Frontal_Image_Path
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Frontal and lateral chest radiographs again demonstrate a right chest wall port, with the catheter terminating at in the low svc. The cardiomediastinal silhouette is normal and the lungs well-aerated, without focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable.
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evaluate for pneumonia or pleural effusion in a <unk>-year-old woman with epigastric and right lower quadrant pain.
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In comparison with study of <unk>, there has been placement of an endotracheal tube with its tip approximately <num> cm above the carina. There is apparent widening of the mediastinum, though much of this could merely reflect the supine rather than erect position in a patient with mediastinal lipomatosis. Cardiac silhouette is within normal limits and there is no definite vascular congestion or acute focal pneumonia.
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intubation.
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Frontal and lateral chest radiographs were obtained. For lung volumes are low. No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. Heart size is normal. Mediastinal contours are normal. Minimal degenerative changes in the thoracic spine.
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preoperative eval chest x-ray.
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The patient remains intubated. The cardiac, mediastinal and hilar contours appear stable. There is a persistent extensive opacity in the left mid to upper lung that appears decreased. Specifically, this film is centered on the hemidiaphragms in order to assess for nasogastric tube placement. The nasogastric tube terminates in the distal esophagus where it makes a half coil. The stomach is mild to moderately distended. There is no free air.
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nasogastric tube placement.
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A left basilar pigtail the chest tube remains in place with a large pneumothorax, increased from prior. Pneumoperitoneum is somewhat decreased. Diffuse severe chronic lung changes are similar to prior with bilateral areas of opacity. Left picc is unchanged in position.
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<unk> year old man with chest tube placement for pneumothorax // improving pneumothorax.
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Right internal jugular catheter terminates at the superior cavoatrial junction. Right costophrenic sulcus is excluded from the image. Lungs are low in volume. Aside from atelectasis at the right lung base, the right lung is well aerated. The left lung is slightly better aerated than on the prior study with minimal decrease in left pleural effusion though some of it appears to be collected in a nondependent location, perhaps within the major fissure. Mild cardiomegaly is noted and slightly decreased from the prior study. Median sternotomy wires as before.
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left effusion, to assess for interval change.
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Frontal and lateral views of the chest were obtained. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. There is a midline tracheostomy. Left-sided port-a-cath is again seen, terminating at the cavoatrial junction/right atrium. Cardiac and mediastinal silhouettes are stable. Gaseous distention of the colon is again noted.
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Ap upright 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 displaced fracture is seen.
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The endotracheal tube is appropriately positioned. Two enteric catheters course below the level of the diaphragm and out of the field of view inferiorly. There is mild to moderate bilateral mid to lower lung atelectasis and small pleural effusions, not significantly changed. A nodular opacity projecting over the right mid lung has a bandlike appearance on the preceding ct, likely worsening atelectasis. There is no pneumothorax. The heart size remains mildly enlarged.
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septic shock, intubated, with cough and desaturation. evaluate for evidence of aspiration or mucous plugging.
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Pa and lateral views of the chest. The lungs are clear without consolidation, effusion, or pulmonary vascular congestion. Incidental note is made of an azygos fissure. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified.
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<unk>-year-old male with fever.
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In comparison with study of <unk>, there is little overall change. Again there is substantial enlargement of the cardiac silhouette without definite vascular congestion or pleural effusion. This discordancy raises the possibility of cardiomyopathy or pericardial effusion. The retrocardiac hiatal hernia is again seen. Some impression on the lower side of the cervical trachea on the right could reflect some thyroid enlargement. Mild atelectatic changes at the bases but no acute focal pneumonia.
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amiodarone with diastolic dysfunction.
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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.
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<unk> year old woman with past medical history of anxiety and hashimoto's presenting with chest pain
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Ap upright and lateral chest radiograph demonstrate low lung volumes. There is central vascular engorgement and cardiomegaly, the latter probably exaggerated by low lung volumes. No focal opacity is identified. No over pulmonary edema is seen. There is no large pleural effusion. No pneumothorax. No air under the right hemidiaphragm.
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<unk>f with sob and new renal failure // ?pna vs chf
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There has been interval placement of intra-aortic balloon pump, with radiopaque tip projecting over the descending aorta at the level of the left mainstem bronchus; this could be advanced forward approximately <num> cm for ideal positioning. The patient is now intubated, with distal tip of et tube projecting below the level of the clavicles, approximately <num> cm above the carina. A right ij central catheter is again seen with distal tip in stable position in the mid svc. The cardio mediastinal silhouettes are stable in appearance, with re-demonstrated cardiomegaly. There is improvement in the appearance of pulmonary vascular congestion. There is evidence of persistent probably small bilateral pleural effusions, posteriorly layering on the current film. There is relaxation atelectasis of bilateral lower lobes as seen previously. There is no pneumothorax.
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<unk> year old man s/p arrest and now s/p aortic balloon pump // is balloon pump in place?
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Et tube ends <num> cm above the carina. There is mild vascular engorgement due to volume overload; this is however a little asymmetry on the left side compared to the right side. There is no pneumothorax or pleural effusion.
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patient intubated with dental abscess, et placement.
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Pa and lateral chest x-rays were obtained. Our records do not include a previous exam for comparison. Note is made of sternotomy wires and surgical <unk> related to prior cabg. The heart size is mildly enlarged, and there is moderate widening of the thoracic aorta. There is prominent pleural scarring on the right side and blunting of the right costophrenic sulcus presumably related to prior empyema; however, there is no evidence of free fluid. The lungs are otherwise clear. There is no pneumothorax.
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<unk>-year-old with end-stage renal disease status post pneumonia and empyema.
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Pa and lateral images of the chest. There is slightly low lung volumes, but the lungs are clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable. A device likely representing a gastric stimulator is seen overlying the area of the stomach.
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chest pain.
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Left-sided port-a-cath is in unchanged position and terminates in the low svc. A tracheostomy is in unchanged position. A nasogastric tube is again seen with the distal tip not visualized. Stable mild cardiomegaly. Mediastinal and hilar contours are unchanged. Stable minimal pulmonary vascular congestion. Apparent interval increase in bibasilar opacities may reflect low lung volumes.
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<unk>-year-old woman with a motor vehicle accident, now with concern for pneumonia.
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The lungs are hyperexpanded and clear. Cardiac size is normal. The main pulmonary artery appears enlarged. There is no pneumothorax or pleural effusion.
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history: <unk>f with generalized weakness, chest pain // eval for pneumonia
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The lungs are clear. Mediastinal widening with thickening of the right paratracheal stripe is noted. Prominence of the azygos silhouette is noted at the level of the arch. No large effusion or pneumothorax. Obscuration of the right heart border is secondary to a pectus excavatum. Heart is normal size. No pleural effusion or pneumothorax.
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neck and arm swelling. evaluate for lung mass.
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Comparison is made to previous study from <unk>. Heart size is enlarged. Tracheostomy is identified in unchanged position. There is a right-sided central line with distal lead tip at the cavoatrial junction. No pneumothoraces are seen. There is some elevation of the left hemidiaphragm, volume loss and left retrocardiac opacity. Atelectasis at the right lung base is present. There is mild prominence of the pulmonary vascular markings without signs for overt pulmonary edema.
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In comparison with the earlier study of this date, the jugular catheter remains in place. Some opacification is again seen at the bases, more prominent on the right. Although this could reflect merely atelectasis, the possibility of superimposed pneumonia must be seriously considered. No evidence of congestive failure.
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pneumonia.
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In comparison with the study of <unk>, the pulmonary vessels are less engorged and indistinct, consistent with some improvement in pulmonary vascular status. Hemodialysis catheter has been placed with its tip in the right atrium. Continued prominence of the cardiac silhouette without definite acute consolidation.
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hemodialysis, to assess for latent tb.
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Left-sided atelectasis and pleural effusion are noted. There is a new opacity obscuring the left heart border which is likely a new pneumonia. The cardiac and mediastinal contours are unchanged.
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<unk>-year-old man status post left lower lobe, evaluate interval change.
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Lung volumes are low. The heart appears at least borderline enlarged. Within the limitations of technique, the mediastinal and hilar contours are probably within normal limits. Opacification is fairly confluent over the lateral left lower lung suggesting pneumonia, or potentially aspiration in the appropriate setting; otherwise, lungs appear clear. There is no definite pleural effusion or pneumothorax.
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hypoxia after recent colonoscopy procedure. history of congestive heart failure and copd.
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The lungs are hyperinflated, with flattening of the hemidiaphragms and attenuation of the peripheral vessels compatible with emphysema. There is no opacity concerning for pneumonia. And unchanged opacity in the left lower lobe is likely to scarring. There is no pleural effusion or pneumothorax. The heart is not enlarged. A moderate hiatal hernia is redemonstrated. Moderate dextroscoliosis centered in the mid thoracic spine is redemonstrated.
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<unk>-year-old male with weakness. evaluate for pneumonia.
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Pa and lateral views of the chest are obtained. Lung volumes are low which limits the evaluation. While there is no focal consolidation, there is a mild increase in interstitial opacity bilaterally could reflect crowding of bronchovasculature. An atypical pneumonia cannot be excluded, however. No large pleural effusion or pneumothorax is seen. Heart size is normal. Mediastinal contour is unremarkable. Bony structures are intact.
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As compared to the previous radiograph, patient has received a left-sided pleurx catheter. The catheter appears to be coiled in the pleural space, with the tip directed towards the left costophrenic sinus. In the interval, the lung volumes have decreased. The large known left ap and perihilar mass is unchanged. The current image shows no convincing evidence for pneumothorax.
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left pleurx catheter, evaluation for pneumothorax.
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Shallow inspiration accentuates heart size and pulmonary vasculature. No focal consolidation. No pleural effusions. No pneumothorax. No suspicious osseous lesion. This preliminary report was reviewed with dr. <unk>, <unk> radiologist.
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<unk> year old man with history of hypertension, dyslipidemia, and etoh abuse who presents with stroke. // please evaluate for evidence of aspiration, cardiomegaly, other cardiopulmonary process
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Frontal and lateral views of the chest. The lungs are clear of focal consolidation. Opacity at the left lung base at the cardiophrenic angle is compatible with fat pad seen on prior ct scan. There is no definite effusion noting that the right posterior costophrenic angle is excluded from the field of view. Cardiomediastinal silhouette is within normal limits.
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<unk>-year-old male with weakness.
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As compared to the previous radiograph, the pre-existing pulmonary edema has progressed. The edema is now moderate in severity. No pleural effusions. Moderate cardiomegaly persists. At the time of dictation and observation, <time> p.m., on <unk>, the referring physician, <unk>. <unk>, was paged for notification.
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respiratory distress, questionable increase of edema.
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The lungs are clear. There is no effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. Calcific density projects over the spinal canal at the lower thoracic level as seen on prior ct scan.
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<unk>f with failure to thrive, difficulty swallowing. fell <num> days ago after prior head ct // r/o pneumonia, ich
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The heart is at the upper limits of normal size with a left ventricular configuration. The mediastinal and hilar contours appear unchanged. There is new, but mild diffuse interstitial abnormality, which most often would likely signify pulmonary vascular congestion. Left basilar opacity suggests atelectasis or scarring. The aorta is extensively calcified. There is no pleural effusion or pneumothorax. There is mild rightward convex curvature and bony demineralization with a lower thoracic compression deformity that appears not significantly changed.
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confusion and elevated lactate. question 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.
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history: <unk>f with asthma exacerbation, shortness of breath, cough
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As compared to the previous radiograph, there is no relevant change. Pacemaker in situ. No pneumonia. No pulmonary edema. No other parenchymal opacities. The ground-glass nodule described on the previous ct examination from <unk> is not visible on the current image.
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copd exacerbation, recent right upper lobe ground-glass opacity. evaluation.
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An endotracheal tube has been placed with the tip terminating just below the thoracic inlet <num> cm above the carina. A nasogastric tube is seen coursing below the diaphragm and out of view on this image. The patient is slightly rotated. The inspiratory lung volumes remain low. No significant focal consolidation, pleural effusion or pneumothorax is detected. The pulmonary vasculature is slightly indistinct, suggesting interval mild pulmonary vascular congestion. A calcified granuloma is re- demonstrated in the right lung base and right lung apex. The cardiac silhouette is normal in size. The mediastinal contours are slightly prominent related to unfolding of the thoracic aorta.
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status post intubation, here to evaluate for et tube placement and pulmonary pathology.
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Relative linear right basilar opacity is most suggestive of atelectasis. Elsewhere, the lungs are clear. Cardiomediastinal silhouette is within normal limits. Right humeral head is relatively inferiorly positioned with respect to the glenoid as seen on recent shoulder films.
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<unk>m with r shoulder joint infection // pre-op
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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. There is no focal consolidation concerning for pneumonia. Plate-like atelectasis is seen in the left lung base. Stable multilevel degenerative changes of the thoracic spine are noted.
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chronic dyspnea.
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In the interval since the prior study, the et tube has been retracted now sitting approximately <num> cm above the carina. A right-sided subclavian line has been inserted which is in the mid svc. No evidence of pneumothorax. The remainder of the exam including the right upper and left lower lobe opacities are unchanged.
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<unk>f with r-subclavian // evaluate cvl placement
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The right picc is unchanged in position, ending in the low svc. Left lower lobe collapse persists. There is mild right lower lung atelectasis. There may be mild pulmonary edema. Moderate cardiac enlargement is unchanged. The mediastinal contours are unchanged. There is no pneumothorax.
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gastrointestinal bleed with pneumonia and mental status change.
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There are streaky bibasilar opacities. Lung volumes are relatively low. No definite areas of consolidation are identified. Cardiomediastinal hilar contours are unremarkable. No pneumothorax or pleural effusion.
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history: <unk>f with cough, fever // pna?
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Moderate cardiomegaly and widening of the thoracic aorta is unchanged compared to prior examination. Correlation to prior ct chest shows normal-caliber thoracic aorta and this widened appearance is likely due to overlap of the ascending and descending portions. Hilar contours are unremarkable. There is plate-like atelectasis in the left lung base. The lungs are otherwise clear. There is no pleural effusion or pneumothorax.
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nausea, vomiting, leukocytosis and chills at home.
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Pa and lateral chest radiographs were obtained. The lungs are clear and well expanded. There is no consolidation, effusion, pneumothorax. Cardiac and mediastinal contours are normal.
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chest pain.
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Lung volumes are low, unchanged compared to the prior study. Large layering right pleural effusion, also unchanged. Moderate left-sided pleural effusion. There is associated bibasilar atelectasis. An endotracheal tube, right internal jugular catheter and nasogastric tube are unchanged in appearance compared to the prior study.
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<unk> year old woman s/p cardiac arrest now intubated, sedated. // evaluate for interval change
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Bibasilar scarring in the lower lungs. Small bilateral pulmonary nodules, better appreciated on prior ct. No focal consolidation. No pleural effusions. No pneumothorax. No osseous lesions. This preliminary report was reviewed with dr.<unk>, <unk> radiologist.
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<unk> year old man with hx liver transplant presents with diarrhea, cough // r/o pneumonia or other infection
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Heart size is normal. Dense mitral annular calcifications are noted. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is not engorged. Lungs are clear. No focal consolidation, pleural effusion or pneumothorax is demonstrated. No acute osseous abnormalities seen.
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history: <unk>f with seizure
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Heart size is mildly enlarged. The aorta is mildly unfolded. Mediastinal and hilar contours are otherwise unremarkable. The pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is seen. Minimal subsegmental atelectasis is noted within the right lung base. Multiple punctate radiopaque densities are seen within the the left lower back. No acute osseous abnormalities are present.
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hypertension, multiple cerebral vascular accidents with ongoing chest pain over the last <num> days.
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Pa and lateral chest radiographs demonstrate a left picc terminating in the mid svc. The right ij catheter terminates in the right atrium. There is no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits.
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left picc placement.
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Frontal radiograph of the chest shows the newly placed dobbhoff tube coiled in the midesophagus with no opaque portion seen. Otherwise, compared to the prior radiograph, there is little change with clear lungs and normal cardiac and mediastinal contours.
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seizures and dysphagia with new dobbhoff placement.
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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.
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<unk> year old woman with cough // pneumonia vs chf
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Calcification in the lateral aspect of the left lung, likely a calcified granuloma, is again seen. The cardiac and mediastinal silhouettes are unremarkable. No acute osseous abnormalities.
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<unk>m with pmh aml s/p bmt, <unk> days myalgias, fever, cough, sore throat //
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There are mildly increased bilateral increased interstitial markings and small pleural effusions. Bilateral apical thickening is unchanged. The cardiopericardial silhouette is mildly enlarged. A pacemaker is seen with <num> leads in appropriate positions. No acute fractures.
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<unk> year old woman with a. fib, b/l carotid stenosis, chf with dyspnea + chest pain. // ? pulmonary edema, consolidation, aortic dissection
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Moderate to severe cardiomegaly is unchanged. Prominent pulmonary vasculature is suggestive of fluid overload. Volume loss is noted at the right lung apex. There is perhaps mild pulmonary edema, improved. Re- demonstrated opacity at the right lung apex is better evaluated on chest ct <unk>. Moderate s-shaped scoliosis is noted in the thoracic spine. Small bilateral pleural effusions are better evaluated on <unk>. No pneumothorax.
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<unk> year old woman with increasing dyspnea and known pericardial effusion, upper lobe infiltrate, b/l pleural effusions // pleural effusion size? changing upper lobe infiltrate?
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Known multifocal pneumonia. On today's image, the pre-existing parenchymal opacities are slightly more extensive and severe than on the previous examination. However, there are no newly appeared opacities and no evidence of complications such as pleural effusions. Unchanged borderline size of the cardiac silhouette without evidence of pulmonary edema. Mild tortuosity of the thoracic aorta. No pneumothorax.
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pneumonia, acute shortness of breath.
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Ap and lateral views of the chest were viewed. Heart size is mildly enlarged. The mediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. The lungs are clear.
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altered mental status.
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
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<unk>m with decompensated cirrhosis presenting with failure to thrive // any acute cardiopulm process?
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Mild enlargement of the cardiac silhouette is unchanged. Diffuse atherosclerotic calcification of the aorta is re- demonstrated with unchanged mediastinal and hilar contours. Pulmonary vasculature is not engorged. Lungs are hyperinflated without focal consolidation. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
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history: <unk>m with weakness, chills
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Since <unk>, previously moderate bibasilar and retrocardiac atelectasis is minimally improved, and small to moderate bilateral pleural effusions, left greater than right, are unchanged. Lung volumes remain low. Moderate cardiomegaly is unchanged. No pneumothorax or pulmonary edema.
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<unk> year old man with pulm edema // eval pulm edema
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Frontal and lateral chest radiographs demonstrate clear lungs without effusion or pneumothorax. The cardiac silhouette is normal in size, the mediastinal contours are normal. There is no intraperitoneal free air.
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<unk>-year-old female with abdominal pain.
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Pa and lateral chest radiographs. The lungs are clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.
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chest pain.
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As compared to the previous radiograph, there is no relevant change. Millimetric calcified granuloma in the left lung apex that has not changed in appearance. No hilar or mediastinal lymphadenopathy. No change in appearance of the cardiac silhouette. No pleural effusions.
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evidence of uveitis, evaluation for lymphadenopathy.
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As compared to the previous radiograph, there is an increase in extent of a left-sided pleural effusion, accompanied by relatively extensive left lower lobe areas of atelectasis. The small effusion on the right, combined to an area of right parenchymal consolidation is unchanged. Unchanged size of the cardiac silhouette.
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repeated hypoxia episodes, evaluation for fluid overload.
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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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leukocytosis.
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Low lung volumes are seen on the current exam. The lungs are clear of consolidation or effusion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality identified. Surgical clips seen in the right upper quadrant.
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<unk>m with a pmh of dmii and htn presenting with chest pain and lightheadedness // evaluate for fracture/acute lung process
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In comparison with study of <unk>, there is no evidence of post-procedure pneumothorax. The area of increased opacification in the right upper zone is somewhat more prominent, raising the possibility of some bleeding related to the procedure. Otherwise, little overall change.
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mediastinoscopy and lymph node biopsy, to assess for pneumothorax.
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Heart size is difficult to evaluate due to a large right-sided pleural effusion with adjacent right middle and lower lobe collapse without mediastinal shift. Dense pericardial calcification is best visualized on lateral view. A left-sided single-lead icd is unchanged in position. Compared to earlier examination, there has been worsening of central vascular congestion and interstitial edema. The lungs are otherwise clear. There is no pneumothorax.
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dyspnea on exertion for several weeks.
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As compared to the previous radiograph, there is unchanged mild, probably vascular right paramediastinal opacity at the right lung apex. No acute or new parenchymal opacity. Minimal bilateral apical thickening. A <num> mm soft tissue lung nodule is seen, partly projecting over the eighth rib. This small nodule appears to have been present on the previous examination. Normal size of the cardiac silhouette. Moderate tortuosity of the thoracic aorta.
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dyspnea on exertion, rule out pneumonia.
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In comparison with the study of <unk>, the patient has taken a better inspiration. There may be a small residual pneumothorax. The amount of subcutaneous gas is progressively decreasing. There again is widening of the superior mediastinum, some of which may be due to the size of the patient. Indistinctness is seen of the aortic arch. This raises the possibility of post-traumatic bleeding. Engorgement of pulmonary vessels is consistent with elevated pulmonary venous pressure. Hazy opacification in the left hemithorax suggests pleural effusion with opacification tracking upward along the lateral chest wall. The possibility of this supervening consolidation would be difficult to exclude in the appropriate clinical setting.
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right pneumothorax after fall.
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Pa and lateral views of the chest were obtained demonstrating clear well expanded lungs without focal consolidation, effusion, or pneumothorax. Mediastinal silhouette is normal. No signs of chf. Bony structures are intact. No free air below the right hemidiaphragm.
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Moderate-to-large layering right pleural effusion appears slightly increased compared to the prior study, although positional differences may in part contribute to this apparent change. Small left pleural effusion has apparently decreased in size. Cardiac silhouette remains enlarged and is accompanied by mild pulmonary vascular congestion.
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Lungs essentially clear noting linear right basilar opacity suggestive of atelectasis. There is no effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
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<unk>f with chest pain // chest pain
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Lung volumes are normal. The cardiomediastinal and hilar contours are normal and unchanged. No hilar surfaces are normal. The pleural surfaces are normal. Chronic deformities of the posteriolateral <unk> - <unk> right ribs could be undergoing incomplete fusion. A region of indeterminate opacity is seen medially to the rib defects.
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<unk> year old man with chest pain. he was involved in a motor vehicle accident in <unk>. // any pathology in the chest that may cause chest pain?
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
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<unk>m with cough, fever, blood streaked sputum // eval for pna
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| null |
Lordotic slightly rotated positioning. Inspiratory volumes and cardiomediastinal silhouette are similar to the prior study. Pigtail-type catheter is again seen at the right lung base medially. Allowing for differences in positioning, the appearance of the right lung is similar, with pleural fluid and/or thickening along the lower right chest wall on the right costophrenic angle and patchy opacity at the right mid and lower zones. The minor fissure is also slightly thickened. Small left left, there is increased retrocardiac density consistent with left lower lobe collapse and/or consolidation and minimal blunting of left costophrenic angle, overall similar to the prior study. Doubt significant chf. Ng type tube overlies the lower right mediastinum in this patient with a neo esophagus. A new tube overlies the left side of the mediastinum, best correlated clinically --<unk> this lie outside of the patient? Again seen is the right subclavian picc line tip overlying the uppermost right atrium, near the cavoatrial junction. No obvious pneumothorax identified.
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<unk> year old man s/p <unk> c/b r empyema s/p chest pigtail placement <num> days ago // interval change
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Pa and lateral views of the chest provided. There are perihilar opacities, right greater than left, appears new from prior radiograph of <unk> and may represent atypical pneumonia versus pulmonary edema. Given history of malignancy, lymphadenopathy must be considered given this appearance. No pleural effusions or pneumothorax. Osseous structures are intact. Mild dextroscoliosis. No free air below the right hemidiaphragm is seen. The port-a-cath terminates in the mid svc. Surgical clips are noted in the left axilla and right upper quadrant.
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<unk>f with metastatic breast cancer, presenting for evaluation of chest pain // eval for pna
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Bilateral pleurx catheters are again identified. Left-sided effusion has decreased in size but is still present. Elevated right hemidiaphragm is similar compared to prior. Superiorly, the lungs are clear. The cardiomediastinal silhouette is within normal limits. Left chest wall dual lead pacing device is again noted.
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<unk>m with cp s/p drain // acute process
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| null |
As compared to the previous radiograph, there is no relevant change. The monitoring and support devices are in constant position. There is no evidence of pneumothorax. No pneumonia, pulmonary edema, or other lung parenchymal abnormality. The size of the cardiac silhouette continues to be within normal range.
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respiratory distress, evaluation for interval change.
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| null |
Heart size is top normal and unchanged. Mediastinal contours are relatively stable. Pulmonary vascularity is normal, and the hilar contours are unremarkable. Low lung volumes are present. Minimal streaky bibasilar airspace opacities likely reflect mild atelectasis. Prominent left epicardial fat pad is noted. No pleural effusion or pneumothorax is identified. No acute osseous abnormalities are seen.
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fever, cough, likely aspiration.
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Frontal and lateral views of the chest were obtained. There is prominence of the mediastinum, which could relate to body habitus and mediastinal lipomatosis. However, in the absence of priors for a comparison, underlying lymphadenopathy or other mediastinal process is not excluded. The cardiac silhouette is enlarged. There are low lung volumes, which accentuate the bronchovascular markings. No discrete focal consolidation is seen. There is no pleural effusion or pneumothorax. The degenerative changes are seen along the spine.
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On the frontal view, the lungs are clear; however, on the lateral view, there are subtle linear opacities overlying the heart which were not present on the previous exam. This could only represent a rib, but beginning of pneumonia cannot be excluded. There is no pneumothorax or pleural effusion. Cardiac contour is normal.
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patient with asthma, new respiratory infection, subjective fever. evaluate for pneumonia.
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Cardiac silhouette size is normal. Mediastinal and hilar contours are unremarkable. Lungs are clear. Pulmonary vasculature is normal. Elevation of the right hemidiaphragm is unchanged. No pleural effusion or pneumothorax is present. Remote bilateral rib fractures are visualized.
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history: <unk>m with unknown past medical history who presents with ethanol intoxication, lacerations/bruises on forehead, and left upper quadrant abdominal pain
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There is no consolidation, pleural effusion, or pneumothorax. Cardiomediastinal and hilar silhouettes are normal size.
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<unk>m with chest pain // eval for acute process
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Ap frontal upright view of the chest was provided. A port-a-cath resides over the right chest wall with catheter tip extending to the region of the low svc. The heart size appears normal. There is hilar prominence, compatible with known lymphadenopathy. There is interstitial edema with a tiny left pleural effusion. No pneumothorax is seen. Calcification along the aortic knob is noted. Bony structures appear intact.
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Frontal and lateral views of the chest were obtained. There are relatively low lung volumes. The cardiomediastinal silhouettes are grossly stable. Prominence of the right hilum is stable. Overall, there has been no significant interval change since the prior study. No large pleural effusion or pneumothorax is seen.
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Frontal and lateral chest radiographs again demonstrate linear lucency along the anterior mediastinum and superior cardiac silhouette, best seen on lateral view. This is similar in appearance compared the prior chest radiograph, with any changes in configuration likely related to redistribution of existing air. No increased or additional lucency is identified. The lungs are again clear, without focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable.
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evaluate for interval change in a patient with chest pain and pneumomediastinum seen on recent chest radiograph.
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Ap portable upright view of the chest. Asymmetric diffuse pulmonary opacity, right greater than left is noted. Findings are concerning for asymmetric pulmonary edema, however the possibility of superimposed pneumonia at the right lower lung is difficult to exclude in the appropriate clinical setting heart size remains mildly enlarged. Mediastinal contour grossly unremarkable. Hilar congestion noted. Bony structures are intact. No pneumothorax. No large effusion.
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: <unk>f with doe // eval for pna vs plumonary edema
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Chronic mild prominence of the interstitial markings likely relates to chronic lung disease. Left upper lobe/lingular scarring/atelectasis is seen. There is no definite focal consolidation. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable. Surgical material is again seen in the region of the gastroesophageal junction.
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chf and asthma presenting with shortness of breath.
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There is a rounded opacity in the left lower lobe, with possible cavitation. Minimal ill-defined nodular opacities are also noted in the right upper and mid lung fields, suggestive of additional sites of infection. There is no evidence of pulmonary edema, pleural effusions, or pneumothorax. The cardiomediastinal silhouette is normal.
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fever and cough.
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Ap single view of the chest has been obtained with patient in sitting semi-upright position. Analysis is performed in direct comparison with the next preceding ap and lateral chest examination of <unk>. The diaphragms are now in higher position. The pulmonary vasculature shows marked perivascular haze throughout, compatible with development of chf. As there are hazy densities predominantly in the central pulmonary areas, findings match the clinical impression of beginning pulmonary edema. There is no pneumothorax detectable in the apical area on this portable chest examination. In comparison with the next preceding study obtained one day earlier, the patient has now developed severe left-sided chf. Observed that the lateral view on the previous examination demonstrated suspicious calcifications within the aortic valve area and the aortic root. Referring physician, <unk>. <unk>, was paged at <num>:<unk> p.m. And the case discussed.
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<unk>-year-old male patient with coronary artery disease, now with shortness of breath and hypoxia, evaluate for pulmonary edema.
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Comparison is made to previous study from <unk> at <time> a.m. There is an endotracheal tube whose distal tip is <num> cm above the carina. No mediastinal air is seen. There is a feeding tube and right-sided subclavian catheter which appear appropriately sited and stable. There is mild elevation of the right hemidiaphragm. There is minimal prominence of the pulmonary vascular markings without pulmonary edema. There is atelectasis at the right lung base. Heart size is upper limits of normal but stable.
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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. Hilar contours are also stable.
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Enteric tube terminates in the left upper quadrant. Lungs demonstrate scattered interstitial opacities indicative of edema. Heterogeneous opacities at the lung bases bilaterally likely represent atelectasis. Heart size is mildly enlarged, as before. No pneumothorax or pleural effusion.
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<unk>m with frequent aspiration events, altered mental status. evaluate for pneumonia.
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In comparison with study of <unk>, there is little overall change. Multifocal opacifications persist, most likely reflecting pulmonary edema in a patient with severe cardiomegaly.
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cva with systolic chf and cad.
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Low lung volumes are present. Heart size remains moderately enlarged. Mediastinal and hilar contours are unremarkable. The pulmonary vasculature is not engorged. Increased interstitial opacities within the lung bases and periphery of both lungs are not substantially changed in the interval, previously thought reflect uip. No new focal consolidation, pleural effusion or pneumothorax is definitively noted. Multiple clips are seen in the left upper quadrant of the abdomen. No acute osseous abnormalities detected.
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history: <unk>f with asthma, shortness of breath and chest tightness x <num> week
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Ap portable upright view of the chest. Port-a-cath is unchanged. There has been interval intubation with the tip of the endotracheal tube positioned <num> cm above the carina. Ng tube courses into the upper abdomen. Scattered at opacities within the lungs unchanged.
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<unk>f with intubation, og tube placed // ? et tube, og tube placement
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Stable loculated hydro pneumothorax in the right costophrenic angle with associated basal atelectasis. Within the left lung base is minimal subsegmental atelectasis. The lungs are otherwise clear. The cardiomediastinal silhouette as compared with prior sternotomy and aortic valve replacement.
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<unk> year old man with s/p plearual effusion and pigtail removal // eval for infiltrate
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There is no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is unremarkable. Again seen is a small nodule overlying the thoracic vertebral body which is stable since <unk>. The osseous structures are otherwise unremarkable.
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<unk>-year-old woman with bladder cancer, rule out mets.
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Lung volumes are low. No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. Heart size appears enlarged, but may be exaggerated by low lung volumes. Pulmonary vasculature appears mildly prominent, but may be exaggerated by low lung volumes.
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<unk>-year-old male with chest pain.
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Ett tip projects approximately <num> cm from the carina. Enteric tube tip and side-port traverses the diaphragm into the left upper quadrant, tips not seen. A right ij approach swan-ganz catheter tip projects within the mediastinal contours, unchanged. Lung volumes remain low with bronchovascular crowding. Retrocardiac opacity and left lower lobe opacity may reflect combination atelectasis and possible small left pleural effusion. Asymmetric central opacity with air bronchograms, greater on the left, may reflect component of asymmetric edema.
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<unk> year old man with as above // s/p ett reposition check placement
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Pa and lateral views of the chest provided. Vague nodular opacity projecting over the left mid lung as on prior chest radiograph has been previously characterized as a bone island within the left posterior sixth rib and is also seen on today's exam. Aside from this, the lungs are clear without focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
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<unk>m with chest pain // assess for infiltrate, ptx, effusion
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