contours are within normal limits.
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<unk>-year-old male with head and neck cancer, now with fever.
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The heart is normal in size. The mediastinal and hilar contours appear unchanged. There is a new small left-sided pleural effusion, but no definite pleural effusion on the right. The lungs appear clear.
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malaise and bandemia.
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The heart size is within normal limits. Mediastinal contours demonstrate calcified atherosclerotic disease of the aortic knob. The lung volumes are low but clear of consolidation. There is no large pleural effusion or pneumothorax.
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<unk>-year-old male with fever and altered mental status.
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Large left pleural effusion occupies almost the entirety of the left hemithorax and has apparently slightly increased in size since the recent radiograph. Only a small amount of aerated lung is present in the left suprahilar region, with remainder of the left lung atelectatic, presumably on the basis of the effusion. On the right, a moderate pleural effusion is unchanged. Widening and straightening of left mediastinal contour is unchanged since the recent radiograph, and may reflect medially loculated pleural fluid. On the right, a moderate pleural effusion and adjacent basilar atelectasis are unchanged. Interval placement of right picc, with tip terminating in the expected location of the proximal right atrium. Indwelling single lead permanent pacemaker is unchanged.
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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.
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<unk>m with dyspnea s/p fall // infiltrate or hemothorax/ptx
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Pa and lateral views of the chest. There is no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal and hilar contours are normal.
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chest pain.
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The lungs are clear without edema or effusion. Eventration of the right hemidiaphragm is noted. Cardiomediastinal silhouette is within normal limits. Left axillary clips are noted. No acute osseous abnormalities.
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<unk>f with hypoxia // eval for pna
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In comparison to the chest radiograph obtained <num> day prior, pulmonary edema has worsened. There are increased opacities most prominently in the right upper lung and left lower lung, possibly a combination of asymmetric and dependent edema due to mitral regurgitation and volume overload, developing pneumonia, or atelectasis. Moderate cardiomegaly is unchanged. Pleural effusions small, if any. Tracheal stenosis may reflect complications of prior intubation or tracheostomy. The intra-aortic balloon pump is unchanged in position, but approximately <num> cm superior to standard placement. The swan-ganz central venous catheter is unchanged in position and terminates in the mid right descending pulmonary artery.
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<unk> year old man with stemi and cardiogenic shock, with concern for septic shock now with worsening respiratory failure // eval for pulm edema, balloon pump location, swan location
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The heart size is normal. Aside from mild widening of the mediastinum, the hilar and mediastinal contours are unremarkable. There is no pleural effusion, or pneumothorax. No other focal consolidations concerning for pneumonia identified. The visualized osseous structures are unremarkable.
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history: <unk>m with chest pain // acute process
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Single portable view of the chest. Oxygenation device projects over the right lung apex. There is mild interstitial edema. Retrocardiac opacity may be in part due to technique with possible underlying atelectasis or consolidation. Elsewhere the lungs are clear of focal consolidation. Cardiomediastinal silhouette is within normal limits for technique. Dense atherosclerotic calcifications seen at the aortic arch. No acute osseous abnormality is detected.
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<unk>-year-old female with respiratory distress.
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Frontal and lateral views of the chest are obtained. Left-sided aicd is again seen, leads unchanged in position. Patient is status post median sternotomy and cabg. There is mild pulmonary vascular congestion. More confluent opacity at the right lung base, similar to prior, could represent overlying vasculature, although underlying consolidation is not excluded in the appropriate clinical setting. Recommend followup to resolution. No large pleural effusion or pneumothorax is seen. Cardiac silhouette is top normal. The cardiac and mediastinal contours are stable.
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Chest, pa and lateral radiograph demonstrates top normal heart size. The aorta is calcifiedthere is prominence of the pulmonary vasculature, suggestiong with mild volume overload and there is mild interstitial edema. There is a trace right pleural effusion. Multilevel degenerative changes are seen along the spine.
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question stroke or pneumonia or chf.
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There is redemonstration of a pigtail drainage catheter at the right lung base with adjacent right infrahilar opacity, similar in appearance to prior study. Persistent widespread parenchymal consolidations are slightly increased in density, compatible with worsening edema. Small right effusion is unchanged. There is no pneumothorax. Esophageal stent is unchanged and appears patent.
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esophageal perforation with lung abscess.
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Lung volumes are low. Retrocardiac opacity with elevation of the left hemidiaphragm reflects probably a combination of gaseous distension of the stomach as well as atelectasis. The heart is probably mild-to-moderately enlarged. The patient is status post median sternotomy and wires appear intact. Mediastinal clips are present. No definite focal consolidation, edema, pneumothorax, or pleural effusion. No acute osseous abnormality. Prominent multilevel degenerative changes of the thoracic spine with anterior osteophytes is noted. Dextroconvex scoliosis of the thoracic spine is mild-to-moderate.
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<unk>-year-old man with altered mental status. evaluate for an acute process.
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Frontal and lateral views of the chest were obtained. The lungs are well expanded and clear without focal consolidation, pleural effusion or pneumothorax. Heart size is normal. Mediastinal silhouette and hilar contours are normal.
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daytime sleepiness, high hematocrit.
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The patient remains rotated which exaggerates the cardiac silhouette which appears stable. There is increased right basilar opacities suggestive of developing infection, or possibly due to aspiration. The remainder of the lungs remain clear. An external shunt is noted overlying the left hemithorax along with a right upper quadrant drain. No acute fractures are identified.
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aspiration and altered mental status.
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Ap upright and lateral views of the chest provided. Partially visualized fusion hardware is noted in the lower c-spine. The heart appears mildly enlarged. Lungs are clear. No large effusion or pneumothorax. No convincing evidence for pneumonia. Mediastinal contour appears normal. Bony structures are intact. No free air below the right hemidiaphragm.
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<unk>f with hx c<num>-c<num> fusion <unk> p/w r arm shoulder pain also with cough productive sputum
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Overall, there is a similar appearance of the chest compared to the prior study. Large left pleural effusion, with overlying atelectasis and findings compatible with known chronic aspiration are again seen. Smaller right pleural effusion and basilar consolidation are similar. Superimposed mild vascular congestion is also noted.
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<unk>m with dyspnea.
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Compared to the prior study there is no significant interval change. There is a dual lead pacemaker with the leads projecting over the expected location. No other radiopaque foreign bodies are visualized.the cardiac and mediastinal silhouettes are normal and are unchanged compared to prior.
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<unk> year old woman with new lymphoma diagnosis. // patient has a pacemaker and will need a spinal mri. we need to check where there is any other hardward besides the pacemaker in her chest prior to the mri
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As compared to the previous radiograph, the atelectatic region in the left lung has completely resolved. There are scars at the right lung base that are unchanged. No other changes. Normal size of the cardiac silhouette. No pleural effusions. No pulmonary edema.
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history of lung carcinoid was resected and previous atelectasis.
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Previously seen-stated pleural thickening is no longer present, wall is most likely superimposition of overlying structures external to the patient. No new abnormality. Otherwise stable.
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<unk> yo aml s/p mec salvage tx, pending hsct, prior cxr showed "irregular thickening right lateral costal pleura". no h/o trauma, reproducible chest pain, cough, desaturation // please have patient disrobe to waist for study; prior artifact vs right pleural thickening? need for f/up ct?
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The heart is normal in size. There is slight unfolding of the thoracic aorta. The lungs appear clear. There is no pleural effusion or pneumothorax. There is mild relative elevation of the right hemidiaphragm compared to the left side. No bony abnormality is identified.
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right wrist fracture after motorcycle accident and pain as well as left lower rib pain; also pre-operative evaluation.
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In comparison with the earlier study of this date, there has been placement of a right ij catheter that extends to the mid-to-lower portion of the svc. No evidence of pneumothorax. No change otherwise.
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central line placement.
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Ap portable radiograph of the chest. There are increased lung volumes which are unchanged from the prior radiograph. No opacity or pneumothorax is identified. The cardiac silhouette is normal appearing. No pleural effusions are seen. Compared to the prior radiograph, there is minimal interval change.
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patient with lung cancer. followup from rigid bronchoscopy.
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In comparison with the study of <unk>, the left hemidiaphragm is not well seen medially, suggesting some volume loss in the left lower lobe. Streak of atelectasis is seen at the right base. No evidence of appreciable cardiomegaly or pulmonary vascular congestion or pleural effusion.
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hypoglycemia with cough.
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There are linear opacities of the right middle lobe and left lower lobe, which are consistent with atelectasis. Mediastinum is unchanged. There has been a right mastectomy. There is no pneumothorax. There is new blunting of the left costophrenic angle, which may represent effusion or pleural thickening, and chest ct is recommended for further characterization in this patient with a history of malignancy.
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<unk> year old woman with ? pul changes seen on spine films eval further films done in system h/o breast cancer
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Heart size is mildly enlarged but unchanged. The mediastinal and hilar contours are within normal limits. Pulmonary vasculature is normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. Multiple clips are demonstrated within the neck bilaterally suggestive of prior thyroidectomy.
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altered mental status with somnolence.
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All lines and tubes are appropriate and unchanged in positioning. There is increasing right middle and lower lobe opacification, which likely represents aspiration or pneumonia. The pulmonary vasculature is normal. The cardiomediastinal silhouette is stable. There are no large pleural effusions
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<unk> year old woman with ams, hypertensive encephalopathy. spiked fever on arrival to micu, purulent sputum from ett // eval for pna or signs of aspiration
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Right-sided port-a-cath tip terminates in the mid svc. 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.
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history: <unk>f on chemotherapy therapy for breast cancer and left crackles on pulmonary exam. // ?pneumonia
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Frontal and lateral chest radiograph demonstrates mild reticular pattern throughout the lungs suggestive of fibrotic lung disease. Right lower and mid lung atelectasis is present. Heterogeneous opacity within the right mid and lower lung is most consistent with combination of atelectasis and asymmetric vascular congestion. Small amount of fluid within the minor fissure. Small right pleural effusion is present. No left pleural effusion. No pneumothorax. Mild cardiomegaly is noted. A tortuous aorta is present. Apparent widening of the mediastinal contour is most likely related to patient positioning and low lung volumes. Limited assessment of the upper abdomen is within normal limits. Limited assessment of osseous structures demonstrate interval progression of now severe anterior compression fracture at thoracolumbar junction.
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cold arm, preop evaluation. assess cardiomegaly. assess for infiltrate.
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Aicd and pacer leads end in the right atrium and ventricle, as expected. Moderate to severe cardiomegaly is unchanged. There is no focal lung consolidation. There is no pneumothorax. There are small bilateral pleural effusions there is prominence of the interstitial markings, likely reflecting mild interstitial edema.
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<unk>-year-old man with icd fire for vtach, sscp, elevated troponin, evaluate for acute cardiopulmonary process
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Right-sided chest tube remains in place. A small right apical pneumothorax is in retrospect unchanged from the recent radiograph. Postoperative widening of right mediastinal contours is consistent with esophagectomy and pull-up procedure. Persistent bibasilar atelectasis, as well as a small right pleural effusion.
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The lungs are well expanded and clear. There is no infiltrate, pulmonary edema, or pleural effusion. The endovascular grafting of enlarged tortuous descending thoracic aorta is unchanged in position. Mild-to-moderate cardiac enlargement is stable since the prior study.
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<unk>-year-old female with pulmonary hypertension and hypoxemia with decreasing oxygen saturation. assessment for chf, effusions, or atelectasis.
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Ap upright and lateral chest radiograph demonstrates a patient rotated to her left. A small hiatal hernia is noted. Lung fields are hyper-expanded with flattening of bilateral hemidiaphragms consistent with emphysema. There is no pleural effusion or pneumothorax identified. A rib fracture of indeterminate age within the posterior aspect of the left tenth rib is noted, probably healed. Several sclerotic vertebral bodies are noted concerning for malignancy, particularly treated or alternatively lymphoma. Surgical clips are seen projecting along the right lateral chest wall.
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<unk>-year-old female status post fall.
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Pa and lateral chest radiographs were obtained. The tip of a left-sided picc line projects over the mid svc. The lungs are well inflated. No focal consolidation, effusion, or pneumothorax is present. The cardiac and mediastinal contours are normal.
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<unk>-year-old woman with all and leukopenia, new cough.
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Pa and lateral views of the chest. Left-sided pacemaker is in place, and the leads are stable in position. There is no focal consolidation, pleural effusion, or pneumothorax. There is mild to moderate cardiomegaly, unchanged. The mediastinal and hilar contours are normal.
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left arm pain. evaluate for cardiopulmonary process.
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The et tube is in good position at least <num> cm above the carina. Other support and monitoring devices remain stable. The right pleural effusion and pulmonary edema are improved, specifically the right middle lobe opacity which may have been due to asymmetric edema or aspiration has improved. There remains pneumoperitoneum which may be increasing. Additionally, there is new left soft tissue emphysema.
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<unk>-year-old woman with respiratory insufficiency.
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Tiny right apical pneumothorax is small since <unk>. There is no evidence of pneumothorax now. Small right pleural effusion is unchanged. Right chest drain tube positioned in the lower chest is similar in position. There is no pneumothorax or pleural effusion on the left side. No lung opacities of concern. Heart size, mediastinal and hilar contours are normal.
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<unk>-year-old woman with pleural effusion, for evaluation.
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Heart size is normal. Minimal bibasilar atelectasis. No pneumonia. Streaky opacity in the left mid lung base is stable. Calcific density projecting over left upper lung apex is also stable. Aortic knob calcifications.
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<unk> year old man with new onset atrial fibrillation and dyspnea on exertion // evaluation for pulmonary edema, effusions //<unk> year old man with new onset atrial fibrillation and dyspnea on exertion
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Since <unk>, moderate bilateral perihilar and basilar opacities are increased. However, this may be technical in nature. Moderate cardiomegaly is unchanged. Support devices are in appropriate position. No pneumothorax.
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<unk> year old woman with pulm edema, bipap dependent // interval change?
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The lung volumes are low. Hilar prominence is likely secondary to crowding. No focal consolidation, pleural effusion, or pneumothorax is seen. Heart and mediastinal contours are within normal limits given the limitations of low lung volumes. A prominent epicardial fat pad is noted
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<unk>-year-old male with left shoulder film showing possible pleural effusion.
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Comparison is made to previous study from <unk>. There is a feeding tube with side port that is just above the ge junction. This is likely within the neoesophagus, which is positioned to the right. There is a left-sided chest tube which is unchanged in position. There are no pneumothoraces. There is some atelectasis at the lung bases, with development of a new left retrocardiac opacity.
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There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is normal.
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<unk>m with atrial fibrillation and shortness of breath, evaluate for pneumonia.
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As compared to the previous radiograph, there is a relevant change. At the level of the right azygos lobe, a new mass-like parenchymal consolidation in epihilar and paramediastinal location has newly appeared. The lesion causes partial obliteration of the paratracheal stripe and an enlargement of the mediastinum. In addition, there is new enlargement of the left hilus, presumably caused by lymph nodes. The changes are well documented on the previous ct examination of the chest performed on <unk>. No pleural effusions. Normal size of the cardiac silhouette.
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known cll, now with cough, evaluation 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 grossly stable. The cardiac silhouette is mildly enlarged.. No pulmonary edema is seen.
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history: <unk>m with h/o cirrhosis, liver xplant, p/w n/v/d, cough, cp // eval for pna
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| null |
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.
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history: <unk>f with head pain s/p mvc w/o airbags // ? acute process
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As compared to the previous radiograph, there is no relevant change. Mild increase in diameter of the right hilus, without other signs of hilar or mediastinal pathology. Low lung volumes. No evidence of pneumonia or pulmonary edema. Borderline size of the cardiac silhouette.
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cough and fever, rule out acute process.
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Port-a-cath in place. Additional tubing, catheters projected over chest. Surgical clips upper abdomen. New left lower lobe consolidation, with mild left pleural effusion. New small right pleural effusion. Mild interstitial prominence at the lower lungs, more apparent, likely edema. Borderline heart size, more prominent, and increased since prior. Mildly more prominent pulmonary vascularity. No pneumothorax.
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<unk> year old woman s/p aborted distal pan with increasing o<num> requirement, productive cough // please assess for atelectasis vs consolidation
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The heart continues to be enlarged with mild to moderate chf. Possible minimal blunting of both costophrenic angles could reflect small bilateral effusions. There is bibasilar atelectasis. No focal consolidation or pneumothorax is detected. Right-sided rib fractures are better seen on the dedicated chest ct.
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<unk>-year-old male with congestive heart failure and dyspnea on exertion. please evaluate for pulmonary edema.
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There is no consolidation, pleural effusion, or pneumothorax. Cardiomediastinal and hilar silhouettes are normal size.
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history: <unk>f with chest pain, shortness of breath // ? pna
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Low lung volumes accentuate the bronchovascular markings, and there is no focal consolidation or pleural effusion. The heart size is normal.
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<unk>-year-old male with dyspnea, fever, cough. evaluate for evidence of infiltrate.
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Patient history of alpha <num> antitrypsin deficiency. Extensive heterogeneous opacifications of bilateral lungs more severe in the bases consistent with the saccular bronchiectasis seen on prior chest ct. Given patient's clinical symptoms, cannot exclude pneumonia, acute or chronic. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unchanged. Interval placement of a right chest port seen with tip not well visualized but appears to be in the cavoatrial junction.
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<unk> year old man with fever, cough, green sputum // ? acute pneumonia history of alpha-<num> antitrypsin deficiency.
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| null |
A portable frontal chest radiograph demonstrates low lung volumes with increased prominence of the cardiac silhouette and bronchovascular crowding. The heart is top normal in size. There is no focal consolidation, pleural effusion, or pneumothorax. No mediastinal free air is seen. The visualized upper abdomen is unremarkable.
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evaluate for interval change in a patient with lymphadenopathy, status post mediastinoscopy.
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| null |
As compared to the previous radiograph, there is unchanged alignment of the sternal wires and the clips of the bypass surgery. The patient has made a stronger inspiratory effort. However, there is still suspicion of a small left pleural effusion with subsequent areas of left basal and retrocardiac atelectasis. Atelectasis is also seen at the bases of the right lung, probably caused by elevation of the right hemidiaphragm and interposition of colon between the liver and the abdominal wall. Fluid overload, if present, is minimal. No pneumothorax. Known calcified pleural plaques.
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copd, respiratory dysfunction, pulmonary edema.
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The heart size is normal. The hila and mediastinal contours are normal. The lungs are clear without evidence of focal consolidations concerning for pneumonia. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.
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history: <unk>m with left chest pain s/p assault // eval for rib fx
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| null |
A right-sided double-lumen picc key is in-situ, the tip terminates in the mid svc. A left-sided subclavian catheter terminates in the proximal svc. These are unchanged in appearance compared to the prior study. No pneumothorax seen. There is a new opacity projecting over the left mid lung, this is <num> of the <unk> from the triple-lumen subclavian catheter. Minimal a atelectasis at the left costophrenic angle. No consolidation seen.
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<unk> year old man with fn // r/o infx
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Mild pulmonary congestion is stable. There are also increasing opacity in the left lung base can be dependent edema or worsening atelectasis. No pleural effusions or pneumothorax. Moderate cardiomegaly. Substantial unfolding of the thoracic aorta.
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<unk> year old woman with o<num> requirement after surgery // r/o infiltrate
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| null |
There is mild cardiomegaly. Of unknown chronicicty is diffuse heterogeneous airspace opacification throughout both lungs nearly obscures interstitial abnormality and a handful of centimeter or smaller lung nodules, most pronounced in the right midlung. Bilateral pleural effusions are small. There is no pneumothorax. Widening of the mediastinum is also of unknown duration and although it could be due to fat deposition and vascular engorgement could be due to adenopathy as well.
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history of dental surgery on <unk> status post oral intubation. patient now presents with cough. please 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. Patient is status post gastric lap band which appears in unchanged position.
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history: <unk>f with epigastric burning and history of severe gastritis
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