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The inspiratory lung volumes are appropriate. No focal consolidation concerning for pneumonia, pleural effusion or pneumothorax is detected. The pulmonary vasculature is not engorged and there is no evidence of pulmonary edema. Cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits. Port-a-cath terminates at the level of the mid svc. Degenerative changes are noted along the mid thoracic spine.
<unk>-year-old male patient with history of nhl, on chemotherapy with persistent dry cough. study requested to rule out pneumonia.
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The patient has received a new right-sided picc line. The course of the line is unremarkable, the tip of the line projects over the mid svc. There is no evidence of complications, notably no pneumothorax. Otherwise, the radiograph is unchanged.
picc line placement.
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In comparison with the study of <unk>, there are slightly improved lung volumes. Elevation of the left hemidiaphragm is again seen with atelectatic changes at the base. No definite vascular congestion at this time. The tip of the picc line is difficult to see, though it appears to extend to the cavoatrial junction or slightly below it.
effusions.
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Single portable view of the chest. The lungs are clear without consolidation. The cardiomediastinal silhouette is normal. No acute osseous abnormalities.
<unk>-year-old female with diabetic ketoacidosis of unclear etiology.
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Vascular catheter terminates in the mid superior vena cava. Right apical scarring and calcified granuloma appear unchanged. Lungs are otherwise clear except for a nonspecific patchy and linear opacity at the left lung base, which favors atelectasis. Given clinical suspicion for pneumonia, followup pa and lateral radiographs may be helpful for more complete characterization of this region. Cardiomediastinal contours are normal in appearance except for a calcified lymph node in the lower right paratracheal region.
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There opacities in both lower lobes that could represent aspiration or early infectious infiltrates. These of increased compared to the study from the prior day. Right-sided picc line and ng tube are unchanged
<unk> year old woman with brain cancer and recurrent aspiration triggered for tachypnea and hypoxia // ? aspiration, ? worsening infiltrate
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Tracheostomy tube is midline. Heart size is normal. Low lung volumes are similar to prior exam, but there are new, mild bibasilar opacifications. On the right, this is most likely atelectasis. On the left, it is either atelectasis or pneumonia. No pneumothorax is seen. There may be small pleural effusions.
<unk> year old man with multiple system atrophy, trach placement now w/fever. // ?pneumonia
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Distal end of the dobhoff tube is still coiled in the stomach. Bilateral pleural effusions, minimal on the right side and mild-to-moderate on the left side, and left lower lung volume loss reflected by increased retrocardiac density are unchanged. Mildly enlarged heart size, mediastinal and hilar contours are similar in appearance. There is what appears to be a left-sided picc line, tip ends approximately at the level of the subclavian vein, unchanged in appearance since at least <unk>.
to reassess the position of the dobhoff tube.
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Again seen are bilateral pleural effusions. Mild pulmonary vascular redistribution. Bilateral lower lobe volume loss and probable bilateral lower lobe infiltrates. The left-sided drainage catheter is visualized overlying the left lower chest. Again seen is a fourth posterolateral left rib fracture. This was first present on x-rays from <unk>, but was not commented upon. Finding was called to dr. <unk> at the time of discovery at <time> p.m. On <unk>. Otherwise, the appearance of the lungs are unchanged. There is no pneumothorax.
left thoracentesis.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>m with shortness of breath
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Again noted is tortuosity of the aorta, stable in comparison to prior study from <unk>. Cardiomediastinal silhouette appears stable. The lungs are clear with no evidence of a consolidation, effusion, and pneumothorax. No acute fractures identified.
intermittent chest pain.
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Single ap portable chest radiograph is compared to radiograph performed on the same date approximately <num> hours prior. A right breast prosthesis overlies the right lower lung somewhat limiting assessment. A small right pleural effusion is suspected. Opacity in the left lower lung is concerning for effusion and probable compressive atelectasis though difficult to exclude pneumonia. The heart remains enlarged. There is mitral annular calcification. No overt signs of edema. Chronic left rib deformities again noted as well as a right distal clavicle deformity. Dextroscoliosis of the t-spine again noted.
<unk>f with hypoxia after fall // eval for effusion, pneumonia
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New tracheostomy tube in good location. Right-sided picc line tip terminates at the cavoatrial junction. There is bilateral lower lobe volume loss/infiltrate which is increased compared to the prior exam.
the ap, question infiltrate.
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Frontal and lateral views of the chest were obtained. Patchy right apical opacities are of indeterminate acuity given lack of priors for comparison; however, in the appropriate clinical setting, infection, including tuberculosis will not be excluded. There is also right upper lobe perihilar scarring/atelectasis. Scarring is seen to a lesser extent in the left upper lobe. There is upward retraction of the right hilum. There is also evidence of scarring/chronic changes in the right mid-to-lower lung with some tenting of the right hemidiaphragm. No pleural effusion is seen. Evidence of a hiatal hernia is seen. The cardiac silhouette is not enlarged. The aorta is calcified and tortuous.
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Comparison is made to the prior study from <unk>. There is a right-sided central venous catheter whose distal lead tip is at the cavoatrial junction, appropriately sited. There is mild cardiomegaly. There is some prominence of pulmonary interstitial markings suggestive of mild fluid overload. Small bilateral pleural effusions are present.
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The et tube is <num> cm above the carina. Ng tube tip is off the film, at least in the stomach. There is volume loss/ consolidation at both bases. Heart size is upper limits of normal.
<unk> year old man s/p intubation at osh. // ? ett placement
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The cardiomediastinal silhouette is within normal limits. The pulmonary vasculature is normal. There is no focal consolidation, pneumothorax, or pleural effusion. No definite left-sided rib fractures identified. Surgical clips are noted overlying the left breast and axilla.
<unk> year old woman with history of idc with fever, cough, l chest pleuritic chest pain // please evaluate for pneumonia, l rib pathology
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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.
cough and chills.
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The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. The heart size has decreased since the prior radiograph. No free air is identified below the hemidiaphragms.
epigastric pain and history of pancreatitis. evaluate for free air.
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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. There is suggestion of a <num>-mm nodule in the right upper lung. Heart size is normal. Mediastinal silhouette and hilar contours are normal. No upper abdominal and osseous abnormality is identified. No displaced rib fracture is seen.
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The lungs are fully expanded and clear. There is no evidence of focal consolidation, pulmonary edema, or pneumothorax. There is mild blunting of the right costophrenic angle, possibly due to pleural thickening or a small pleural effusion. The cardiomediastinal silhouette and hilar contours are normal.
<unk>f w/cough, please eval for white sputum, please eval for pna // <unk>f w/cough, please eval for white sputum, please eval for pna
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The lungs are well inflated and clear. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable. An endotracheal tube is in appropriate position <num> cm above the level of the carina. An enteric feeding tube courses midline with tip just entering into the stomach and side port above the level of the diaphragm.
<unk> year old woman with emergent intubation in ed, now s/p or for craniotomy. assess endotracheal tube position.
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There are no old films available for comparison. The heart is mildly enlarged. There is volume loss/early infiltrate in both lower lobes with obscuration of the right mid hemidiaphragm and left heart border. There is mild pulmonary vascular redistribution.
chf.
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Persistent moderate-to-large right apical pneumothorax and right chest wall subcutaneous gas are without significant change since <unk>. Right-sided chest tube side holes are positioned in the pneumothorax; however, the tip terminates within the soft tissues of the thoracic inlet. Stable right basilar pleural thickening containing multiple small locules of air is consistent with provided history of pleurodesis. Right lower lung opacification is unchanged compared to <unk>, and given airway secretions evident on <unk> ct, this likely represents aspiration. Right upper paramediastinal opacity is consistent with recent blebectomy. Cardiomediastinal and hilar contours are otherwise unremarkable.
right upper lobectomy, pleurodesis, elevated wbcs. assess for interval change.
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There is redemonstration of the enlarged cardiac silhouette, possibly related to cardiomegaly, though as previously mentioned pericardial effusion is not excluded. There is increased prominence of the interstitial markings, particularly in the perihilar distribution, likely due to increased pulmonary edema. A moderately sized left pleural effusion is identical in appearance to chest radiogrpah performed <num> days earlier, though less apparent on intervening radiogrpah, likely due to positioning. Retrocardiac opacity likely represents a combination of effusion and atelectasis, though infectious process cannot be excluded. There has been interval removal of the endotracheal tube. The central venous catheter terminates in the mid superior vena cava. No pneumothorax evident. Sternotomy sutures are midline and intact. No osseous abnormalities identified.
patient with shortness of breath and tachypnea, please evaluate for pulmonary edema.
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Frontal and lateral views of the chest. Heart size and cardiomediastinal contours are normal. Lungs are clear without focal consolidation, pleural effusion, or pneumothorax.
cough and pleurisy.
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An endotracheal tube terminates <num> cm above the carinal. A right internal jugular catheter is stable in position in the distal svc. And enteric tube descends below the field of view. Lung volumes are markedly low, which may accentuate bronchovascular markings. Given that, bilateral pulmonary opacities are increased (right much greater than left) from the prior examination most consistent with infection or moderate pulmonary edema. There is no evidence of pneumothorax. Pleural effusions are presumed but are not large. Cardiomediastinal and hilar contours are stable.
<unk> year old man with respiratory failure s/p intubation // ?edema
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In comparison with study of <unk>, there is now a pleurx catheter in place. There appears to be mild decrease in the degree of pleural effusion. No definite pneumothorax. Extensive mediastinal lymphadenopathy is unchanged.
pleural effusion after pleurx catheter placement, to assess for pneumothorax.
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There is minimal, left lower lobe atelectasis identified. Small, bilateral pleural effusions are noted. There is no focal consolidation or overt pulmonary edema seen. The heart size is at the upper end of normal. Mediastinal contours are normal.
episode of atrial fibrillation with rvr, evaluate for pulmonary edema.
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A right internal jugular approach central venous catheter tip projects within the mid svc. An endotracheal tube is in standard position with tip <num> cm above the carina. An enteric feeding tube courses below the diaphragm out of field of view. Since the prior examination, there has been improvement in parenchymal opacification, likely related to edema/atelectasis. There are no new focal occurring parenchymal opacities concerning for pneumonia. Pulmonary vascularity is not increased. Since the prior examination, there are areas of hyperlucency demonstrated along the left lateral aspect of the mediastinum projecting over the mid aspect of the mediastinum and adjacent to the left main stem bronchus, for which the possibility of pneumomediastinum cannot be excluded. Cardiomediastinal and hilar contours are otherwise stable. There is mild tortuosity of thoracic aorta. There are no pleural effusions or pneumothorax.
<unk>-year-old female with hypertension and diabetes, status post cardiac arrest. evaluate for infection or edema.
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Left pigtail pleural catheter remains in place in the lower left hemithorax, but a moderate-to-large partially loculated pleural effusion has increased in size since the previous study. Additionally, there is a suggestion of a tiny pneumothorax at the left lung apex. New airspace opacities are present in the left perihilar region, and could reflect reexpansion edema considering that the prior study was obtained immediately after placement of pigtail catheter with associated large reduction in volume of left pleural effusion. Persistent blunting of right lateral costophrenic sulcus consistent with small pleural effusion. Adjacent patchy opacity at right base may reflect atelectasis or early pneumonia.
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There is a right-sided central venous catheter with distal lead tip at the right atrium. This could be pulled back slightly for more optimal placement. There is some improvement of the interstitial prominence since the prior study. There is no focal consolidation. The cardiac silhouette and mediastinum is within normal limits.
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Normal heart size, mediastinal and hilar contours. There is a <num> mm calcified granuloma in the left lower lobe and coarse calcifications seen in the left hilus. Normal heart size, mediastinal and hilar contours. No focal consolidation, pleural effusion or pneumothorax.
<unk>-year-old male with history of positive ppd in <unk>, asymptomatic.
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Airspace opacity in the peripheral right mid and lower lung is consistent with multifocal pneumonia. The mid lung opacity corresponds to the right upper lobe. The right lower lung opacity has correlates to the right lower lobe on the lateral view. There is no pulmonary edema, pneumothorax, or pleural effusion. The cardiomediastinal contour is normal.
<unk>m with <num> day history of uri with cough and fever t-max <unk>, evaluate for pneumonia.
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Ap upright and lateral views of the chest provided. Port-a-cath resides over the right chest wall with catheter tip in the region of the lower svc. A tracheostomy tube projects over the superior mediastinum. Bibasal opacities are significantly improved compared with prior exam though there is mild persistent opacity, right greater than left. No pneumothorax is seen. No large effusion. Cardiomediastinal silhouette appears normal. Bony structures are intact.
<unk>m with esophageal cancer, p/w copious secretions from trach, leukocytosis
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The inspiratory lung volumes are appropriate. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. Pulmonary vasculature is not engorged. The cardiomediastinal and hilar contours are within normal limits. No acute osseous abnormalities detected.
<unk>-year-old woman with cough, here to evaluate for pneumonia.
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Cardiac silhouette size is normal. The aorta is tortuous and demonstrates mild diffuse atherosclerotic calcifications. Hilar contours are normal. Pulmonary vasculature is normal. Lungs are clear without focal consolidation, pleural effusion pneumothorax. Punctate radiopaque density projecting over the right breast is noted potentially a breast clip. There is minimal loss of height of a mid thoracic vertebral body anteriorly.
history: <unk>f with new atrial fibrillation, dyspnea
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Portable ap chest radiograph demonstrates surgical clips overlying the right axilla and left hemithorax, unchanged. There is no focal consolidation, pleural effusion, interstitial opacity, or pneumothorax. The cardiomediastinal silhouette is normal.
productive cough and high doses of steroids. concern for pcp.
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Frontal and lateral radiographs of the chest demonstrate well-expanded and clear lungs. Cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation.
<unk>-year-old man with chronic blood clots.
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Upright ap view of the chest provided. The lungs are clear without focal consolidation, effusion or pneumothorax. The heart and mediastinal contour is normal. Bony structures are intact. A dextroscoliosis of the t-spine noted.
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Cardiomediastinal silhouette and hilar contours are normal. Lungs are clear. There is no pleural effusion or pneumothorax.
cough.
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The lungs are expanded and clear. The cardiomediastinal silhouette, hila, and pleura are normal. There is no consolidation or pleural effusion.
<unk> year old man pod<unk> s/p orif r tibial plateau, leukocytosis, fever, inspiratory chest pain. evaluate for pneumonia or effusion.
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Enteric tube extends below the diaphragm with the tip out of view of this film. Left-sided subclavian line terminates at the upper svc. The et tube is relatively low, approximately <num> cm above the carina. The left-sided pic line terminates at the left axillary vein, unchanged in position compared to the prior exam. Right perihilar opacities are unchanged, however there has been an interval increase in the left perihilar opacities, which may be secondary to pneumonia or atelectasis. Left sided pneumomediastinum is new. There is no large pleural effusion. The visualized osseous structures are unremarkable.
history of motor vehicle accident status post splenectomy and compressive craniectomy for cerebral edema. please evaluate for interval change.
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Low lung volumes. The patient is status post median sternotomy and cabg. The sternotomy wires appear intact and in appropriate alignment. The right pleural effusion has decreased in size, and the left pleural effusion has increased in size, however both are small. Bibasilar atelectasis has improved. Heart size is stable. The pulmonary vasculature is normal. No pneumothorax is seen. There are no acute osseous abnormalities.
<unk> year old man pod<num> cabg // effusion
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The heart size is normal. Aorta is mildly unfolded and demonstrates scattered calcifications. The hilar contours are normal. Pulmonary vascularity is normal. The lungs are clear. No focal consolidation, pleural effusion or pneumothorax is present. There are no acute osseous abnormalities. Mild s-shaped scoliosis of the thoracic spine is present.
chest pain.
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Frontal and lateral radiographs of the chest again demonstrate a right chest wall port with the catheter terminating in the superior portion of the svc, unchanged. Compared to the prior radiograph, there is a new asymmetric airspace opacity at the left base, likely representing a pneumonia. There is also mild opacification at the right base compared to the prior study. No pleural effusion or pneumothorax is seen.
cough. evaluate for pneumonia on the left in an immunocompromised patient.
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As compared to the previous radiograph, there is observation of the following changes. The pre-existing right pleural effusion has increased, with an apical lateral portion of the effusion being substantially increased. Also increased is a pre-existing small left pleural effusion. Mild-to-moderate fluid overload. Relatively extensive bilateral areas of parenchymal opacities, likely atelectatic in nature. A pre-existing right picc line has been removed in the interval. The referring physician, <unk>. <unk>, was paged for notification at the time of observation and dictation. <time> a.m., on <unk>.
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In comparison with the earlier study, the nasogastric tube extends to the distal stomach. Otherwise, little change.
ng tube placement.
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Pa and lateral views of the chest provided. There is no convincing evidence for pneumonia. No pleural effusion or pneumothorax. Relative hilar prominence is stable from <unk>. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with sob // pna
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Pa and lateral images of the chest. The lungs are well expanded. Mildly dilated upper lobe vessels are seen. There is no focal consolidation or mass. No pleural effusion or pneumothorax is seen. The cardiomediastinal silhouette is top normal in size.
lightheadedness concerning for pneumonia.
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The lungs are clear. There is no evidence of pneumonia, pneumothorax, or pleural effusion. Cardiac silhouette is normal in size. Mitral annular calcifications are noted. In the interim since the prior study appears that the patient has had a right-sided orthopedic shoulder surgery.
chest pain, question pneumonia
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No focal consolidation to suggest pneumonia is seen. There are small bilateral pleural effusions. There is vascular congestion. Moderate-to-severe cardiomegaly is present, with apparent enlargement of the left atrium. No pneumothorax is seen. A likely compression deformity at l<num> appears grossly similar to prior exam.
chest pain.
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Unchanged appearance of healed fractures in the seventh and eighth posterior rib. Severe s-shaped scoliosis. There is no evidence of new report of ocular fractures. Surgical clips seen in the right chest wall. Normal lung volumes. No pneumonia. No pneumothorax. No pleural effusion. Normal heart size. Hilar structures and mediastinal borders are normal.
<unk> year old woman with s/p trauma <unk> (hit in ribs), has pain on respiration // any fracture?
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Ap single view of the chest has been obtained with patient in supine position. Comparison is made with the next preceding portable chest examination obtained eight hours earlier during the same day. The patient is now intubated and ett seen to terminate in the trachea <num> cm above the level of the carina. No pneumothorax has developed. Previously present left-sided permanent pacemaker connected to icd device and right atrial electrode unchanged. The same holds for a third wire reaching contact with left ventricular wall via venous coronary sinus and obtuse marginal coronary vein. The pulmonary vasculature is not congested. No evidence of new pulmonary parenchymal infiltrate since the next preceding examination eight hours ago. Lateral pleural sinuses are free.
<unk>-year-old male patient status post trauma, flail chest. now reintubated for respiratory distress, evaluate ett placement and for presence of evolving consolidation.
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The lungs are clear, the cardiomediastinal silhouette and hila are normal. There is no pleural effusion and no pneumothorax. No displaced rib fractures are seen.
<unk>-year-old with right upper quadrant pain.
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Single ap portable view of the chest. No prior. There is linear opacity at the right lung base most suggestive of atelectasis. Elsewhere, the lungs are clear, without visualized effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. The osseous and soft tissue structures are unremarkable.
<unk>-year-old male with syncope and hypertension, chest pain. question pneumothorax.
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The patient is status post median sternotomy. Fracture iodine inferior most sternal wire is again seen. The cardiomediastinal silhouette is stable. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. There is no pulmonary edema.
shoulder pain and high inr.
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Pa and lateral views of the chest provided demonstrate clear, well-expanded lungs without focal consolidation, effusion, or pneumothorax. Heart and mediastinal contours are normal. Bony structures are intact. No free air below the right hemidiaphragm is seen.
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The previously seen diffuse mild interstitial abnormality on the chest radiograph from <unk> is not appreciated on today's study. The lungs are clear. The heart size is normal. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen. There is no free air under the diaphragm.
chest pain, with cocaine use. evaluate for acute intrathoracic process.
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Chronic right-sided pleural effusion is unchanged. Adjacent atelectasis as well as fluid in the fissure is noted. Cardiac silhouette is normal in size. There is no evidence of pneumonia. While there may be some upper zone redistribution of the vasculature, there is no overt pulmonary edema.
chf.
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As compared to the previous radiograph, the position of the right-sided chest tube is unchanged as compared to an outside hospital film from <time> p.m. A pneumothorax, if present, is minimal and limited to the very right lung apex. Otherwise, the right lung is well expanded. The pneumothorax seen on the pre-interventional outside chest film from <time> p.m. Is no longer visible. Some of platelike atelectasis at the lateral aspect of the minor fissure is unchanged. Minimal elevation of the left hemidiaphragm. Subtle pleural irregularities at the left lung apex. Normal size of the cardiac silhouette. No pneumonia, no pulmonary edema.
recurrent pneumothoraces, chest tube placement. evaluation.
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Relative sites opacity projecting over the lung bases bilaterally is likely due to overlying soft tissue. No correlate is seen on the lateral views. No definite focal consolidation. There is no pneumothorax. There is a mild atelectasis at the lateral left lung base and a very trace left pleural effusion is not excluded. No large pleural effusion is seen. There may be a hiatal hernia. The cardiac silhouette is top-normal. The mediastinal and hilar contours are unremarkable.
cough, hypoxia.
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. Mitral annular and aortic calcifications seen in the thoracic aorta. No acute osseous abnormality is identified.
<unk>f with weakness // evaluate for acute process, pneumonia
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Pa and lateral views of the chest provided. A vague nodular opacity is seen in the right upper lung adjacent to the ekg electrode sticker. While this may represent a very tiny focus of pneumonia, followup to resolution is advised. Lungs are otherwise clear. No pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>m with hyperglycemia // r/o pneumonia
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Portable ap upright and lateral views of the chest <unk> at <time> are submitted. .
<unk> year old woman with pneumothorax // interval change interval change
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Frontal and lateral views of the chest. There has been interval development of significant right mid to lower lung opacity which is likely in part due to an effusion with possible underlying consolidation or atelectasis. Patient's known mass is also at the right lung base. There is also a rounded mass in the left lung base compatible with known malignancy. Cardiomediastinal silhouette cannot be adequately assessed. Left chest wall port is seen with catheter tip in the region of the ra/svc junction there is a rounded opacity projecting over the left lung base compatible with known mass.
<unk>-year-old male with shortness of breath. history of lung cancer.
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Since the prior radiograph of <unk>, there has been interval improvement in pulmonary vascular congestion, as are the with stable moderate cardiomegaly. No evidence for pneumonia. No pleural effusion or pneumothorax.
<unk>f with hx chf, mca stroke and aphasia, dyspnea and hypoxia, left wrist pain, lue swelling // r/o chf/pneumonia,
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Right-sided port-a-cath is seen, terminating in the mid svc. There are low lung volumes and basilar atelectasis. No definite focal consolidation is seen. No pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable..
history: <unk>m with chest tightness and leukocytosis. // infectious process.
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In comparison with study of <unk>, there has been removal of a substantial amount of pleural fluid from the right hemithorax. There has been some increase in the small apical pneumothorax. There is evidence of increased pulmonary venous pressure with some atelectatic changes at the right base.
thoracentesis, to assess for pneumothorax.
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Frontal and lateral views of the chest were obtained. There are low lung volumes. Patchy left base retrocardiac opacity is seen which could relate to atelectasis, although an underlying consolidation is not excluded. There is no pleural effusion or pneumothorax. The cardiac silhouette is likely accentuated due to low lung volumes, however, appears borderline to mildly enlarged.
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Ap portable upright view of the chest. The heart appears mildly enlarged. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact.
<unk>f with afib w/ rvr // eval ? pulmonary edema, cardiomegaly
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Frontal and lateral views of the chest were obtained. No definite focal consolidation is seen. There is no pleural effusion or pneumothorax. Incidental note is made of an azygos lobe. Cardiac and mediastinal silhouettes are unremarkable.
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Tip of endotracheal tube terminates approximately <num> cm above the carina, and a nasogastric tube terminates below the diaphragm. Cardiac silhouette is mildly enlarged and accompanied by new pulmonary vascular congestion and bilateral perihilar haziness suggestive of edema. More confluent areas of opacity in the right upper and right lower lobes could potentially represent an evolving pneumonia, particularly given findings concerning for right upper lobe pneumonia on recent ct of one day earlier. Small pleural effusions are present, right greater than left.
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Moderate-to-large right pleural effusion has slightly increased in size and is associated with a contiguous rounded opacity in the right mid lung region. Persistent right middle and right lower lobe collapse. Small bilateral pulmonary nodules are unchanged and seen to better detail on recent ct. Stable mediastinal and right hilar lymphadenopathy.
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The lungs are clear without focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. Streaky left lower lobe atelectasis is noted. A rounded density in the left hilar region may reflect partially calcified lymphadenopathy. No right hilar adenopathy is identified. The cardiac silhouette is within normal limits.
history: <unk>f with +ppd // r/o tb
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Lungs are well-expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation. No acute displaced rib fractures.
history: <unk>f with <num> month of left sided anterior chest pain // bony abnormality, ptx, acute cardiopulmonary process
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Mild enlargement of the cardiac silhouette is noted. The mediastinal and hilar contours are unremarkable. There is no pulmonary vascular engorgement. Hazy opacification within the left lung base with loss of the left hemidiaphragmatic contour on the frontal view may reflect atelectasis or infection. No large pleural effusion or pneumothorax is noted, though there is likely a small amount of pleural thickening within the left costophrenic angle. No acute osseous abnormalities are present.
shortness of breath for <num> week with chest congestion.
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Cardiomediastinal silhouette is unremarkable. There is no pleural effusion or pneumothorax. There is no parenchymal consolidation.
<unk> year old man with cough and mild hypoxia // evaluate for pna evaluate for pna
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Lungs are clear. There is no focal consolidation, effusion, or pneumothorax. Heart size is normal. Mediastinal and hilar contours are normal.
<unk> year old woman with fever, cough // ? infiltrate
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The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear.
alcohol and peptic ulcers. presenting with nausea, vomiting and diarrhea.
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There is minimal interstitial prominence in the right lower lobe, stable in comparison to prior studies. Otherwise, cardiomediastinal silhouette remains stably moderately enlarged. Biventricular icd system appears stable. Post-surgical changes are noted with mid sternotomy wires. The lungs are otherwise clear with no evidence of consolidation, effusion, or pneumothorax.
shortness of breath.
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Pa upright and lateral chest radiographs demonstrate well-expanded lungs. Heart is top normal in size and cardiomediastinal contour is unremarkable. Again seen are linear opacities at the right lung base with streaky opacities also seen in the retrocardiac region on the lateral view which could reflect atelectasis, scarring, or infection. Increased density in the inferolateral aspect of the right lung and potentially posterior aspect of the left lung could relate to pleural thickening. There is no pleural effusion and no pneumothorax. Again, note is made of sternotomy wires and a pacemaker with leads in appropriate position.
chest pain, evaluate for pneumonia.
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Pa and lateral views of the chest are compared to previous exam from <unk>. Right chest wall dual-lead pacing device is again seen with lead tips in the right atrium and right ventricle. The lungs are clear of consolidation or pulmonary vascular congestion. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unchanged. Multiple surgical clips seen in the upper abdomen.
<unk>-year-old female with fever, cough. question pneumonia.
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As compared to the prior examination, there is improved aeration bilaterally. However, there remains some hazy opacification, greater at the bases, likely representing pulmonary edema and predominantly a mild to moderate interstitial abnormality. No significant pleural effusion is present. A small amount of pleural fluid is noted along the right major fissure. No pneumothorax is seen. There is mild cardiomegaly.
dyspnea. history of congestive heart failure and copd.
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As compared to the previous radiograph, there is no relevant change. Appearance of the pleural space on the right as well as of the partly atelectatic lung parenchyma on the right is constant. Constant increase in lung parenchymal density on the left, likely reflecting mild fluid overload, but improved as compared to the previous examination.
right upper lobe empyema, evaluation for interval change.
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As compared to the previous radiograph, there is minimally increasing retrocardiac atelectasis, caused by a minimal increase in extent of the known left pleural effusion. The right pleural effusion and the overall appearance of the lung parenchyma and of the cardiac silhouette are unchanged. No change in position of the bilateral chest tubes.
pneumonia and effusions, evaluation.
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The lung volumes are extremely low. Crowding of the vasculature is likely due to the low lung volumes, rather than pulmonary edema. There is no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal. There is a displaced fracture through the surgical neck of the humerus, which is only evaluated in one ap view. No definite rib or spine fracture is visualized on this limited supine exam.
status post mvc. evaluate for rib fracture.
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Ap single view of the chest has been obtained with patient in semi-upright position. Analysis is performed in direct comparison with the next preceding similar study <unk> <unk>. Previously described left subclavian approach central venous line remains in unchanged position. Previously present endotracheal tube has been removed. No pneumothorax has developed. The previously identified ng tube is again seen and reaches now further down below the diaphragm indicating its position in a distended stomach. There is status post recent abdominal surgery with cutaneous sutures in the midline and one drainage tube terminating in the fundus area of the stomach. The heart size has not changed, and no pulmonary congestion has developed. There exist, however, hazy densities bilaterally in the lung bases with moderate blunting of the pleural sinuses. Comparison with examination of <unk> indicates stable findings. No new parenchymal infiltrates have developed, but the crowded appearance of the pulmonary vasculature on the bases related to the pleural effusions remains.
<unk>-year-old female patient with nausea and vomiting, status post ng tube placement, evaluate for possible aspiration, also check ng tube placement.
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. Coronary artery calcifications and/or stents are noted. Bilateral calcified hilar lymph nodes are again noted. No acute osseous abnormalities. No abnormal air-fluid levels identified over the mediastinum.
<unk>m with complex pmh, comes in with dysphagia // evaluate for any mass explaining dysphagia
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Portable supine ap view of the chest provided. The patient has been intubated with endotracheal tube tip residing approximately <num> cm above the carina. Pacer is unchanged. No new consolidation.
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Endotracheal tube tip is <num> cm above the carina and an orogastric tube ends into the stomach while tip of right internal jugular line is at mid svc. Right lower lung consolidation concerning for hemorrhage and/or pneumonia has further resolved. Very mild and asymmetric pulmonary edema has significantly improved since yesterday. Heart size is normal, mediastinal and hilar contours are unremarkable. Pleural effusion if any is small on the right side and stable.
respiratory failure, intraparenchymal hemorrhage, and pneumonia. to assess for interval change.
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The lung volumes are improved the previously described basal linear opacities have resolved in keeping with prior atelectasis. No acute focal consolidation. The cardiomediastinal silhouette is unremarkable. No pleural effusions or pneumothorax.
<unk>/m with smoking history/ copd s/p right tha with rising wbc, chest xray done on <unk> equivocal for pneumonia or atelectasis // ?pneumonia vs atelectasis
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As compared to the previous radiograph, the monitoring and support devices are in unchanged position. There is improvement of the pre-existing left retrocardiac atelectasis and of the right basal areas of atelectasis. Currently there is no evidence of pneumonia or pleural effusion. No pneumothorax.
pancreatitis, pancreatic pseudocysts. evaluation.
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One semi-upright portable view of the chest. The left lung opacity has progressed, now including almost the entire left lung with only small areas of lucencies in the apex. The right lung is grossly clear and there is no right pleural effusion.
chest pain and difficulty breathing, evaluate for reason for desaturation.
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Heart size is at the upper limits of normal or slightly enlarged . Cardiomediastinal silhouette and hilar contours are otherwise within normal limits. Trace blunting of the costophrenic sulci may represent trace effusions. Increased density in the posterior lung base on lateral view only without definite frontal correlate. Equivocal hazy density at the left lung base. Upper lung zones are clear. No pneumothorax.
dyspnea and wheezing.
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Pa and lateral views of the chest <unk> at <time> are submitted. The lateral view is limited as the patient's arm is by either side.
<unk> year old man s/p biv icd implant // ptx leads ptx leads
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Indwelling support and monitoring devices are stable in appearance. Lung volumes remain low. Slight improvement in pulmonary vascular congestion, but worsening atelectasis in the left retrocardiac region with adjacent increasing small-to-moderate left pleural effusion. Patchy opacity in the right lung base medially has also worsened and likely reflects atelectasis.
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No previous images. The heart is normal in size and there is no evidence of vascular congestion, pleural effusion or acute focal pneumonia. Scoliosis of the thoracic spine convex to the right.
right-sided chest pain.
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Right internal jugular venous catheter terminates in mid svc. Et tube terminates <num> mm above the carina. The transesophageal tube courses below the diaphragm and not of view. Intra-aortic balloon pump is in unchanged position. Right apical pleural thickening is unchanged. Bibasilar opacities are likely secondary to atelectasis and pleural effusions, similar to prior. Mildly enlarged cardiac silhouette is unchanged.
<unk> man with valvular hf, intubated with iabp // check proper placement of endotracheal tube and iabp
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The cardiac, mediastinal and hilar contours are normal. Lungs are clear and the pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
syncope, chest pain.