Frontal_Image_Path
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Lungs demonstrate no focal parenchymal opacities are seen. The cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. Chronic pleural thickening accounts for the blunting of the right costophrenic angle. Focal biapical pleural parenchymal scarring is again seen. There is no evidence of subdiaphragmatic free air. Bony structures are intact. Degenerative changes of both ac joints are noted.
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<unk>-year-old female with acute abdominal pain in the left lower quadrant. evaluate for free air.
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Cardiomediastinal contours are normal. The lungs are clear. There is no pneumothorax or pleural effusion. There is pectus excavatum
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history: <unk>m with mvc, high speed // ich> fx
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The previously malpositioned endotracheal tube is repositioned and the tip now projects <num> cm above the carina. Nasogastric tube is in unchanged position, the course is normal. Newly developed massive bilateral predominantly perihilar parenchymal opacities with a consolidation component and a small peripheral opacity component containing air bronchograms. There also are smaller peripheral parenchymal opacities throughout the lung parenchyma. The image suggests a combination of acute cardiogenic and, potentially, vascular permeability edema. Normal size of the cardiac silhouette. No pleural effusions.
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status post drowning, endotracheal tube placement.
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Ap portable semi upright view of the chest. Patient is intubated with the tip of the endotracheal tube positioned <num> cm above the carinal. An ng tube courses into the left upper abdomen. Overlying ekg leads are present. There are subtle lower lung opacities which likely represent a combination of atelectasis with possible superimposed aspiration. No large effusion or pneumothorax. Cardiomediastinal silhouette appears stable. No acute osseous abnormality.
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<unk>f with seizure, intubated // eval for acute process
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Ap upright and lateral chest radiograph demonstrates low lung volumes. A left chest pacemaker is identified, its leads which appear intact and in stable position. The heart is enlarged, not significantly changed. There is no overt pulmonary edema. There is no large pleural effusion though obscuration of the left costophrenic angle may reflect trace pleural fluid or alternatively atelectasis. Relative to prior examination, retrocardiac opacification with obscuration of the left hemidiaphragm is new for which infectious process cannot be excluded. Findings can be additionally secondary to atelectasis. Opacification involving the right mid and upper lung zone appears somewhat more conspicuous relative to prior study. There is no pneumothorax. Imaged osseous structures and upper abdomen are without an acute abnormality.
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history: <unk>m with dyspnea, cough, hypoxia // acute process
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Frontal and lateral views of the chest. Relatively low lung volumes are seen. There is no evidence of consolidation or effusion. The cardiomediastinal silhouette is within normal limits given this limitation. No acute osseous abnormalities detected.
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<unk>-year-old female with chest pain.
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The patient is status post cabg and median sternotomy. Left-sided aicd device is noted with leads terminating in the right atrium, right ventricle, and coronary sinus, unchanged. Moderate cardiomegaly persists. The mediastinal and hilar contours are stable, with calcification of the thoracic aorta again demonstrated. Mild pulmonary vascular congestion persists. A small right pleural effusion persists, slightly decreased in size compared to prior chest radiograph. Right basilar atelectasis is noted. Subtle bilateral upper lobe nodular opacities which are better seen on the prior ct persist, and may reflect an infectious or inflammatory process. No new focal consolidation is identified. There are no acute osseous abnormalities.
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weakness.
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Cardiac, mediastinal and hilar contours are unchanged, with the heart size within normal limits. The right port-a-cath has been removed. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. Pulmonary vasculature is not engorged. Bilateral axillary clips are noted. Surgical anchors are noted within the right humeral head. Diffuse idiopathic skeletal hyperostosis is re- demonstrated within the thoracic spine. Patient is status post bilateral mastectomies with bilateral drains in place within the anterior chest.
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history: <unk>f with post-op fever
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Portable frontal radiograph of the chest demonstrates a left-sided dual-lead pacemaker with leads in the expected location. A shunt catheter is incompletely visualized projecting over the right hemithorax and right upper quadrant. There is moderate enlargement of the cardiac silhouette with calcification of the aortic knob. Mild pulmonary vascular congestion is present without overt edema. The right costophrenic angle is not fully included and a trace pleural effusion is not excluded. No focal consolidation. Multiple old healed right rib fractures are present. Median sternotomy wires appear intact.
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head bleed and bilateral rhonchi on exam, question pneumonia.
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Comparison is made to prior study from <unk>. Heart size is within normal limits. There is some coarsening of the bronchovascular markings without overt pulmonary edema or focal consolidation. There is some atelectasis at the left base, unchanged. There are no pneumothoraces. Degenerative changes of the bilateral shoulders are present.
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Ap upright and lateral chest radiograph demonstrates clear lungs bilaterally. There is no pleural effusion the are pneumothorax. Visualized osseous structures are without an acute abnormality. A chronic left rib deformity is present. Left humeral head degenerative changes noted, present on prior studies. Cardiomediastinal and hilar contours are within normal limits.
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<unk>m with tachypnea.
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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 shortness of breath
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Interval increase in distention of the neoesophagus in this patient status post esophagectomy and pull-up procedure. Additionally, there is a new crescenteric lucency adjacent to the upper lateral wall of the neoesophagus lateral to teh suture line. There remains a collection of contrast within the distal aspect of the neoesophagus. Moderate right pleural effusion has slightly increased in size, with adjacent worsening atelectasis at the right base. Within the left lung, linear opacities at the left lung base are likely predominantly due to atelectasis, but there may be some residual barium outlining the bronchial walls in this region in this patient with previously documented barium aspiration. Within the imaged portion of the upper abdomen, distended loops of bowel are present in both large and small bowel loops with multiple air-fluid levels.
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The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.
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history: <unk>f with chest pain // ? pna
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As compared to chest radiograph from the same day from, interval development of new mild to moderate pulmonary edema. New asymmetric right lower lobe opacity. Mild cardiomegaly. No pneumothorax.
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<unk> year old man with acute onset sob after egd and thermal treatment of gave. // please assess for aspiration/flash pulm edema
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When compared to prior study, there is worsening right pleural effusion with atelectasis in the right lung base. Minimal blunting of the left costophrenic angle, also slightly worse from prior. No other significant change. This preliminary report was reviewed with dr. <unk>, <unk> radiologist.
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<unk> year old man with hf, w/ worsening dyspnea // worsening effusions, vascular congestions, any abnl
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In comparison with study of <unk>, there is little overall change and no evidence of acute abnormality. Atelectatic changes are again seen in the left base with otherwise little change. Displacement of the lower cervical trachea to the right is again seen, consistent with thyroid enlargement seen on a prior ct scan.
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long hospital stay with frequent suctioning and worsening hypoxia.
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Dual lead left pectoral generator with <num> leads in the right atrium and right ventricle. Mild degenerative changes of the thoracic spine with osteophyte formation. The lung volumes are normal. Normal size of the cardiac silhouette. Normal hilar and mediastinal structures. No pneumonia, no pulmonary edema. No pleural effusions.
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<unk> year old man with new ppm // ppm position
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The lungs are clear. The cardiomediastinal silhouette is unremarkable. Mild pectus deformity. No pleural effusions or pneumothorax.
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<unk> year old man with night sweats // ? abnormality
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The lungs are clear, the cardiomediastinal silhouette and hila are normal. There is no pleural effusion and no pneumothorax.
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<unk>-year-old with abdominal pain.
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There are low lung volumes. <num> mm rounded calcification projecting over the right upper lung most likely represents calcified granuloma. No focal consolidation is seen. There is blunting of the posterior left costophrenic angle suggesting a small pleural effusion. The cardiac and mediastinal silhouettes are stable. There is gaseous distention of the stomach.
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history: <unk>m with hcc, hcv cirrhosis p/w increased abd distension and pain // e/o hepatohydrothorax
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Moderate to severe cardiomegaly is re- demonstrated, unchanged. The aorta remains tortuous. Mediastinal and hilar contours are similar, and the pulmonary vasculature is not engorged. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. Diffuse idiopathic skeletal hyperostosis is again noted.
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history: <unk>f with shortness of breath, dyspnea on exertion
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Pa and lateral views of the chest provided. Midline sternotomy wires are noted. Bilateral upper lobe consolidation is noted with a cavitary lesion in the left upper lobe. Given history of recent tb treatment, findings are highly concerning for active tuberculosis. Lower lungs are well aerated. The heart size is top-normal. Mediastinal contours unremarkable. No calcified lymph nodes are evident. Bony structures are intact.
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<unk>m with dyspnea, status post course of tb treatment.
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Cardiac silhouette size is normal. The mediastinal and hilar contours are unchanged. There is no pulmonary vascular congestion. Lungs are clear. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
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shortness of breath.
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Single portable view of the chest. Right-sided picc is now seen with its tip in the upper svc. Enteric tube passes below the diaphragm with tip in the gastric body, side-port past the ge junction. Endotracheal tube tip is approximately <num> cm from the carina, in appropriate position. Right basilar opacity is partially due to chronic rib changes similar to prior. The lungs are otherwise grossly clear. Cardiomediastinal silhouette is within normal limits for technique. Surgical clips seen in the neck on the right suggesting prior thyroid surgery. Trachea is deviated to the left as on prior.
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<unk>-year-old female with increasing lethargy.
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Pulmonary vascular remains engorged with coarsened reticular markings. Moderate cardiomegaly. Prior median sternotomy and cabg with dual lead pacer with the tip in the right atrium and right ventricle. No acute focal consolidation. No pleural effusions or pneumothorax.
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<unk> year old woman with recent ggo's associated with probable infection // have ggo's resolved?
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In comparison with study of <unk>, the new area of opacification at the right base is slightly less prominent, consistent with mild improvement in the area of pneumonia. The bilateral pulmonary nodules and lymphadenopathy are better assessed on the recent ct scan.
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metastatic cancer to the lungs, to assess for pneumonia.
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A single portable frontal chest radiograph demonstrates a right internal jugular line passing into the upper atrium, as well as a tracheostomy tube terminating <num> cm above the carina. Aortic endografts are seen. The cardiomediastinal contour is within normal limits. Pleural effusions are small, if present at all. Pulmonary edema, previously somewhat improving, now appears slightly worse than on prior exam.
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status post tracheostomy, now with tachypnea in the setting of c. difficile infection.
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There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
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history: <unk>m with s/p fall multiple rib factures // eval for worsen ptx
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Ap and lateral views of the chest were obtained. There is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal and hilar contours are unremarkable. There is no bony abnormality.
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supraventricular tachycardia, evaluate for pneumonia.
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Right-sided picc terminates in the low svc. The dobhoff tube extends into the stomach. Lung volumes are low. Cardiomediastinal silhouette is unchanged. Bilateral moderate pleural effusions appears to have increased on the right and decreased on the left however changes may be positional. There is persistent bibasilar atelectasis, however a superimposed pneumonia at the lung base cannot be excluded. There is no pulmonary edema or pneumothorax.
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<unk> year old man with hiv and metastatic pancreatic cancer, now doe. // infection?
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Dobhoff tube terminates in the stomach in the expected location of the pylorus. Ng tube and right internal jugular dialysis catheter have been removed. No pneumothorax. Tracheostomy is midline. Lung volumes are low and left basilar opacification is stable from <unk>, likely representing a combination of atelectasis and pleural effusion. Cervical spine fusion hardware appears unchanged. Numerous surgical clips overlie the upper abdomen and <num> pigtail drainage catheters overlie the right upper quadrant.
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<unk> female with history of nash cirrhosis c/b portal htn, esophageal varics, and pe on lifetime anticoagulation, with preop meld of <unk>, who is s/p old (<unk>) with dr. <unk>. // eval dobhoff placement
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Pa and lateral views of the chest provided demonstrate no focal consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm.
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The patient has a right-sided aortic arch and right-sided descending thoracic aorta. Heart size and pulmonary vascularity are normal. Within the lungs, an improving band-like area of opacity is present in the left lung base. No focal areas of consolidation are present, and there are no pleural effusions or acute skeletal findings.
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A a right chest wall port-a-cath ends in the low svc, unchanged. Cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. There is no focal lung consolidation.
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<unk>-year-old man with fever and abdominal pain
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Lungs are clear without consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits. No displaced fractures.
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<unk>m with chest pain // please evaluate for acute abnormality
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Sequential frontal portable radiographs were obtained as the nasogastric tube was advanced. The initial radiograph demonstrates the nasogastric tube in the distal esophagus and the final radiograph demonstrates the tip of the nasogastric tube in left upper quadrant, likely within the stomach. Right chest wall port catheter terminates in the upper right atrium. Lungs are hypoinflated with infrahilar opacities bilaterally which may represent atelectasis. Blunting of the left costophrenic angle may be secondary atelectasis or a small pleural effusion.
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<unk>-year-old male which shortness of breath status post nasogastric tube placement. evaluate for tube placement.
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No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. There is no overt pulmonary edema.
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coronary artery disease with left-sided chest pain for <num> hour.
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The lungs are well inflated and clear. Small right pleural effusion is noted. No left pleural effusion. Mild cardiomegaly has decreased since prior examination. Mediastinal contour and hila are unremarkable. Aortic arch calcifications are again noted. There are intact median sternotomy wires with clips in the left hilum as well as a partially visualized left upper extremity vascular stent.
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<unk>f with pmh cad s/p cabg and stenting p/w heart palpitations since last night. acute cardiopulmonary process.
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Small right pleural effusion is less. Small to moderate left pleural effusion is stable. There is no pneumothorax. Numerous nodular opacities in bilateral lungs are unchanged. Surgical clips are noted in the thyroid bed. Left pectoral pacemaker in its <num> leads are in unchanged positions. Cardiomediastinal silhouette is stable.
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<unk> year old man s/p right thoracentesis for malignant bilateral effusions. // ? pneumothorax
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Lung volumes are somewhat low. The cardiomediastinal silhouette and pulmonary vasculature are unremarkable. An endotracheal tube terminates approximately <num> cm above the carina. A transesophageal tube is seen coursing out of the field of view, but the side port overlying the region of the stomach. No definite focal consolidation is identified. There is mild left basilar atelectasis. There is no pleural effusion or pneumothorax.
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history: <unk>f with intubation // assess et tube
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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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history: <unk>f with syncope // cardiomegaly?
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The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The heart is normal in size with normal cardiomediastinal contours.
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dyspnea.
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Pa and lateral views of the chest were provided, demonstrating clear well expanded lungs without focal consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is stable. A scoliotic deformity is again noted. There is no free air below the right hemidiaphragm.
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Ap upright and lateral views of the chest. Patient has undergone a prior right upper lobectomy with associated volume loss noted in the right upper lung not significantly changed from prior. The heart is stably enlarged. There is no large effusion or pneumothorax. Patient is known to have underlying emphysema with diffuse ground-glass opacity suggesting superimposed mild pulmonary edema. Bony structures are grossly intact. Tiny clips project over the superior mediastinum in the right lung apex. Chronic rib deformity of the right upper rib cage noted.
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<unk>m with traumatic foley, gi sx. found to have leukocytosis to <unk>. infectious w/u.
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Lung volumes remain slightly low, similar the prior exam. Central pulmonary vascular congestion is mild with mild cephalization of the vasculature. Pulmonary arteries remain enlarged. The heart remains enlarged. Aortic knob calcifications are mild. No evidence of a pleural effusion. No pneumothorax. No focal consolidation to suggest focal pneumonia. The thoracic spine is curved to the right.
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<unk>-year-old woman with desaturations. evaluate wait for cpd?
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As compared to the previous radiograph, there is no relevant change. Minimal left apical pneumothorax of millimetric <unk>. Unchanged extensive atelectasis at the right lung base clearly abnormal. No evidence of tension. Unchanged appearance of the cardiac silhouette.
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pneumothorax, status post chest tube removal.
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Heart size is enlarged and stable. Right internal jugular swan-ganz catheter is appropriately positioned. Pulmonary edema has improved. Small left pleural effusion is stable. Intra-aortic balloon pump tip is <num> cm from the apex of the aortic knob.
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<unk> year old man with cardiogenic shock s/p iabp placement. evaluate iabp.
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As compared to yesterday, there is reduction of the opacification in the mid and lower right lung for improvement of the mildpulmonary edema. Rounded scattered opacities are now clearly visible at the lung bases, especially on the right. Hyperlucency of the right upper lobe is for emphysema. Heart size is mildly enlarged. Mediastinal silhouette is normal. There is no pleural effusion or pneumothorax.
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evaluation of fluid overload.
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Frontal portable view of the chest demonstrates low lung volumes, which accentuate bronchovascular markings. Moderate pulmonary edema appears progressed from prior exam. Left costophrenic angle is obscured, suggestive of a small pleural effusion. Left hemidiaphragm is poorly visualized due to a lung base opacity. Hilar and mediastinal silhouettes are unchanged. Moderate cardiomegaly is slightly increased from the prior study. Partially imaged upper abdomen is unremarkable.
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patient with shortness of breath and hypoxia.
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There are low lung volumes. Given this, the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
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history: <unk>f with fatigue, weakness // eval for infiltrate
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Semi-upright portable ap view of the chest provided. Lung volumes are low. Allowing for this, no focal consolidation, large effusion or pneumothorax is seen. Overall, cardiomediastinal silhouette is stable. Bony structures are intact.
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Heart size remains moderately enlarged. Aortic knob atherosclerotic calcifications are again demonstrated. The mediastinal and hilar contours are unchanged. Pulmonary vasculature is not engorged. Streaky and patchy opacities are again noted bilaterally, most pronounced within the mid lung fields and lung bases, not substantially changed from the previous radiograph, and likely chronic. No new areas of focal consolidation are demonstrated. Blunting of the costophrenic angles bilaterally may indicate chronic pleural thickening or trace bilateral pleural effusions. No pneumothorax is identified.
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history: <unk>f with altered mental status
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The cardiomediastinal and hilar contours are within normal limits. The lungs are clear. There are no focal consolidations, pleural effusions or pneumothorax. Visualized osseous structures are grossly unremarkable.
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<unk>-year-old woman with smoking history and persisting left scapular pain. study requested for assessment of bony problems, infiltrate and/or other pathology.
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The heart is normal in size. The heart is moderately tortuous. The lingula appears collapsed with a triangular shape. Vague opacities are probably for the most part subpleural about the lower right hemithorax with streaky character, possibly due to chronic scarring or atelectasis, which seems more likely to explain the finding than acute infection. There is no pleural effusion or pneumothorax.
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acute shortness of breath. history of copd.
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In comparison with study of <unk>, there again are low lung volumes, which accentuate the transverse diameter of the heart. Tracheostomy tube remains in place. Atelectatic changes are again seen at the bases, without definite acute focal pneumonia.
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basal ganglia hemorrhage, to assess for pneumonia.
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The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. There is vague opacity at the left lung base but very similar to prior findings.
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altered mental status.
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Pa and lateral views of the chest. Left chest wall dual lead pacing device is again seen. The lungs are clear consolidation or pulmonary vascular congestion. There is no effusion or pneumothorax. Cardiomegaly is again seen. No acute osseous abnormalities detected.
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<unk>-year-old female with recent septal ablation with right-sided arm and chest pain.
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Frontal and lateral views of the chest demonstrated right pic catheter projecting over mid svc. Low lung volumes without pleural effusions, focal consolidation or pneumothorax. Linear opacity in the left lung likely represents atelectasis. Hilar and mediastinal silhouettes are unchanged. Heart size normal. No pulmonary edema.
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patient with fevers. assess for pneumonia.
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Ap portable upright view of the chest. Right chest wall dialysis catheter is noted with its tip in the mid svc region. Cardiomegaly is moderate. There is mild interstitial pulmonary edema without large effusion. No pneumothorax. No convincing signs of pneumonia. Mediastinal contour is normal. Bony structures are intact. No free air below the right hemidiaphragm.
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<unk>m with sob // ? chf
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As compared to the previous radiograph, no relevant change is seen. The lung volumes remain low. Right pleural effusion with mild right basal atelectasis. Mild cardiomegaly with signs of mild-to-moderate fluid overload. Moderate enlargement of the right hilus continues to be present. Bilateral apical thickening, symmetrical in distribution.
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hypoxemia, evaluation for interval change.
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A picc line is difficult to visualize, but courses across the left apex and visible within the superior vena cava, although it is difficult to see the tip since the catheter is not very radiodense. The lungs appear clear. The cardiac, mediastinal and hilar contours are stable. There are no pleural effusions or pneumothorax. Mild degenerative changes are noted along the thoracic spine.
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new fever while on antibiotics. history of septic knee.
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Pa and lateral views of the chest provided. Clips project over the mediastinum. Lung volumes are somewhat low with old the lungs appear clear. 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 pancreatitis // eval effusions
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In comparison with study of <unk>, there is patchy opacification developing in the right cardiophrenic angle, worrisome for pneumonia given the clinical history. Remainder of the study is essentially unchanged. Prominent impression on the lower right side of the cervical trachea is again consistent with a thyroid mass.
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fever.
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The lung volumes are low with small to moderate bilateral pleural effusions. There is also bibasal opacities. Mild pulmonary vascular congestion with moderate cardiomegaly. Prior median sternotomy and cabg.
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<unk>f with hx of r sfa endarterectomy, sfa->r popliteal stent now with <num>d r foot pain, sensory loss to above ankle s/p rle angio, lysis/angioplasty sfa->bk pop // asses for pulmonary edema
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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 man with hx of melanoma // please evaluate disease status
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Patchy right base opacity is worrisome for pneumonia. More subtle left base opacity is seen which could be due to atelectasis although infectious process or aspiration not excluded in the appropriate clinical setting. No large pleural effusion is seen. There is no evidence of pneumothorax. The cardiac silhouette is top-normal. Mediastinal contours are grossly unremarkable. Multiple old bilateral rib fractures/deformities are seen.
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<unk>m w/intermittent hypoxia, wheezing, please eval for pna // <unk>m w/intermittent hypoxia, wheezing, please eval for pna
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The cardiac silhouette is prominent, but stable since the prior examination. The pulmonary vasculature is similar to the most recent comparison examination as well. There is no pleural effusion or pneumothorax. A large mass in the left upper lobe is slightly increased in size since <unk>, and remains concerning for primary malignancy. Other nodular opacity is see on prior ct are not well depicted, though there is suggestion of a nodular opacity in the right mid lung which had been present on prior ct as well. No definite focal consolidation is identified. Linear opacity in the right base is most consistent with atelectasis, and is largely similar to the most recent examination. Vertebral body height loss in the mid thoracic spine is similar to the prior examination. A sclerotic focus in the mid thoracic spine was also present on the prior examination and is compatible with overlying osteophyte formation. Cervical fixation hardware is unchanged.
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<unk>f with prior acs hx with <num> day resolved cp. wbc <unk>, troponin negative // eval ? infiltrate, cardiomegaly
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Ap supine portable view the chest provided. Underlying trauma board is in place. Multiple right rib fractures are noted better assessed on subsequent ct. The lungs appear grossly clear. Left mediastinal border cannot be assessed due to overlying buckle. Heart size appears normal. Left cp angle is excluded.
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status post fall downstairs
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Fullness of each hilum persists and probably correlates with mild lymphadenopathy. The only change is an apparent increased in density projecting beneath the carina on the lateral view. This may represent a subtle more parenchymal density or increased lymph node. Mild biapical pleuroparenchymal thickening is noted. The pulmonary vasculature is not engorged. The cardiac silhouette is top-normal in size but stable. The mediastinal and hilar contours are within normal limits. No acute osseous abnormality is detected.
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history of aids now with cough, here to evaluate for pneumonia.
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A right-sided picc line terminates shortly above the cavoatrial junction. Lung volumes are low. The cardiac, mediastinal and hilar contours appear unchanged. There are small pleural effusions with patchy retrocardiac opacity, most likely due to atelectasis. Streaky opacities in the right upper lung with mild crowding suggest chronic unchanged minor scarring.
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clinical concern for partial small bowel obstruction in patient with prior proctocolectomy. study performed to evaluate picc line.
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Ap upright and lateral views of the chest provided. Midline sternotomy wires and mediastinal clips are again noted. Clips are also noted in the right neck soft tissues. There are low lung volumes and underpenetrated technique which limits evaluation of the left lung base. Interstitial edema is present without large pleural effusion seen. Heart size is top normal with aortic calcifications again noted. Bony structures appear intact, though degenerative changes and high-riding right humeral head noted.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. Hilar contours are stable. There is persistent elevation of the right hemidiaphragm with minor right basilar atelectasis.
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history: <unk>m with dyspnea and cough // r/o acute infection
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Frontal and lateral radiographs of the chest were acquired. The lungs are clear. There is a <num> mm ovoid dense opacity projecting over the left retrocardiac region, likely a calcified granuloma. The heart is normal in size. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen. No displaced rib fractures are seen.
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motor vehicle accident with chest wall trauma. assess for pneumothorax.
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The appearance of the chest is strikingly similar the prior study. There are low inspiratory volumes, with bibasilar atelectasis. Minimal atelectasis at the right base is slightly more pronounced than on the remote prior study. The cardiomediastinal silhouette, with tortuous aorta, is unchanged,likely accentuated by low lung volumes. Slight prominence of the aortic knob appears stable (measuring <num> cm on today's exam versus <num> cm on the prior exam). No chf, frank consolidation, or gross effusion is detected. Note is made of degenerative changes in the lumbar spine, with slight endplate scalloping of a lower thoracic and question l<num> vertebral bodies.
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<unk> year old man with elevated wbc/left shift unclear etiology // r/o pneumonia
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The lungs are clear. There is no focal consolidation, effusion, or edema. Cardiac silhouette is top-normal, accentuated by slightly low lung volumes. No acute osseous abnormalities.
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<unk>f with chest pain, worse with exertion // eval for acute process
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Frontal and lateral views of the chest are obtained. The patient is status post median sternotomy and cabg. Mild bibasilar atelectasis is seen. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. Lateral right mid lung small calcified granuloma again seen. Cardiac stenting is best seen on the lateral view. Degenerative changes are seen along the spine. The aorta is calcified and tortuous. The cardiac silhouette is stable.
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| null |
Portable semi-upright radiograph is centered on the upper abdomen. As before, there is bibasilar atelectasis and a left-sided pleural effusion and generalized haze over the abdomen with poor delineation of organ margins and paucity of bowel gas. Cnetral venous cathter tip unchanged. Feeding tube is in the third portion of the duodenum with the tip directed back on itself towards the proximal duodenum.
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<unk> year old man with recent sleeve gastrectomy n/w new dobhoff feeding tube // assess placement
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Upright pa and lateral radiograph of the chest. Lung volumes are slightly low, but there is no focal airspace consolidation. There is mild atelectasis at the left base and right infrahilar region. The cardiomediastinal silhouette and hilar contours are normal. There is no pleural effusion or pneumothorax. Surgical clips again project over the right breast and axilla.
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wheezing and cough for one week with chills. 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.
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history: <unk>f with chest pain
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Pa and lateral views of the chest. No prior. The lungs are clear. Nodular opacities over the lung bases bilaterally, most suggestive of nipple shadows. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.
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<unk>-year-old male with dyspnea on exertion.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear.
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chest pain.
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A right lower lobe lung opacity is unchanged. No pleural effusion or pneumothorax. The cardiac and mediastinal contours are stable.
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<unk> year old man with seizure // r/o pneumonia
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In comparison with the earlier study of this date, there is again the suggestion of a subtle area of increased opacification at the left base. This could well represent merely atelectatic streaks, though in the appropriate clinical setting a developing focus of pneumonia could be considered. Otherwise, the study is within normal limits. There is a small amount of gas beneath the right hemidiaphragm, related to recent catheter placement. A more ominous cause of free intraperitoneal gas, ct could be obtained.
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bacteremia with possible pneumonia.
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Left chest wall pacing device is again seen with leads in similar position. The lungs are clear without focal consolidation, effusion, or edema. Opacity at the right cardiophrenic angle is compatible with a prominent fat pad. Cardiac silhouette is enlarged but similar compared to prior. No acute osseous abnormalities.
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<unk>f with weakness and doe x <num> months // eval for acute process, attn. to chf
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In comparison with study of <unk>, the monitoring and support devices remain in place. Again, there are multiple nodular metastatic foci within both lungs. The opacification in the right upper lobe has increased. The left pigtail catheter has been removed, and there is no definite re-accumulation of pleural fluid or pneumothorax. Substantial opacification at the left base with obscuration of the hemidiaphragm is again consistent with volume loss in the left lower lobe.
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metastatic renal cell carcinoma with pleural effusion status post drainage with worsening shortness of breath.
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Innumerable pulmonary nodules scattered throughout the lungs, concerning for metastatic disease. A more confluent opacity in the right lower <unk>, <unk> represent infection or a larger focal metastasis. Cardiomediastinal silhouette is normal. There is no large pleural effusion or pneumothorax.
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<unk>-year-old man with metastatic renal cell carcinoma, presenting with shortness of breath..
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As compared to the previous radiograph, there has been a new insertion of a right central catheter. The catheter shows an abnormal course and crosses the midline over the heart. As no duplicated superior vena cava was documented on the recent ct, this position is worrisome for arterial cannulation. At the time of observation, the findings were immediately reported by telephone. There is no evidence of pneumothorax or other complication. The other monitoring and support devices are constant. There is mild further worsening of the pre-existing parenchymal opacities.
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ards, intubation, line placement.
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Pa and lateral views of the chest provided. Interval placement of a left pacemaker with leads projecting over the right atrium and right ventricle. Lungs are grossly clear. No pneumothorax. Bilateral small pleural effusions. Hilar and cardiomediastinal contours are normal.
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<unk> year old man with new pacemaker implant // evaluate for pneumothorax and lead placement
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There are bilateral opacities within the right upper lobe and lower lobe and left perihilar region concerning for multifocal pneumonia. Atelectasis in the right upper lobe with upward deviation of the minor fissure is concerning for possible right central lesion. The heart is stable in size.
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<unk>-year-old female with dyspnea.
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MIMIC-CXR-JPG/2.0.0/files/p19767548/s53458503/58f45956-f260b9a6-520c9a39-4cb6920c-83791efd.jpg
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Frontal and lateral radiographs of the chest were acquired. There has been interval removal of a left tunneled dialysis catheter with interval placement of a right tunneled dialysis catheter, with its tip ending in the high right atrium. There is engorgement of the pulmonary vasculature without frank interstitial pulmonary edema. There is no focal consolidation. The heart size is top normal. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen. There is increased sclerosis of the vertebral body endplates throughout the thoracic spine, best appreciated on the lateral projection, suggestive of renal osteodystrophy.
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bacteremia. assess for pneumonia.
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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and clear lungs without evidence of pulmonary metastases. There is no pleural effusion or pneumothorax. No bony abnormality is identified.
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right thigh sarcoma/carcinoma status post radiation and chemotherapy. evaluate for metastatic disease.
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In comparison with the study of <unk>, the patient has taken a somewhat better inspiration. There is still substantial pleural effusion on the right without definite pneumothorax in a patient with prior fracture of the posterior sixth rib. Cardiomediastinal silhouette is stable with continued tortuosity of the aorta. Mild atelectatic changes at the left base.
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fusion.
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The lung volumes are low however the lungs appear clear. The cardiomediastinal silhouette is unremarkable. Hilar contours are unremarkable. There are no pleural effusions or pneumothoraces. The bones appear intact.
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The picc line tip is in similar location compared to the prior recent study with the tip in the proximal portion of the svc. There is no pneumothorax. The lungs are clear. The cardiac silhouette remains mildly enlarged.
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picc line.
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There has been some clearing of the diffuse pulmonary edema, more prominent on the right. Elevation of pulmonary venous pressure persists as does continued enlargement of the cardiac silhouette. There has been removal of the endotracheal tube and right ij catheter.
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upper gi bleed with low-grade temperature and new oxygen requirement.
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<num> views were obtained of the chest. The lungs are well expanded. Two fiducial markers are seen in the right upper lobe mass which appears grossly unchanged in the prior chest radiograph. There is no focal consolidation, pleural effusion or pneumothorax. The heart and mediastinal contours are unchanged. T<num> compression fracture is unchanged.
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weakness, assess for pneumonia.
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In comparison with the study of <unk>, there are lower lung volumes but little overall change in the appearance of the heart and lungs. No acute focal pneumonia or vascular congestion.
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severe chest pain.
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In comparison with study of <unk>, there is a mild increase in the degree of left pleural effusion with underlying compressive atelectasis. No evidence of acute focal pneumonia or vascular congestion in this patient with intact midline sternal wires after previous cabg procedure.
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pleural effusion.
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As compared to the previous radiograph, the endotracheal tube continues to be positioned too high. Extent and distribution of the parenchymal opacities is minimally improved as compared to the previous image. The patient has received a dobbhoff catheter. The tip projects over the middle parts of the stomach. The course of the catheter is unremarkable. No evidence of complications, notably no pneumothorax.
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cerebral hemorrhage, evaluation of dobbhoff tube position.
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